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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 00145 COMMUNITY DEVELOPMENT DATE ISSUED: 3/12/2008 T1GAR115 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114AA -00100 SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5 SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: TIGARD HIGH SCHOOL Project Description: (1) sign lighting for freestanding scoreboard. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: 1 LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TIGARD - TUALATIN SCHOOL DISTRICT 23J MEYER SIGN CO OF OREGON 6960 SW SANDBURG ST 15205 SW 74TH AVE TIGARD, OR 97223 TIGARD, OR 97223 Phone: Contact #: PRI 503 -620 -8200 FAX 503 - 620 -7074 FEES Description Date Amount Reg #: GLG 20- I90CLS IEl P104'11 P LC Permit 3/12/2008 $53.40 LIC 64014 ITAXI 12 % State Surchar 3/12/2008 $6.41 SUP 566S1G Total $59.81 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 • - -. NTION: 0 -gon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -s: -0010 through . • R 9 - 001 -010e. You may obtain copies of these rules or direct questions to OUNC at = .246 .699 or 1.800.332.2344. Issued : y: / � / I/ _/. Permittee Signature: `l am _ . �! .._. 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'N: DATE: LICENSE NO: • Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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 USE ONLY City of Tigard Date/By: , � og Permit No.:E __OR , '� � r ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review II Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T f G A R D Inspection Line: 503.639.4175 Date Ready /By: lest' IZI See Page 2 for Internet: www.tigard or.gov Notified/Method: ( ( Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ® Other: Sign where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A", "E", "1- 2 ", "I -3 ", Job no.: Job site address: 9000 SW Durham Rd. IooHP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: Tigard High School ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: West of Hall Blvd. Description 1 Qty. 1 Fee. 1 Total 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. 0.) 75.00 2 Limited energy, multi - family Install (1) elec freestanding scoreboard sign C ptCms © Sit:; residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ® TENANT 201 amps to 400 amps 106.85 2 Name: Tigard High School 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: (same as above) Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ® APPLICANT ® CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: (same as contractor) B. Fee for branch circuits without service or feeder fee, Contact name: first branch circuit 46.85 2 Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 1 53.40 53.40 2 Business name: Meyer Sign Co. of Oregon, Inc. Signal pane a) e r limited- t or energy panel, alteration, or Address: 15205 SW 74 Ave. extension. Describe: Page 2 2 City /State /ZIP: Tigard, OR 97224 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 620 -8200 Fax: (503) 620 -7074 Investigation per hour (1 hr min) 62.50 CCB Lic.: 64014 Electrical Lic.: 20- 190CL3 Suprv. Lic.: SIG566 Industrial plant per hour 73.75 ff,��� ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: j�/'� Subtotal: 53.40 Print name: Phil Reynolds C Date: 3 -12 -08 Plan review (25% of permit fee): State surcharge (12% of permit fee): 6.41 Authorized signature: TOTAL PERMIT FEE: 59.81 This permit application expires if a permit is not obtained within 180 Print name: Steve Murphy Date: 3 - - days after it has been accepted as complete. * Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 46t5T(11/05 /COM/WEB