Permit (17) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
2 '. COMMUNITY DEVELOPMENT Permit#: ELR2019-00107
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2019
Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Installing IP intercom speaker/clocks,amps,zone,and replacing some analog speakers inside the school and on
the outside of some areas.
Contractor: EDNETICS INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
971 S CLEARWATER LOOP SUITE 1000 6960 SW SANDBURG ST
POST FALLS, ID 83854 TIGARD, OR 97223
PHONE: 208-777-4709 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/05/2019 $75.00
12%State Surcharge-Electrical 06/05/2019 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 0
HVAC: 0 Instrumentation: 0
Intercom/Paging: 1 Landscape/Irrigation: 0
Landscape Lighting: 0 Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: 0 Total $84.00
Other Desc: 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 suspen ed for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C r. Those ru are set forth in OAR
952-001-0010 through OAR 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 19 or 1 00 . 344.
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 � L
.E FOR OFFICE IISE OvLv
� _
City of Tigard Received
: Vl,k q S Permit#E. .1? -LAC-1-C_.j 1(.--
,III - 13125 SW Hall Blvd.,Tigard,OR 97223 J U N -"b 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960_ Date/B : Related Permit#:
Inspection Line: 503.639.4175 (.+�1 l h A t 1 L> Ready Date/By: Juris: ® See Page 2 for
I I G A R I) Internet: www.tigard-or.gov [DIN I fl 1l li,Ji(1 fl i'. Notified/Method: Supplemental Information
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4,1,,,, ,,_..., :,Z ars � : � �
.. x `�PLAN RE �x
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
O Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition El Other:
where the available fault current 0 Marinas and boatyards.
CATEGt RY 0" 1 'II ,,,:;,,p: u lx exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling E Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
Multi-familyMaster builderamps for all other installations. buildings.
❑ ❑ ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
4 Y 8::i---
T'-'
' •`, 14 ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 18-04502 Job site address:9000 SW Durham Rd. 100HP or more. ❑"A","E",°°1-z","1-3",
City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Tigard HS Modernization 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
•xTy
Cross street/directionsa
to job site: �� � � �: SCHEDULE �1' 4� ¢ ,,�„��
Description I Qty. 1 Each Total
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#:
Ea.add'l 500 sq.ft.or portion 33.92 1
ka ,. ».
,.�� �� ^� 1� 1 J' � ,,,:S!ij.-,,,,,A;,:', 7,,,_ Limited energy,residential
(with above sq.ft.) 75.00 2
Install IP intercom speaker/clocks,amps,zone,and replace some analog speakers
Limited energy,multi-family 75.00 2
inside the school and on the outside of some areas. residential(with above sq.ft.)
® Renewable Energy 0 See Page 2
a
':',',-.......:1- .:v 'TENAN`I
iii',5=- � - Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 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
Branch circuits-new,alteration,or extension,per panel
+ ACT PERS{ l
`'� - ' .� �. r `4 A.Fee for branch circuits with
Business name:Ednetics,Inc. above service or feeder fee,
7.42 2
each branch circuit
Contact name:Cris Andrew B.Fee for branch circuits without
Address: 13535 SW 72nd Ave branch circuit 56.18 2
City/State/ZIP:Tigard,OR 97223 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)888-7804 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:cris.andrew@ednetics.com Reconnect only 67.84 2
"e. : a s a .i i Pump or irrigation circle 67.84 2
Business name:Ednetics,Inc. Sign or outline lighting 67.84 2
Address: 13535 SW 72nd Ave Signal circuit(s)or limited-energy A_See Page 2 7 '� 2
panel,alteration,or extension. ✓ r
City/State/ZIP:Tigard,OR 97223 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(971)888-7804 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:cris.andrew@ednetics.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 189577 Electrical Lie.: CLE347 Suprv.Lic.: 4934LEA specificallylisted(14 hr min)
:v; y. a 14 �r =r
:Su rv.Electrician signature,required.
Subtotal:
Print name: Cris Andrew Date: 6/5/19 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name' Cris Andrew Date. 6/5/19 days after it has been accepted as complete
* Number of inspections allowed per permit.
I:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 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 Qty. Each Total
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
❑ 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 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 is 90.00/hr
s.-cificall listed %2 hr minfee
, OWL I -aid % m,
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
1=1 HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ 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