Permit CITY OF TIGARD ELECTRICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: ELC2011 -00583
T1GARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439
Date Issued: 10/20/2011
Parcel: 23 114AA00100
Jurisdiction: TIGARD
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: 1993 -078 PARTITION PLAT Lot: 2
Project Description: Relocating power for scoreboard
Contractor: FRAHLER ELECTRIC CO Owner: TIGARD - TUALATIN SCHOOL DISTRICT
11860 SW GREENBURG RD 6960 SW SANDBURG ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 -639 -4627 PHONE:
FAX: 503 - 639 -4673
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo /Purchase 10/20/2011 $56.18
Specifics: Service or Feeder
1 ea 12% State Surcharge - 10/20/2011 $6 74
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 -0090 You may obtain a copy of the les o • ect questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued By: s _ Permittee Signature:
-Wili
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 Received 1 FOROFFICE USE ONLY ¢', •
City of T1b2 . ,
�a 1 J® f1 Pe rmit N
Date /By f
17
13125 SW Hall Bl!vvd d Tigard_ OR 97 Plan Review
Phone 503 718 2439 Fax 503 9 1 , Date /By Othei Permit �r - .
inspection Lune 503 639 4175 @@@��� ^ 11 Date Ready /By 0 See Page 2 for
, T[GARD' O
Internet' www tigard gov Notified /Method _M Supplemental information
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❑ New construction ® Addition /alterati IPt �� Please check all that apply (submit sets of plans w/iteins checked below)
\,/ 0 ,, ' c] Service or feeder 400 amps or more ❑ Budding over three stories
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards
'gir; sr ='r -::-._ ;'g _; x =e°. - kf _ _ , rei - }.r _ V ;= z5 t - �� - - - exceeds amps IS v olts of ❑ Floating
.� f� -- Y:,�t ,_�. t - r_;,:� °,• z��'��,,� � �.: „4 " - ds 10,000 a ps at 0 btuldtngs
' {14.11 < ". 1 ,:. ;4,. ,Iu :1;CATEC012Y x O , ,, A , CON57`2UC TI , - ,,, ; ; , 'TV �,_, -
xrntb?`: fy`:,,* rz~ s-°' K;,.., z�a rn. t•. aF .:..........:. zs.« x 1 a.; - . r.;-•.:° a. - •_ - .. ..;s ,i.. :'."' '_a,... .... - ;��-- ',.,_.yss less to
ground, of exceeds 14,000 0 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
M . . :,, im , :° ❑ Emergency system larger separately derived system
b - _ , J OB ST , ,1 , FORNIriTION „ . ,,-
ii����;, �, . �, _.��,M1, ~.>n' - -
°,xv.�.�k_�,.;_r ,_.ti,m,._r,a.- : ,mss- �,_.�., ,.
_,.,e ;��r- ^ �an.= '��;, wrs?.�. - 0 Addition of new motor load of ❑,.A„.:E „..1.0„_.1.3„
Job no : 68886 Job site address: 9000 SW DURHAM ROAD l00HP or more occupanc
❑ 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 mote
,' a.i , t r f - k ii i EE_.u "; ; x .ut a` Ti ` <
Cross street/directions to job site: Description _ j Qty- 1 Fee. 1 Total
New residential single- or multi - family dwelling unit.
includes attached garage.
Subdivision: Lot no.:
1,000 sq ft or less 168 54 4
Ea add'I 500 sq ft or portion 33 92 1
. Tax map /parcel no.:
Limited energy, residential
`- .” r IJES >;Rffi:d1V:° t y =° ' ` -.,., ''x' : fzfl (with above sq ft
Limited energy, multi- family 7j 00 2
RELOCATE POWER FOR SCOREBOARD residential (with above sq ft )
Services or feeders installation, alteration, and /or relocation
° 200 amps or less 100 70 2
44: - ®fPR,,,,, ; OWN,ER3 -,`, i <; ;, ,c-c:=. 'r „ ,TRN,,, -, i 4.. - ' 201 amps to 400 amps 133-56 2
401 amps to 600 amps - 200 34 2
Name: - - - -
601 amps to 1.000 amps - 301 04 - 2
Address: - - - - Over, 1,000 amps or volts 552 26 2
Temporary - services or feeders installation, alteration, and /or
- City/State /ZIP' - - . - - -
relocation -
Phone: ( ) - • Fax: ( ) 200 amps or less 59.36 I 1
201 amps to 400 amps 125 08 2
Owner 'installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168 54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A Fee for branch circuits with
above service or feeder fee
=_ >' A
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,,,, - bci. ,:kc _.,<< , -- K . , ,.,. .., ,- - ..,.:; ,
rr . x : a., ,. .- „ _ � s`Q CONTA I? R$Al - fit , 7 42 2
-a- � --N - -- � - - - each branch circuit
Business name: B Fee for branch circuits without
service or feeder fee, first I 56 18
56 18 2
Contact name. branch circuit
Each add' l branch circuit 7 42 2
Address: Miscellaneous (service or feeder not included)
City /State /ZIP: Each manufactured or modular 67 84
dwelling- service and/or feeder
Phone: ( ) Fax: ( )
Reconnect only ' 67 84 2 -
Pump or irrigation circle 67 84 2
E
., ", } a # _ , Y= , g , g p t Sign or outline lighting 67 84 2
<- `= s. r - ;. $i! ,o:wI2ACTOR .. x ;.- . r ;- `,
,,.�.,_ ��._.,, �, a Y^ ~. _ , � _ - ��� _ _. �. _ _ __.. ,�� . � ,-- ,�,,,h ~- ,- : , _ . �.. , � . v..:.� a � `�l Signal circuit(s) or limited-energy
Business name. FRAHLER ELECTRIC COMPANY panel, alteration, or extension Page 2 2
Each additional inspection over allowable in any of the above
Address 11860 SW GREENBURG ROAD - - - Additional inspection (1 hr mm) 66 25/ hr
City/State /ZIP: __ TIGARD, OR 97224 Investigation (I hr mm) 66 25/ hr
Industrial plant (1 hr,min). , . 78 18/1m _ ,
Phone: -(503) 639 - 4627 _ _ _ - . _ _ - _ — -- - Fax: 639 - 4673 - . - , Inspections for which no fee is 90 00/ hr
specifically listed -(% hrmin) - -- - - -
, CCB' -Lic.- 37410 -_ _- - — Electrical - Lie- - - 34 -13C - -- 'Supcv: Lic :- ,; ,,°` °'eta~` ' `:``- N
_�x:a �i�: _ - :__EIEGTRIEAIs,�PFRM7FEES' � ;.�.,- :�,.;�
Suprv. Electrician signature, required: �;Q��� - -, - - -- Subtotal:- 56.18
�(, _ - Plan review (25% of permit fee)' -
Print name: ADAM ETHERINGTON Date: 10/18/11 State surcharge (12% of permit fee): 6.74
Authorized signature: TOTAL PERMIT FEE' 62.92
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name. Date: * Number of inspections allowed per permit
i. \Building \ Permits \ELC- PermmApp doc 07/0I/10 440- 4615T( I I /05 /COM/WEB