Permit CITY F TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
'' I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00195
E•��I DATE ISSUED: 7/20/2005
-=-' 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 Description: Low voltage.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA /TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT 23J CHERRY CITY ELECTRIC
6960 SW SANDBURG ST 8100 NE ST JOHNS ROAD D -104
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: 503- 431 -4000 Phone: 360 -571 -4411
Reg #: ELE 37 -620C
LIC 91668
FEES SUP 3486S
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 7/20/2005 '$75.00
[TAX] 8% State Surchar€ 7/20/2005 $6.00
Total $81.00
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 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010
through OAR 952- 01- 01,00. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: �� � , �� Permittee Signature: ()I-7A Gc,J,O,/Q _j.r
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.
,
JUL- 19- 2005(TUE) 13:13 P 0011/001
Electrical Permit Appiicaf -
x ;�,� _ • R OFFICE USEONLY
City of Tigard Ip ved
�� Cq • _ D l 9e C � Pety ttitNa - - /� l 0l132 Hall lvd., Tigard, OR 972 23 Phone: 503639.4171 Pax: 503.5981960 keVlew
t�e� lit D ate/By: Outer Permit:
Inspection Line: 503.639.4175 'o'� Ready /By: r ' a EI See Pare 2 for
U P ,�,� Date i edi t r, s 2
Internet www.ci.tigard.or.us JUL 9 2 NotificdlMelhod; 1 Supplemental Information
,itt'gTd ;k 1 ; .�•' 1j7 ']',1 i' •q 1 riA [ ��] mo d J 7,111;101 o! ?,fiiu" .C10: 1 +;, r�p,���I Kif• °l ii7 :�` °t: •n,',,' ..
,;:-t t ..11,. :F.."'�.* ,�:.W� Ss: �,.,,..^1,2•;ix4 `Z' >_ra,P'{ : :,�,. tt°r ' :'y �• wtG�..�;ij- . ef :s �•`,^,- ..fsE�':• :�.s, . :F! �,-'; '` :;- ~-
ph construction ❑ Ad i o s t i fOcNtortletiient Please check all that apply:
- Demolition 0 Other: OService over 225 amps, comm'l ❑I•Iaznrdous location
�• , .. A q p ❑Service over 320 amps - rating ❑ Bui]dng over 10,000 sq. ft.,
I rHVI�IfRi U� ' . ' .0 ' ' a •tKl4' i
ila . a hl -ffA irig 1, °� u;'.16 of ]
' ..ruatsl....� z ,'• i .�ri,�u,M,r.re,_ ::..;Ct�� :.. 7 1 � {,�1 -and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling 11 .....ercial / industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi- family ['Building Master r builder ❑Outer: ['Building over three stories ❑Feeders, 400 amps or more
ty•,r tsu•. �. , ❑Occupant load over 99 persons El Manufactured structures or
itatil � 4 � + � r, � -,, i t ty u , Q P `g �N U • 3 Ptt ui g»ry %:..',l ❑Eq plan RV park
Job no. : ) Job site address: 40I� _ I I I _� ❑llealth� are facility ❑Other
ri Submit sets of plans with any of the above.
City /S tate/ZIP: / hr „ ` .d _ 0 The above are not applicable to temporary construction service.
Suile/bldg. /apt no.: Description o
Project name �M �• S ph ti l hjx � : ' .. ,,,R�i 'r' i ' hi :. "r,.f :,'„
�i w. N... 1 Totot
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 aq. ft- or less 145.15 4
Subdivision: I Lot no.: Ea, add'l 500 sq. ft, or portion 3140 t
Limited energy, residential 75.00 2
Tax map/parcel no.. Limited energy,
u, .. a• � ff .,p�;;�� , energy, non-residential 75.00 2
t... • i iz �''' L , l 0 1T'.i'"nS:�e a � i- i;' .irre „� �i�.' > G y t� i Y ;�,'I(PB,
r. ` 1�, : -�l� a ii�r"�;ial Each manufactured or modular -
dwelling, service and /or feeder 90.00 2
-- Scrvfces or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
t ,y �a R
Via; A . Y , ., 1-111 ITIVP. 4 l l t * y al ' o f? ir . �� y ' Y, r h tot arrR,s to 40o strips In6.as 2
} a01 amps to 600 amps _160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1.000 amps or volts 454,65 2
Reconnect only 66.85 2
City/State/ZIP: Tempo services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation _
200 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
Owner signature: bate: Branch circuits -- new, alteration, or extension, per panel
N`j f u , � 4 4 a, ve, S i ,„ u tit' e°
'r 1 r1I!].'� , , 141 r,l.a`', k fir , rilg p 1 '�[ ICII a u `t . o iii , " ti A. Fee for branch circuits with
'
C " a.. . - t9i.le service or feeder fee, each
Business name: branch circuit 6.65 2
13. Fee for branch circuits
Contact name: without service or feeder fcc,
Address:
each branch circuit 46.$5 2
Each add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Pump or irrigation circle 53.40 2 _ -
i ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited -
,f g1. 1 J " 0 � ,, tt(s' l i _1!11,4 .'tllrl, �r;rl _s i3 �lllL lh;t '
• w, , energy panel, f � .�.x. ,: a .0 ' SY p , alteration, or
r1 extension. Describe: Page 2 lit!
Business name: /'`j(„ /'� ; i I / e -r !, I ` j
Address: 2l (�-QJ� i - C v p _) 0 y
Each additional Inspection over allowable In any of the above
v l/ 'tttr'lllii /l��l Per inspection 62.50
City /State/ZIP:
o [,p kvJ✓ �} w A- 161,c(:). Investigation per hour (1 hr min) 62.50
Phon 06) c7 1 it Fax: ( ) 5 I -- 1J / r 0 Industrial plant per ]tour 73 -75
( 1 `-f � �
' Nl i117 :4 i1" ;" - tc,, Cfr ai ive i� : : F . :xi, 47 1 ' ..,
CCB LIC"' 1
1 ky< Ele al Lie.: Suprv. Lie.: Subtotal �� - (
Suprv. Electrician signature, required: . Plan review (25% of permit fee)
.r„,7 0..,e, .±:°'---'1 '
Print name: J / 2 Dat X 11 /G State surcharge (8% of permit fee) - CS17
Authorized signature: , "
This permit application expires it' a permit is not obtained within 180
nays after it has been accepted as complete
Print name: Date: ° Fee methodology set by Tri- County Building Industry Service Board
-- - •• Number of inspections per permit allowed.
ianuiktinere„ma.1 n.GPermitApodoe 17/D3 44046 13T(1 NovcomiWnn
7- _Q7 -- 7- / -0 6 /U--/ -
CITY OF TIGARD
N, BUILDING DIVISION PERMIT #: ELR200&- 001955
1'3125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/20/2005
Phone: (503) 639 -4171 _�°"� f�l�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECT WORKSHEET FOR DATE: 13/23/2006 TIME: 7:05Am PAGE: 39
SITE ADDRES \09000 A/ 5 DURHAM RD CLASS OF WORK:
SUBDIVISION LOT #: TYPE OF USE:
PROJECT NAME: T ARD HIGH SCHOOL
DESCRIPTION: Low oltage.
OWNER: TIGAR UALATIN SCHOOL DISTRICT 23J, PHONE #: 503- 431 -4000
CONTRACTOR: CHERRY TY ELECTRIC PHONE #: 360 -571 -4411
Inspection Request Scheduled For: Date: 8/73/2005 Pour Time:
Code # Inspection Description ' in it • . Contact # Message
135 Low voltage 014104 -01 360-931-4215 N
IGVA FiNif1/4 1, , ?
Corrections /Comments/ Instructions:
.J\
- \
------- PASS n PARTIAL APPROVAL ❑ CANCEL 1 j NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: otly15- Date: 8- 23 0 1/4-C Phone #: (503) 718-