Permit (37) CITY OF TIGARD ELECTRICAL PERMIT
' 7 . COMMUNITY DEVELOPMENT Permit#: ELC2017-00757
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2018
T[GAR
�'t�" g Parcel: 2S1138000300
Jurisdiction: Tigard
Site address: 8040 SW DURHAM RD
Project: Durham Education Center Subdivision: None Lot: None
Project Description: Electrical for a new alternative high school.
Contractor: HEIL ELECTRIC CO Owner: TIGARD-TUALATIN SCHOOL DISTRICT
8425 SE STARK ST 6960 SW SANDBURG ST
PORTLAND, OR 97216 TIGARD, OR 97223
PHONE: 503-255-4074 PHONE:
FAX: 503-255-4139
FEES
Quantity Description Date Amount
2 ea Services or Feeders-200 02/27/2018 $201.40
Specifics: amps or less
4 ea Services or Feeders-201 to 02/27/2018 $534.24
Type of Use: COM 400 amps
Class of Work: ALT 1 ea Services or Feeders-601 to 02/27/2018 $301.04
1000 amps
Type of Const: 181 crt Branch Circuits w/Purchase 02/27/2018 $1,343.02
Occupancy Grp: Service or Feeder
1 ea Plan Review Electricial 02/27/2018 $594.93
55 ea Info Process/Archiving-Sm 02/27/2018 $27.50
$0.50(up to 11x17)
1 ea 12%State Surcharge- 02/27/2018 $285.56
Electrical
Total $3,287.69
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain rules or direct questions to OUNC by calling 503.23r7 or 1.800.332.2344.
A
Issued By: Permittee Signature: Ai L12' f —k-'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4176 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application
FOR OFFICE USE ONLY
- City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 i• to 1 q ,, L *DateBy: �'� j i'] Permit#: �j�
t? t- Plan Revie / t` �"�'7--a,-)5
J
Phone: 503.718.2439 Fax: 503.598.1960 f,Jt 1
T r G A R D Inspection Line: 503 639.4175 ReadyDate/B : Related Permit#: "�
Internet: www tigard or gov �� )(1 �/ Ready. 'hyo:
a�: �� r
onfied A4 0 mental Information
N fi d 2 `/ / � See Page 2 for
/ y'C1� �S*aupple
®New construction 0 Addition/altera? pjg :i.i :' E Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition 0 Other =� pp y
0," o where the oval a�a fault c nt ❑Building over three stories.
,4GA ' X OF NrSTRIT `ITOJ - '' '- ,-' ❑Marinbud boatyards.
,•, � .. exceeds 10,000 amps at 150 volts or ❑Floatingng buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory g buildin less to ground,or exceeds 14,000
❑Commercial-use agricultural
❑Multi-family ❑Master builder ❑Other: amps for all other installations. buildings.
0 Fire um
rw 0 `asn 1 oR1s1Ario A
pump. ❑Installation te150 KVA or
e w ::`,z r _ T4)1111" ' ;.'. ' ❑Emergency system.
larger sepazately derived
Job#: I Job site address:8040 SW Durham Road ❑Addition of new motor load of system.
100HP or more. aa.',,
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
Suite/bldg./apt.#: ❑Health-caze facilities. ❑Recreational vehicle pazks.
I Project name:Durham Education Center ❑Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site:On SW Durham Road between SW 85th Ave _, . 600 volts nominal
101+ SiEA <a r}
and SW Boones Ferry Road. Description g 1 Qty I Each
New residential single-or multi-family dwelling unit.Toral
Subdivision:
I Lot#: Includes attached garage.
Tax map/parcel#: 2S113B000300 1,000 sq.ft.or less 168.54 4
P.Of Ea.add'l 500 sq.ft.or portion 33.92 1
` ' -* ':1 ' ; • Limited energy,�� residential
New alternative high school including common room,classrooms,science (with above sq.ft.) 75.00 2
Limited energy,multi-family
classroom and kitchen.New deck with ramp and new door to existing school. residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
Name:Tigard-Tualatin School District
::7 tit � z 4 Services or feeders installation,alteration,and/or relocation
200 amps or less 2 100.70 201.40 2
Address:6960 SW Sandburg S 201 amps to 400 amps 4 133.56 534.24 2
City/State/ZIP:Tigard,OR 97223 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 1 301.04 301.04 2
Phone:( ) I Fax:
( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
relocatin
(1/4)•., Owner installation:This installation is being made on property that I own which is not 200 amps or less
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 59.36 2
201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps
168.54 2
"7 '` '- " P.,. '.' ,1 4::!r '- , (1A T* 0$: i Branch circuits-c new,alteration,or extension,per panel
1 Business name:Glumac A.Fee for branch circuits with
above service or feeder fee, `�.�'
ck Contact name:Daniel Slavik each branch circuit 7.42 2
%6
B.Fee for branch circuits witho
ral Address:900 SW Fifth Ave,Suite 1600 service or feeder fee,first
branch circuit 56.18 /313' C?
City/State/ZIP:Portland,OR 97204 Each add'l branch circuit
,...82-' 7.42 _ 2
Phone:(503)227-5280 I Fax: :( ) Miscellaneous(service or feeder not included) +�YJ
or
Each manufactured or modular
Email:dslavik@glumac com dwelling,service and or feeder 67.84 C/2
T_ RA I , t1::::'-'4f.,
Reconnect only /54-niie l
67.84
�` rr - Pump or irrigation circle i/ ip7
Business name: �e' L �6`�h�G 67.84 2
I'� 1t+ Sign or outline lighting 67.84 2
Address: Rki 1�" .5-6 &T�n k. s-r Signal circuit(s)or limited-energy
o J ,�+ panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP: 90��1 ,e isi`� ` �� �f Each additional inspection over allowable in any of the above
Phone:([ ) �'f J 6 Additional inspection(1 hr min) 66.25/hr
7 /NS—y 0�' 'j I Fax:( ) Investigation(1 hr min) 90.00/hr
Email: �4 wry*d i to, e t -C Industrial plant(1 hr min
��+li�r 1(..G►e" ) 78.18/hr
Inspections for which no fee is
CCB Lic.: '4. Electrical LicC I Suprv.Lic.: SSecifically fisted(%z hr min) 90.00/hr
?i�
Suprv.Electrician signature,required: .= -, E IuuA P T ,:
Print name: .,„672tSubtotal: 3136.5
D 0717 tz..6 I Date: z/z-7 J i 7 ®Plan Review Required(25%of permit fee):_ 784.14
(( �� l State surcharge(12%of permit fee): 376.38
Authorized signature: ` TOTAL PERMIT FEE: 4297.0
Print name: Sikt This permit application expires if a permit is not obtained within 180
N S, I Date: l c'S/ 201 i I days after it has been accepted as complete.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Number of inspections allowed per permit.
440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Description I Qty. Each I Total I *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 100.70 2
5 kva or less
Check Type of Work Involved: 5.01 to 15 kva 133.56 2
15.01 to 25 kva 1 200.34 200.34 2
El Audio and Stereo Systems*
Wind generation systems in excess of 25 kva:
[1] Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
0 H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 75 7.42 556.50 3
>100 kva-no additional charge 25 0.0 0 3
❑ V• acuum Systems* Each additional inspection over allowable in any of the above:
Each additional inspection is 66.25/hr 1
❑ Other: charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed�_('/hr min)
Subtotal(Enter on Page 1): I 756.84
Fee for each commercial system: $75.00 • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
® Data Telecommunication Installation
® Fire Alarm Installation
• HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
a
❑ Nurse Calls
'4 t
® Outdoor Landscape Lighting* ,
❑ Protective Signaling
❑ Other:
Total number of commercial systems: —
*No licenses are required. Licenses are required for all
other installations •
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8040 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2017-00757
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor