Permit (158) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2019-00174
T i i A R[.n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/02/2019
Parcel: 2S111 ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: Twality Middle School Subdivision: None Lot: None
Project Description: Electrical for rebuilding a new two-story school:Removing,relocating,and re-routing existing electrical.
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
9 ea Services or Feeders-200 05/02/2019 $906.30
Specifics: amps or less
5 ea Services or Feeders-201 to 05/02/2019 $667.80
Type of Use: COM 400 amps
Class of Work: ALT 1 ea Services or Feeders-601 to 05/02/2019 $301.04
1000 amps
Type of Const: 1 ea Services or Feeders-Over 05/02/2019 $552.26
Occupancy Grp: 1000 amps or volts
1 ea Temp Services or Feeders- 05/02/2019 $168.54
401 to 599 amps
80 crt Branch Circuits w/Purchase 05/02/2019 $593.60
Service or Feeder
75 ea Each additional kva over 25 05/02/2019 $556.50
1 ea Plan Review Electricial 05/02/2019 $936.51
1 ea 12%State Surcharge- 05/02/2019 $449.52
Electrical
Total $5,132.07
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,-001-0090. You " obtain a cop •f the rules -irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: s ; _ /.d_�L/L����-I Permittee Signature: �Q
OWNER INSTALLATION O 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
Mage 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
gt l? £t �W '',+ NE �- tomes. .- _- .. .,fes ,, E.
.W.,.. e a a ..�.m.. „�. «.., ..,,, _ - I Qty. Each I Total 1
Fee for all residential systems combined: $75.00 Desnewa
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:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
L Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 75 7.42 556.50 3
n Vacuum Systems* >100kva—noadditional 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 anhourly(I hr min)
Inspections for which no fee is 90.00/hr
s.-cifically listed(V2 hr mm)
V iiat
�° ; . CA ;f' Oit S l .
"
Subtotal(Enter on Page 1): 556.50
Fee for each commercial system: $75.00
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved: PGt' orrut- Vi7/t/
[1] Audio and Stereo Systems '
C 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*
❑ Protective Signaling
LI Other:
Total number of commercial systems: 6
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015