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Permit (178) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2018-00294 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2018 T E A R C7 g Parcel: 2S 111 ACO2901 Jurisdiction: Tigard Site address: 9500 SW MURDOCK ST Project: Templeton Elementary School Subdivision: None Lot: None Project Description: Electrical for a new 2-story,80,000 sq.ft.elementary school building with 28 classrooms,library,cafeteria,gym, kitchen,and auxiliary spaces. Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: TIGARD-TUALATIN SCHOOL 1019 7TH STREET DISTRICT 23J OREGON CITY, OR 97045 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 503-655-2281 PHONE: FAX: 503-655-5033 FEES Quantity Description Date Amount 8 ea Limited Energy 08/28/2018 $600.00 Specifics: 23 ea Services or Feeders-200 08/28/2018 $2,316.10 amps or less Type of Use: COM 10 ea Services or Feeders-201 to 08/28/2018 $1,335.60 Class of Work: ALT 400 amps 1 ea Services or Feeders-401 to 08/28/2018 $200.34 Type of Const: 600 amps Occupancy Grp: 2 ea Services or Feeders-601 to 08/28/2018 $602.08 1000 amps 1 ea Services or Feeders-Over 08/28/2018 $552.26 1000 amps or volts 1 ea Temp Services or Feeders- 08/28/2018 $59.36 200 amps or less 43 crt Branch Circuits w/Purchase 08/28/2018 $319.06 Service or Feeder 1 ea Pump or Irrigation Circuit 08/28/2018 $67.84 Total $8,385.06 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 •u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 01 . Yo;may obtain a opy of the r es or direct questions to OUNC by calling 503.232. 987 or 1.800.332.2344. Issued By: - 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. Electrical Permit Application—City of Tigard Page'2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: . .- FEE SCHEDULE DesFee for all residential systems combined: $75.00 ° I Qty.1 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 (1 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 ❑ 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 0 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 mm) Inspections for which no fee is 90.00/hr specifically listed(1/2 hr mm) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial s stem: $75.00Subtotal(Enter on Page 1): Y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ►1 Audio and Stereo Systems ® Boiler Controls /1 Clock Systems ® Data Telecommunication Installation ►1 Fire Alarm Installation • HVAC O Instrumentation ® Intercom and Paging Systems ® Landscape Irrigation Control* ❑ Medical 0 Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling El Other: Total number of commercial systems: 8 *No licenses are required. Licenses are required for all other installations I:\Building\Permits\E.C_PernutApp_ELR_ERE.doc Rev 06/17/2015 DocuSign Envelope ID:6EA79ACA-574E-4348-9BD1-A67E6B899475 R ,,,EivE, 1 ) E ( I N4 \II Electrical Permit Application VOR i 1. -1 ' 1 o 1_ City of Tigard ' - NW ' -laiteceive e:i • 4- Date/By: L-11- ii, t. .air ernut• lig ,,,, 13125 - „ SW Hall Blvd., ligard.OR 97223 MAY 7 9nis Plan Revie '' y a /.14.- i a i Ain a Phone: 803 718'439 Fax: 503 598 1960 MAI. , ,-,a, Da.:13 : .„ ii,/;14, ,„,,,. . ---e't'ic-'ermit 4.- .... . ....._ . .. . .. Inspection Line: .)03.639.4175 ,A,eady Date/By: Julia rn : RI See Page 2 for Inteet: wurvv.tigard-or.gov CITY OF TiGA , lbrotifted/Method: „/7 i: ?al ' Supplemental information - -- -1--4--i--7-.',-i-%rr,,n .1")-14,.. - 7"..., ,,,i . '' r ________ TATE OF IA/ORR,L-4 x-,-- 3.''',''.-.' '''''''''" ''''"'''- PLAN REVIEW r New construction 0 Additionlaiteration/replaectrpt EGErVEE)- Please check all that apply(submit 2 sets of plans wiitems checked): IS Service or feeder 400 amps or more 0 Building ova.three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards, CATEGORY OF CONSTRUMON AUG 2-9 2,019 , , exceeds 10,000 amps at 150 volts or fp Floating buildings. I l 0 1-and 2-family dwelling El Commercial/industrial C3 Accessory building.. less to ground,{)/r exceeds 14,000 0 Commercial-use agriculiund i 0 Multi-family 0 Master builder - luARD 0 oGiTY Of- T , . • . pump 0 ampsirharpall other installations. buildings. 0 installation of 150 KVA or JOB SITE EN-FORMATION 41'ND LOCA' I 1 1 w ' Emergency sYstem, A larger separately derived 0 Addition of new motor load of system. Job 4: Job site address:9500 SW Murdock Street f 1 00HP or more. - - 0 Six or more residential units. occupancy. City/State/ZIP:Tigard,OR.97224 0 Health-care facilities. 0 Recreational vehicle parks. I ..,_ 1 Suite/bldg./apt 4: Project name:Templeton Elementary Scho 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more, 600 volts nominal. i Cross street/directions to job site:96 '&Murdock _. FEE SCHEDULE Description —TZity. I Each I Total I _. New residential single-or multi-family dwelling unit. Subdivision: Lot 4: Includes attached garage, I ' 1.000 sq.ft,or less 0 168,54 0 I Tax map/parcel 4:2S111A CO2901 Ea,addl 500 sq.ft.or portion 0 33.92 0 I , - DESCRIPTION OF WORK Limited energy,residential 0 75.00 0 2 All electrical work associated with the cosntruction of a new 2-story 80,000 SF (with above sq ft Limited energy,multi-family 0 75 00 0 2 `-.4„, Elementary School . residential(with above a .ft.) LEI See Pam 2 0 I-, .„,....„,....ER 1 -------------------i-i - Renewsbisj,plm' )4' i---1 PROPERTY OWNER " TENANT Services or feeders installation,alteration,and/or relocation Name:Tigard Tualatin School District 200 strips or less 23 t. 100.70 231,.iP 2 ,,-,* amps to 401)amps 133.56 1 1 335.6 , 2 .-/ ..„, Address:6960 SW Sandburg Road 201 4 401 snips 10 600 amps 200..34 200.34 a ..." City/State/Z1P:Tigard,()R 97224 601 amps to 1,000 amps2 ....... 301.04 602.08 U , Phone:(503)523-8103 j Fax:( ) Over 1,000 ampsyr volts . 1 552.26 ISEallirer 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__. 1 1 59.36 59.36 1/11_....., intended for sale,lease,rent,or exchange.according to ORS 447,449,670,and 701. 201 amps to 400 amps 125013 III Owner signature: _........... ___.. Date: 401 amps to 599 amps 168.54 0 CONT ACT--PERSON -: Ell _._ 1 ------._ Branch circuits-flew,alteration,or extension.,pxir panel — -- - — A.Fee for branch circuits with 1 3 ,-i. , Business name:DayCPM above service or feeder fee, 43 7.41 a '1 . 2 -- — -- - ----. . each branch circuit Contact name:Shawn Christensen 1 B. Fee for branch circuits without service or feeder fee, Address:6960 SW Sandburg Road ___ branch circuit first 1 56.18 2 ...._ _... _ . .... City/State/ZIP:Tigard,OR 97224 Each add'! ranch circuit I 1 7.42 . ,, 2 - I -- Miscellaneous(service or feeder not included) .... Phone:(971)727.4168 . I Fax: :( ) Each manufactured or modular ... _ .......... 11 dwelling,service aridlor feeder 67,84 Email:schristensenqdayepm.com ...... Reconnect ont.;, 67.84 ..... ....... .... _....._ _. CON TRACTOR ..... ----- Pump or inigatwn circle 1 1 67.84 67.114 2 114, -,;--1. Business name: ). - ...)... ,,,,,„::,,d'c tic-ri2Ac„ ._ c6,3„,G--vkk-11 n.cici. .1. ,, Sign or outline lighting _._.....1 1 67.84 67.84 2 l, Signal circuit(s)or limited-energy " Address: l ol,C‘ '''-1.-•71-.' ':::;:-112---ti:i 0 See Pane 2 600 2 „„e" *and.alteration,or extension. - 1 i--- — Each additional inspection over allowable in any of the above-- I./NI City/State/ZIP:(7,7 v..„- , c,,,,_,. c----rit,+-1-c- ......... , Additional inspection(1 hr min) 66,25/hr ....._ . , „4--r-1:1-1-one•(-7pe./' '.? )' 5-5 2,1 z i"1 Fax:( ) 1 3 Investigarmn(1 bruit) IIIIII 90.00/hr ''''''',1 •-.... - _ Industrial plant(1 hr min), - - 78,18/hr — En-tail: - • --•: —----- ___. . Inspections for which no fee is 11 90.02/hr CCB Lie.: 51-1--( t Electrical Lie,: 3— 34-itc6. SaPrv.1..ic.: 6075S sveettiealt'listed(16 ltr atiiI) ' , — ,.--DOC-Wiped by: ......._ - -. Eli-Z(7'111CM.. PERMIT FEES Suprv.Electrician signatu.re,required: ,eau „ Subtotal: 1 ,e8.991.1 ..4 ---- ................ ......_. ........... I print name: Peter Boen .--4E9F29CCBIA944E Date: 8/29/2018 7:5 :'12*tarPtiFiew Required(25%of permit fee): 2248.3 - State surcharge(12%of permit fee): 1079.2„ . Authorized signature: TOTAL PERMIT FEE: 1232113c - ' -- •• ,This permit application expires if a permit is not obtained withiagad------ Print name: 2 - (.....-_ a_ T , s,c-:,,,,-: '% I Date: 1-6.ta iii ;,..• .„ I days after it has been accepted as complete. -t\--,,, /g\-.1 i -' * Number of inspections allowed per permit. t\BuildingWermits\ELC PermitApp F,I.R_ERE.tioc Rev 06i1712.015 440-4(A 5T(11/051COM/WED Branden Taggart From: Branden Taggart Sent: Friday, May 18, 2018 2:34 PM To: 'Shawn Christensen' Cc: #Building Permit Technicians Subject: Electrical Permit for Templeton Elementary School: ELC2018-00294; 9500 SW Murdock St. Attachments: Branden Taggart.vcf; ELC2018-00294 Templeton Elementary Application.pdf Hi Shawn, The electrical permit for Templeton Elementary School is ready to issue now. The balance due is$8,385.06. Please let me know how you would like to pay. Also,just to let you know,the fees on this permit are considerably less since there were a few calculation errors on the application. Furthermore,we will need a signature from the supervising electrician at Portland Electrical Construction before we issue this permit. I have attached a copy of the application for the electrician to sign. Please let me know if you have any questions. Thanks, Branden Taggart a City of Tigard or � Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 brandent©tigard-or.gov 1