Permit (244) 1111 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' COMMUNITY DEVELOPMENT Permit#: ELR2019-00152
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2019
Parcel: 2S 111 ACO2901
Jurisdiction: Tigard
Site address: 9500 SW MURDOCK ST
Project: Templeton Elementary School Subdivision: None Lot: None
Project Description: Intercom and paging system to classrooms.
Contractor: EDNETICS INC Owner: TIGARD-TUALATIN SCHOOL
971 S CLEARWATER LOOP SUITE 1000 DISTRICT 23J
POST FALLS, ID 83854 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 208-777-4709 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Restricted Energy Permit 08/20/2019 $75.00
12%State Surcharge-Electrical 08/20/2019 $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 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 952-001-0080. You may obtain a cop of the rules or direct questions to OUNC by calling 503.2 .1987 or :10. .2344.
Issued By: /tF�'Aih.._ Permittee Signature: J
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 FOR OFFICE FSE Oyl.)
♦
City of Tigard Received
Date/B : / C P}' Permit# - ''i
4
11111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �--
iRelated Permit#: 2
Phone: 503.718.2439 Fax: 503.598.1960 ,i Date/B : t l ' l
Inspection Line: 503.639.4175E �r�E Ready Date/By: MEI ® See Page 2 or
T I G A R D Internet: www.tigard-or.gov 1 , Notified/Method: Supplemental Information
❑New construction ®Addition/alteration/replaceme p Please check all that apply(submit 2 sets of plans w/items checked):
UT►GAR
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: CITY DIVISION where the available fault current 0 Marinas and boatyards.
_ 1 w a RY OI 4 ,''"' exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
J is;''':.,, N$l 3 ;t:_'TION AND LOCATIONt'...„,".....r. 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 1 Job site address:9500 Southwest Murdock Street 100HP or more. ❑"A","E",`°1-2",°°1-3",
City/State/ZIP:Tigard Oregon 97224
0 Six or more residential units. occupancy.
ty g g Recreational vehicle parks.
❑Health-care facilities. ❑
Suite/bldg./apt.#: I Project name:Templeton Es Intercom Pro 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: n RULE
Description -� Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: _ Ea sq or add'l 500 ft portion 33.92 1
it. age OF WORK ' ''' ''''SA,:j.:,,,,...;., Limited energy,residential
Add analog speakers and IP speaker clocks to classrooms
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
., c' )', TVW-`. WNEB a EL�14 IT Services or feeders installation,alteration,and/or relocation
Name:Tigard-Tualatin SD 200 amps or less 100.70 2
Address:6960 Sandburg 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tiagrd,Oregon 99 601 amps to 1,000 amps 301.04 2
Phone:(503)431-4000 I 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
I ICANT ef. ;, CONTACT PERS i . -S.:„, A.Fee for branch circuits with
Business name:Ednetcis,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 72°d Ave. service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Tigard,Oregon 97223 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)678-6601 I Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:cris.andrew@ednetics.com Reconnect only 67.84 2
� ..moi „ ' .0 Pump or irrigation circle _ 67.84 2
Business name:Ednetics,Inc. Signor outlineTiglttmg2'
Signal circuit(s)or limited-energy
Address: 13535 SW 72"d Ave. panel,alteration,or extension. ee Page 27-.5)4e 2
City/State/ZIP:Tigard Oregon 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 Lic.'24934LE uprv.Llc.: specifically listed '/2 hr min
E 18 4 j'`,. PERMIT FEES Prr
Suprv.Electrician signature,required: 6—. ---.—...---_ Subtotal:
75:-,:, —
Print name: Cris Andrew Date: 8-20-19 — 0 Plan Review Required(25%of permit fee): ---
_
State surcharge(12%of permit fee): i
Authorized signature: TOTAL PERMIT FEE: (V '
This permit application expires if a permit is not obtained within 180
Print name: Date: 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
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
: - .. m^^s i iw 3 --:. - FEE-
Description
a'.4s iDescription Qty Each 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
❑ 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
El Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
El 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
s ecifically listed(%2 hr min
('t'._ dt;t r ONLY: ` x_.
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
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
® Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
El Outdoor Landscape Lighting*
❑ Protective Signaling
El 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