Permit CITY OF TIGARD ELECTRICAL PERMIT
OF PERMIT #: ELC2006 -00555
DEVELOPMENT SERVICES DATE ISSUED: 9/29/2006
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: Tigard High School: (4) branch circuits for wall pak lights. SE side of classroom bldg. Job #6649
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: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: - EA ADD'L BRNCH CIRC: 3 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:
WACO SCHOOL DISTRICT 23J ELECTRICAL CONTRACTOR SERVICES N.W.
6960 SW SANDBURG ST 31378 DOWD RD.
TIGARD, OR 97223 ST. HELENS, OR 97051
Phone: Contact #: PRI 503 - 366 -6060
FAX 503 - 296 -5518
FEES
Description Date Amount Reg #: ELE 5 -56C
[ELPRMT] ELC Permit 9/29/2006 $66.80 LIC 155460
[TAX] 8% State Surcharge 9/29/2006 $5.34 SUP 32895
Total $72.14 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344
Issued By: t -- ;,4 A ��?`�� Permittee Signature: Q p
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
r
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Electrical Permit Application ®alp �® II M t 11 l 11 l 1 NI t »i \ �i .
n �� L� �N Raxiwd - • �_ permit No..� / 0 . [/ 5:5--- City of Tigard Dates : _ / l _
13125 SW Hall Blvd_, Tigard. OR 97223 S E P 2 9 2006 W v
Other Pewit
Phone: 503,639.4171 Pax: 503.598.1960 i I Cute Ready/Ay: El See Page 2 for
Inspection Line: 503.639.4175 CITY O TIGARC. - --- Notified/method all 5uppiemeatal Information
Internet: w.ci.tigard_or.us 0 t 111 nING DIVISION
TYPE OF WORD PLAN REVIEW
Please check all that apply
ID New construction ,Addition /wlteration/rtcplecame t ❑� i over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other: _ ❑$ ervice over 320 amps -- rating ❑ Buildng over 10,000 sq. ft.,
CA GO RY OF CONSTRUCTION of 1 - and 2- family dwellings 4 or more new residential
❑Systcra over 600 volts nominal units in one structure
❑ 1- and 2 fartlily dwelling ComrnerciaUindustrial 0 Accessory building °Building over three stories ❑Feeders, 400 amps or more
0 Multi- family ❑ Master builder ❑ Other DOccupant load over 99 persons Drvlanufiicuued structures or
JOB SITE INFORMATION AND LOCATION DEgress/ligbting plan RV park
''''`` 1 ❑Health -care facility • DOther
/ �
Job no.: A � Job site address: gOp C3 5113 a.0..1 ► ti, Submit 2, sets of plans with any of the above.
lap_ Thte above are not applicable to temporary construction service
—
Ci /Statc/ZIP: FEE* SCHEDULE
Suite/bldg. /apt. no,: [ Project n MG-a.Y ' 1 4 Sc.l'IQ ' D,„rt j Qom. I roe- j Taw T --
Cross street/directions to job site:Cay,A QG - ' R Qry So3 New residential single or multi - family dwelling unit.
c , Includes attached tiara -
1,0004Rmins 14535 1 4
Subdivision:
I Lot no.: Ea. add'1500 sq. ft. or portion -a 33.40 1 -
Limited energy, r idelitial 75.00 2 _
Tax map/parcel no.: Limited energy, non - residential 75.00 __ 2
DESCRIPTION OF WORK - Each manufactured or modular 2
dwelling service and/or feeder 90.90
}�� Services or feeders installation, alteration, and/or relocation
c1( S_ f-, j M IS 13N11i L Yl C- 20 amps or leas 80.30 ' _ 2
TENANT 201 1 amps to 400 amps 106.85 2
❑ PROPERTY OWNER I ❑ 401 amps to 600 amps 160.60 2
u 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: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 an or IMO , 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 1,33.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT I ❑ CONTACT PERSON - A Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit .
- - B. Fcc for branch circuits
Contact name: without service or feeder fee, ' 46 -85 �� S 2
- f irst branch circuit , --
Address: Bach add'! branch circuit � 6.65_ 19 S - 2
City /Statc/ZIP: Miscellaneous (service or feeder not included) _
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:: ( ) _ Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Sala Ps extension. Describe: Page 2 2
Business name:e ki Sala I N W . - _
Address; ' 1' r 1 dt�t� 6d Each additional inspection over allowable In any of the above
p h Per inspection 62 50
City /State /ZIP: SA. e 1.(111s , C�'� 1 IQ s I investi per hour (i hr min) 62.50
Pbonc: (3 36, i- • /pa ...
Fax: ( j) 1 - 1 R Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: \ SS' I El- - _ Suprv. Lic. :3� Caq S Subtotal 1,41L a
Suprv. Electrician signature, requi / 44 • • 0 -
�� N / Plan review (25% fx)
Print name: Plate Q 1 1 U es 1 Q Date: 9 21 /016 State surcharge (8% of permit fee) S W t/
i 1 TOTAL PERMIT FEE ��
; �'tY1C3 tL = P A 1 i ,I a (� �C N L11 - 111 eZ This permit application expire' if o permit is sot obtained winds' ISO
-- days after ft has been accepted as complete V I S A
Print name; Date: • Foc methodology sot by Tii- County Building Industry Service Board
• • Number of inspections per permit allowed.
■ \Builduopons u\2LC..PemutApp doe 12/03 ago - .w) s'r(tavvcoMnxHa /A - l,'.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00555
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9P90006
Phone: (503) 639-4171 4014 W4140
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Tigard High School: (4) branch circuits for wall pak lights SE side of classroom bldg. Job #6649
OWNER: WACO SCHOOL DISTRICT 23,1, PHONE #:
CONTRACTOR: ELECTRICAL CONTRACTOR SERVICES NW. PHONE #: 503.366-G060
Inspection Request Scheduled For: Date: 12/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041347-01 503-737-7072
Corrections /Comments/ Instructions:
140 P3AM t c..VECti bt\)
[NI PASS PARTIAL APPROVAL n CANCEL NO ACCESS
I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Z r t\ 6 e• Lt Date: 2 •0 0 Phone #: (503) 718- 44,4b,
• .
CITY OF TIGARD ,
. .,. •
BUILDING DIVISION A
PERMIT #: ELC2006-00555
13125 SW 'Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639-4171 A7,141millt
Inspection Requests (24 Hrs.): (503) 639-4175 --MO. ■ t-..
..___
INSPECTION WORKSHEET FOR DATE: 10116/2006 TIME: 7:03AM PAGE: 5
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK: •
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Tigard High School: (4) branch circuits for wall pat' lights. SE side of classroom bldg. Job #6649
OWNER: WACO SCHOOL DISTRICT 23J, PHONE #:
CONTRACTOR: ELECTRICAL CONTRACTOR SERVICES N.W. PHONE #: 503-366-6060
Inspection Request Scheduled For: Date: 10/16/2006 Pour Time:
Code # Inspection Description Ponfirm-# Contact # Message
120 Electrical rough-in 038262-01 503-312-6000 'Y
Corrections/Comments/Instructions:
4V c A ' VA --
4cZ, C A Atl G Vicalli& S v); 784 R; iJp_i (s) 'To
, rn , v‘• k. S - ( 5 ) U
0 PASS Y , PARTIAL APPROVAL fl CANCEL I I NO ACCESS
I FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: G 0 63 1 ---: Date: 16 1'6 6 6 Phone #: (503) 718-1166 t