Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2018-00376
T I G AR n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2018
Parcel: 2S 111 ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: Twality Middle School Subdivision: None Lot: None
Project Description: Electrical for(13)new modular buildings,(1)relocated modular classroom,and(4)future modular classrooms.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: UNION HIGH SCHOOL DISTRICT
1019 7TH STREET NO. 3 JT
OREGON CITY, OR 97045 00000
PHONE: 503-655-2281 PHONE:
FAX: 503-655-5033
FEES
Quantity Description Date Amount
14 ea Services or Feeders-200 06/28/2018 $1,409.80
Specifics: amps or less
1 ea Services or Feeders-Over 06/28/2018 $552.26
Type of Use: COM 1000 amps or volts
Class of Work: ALT 1 ea Signal circuit or Limited 06/28/2018 $75.00
Energy Panel
Type of Const: 1 ea Plan Review Electricial 06/28/2018 $509.27
Occupancy Grp: 1 ea 12%State Surcharge- 06/28/2018 $244.45
Electrical
Total $2,790.78
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 0 952-001-0090. You may obtai les or direct questions to OUNC by calling 503.232.1987 or 1.800 32.2344.
Issued By: ir Permittee Signature:
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 503.639.4175 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.
ti
Electrical Permit ApplicationRECEIV , FOR OFFICE USE ONLY
Cl O Tl and Received
`J f g 3 nn pct DateBy: �f it#: IL-,-1.-CIX) �-�J 7[�
13125 SW Hall Blvd.,Tigard,OR 97223U C� Plan Review/
rf
a Phone: 503.718.2439 Fax: 503.598.1960 aateBy: ( a. elated Permit It- // Ep."-Cit
Inspection Line: 503.639.4175 CITY
F '41,ad DateB . oris: BI See a e 2f for
TIGARD pCITY OF TIGA 4; Y y �4�F
Internet: www.tigard-or.gov Notified/Methodl 3/ilf,,- "J'I'Gb Supplemental Information
[LI'LDING DIMS
TYPE OF WO �zr.•cht/� ✓�i.�lgt PLAN REVIEW
►.1 New construction 0 Addition/alteration/replacement- Please cheek all that pply(submit 2 sets of plans w/items checked):
ElService or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ®Other:Manuf Strucs 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: I Job site address:14650 SW 97thAve El Addition of new motor load of system.
1001-1P or more. ®"A,"E",`1.2'.'1-3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt"#: ( Project name:TMP/TMS Modulars 0 Hazardous locations. 0 Supply voltage for more than
El Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:96th&Murdock. Modular units located FEE SCHEDULE
*
in the center of the Twality Middle School track. Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: ( Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:2S111ACO2901 Ea.add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
All electrical work required for the installation of(13)new modular buildings,
(with above sq.ft.)
Limited energy,multi-family 75.00 2
(1)relocated modular classroom and(4)future reloated modular classrooms. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® PROPERTY OWNER I 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Tigard Tualatin School District 200 amps or less 14 100.70 1409.8 2
Address:6960 SW Sandburg Road 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97224 601 amps to 1,000 amps 301.04 2
Phone:(503)523-8103 Fax:( ) Over 1,000 amps or volts 1 552.26 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Day CPM above service or feeder fee,
7.42 2
each branch circuit
Contact name:Angela Caffrey B.Fee for branch circuits without
serAddress:6960 SW SandburgRoad branchce it feederitfee,first 56.18 2
branch circuit
City/State/ZIP:Tigard,OR 97224 Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)523-8103 Fax:: ( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:acaffrey@daycpm.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Portland-Electrical Construction Inc. Sign or outline lighting 67.84 2
Address:1019 7th St. Signal circuit(s)or limited-energy ® See Page 2 75 2
panel,alteration,or extension.
City/State/ZIP:Oregon City/OR/97045 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)655-2281 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:greg@portlandelectrical.com Industrial plant(i hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 51764 Electrical Lic": 3-246C prv.Lic.: 6075S specifically listed(Vs hr min)
ELECTRICAL PERMIT'FEES
Suprv.Electrician signature,required: -''" Subtotal: 2037.06
Print name: Peter Boen Date: 5/29/18 0 Plan Review Required(25%of permit fee): 509.27
State surcharge(12%of permit fee): 244.45
Authorized signature: TOTAL PERMIT FEE: 2790.78
This permit application expires if a permit is not obtained within 180
Print name: Shawna Christensen Date: 05/29/2018 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440.4615T(11/05/COM/WEB
fFF
r
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL_.WORK ONLY: , , FEE SCHEAI7LE '. t
Description Qty. I Each I Total I *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ G• arage Door Opener* >l00 kva(fee in accordance 552.26 2
with OAR 915-309-0040)
❑ H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%a hr min)'
F.f.FCTRICAL PERMIT FEES";
COMMERCIAL:'WORK ONLY:
SubtotalEnteron Page 1):
Fee for each commercial system: $75.00
y s Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
El A• udio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ D• ata Telecommunication Installation
® Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
O Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
• other installations
l:\BuildinglPermits\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:
14650 SW 97TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2018-00376
Inspection Type: Inspector:
115 Electrical service Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14650 SW 97TH AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2018-00376
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor