Permit CITY OF TIGARD ELECTRICAL PERMIT
1111 '
COMMUNITY DEVELOPMENT Permit#: ELC2019-00173
TIRO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2019
Parcel: 2S 111 ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: Twality Middle School Subdivision: None Lot: None
Project Description: Electrical work for connecting(5)relocated portable classroom buildings and a parking lot.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: UNION HIGH SCHOOL DISTRICT
1019 7TH STREET NO. 3 JT
OREGON CITY, OR 97045 00000
PHONE: 503-655-2281 PHONE:
FAX: 503-655-5033
FEES
Quantity Description Date Amount
5 ea Services or Feeders-200 04/08/2019 $503.50
Specifics: amps or less
1 ea Temp Services or Feeders- 04/08/2019 $59.36
Type of Use: COM 200 amps or less
Class of Work: ALT 5 crt Branch Circuits w/Purchase 04/08/2019 $37.10
Service or Feeder
Type of Const: 1 ea Plan Review Electricial 04/08/2019 $149.99
Occupancy Grp: 1 ea 12%State Surcharge- 04/08/2019 $72.00
Electrical
Total $821.95
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 c•. o - . = or direct questions to OUNC by calling 503.232,19;7 or 1.800.332.2344.
Issued By: ` •e ' -- Signature:
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.
DocuSign Envelope ID:9A1931 F9-6BB0-48B8-AD88-2845ED22E48D
Eteckrical Permit Application FOR OFFICE USE ONLY
71 City of TigardRCIE
y� r Permit#
a 13125 SW Hal!Blvd.,Tigard,OR 97223 Pian f�# _f
qRelated Permit#: t-
Phone: 503.718.2439 Fax: 503.598.1960MAA Plan Review: _ `-CAA,`# rr
s.
Inspection Line: 503.639.4175 Ready Da y: 4 V cam. 10 See Page 2 for
T I s ABL', Internet: www.tigard-or.gov ;TiG iN ified/Method-: "' ;_1121, Supplemental Information
TYPE OF WORX%. t tnum ni 1Sl N ",7 ` ... '' '' PLA REVIEW
®New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wliiems checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other:Manufactured where the available fault current ❑Marinas and boatyards.
C4.TEGOR1 or cONsmt,c 11Ol exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to mound,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other:Manufactured ❑Fire pump. ❑Installation of 150 KVA or
slim'INFORMATI=ON AND LOCATION 0 Emergency system, larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:14650 SW 976'Street 100HP or more, ®"A a"."1-2"•"1-3-•
Ci /State/ZIP:Ti ard,OR 97224 0 Six or more residential units. occupancy,
g ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Twality Mid Sch-Portables 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:97th nd Murdock Street FEE 8011€01,4-E
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 NA 4
Tax map/parcel#:2S111ACO2700 Ea.add'l 500 sq.ft.or portion 33.92 NA 1
n, DESCRIPTION OF WORK Limited energy,residential 75.00 NA 2
Electrical work related to connecting(5)portables classrooms and a (with above sq.ft.)
Limited energy,multi-family 75.00 NA 2
temporary parking lot residential(with above sq.ft.) ,
Renewable Energy ❑ See Page 2 NA
'ln;:,PROPER.TY OWNER 1. �- CI TENANT Services or feeders installationtalteration,and/or relocation
Name:Tigard-Tualatin School District 200 amps or less 5 100,70 503.5 2
Address:6960 SW Sandburg Street 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:(503)431-4000 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation i ' g made on property that I own ich' not 200 amps or less 1 59.36 59.36 1
intended for sale,le ,rent, exch n es, ording to ORS 447,449,670, d70 . 201 amps to 400 amps 125.08 2
Owner signature: Date: L lis 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
:tri A1V C( tT AST Y+1 A.Fee for branch circuits with
Business name:Day CPM above service or feeder fee, 5 7 42 37.10 2
each branch circuit
Contact name:Shawn Christensen B.Fee for branch circuits without
Address:6960 SW Sandburg Street brannch oder
fee,fust 56,18 2
City/State/ZIP:Tigard,OR 97223 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)727-4168 I Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Em01shaven ehristensen®otak.com
�. .o ���r,y ros .,n,v e �.��,�'� a ro.w .ate z ". ���� RecOrutect only , 67.$4 2
„ . � ��"� R Pump Or irrigation circle - 67.84 2
Business name:tbd Portland Electrical Construction Inc. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: 1019 7th St. ".panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
ty Oregon City,OR 97045
Additional inspection(1 hr min) _66.25/hr
Phone:(503 )655 2281 I Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
greg@portla ndelectri ca l.com `Inspections for which no fee is
CCB Lia; Electrical Lie.: Suprv.Lie.: specifically listed(h hr min) 90.00/hr
51764 3 246C P 6075S
i .`ERICAL PERMIT FEES
Suprv.Electrician signature,required: -"' g Subtotal: >P
g Print name: Pete Boen E9 B1A906E Date: 4.4.19 -f Plan Review Required(25%of permit fee): „kSrel`(-'(R
State surcharge(12%of permit fee): 72
� Authorized signature: TOTAL PERMIT FEE: d .`'S
This permit application expires if a permit is not obtained within 180
xrint Viname: Shawn Christensen Date:.03/05/2019 days after it has been accepted as complete.a.. .. .p.."
s Number of inspections allowed per permit.
,glPerTeitstELC_Remit App_ELR ERE.doe Rev 06/17/2015 440.46157(11105/COM/WEB
_
lectrtcal Permit Application—City of Tigard
Page 2—Supplemental Information
Limited EnergyPermit Fees: Renewable Energy Permit Fees:
^ Descriptio
Fee for all residential systems combined: $75.00s combinedI electrical energy systems.
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
E. Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
n Garage Door Opener* >100 kva(fee in accordance 552.26 2
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 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
v
specifically listed
: 'la+ .. .
)
1s i 1c 'A hr m1.wc .,mow.
Fee for each commercial system: $75.00Su o al(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
❑ Clock Systems
/1 Data Telecommunication Installation
® Fire Alarm Installation
❑ HVAC
❑ Instrumentation
® Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
I 1 Outdoor Landscape Lighting*
H Protective Signaling
❑ Other:
Total number of commercial systems: 3
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
Branden Taggart
From: Branden Taggart
Sent: Friday, March 29, 2019 2:33 PM
To: Shawn Christensen
Cc: #Building Permit Technicians
Subject: RE:Twality Middle School Electrical Permit for Portables: ELC2019-00173 - 14650 SW
97th St.
Shawn,
Also, we will need contractor license information and a supervising electrician's signature on the permit application prior
to permit issuance.
Thank you,
Branden Taggart
IN a City of Tigard
: I Senior Permit Technician
Community Development
13125 SW f fall Blvd
Tigard,OR 97223
(503)718-2449
brandenftigard-or,gov
From: Branden Taggart
Sent: Friday, March 29, 2019 2:30 PM
To: Shawn Christensen <Shawn.Christensen@otak.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject:Twality Middle School Electrical Permit for Portables: ELC2019-00173 - 14650 SW 97th St.
Hi Shawn,
The electrical permit for the Twality Middle School portables is ready to issue. The balance due is$821.95. Would you
like us to pay from the trust account?
Thank you,
Branden Taggart
lig
R City of Tigard
( 11 Senior Permit Technician
Community Development
TIGARD
13125 SW Hall:>Blvd
Tigard,OR 37223
(503)718-2449
bra ndent em tigard-o r.gov
1