Permit (90) CITY OF TIGARD ELECTRICAL PERMIT
' ■ COMMUNITY DEVELOPMENT Permit#: ELC2018-00460
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2018
T l i;A R n g Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Electrical for modernization project.
Contractor: PRAIRIE ELECTRIC INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
6000 NE 88TH ST 6960 SW SANDBURG ST
VANCOUVER,WA 98665 TIGARD, OR 97223
PHONE: 360-573-2750 PHONE:
FAX: 503-576-7422
FEES
Quantity Description Date Amount
- -
30 ea Services or Feeders-200 08/16/2018 $3,021.00
Specifics: amps or less
30 ea Services or Feeders-201 to 08/16/2018 $4,006.80
Type of Use: COM 400 amps
Class of Work: ADD 2 ea Services or Feeders-601 to 08/16/2018 $602.08
1000 amps
Type of Const: 1 ea Services or Feeders-Over 08/16/2018 $552.26
Occupancy Grp: 1000 amps or volts
1 ea Temp Services or Feeders- 08/16/2018 $168.54
401 to 599 amps
656 crt Branch Circuits w/Purchase 08/16/2018 $4,867.52
Service or Feeder
1 ea Plan Review Electricial 08/16/2018 $3,304.55
1 ea 12%State Surcharge- 08/16/2018 $1,586.18
Electrical
Total $18,108.93
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: Or-•• 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•'' .4 -00.1. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / �J Permittee Signature: i .,
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 603.639.4175 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.
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
'RESIDENTIAL W RK NZY _ Aligatagiaateglataattagatatatee
Fee for all residential systems combined: $75.00 De Qty. I Each I Total I
y 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:
El 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)
❑ Heating, 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
��
����yy y..� specifically listed(Y2 hr min)
? ;t 6W-61tOM Y OIL X.qJ' 'fid, s;.: r x s y! .i t. ., ;ti`� EL CTRTC'AL't,1F~ERIVIIT'
Subtotal(Enter on Page 1):
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
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
O Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I.\Building\Pennits\ELC PermitApp_ELR ERE.doc Rev 06/17/2015
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
IN 4
Transmittal Letter
i ;G A R t) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: -"_„,.. Ilk DATE RECEIVE 1 .
DEPT: BUILDING DIV ION RCC r ED
FROM: -� /C)*\.Q\--%\)\)WSK. ► 1 G 3 2018
1 ` 1 \-C ITY OF l MARC)
COMPANY: ` EIDET j` VTE-c:C c UILDING DIVISION
PHONE: -DS'` 99A — c\G.2 By:
RE: 1 �t N OO t- M � -PerrnC
/7
l , (Site Address) (� int_•_umber)
ell 'C ) a✓�%in et.C,2O\$ -004GO
( roject name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITE >:
Copies: Description: `• Copies: Description:
Additional set(s) of plans. \`k Revisions: 'C®,Q3 5J,, 0\
Cross section(s) and details. '��`'!\ Wall bracing and/or lateral analysis.
Floor/roof framing. k yi Basement and retaining walls.
Beam calculations. \ Engineer's calculations.
Other(explain):
REMARKS: A'It. "A L TEMVi- V✓AJ\ .5 KOU)) COreW,
FOR F CE USE ONLY I I /
Routed to Permit 'echnicianDate: � lj /s-
(
t Initials: •
Fees Due: ❑ 'es ) (o Fee Desc>si tion: Amo fro ue:
Sp- ial
structions:
Reprint Permit(per PE): ❑ Yes ❑NoV 0 Done
Applicant Notified: 1-..,--___. Date: /.f /f f Initials:/9" —
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc