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Permit (14) CITY OF TIGARD ELECTRICAL PERMIT n 11111 COMMUNITY DEVELOPMENT Permit#: ELC2016-00197 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/15/2016 Parcel: 1 S136CC00100 Jurisdiction: Tigard Site address: 8200 SW PFAFFLE ST Project: Westside Christian High School Subdivision: None Lot: None Project Description: (1)branch circuit and(1)low voltage system for solartube in gym. Contractor: PARKIN ELECTRIC INC Owner: WESTSIDE CHRISTIAN HIGH SCHOOL I 14001 FIR STREET BY DAVIS, DANIEL A, PRESIDENT OREGON CITY, OR 97045 8200 SW PFAFFLE ST TIGARD, OR 97223 PHONE: 503-657-4958 PHONE: FAX: 503-557-1059 FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 03/15/2016 $56.18 Specifics: Service or Feeder 1 ea Signal circuit or Limited 03/15/2016 $75.00 Type of Use: COM Energy Panel Class of Work: ALT 1 ea 12%State Surcharge- 03/15/2016 $15.74 Electrical Type of Const: Occupancy Grp: Total $146.92 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 ma obtain a copy of th 'rect questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: /GLS. _, Permittee Signature: --far=- 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 i'ermit Application jj�� City of Tigard �� j3 Received 13125 S W Hall Blvd.,Tigard,OR 972 'V° Date/By: /l/ ems- Permit No.: ai �O16-.0-0I q 7 g Plan Review ~ ~'v— '� 2 Phone: 503.718.2439 Fax: 503.598.1:• Date/By: Other Permit: 1 4 2p16 Date Ready/By: loris: ® See Page 2 for T I G A R D Inspection Line: 503.639.4175 Internet: www.tigard-or.gov t i 1 Notified/Method: "2 Supplemental Information tj .d ' �•^. 2 ,z ''''' ,.l '1' til' le e �Lmit_2s.0 r , fit. :ic t9 : ❑New construction z Addition/alteratlonia eivetr'DiNI Please check all that apply(submit 2 sets of plans w/items checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: . `L where the available fault current 0 Marinas and boatyards. ' �3 , °a f i'r's 1 s d A . „ tet. ` exceeds 10,000 amps at 150 volts or 0 Floating buildings. ,.. , ,.. M °s' -��,°''',4''''''''''''.'41e,-,44's,‘'-'01:',0-41464 _ ' igiless toound,or exceeds 14,000 gr 0 Commercial-use agricultural ❑ 1- and 2-family dwelling ❑Commercial/industrial gAccessory building amps for all other installations. buildings. ❑Multi family 0 Master builder 0 Other:',IN. ❑Fire pump. ❑Installation of 75 KVA or Axa tn x,E , ❑Emergency system. larger separately derived system. ,,,,,,, 6 1,, i 0 Addition of new motor load of ❑"A","E","1-2","1-3", Job no.: Job site address: loop or more. occupancy. 'a GG S S . P1 z /e S'/T.e - ❑Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: ?; rdl ya1Z g7aa3 ❑Health-care facilities. 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name: 0 Service or feeder 600 amps or more. Cross street/directions to job site: S Description (Qty. I Fee. "I Total I 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'l 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential sq. 75.00 2 1ePTI141�1.41iI (with above ft.) / Limited energy,multi-family 75.00 2 I C k it- -4 / Low 1/v / ie I r c O/a.1 S: (2-I residential(with above sq.ft.) Atte Services or feeders installation,alteration,and/or relocation ` 61/ 200 amps or less 100.70 2 n.-, ; , 201 amps to 400 amps 133.56 2 i�'r>1toP�R'1� b�llt � ❑4i Name: �G ,�, 401 amps to 600 amps 200.34 2 s�r�- CAr,T T'4 r� Hie--S 601 amps to 1,000 amps 301.04 2 Address: go/00 SL' 1461,#/e. .s-frftv1 Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or City/State/ZIP: 1042 l O' Cl 7 ad 3 relocation Phone: ( ) '' Fax:( ) 200 amps or less 59.36 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, ` >'' ` �- each branch circuit 7.42 2 Business name: B.Fee for branch circuits without service or feeder fee,first ! 56.18 54./8 2 Contact name: branch circuit Each add'l branch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) Each manufactured or modular City/State/ZIP: dwelling,service and/or feeder 67.84 2 Phone: ( ) Fax: :( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: CO hl•1RACTOIt Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Business name:Parkin Electric panel,alteration,or extension. I Page 2 1� — 2 Each additional inspection over allowable in any of the above Address: 14001 Fir Street Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Oregon City,OR 97045 Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Phone:(503)657-4958 Fax:(503)557-1059 Inspections for which no fee is 90.00/hr specifically listed(/hr min) CCB Lic.: 35151 Electrical Lic.: 34-4C Suprv.Lic.: 4241-S _:` CAth��;;t1�'' -,;r �,,2' Subtotal: 13/"45 Suprv.Electrician signature,required: Plan review(25%of permit fee): Print name: David B Parkin Date: State surcharge(12%of permit fee): TOTAL PERMIT FEE: /Lf(Q,92 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: I Date: * Number of inspections allowed per permit. I:\Building\Permits\ELC-PermitApp.doc 07/01/10 440-4615T(11/05/COM/WEB t � 'Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 Sr Renewable electrical energy systems: I.Check Type of Work Involved: 5 kva or less 100.70 _© 5.01 to 15 kva 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva NI 200.34 _© Wind l eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 _© 50.01 to 100 kva III 552.26 _© El Garage Door Opener* >100 kva(fee in accordance ■ 552.26 _© with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 _© ❑ Vacuum Systems* >100 kva-no additional charge 0.0 _© Each additional ins'ection over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr char•ed at an hour) (1 hr min) Inspections for which no fee is ■ 90.00/hr —. s.-cificall listed('/:hr mm) 777. Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ C• lock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ M• edical ❑ N• urse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling Other: QICI. L 64°h Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8200 SW PFAFFLE ST, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical final PASS - No C of O ELC2016-00197 Herb Stabenow Violation Summary: Inspector Contractor