Permit C ITY O F T,I G w RD ELECTRICAL PERMIT
- ` H PERMIT #: ELC2004 -00572
o IA,, DEVELOPMENT SERVICES DATE ISSUED: 9/17/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S114AA - 00100
SITE ADDRESS: 08680 SW DURHAM RD SCHL. SWIM CTR.
ZONING: R - 4.5
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of 400 amp service. Other work is to be done by school district under the Washington
County Electrical Program.
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:
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: 1 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:
SCHOOL DISTRICT 23J TRADEMARK ELECTRIC LLC
6900 SW SANDBURG RD 5543 SE WILLOW ST
TIGARD, OR 97223 MILWAUKIE, OR 97222
Phone: 503 - 431 -4000 Phone: 503 - 723 -8444
Reg #: LTC 150638
ELE 3 -536C
FEES SUP 4790S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 9/17/2004 $106.85
[TAX] 8% State Surcharge 9/17/2004 $8.55 Elect'I Service
[ELPLCK] ELC Pin Rev 9/17/2004 $26.72 Elea! Final
Total $142.12
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Spedalty 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 .. - . 4 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those
rules are s- forth in OAR '.2-001-0011 ' ug "AR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC a (503)
246 -669• or 1 -800- 332 -234
Issued =y: , I� .,,,; r�► � �� - /.: �! �' Permit Signa • � /j IM w1`i.// •
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 INSTALLATIO ONLY
4
SIGNATURE OF SUPR. ELEC'N. �� / 044 DATE:
LICENSE NO: ' ,
Call 639 -4175 by 7:00pm for an inspection the next business day
t
CE 1vE34 : .
Electrical Permit Applica it e r P r ! Received FOR OFFICE USE ONLY
City of Tigard , S ? DateB • ffD Permit gGC,_ , s_ n
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review q 4�
'T
Phone. 503.639.4171 Fax: 503 598 1960 �� - � ' "� r r 4 j� � !i, " "i I I D ate B / �y Other Permit:
Inspection Line: 503.639.4175 ,13 .� _ ° ` J Date Ready/By p �� El See Page 2 for
Internet: www.ci tigard.or.us �� ' 41 Notified/Method / /.. a t •� Supplemental Information
,.:Aj .a. s orn=.. < s t 'p,, ; W a .it�.� ;.� §'os `.: __'sz. ! *, - ' r t:: fir.:: A
❑ New construction ❑ Addition/alteration/re.'7ce •nt , •lease check all that apply
❑Demolition ❑Other: ['Service over 225 amps, comm'I Hazardous location
{, } � ; aFy , r, .. ° ['Service over 320 amps - rating ❑ Buildng over 10,000 sq ft ,
\r •.: � : *61 6 -1 C®1\ agfre a 1 `1 � a qA,l "" ' Y g
z. , `T y ":4, w T, __ - ��� � - , , of 1 -and 2-family dwellings 4 or more new residential
❑ 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
V ❑ Multi fanuly • ❑ Master builder ❑ Other: Building over three stories ❑Feeders, 400 amps or more
•:��_� ri, ,, ❑Occupant load over 99 persons ❑Manufactured structures or
it 1 y4 ' W t..- _, in. � a .FO , SIT O M TIOP,„. _ „ 2jT' ., : : park
t . . :� 4�x , _. ❑Egress /lighting plan
RV P
Job no.: Job site address: Q /,, �„ 1 u � /„ Ai ❑Health -care facility ❑Other.
v �/ C/ K+ P r Submit 2 sets of plans with any of the above.
City/State /ZIP: 716! A.. D 9 /� i -% The above are not applicable to temporary construction service
Sutte/bldg. /apt. no.: Project named� 1`0W 6 T,.. ` - ` - fi rDt o-� ':
`� j tArr t /"� C I J t e'er-' Description I Qty. I Fee. :;.-7,-
I V Total «'
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq ft. or less 145 15 4
Subdivision: I Lot no.: Ea. add'I 500 sq ft or portion 33.40 1
Limited energy, residential 75.00 2
. Tax map /parcel no.:
p .3 w :.,. - ,pry 4 r.< " Limited energy, non - residential 75.00 2
i ` ' t'" i+ : ?ES,0RIPT'IO C}k e ' , ' ; ;I ` ;I' i .'; . � = *
Each manufactured modular
qi ac manuacture or modu
; 9,,,, ,,,,, ,,.t ,. t��; " ;� ' .-".. ,I.,- , %.,„, -� _•.,,44:.4 » a ' ° V,,,, Ai. ^ . " , A ,,,,,. . ,, ..�. o ,s,
4 ,\ t I / , 4 dwell service and / or feeder 90 90
/.�__ ,I/ s 1�1 f� tf� serv or feeders i ns t allat i on, • alterat and/or relocation iri, �IJ r¢4.c, too Q [e., T wp P 00 amps or less 80 30 2
;.-t1,5 1 : : , i:; ._ r ' , rc. ;:isa ... �. .
� i, , :R;V ,• � ., _�, r , . ,., :; .t 201 amps to 400 amps 106.85 /DO. $6 2
, ,v X s. ;- .. - R "-. E RA `
-c .z ; h r,: , TEkw' � ' �� •,
--
�. .'�,. ®' _ x "., .r ',� . = � x s m_ ''4' K: .d- -- ' ..'';:. 401 amps to 600 amps 160 60 2
i Name: h :mg, /7 ' t " , zr.r L - Q14;r 601 amps to 1,000 amps 240.60 2
Address: l0 — 1 I1 � , a ta +TO Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP A 0 t -[ , : j Temporary services or feeders installation, alteration, and /or
• Phone: ( ) LI a [ t Fax: ( ) relocation 00 amp
'J' _Lino() amps or less 66.85 1
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 600 amps 133.75 2
`
I Owner s Date:
Branch circuits- new, alteration, or extension, per panel
` ` ` g , ° ' "" « ` "j ' r 1 A Fee for branch circuits with
in I PL r '''' ., .� 1 `il CT ' CS
� � `�. �` • � � . ,� ..,� , � .. ��� *�� <�; �. .�. ����•fY�. ^,�:�•�,..r ,�.� ` _� service or feeder fee, each
,a Businbss name: 9 _ i u f t L p. - fl , � 1 L branch circuit 6.65 2
B. Fee for branch circuits
Contact name:
— D tb �� ed �L without service or feeder fee, 46 85 2
Address: each branch circuit
Each add'1 branch circuit 6.65 2
City/State /ZIP: Miscellaneous (service or feeder not included)
Phone: (97 , 54 3_ t61? F. : ( ) Pump or tmgati circle 53.40 2
'a'..:'a ,',,,,,1,,
Sign or outline lighting g 53 40 2
E Signal circuit(s) or limited -
" ' s ` c o'QR¢'j° i +a3 . • -- t:� : r ' : '� 5?# energy panel, alteration, or
k „: k ...a'"S+ ,,.Y*rww. -« ',8+.v"•�nLL'a'_ " ist.. r ' 7?�;`',.,.'^S3'.
extension Describe Page 2 2
Business name: Na S., ,'Zi
N A-04- Ez_g_el c ' 2 C .-
Address: 56'- f ; t to 6-t- Each additional inspection over allowable in any of the above
Per inspection 62 50
City/State/ZIP: M 1 L R �k D 2 g 7 �'�-� Investigation per hour (1 hr min) 62 50
v Phone: (56.3) 70.3 , p 11-Li F ( ) Industnal plant per hour 73 75
CCB Lic.• [9) j Electrical Lic. -6 Suprv. Lic.: Subtotal
Suprv. Electricia i t1aa requ 4 ' r' ° /0 r Plan review (25% of permit fee) atp , y 9,
State surcharge (8% of permit fee) Y. $S
Print name: Date: ,
/ 1
TOTAL PERMIT FEE / I-12 e 1 1
Authorized signature: This permit application expires if a permit is not obtained within inn
cl days after it has been accepted as complete
Print name: Date. * Fee methodology set by Tn- County Building Industry Service Board
** Number of inspections per permit allowed.
1 \ Building \Permiis\ELC- PermiApp.doc 12/03 440 4615T(10/02/COM/WEB
Electrical Permit Application - City of Tigard .,
Page 2 - Supplemental Information ,
LIMITED ENERGY PERMIT FEES: -
at c�*.za i ��",�ese'f' � •.� u.7s .�..,�.r ,,r, • d�''�`n., �''� r�;�'d: *'� y .`� �,.�"� "
!T, - . '.'.r ?0 2 W y, . ^•.. Via: ,:t,
Fee for all residential systems combined .. $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
El Garage Door Opener* •
❑ Heating, Ventilation and Air Conditioning
System* '
— Vacuum Systems*
❑ Other: I
./
Fee for each commercial system $75.00 , - • ' ' ` • ' .
(SEE OAR 918 - 260 -260) „� - •
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ 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* •t
❑Protective Signaling .
❑ Other '
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1 \Buddmg\Pemuts\ELC- PetmlApp doc 04/03
'MS ?Sit.nt c r I s Fog—
If ONLY MIS Prow
y FILE Cagy
Ci Et/r7- of - the W oxi .
1- I - s 4,c Mks
y Ya CER,Ytc -E E4L I?Maur RAM
Pik NEC. I1o.Q 4 110.10
� � i y � I r
F F D —!
j \DID:,
8 comma,/ GitoUNDIN6- Ei.EC.711DD
' — - ---- r' NEC 2.5o • .fig
----t—................_...,....._________________..,..... ______________,
? i
( 1 �
/ a' P') ,4c) d67 IN t s +i �! 1 , - a k a t ..°-�1 ..,.. A_ ;
1 LVO I
- TP,oN) il �, CITY OF TfGARD
Approved [
Conditionally Approved [ j:
For only the work as described in:
PERMIT NO. EL'G - –CO 72
See Letter to:- Follow [ ]:
Attach [ [:
Job Address:E 5. vd, a XD
ay __ 4 Date: 9 1 tl —O y
Portland General Electric Company
MEMORANDUM
08/30/04
TO: CONTACT: DAVID JENSEN- SUPERVISING ELECTRICIAN
PHONE: 971 - 563 -1599
CUSTOMER NAME: TIGARD - TUALATIN SCHOOL DISTRICT 23J
ADDRESS: 8680 SW DURHAM RD, TIGARD OR
FROM: PGE ENGR: KEN GUTIERREZ
5 03- 570 -4412
SUBJECT: 3 -PHASE SECONDARY LINE -LINE FAULT CURRENT RMS
TRANSFORMER DATA _
XFMR Impedance ( %): 3
TRANSFORMER SIZE: RADIAL NETWORK
750 KVA XFMR ? NO
Secondary VOLTAGE (L to L): 480 v WYE
VAULT - -> VAULT or Pole - -> Pole SECONDARY
Secondary Wire LENGTH:
0 Feet WIRE SIZE
Number of SECONDARY RUNS:
1 Run(s) of:
Secondary WIRE Resistance R: 0.0773 Ohms /1000'
Seconda WIRE Reactance X: 0.0258 Ohms /1000'
VAULT or Pole - -> PANEL SECONDARY or Svc Dro
Service Wire LENGTH: 225 Feet
Number of Service RUNS: WIRE SIZE
3 Run(s) of: 350 QX UG
Service WIRE Resistance R: 0.0600 Ohms /1000'
Service WIRE Reactance X: 0.0330 Ohms /1000'
FAULT CURRENT: 16,723 Amps
(or SHORT CIRCUIT CURRENT) RMS Symmetrical
(or INTERRUPTING CURRENT)
Based on a panel size of: 800 Amps
,"
To,�,Prmt.Ttiis.;`Pa ea; Ctri 1z n c a -
9 : . ,(VIH.tAoo p int''3 ,oti -4 , : k~ ..
�,t,.,,. , e Rata;, <:, {; :&)
- Template by Wayne Amondson Converted to Excel by Allen Campbell, BEST Consulting 1/25/2000
,_
/'
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested q- 3 AM PM BUP
Location 8 Gpo 0 C' -1-0411/1 Suite MEC
Contact Person • Pli'VV Pl Ph ( ei7 / ) 51 — 1101 PLM
Contractor GA Ph ( ) 1'77 OT / q SWR
BUILDING Tenant/Owner ELC 2ocLJ °
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain - -
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear MEM
Isrp
Int Sheath/Shear
Framing
Insulation P_ 6i �C ( C 5 i Drywall Nailing j
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL •
Post -& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ICAL
9
UG /Slab
Low Voltage
- Alarm
Vii" ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
kii PART FAIL
Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
� j r b
�
ADA Date r / - 0 Inspector ` / Ext
Approach /Sidewalk
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL