Permit CITY OF TIGARD ELECTRICAL PERMIT
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'> COMMUNITY DEVELOPMENT Permit#: ELC2019-00367
T[GARLD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/01!2019
Parcel: 2S1136000300
Jurisdiction: Tigard
Site address: 7980 SW DURHAM RD
Project: Durham Elementary School Subdivision: None Lot: None
Project Description: Installing(33)branch circuits,fire alarm,and intercom system for new administrative areas,one new classroom,
and a secure entry vestibule within existing building footprint.
Contractor: PRIME ELECTRICAL SERVICES LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
3312 SE BELLA VISTA PL 6960 SW SANDBURG ST
VANCOUVER,WA 98683 TIGARD, OR 97223
PHONE: 503-318-5170 PHONE: 503-431-4000
FAX:
FEES
Quantity Description Date Amount
33 crt Branch Circuits wo/Purchase 06/26/2019 $293.62
Specifics: Service or Feeder
1 ea 12%State Surcharge- 06/26/2019 $53.23
Type of Use: COM Electrical
Class of Work: ALT 2 ea Limited Energy 06/26/2019 $150.00
Type of Const: 1 ea Plan Review Electricial 06/26/2019 $110.91
Occupancy Grp:
Total $607.76
Required Items and Reports(Conditions)
I
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 t r es adopted by the Oregon Utility Notification Cente. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may.obtai copy of the r les or direct questions to OUNC by calling 503.232.19' or332.2344.
.---- „..\,... v_„fIIlI
Issued By: 6 �,- G. Permittee 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 503.639.4176 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.
1
Electrical Permit Application fT. �
' FOR OFFICE USE ONLY
a t A tT d p 1 Received -�-C �p j,361.
. City of Tigard =t�i l �i>. DateBy: j1�G fl permit
� L lT
111 111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 pateBy: �Ql Related Permit I.- q
Inspection Line: 503.639.4175 Rcpdy Datei ay1 ` kris: H See Page 2 for
T I G A R D Internet: www.tigard-or.gov Nostified/Method �� i Supplemental Information
, .- ,€- €tj X4, °1 1,cr a .:. - b =_-� ,Rjr,,!--4,notez...., .,..,,,:alowiumeniuson
❑New construction ®Addition/alteration/replacement Please check all that apply submit 2 sets of plans w/items checked):
IDService or feeder 400 amps or more ❑Building over three stories.
I=I Demolition ❑Other:
where the available fault current ❑Marinas and boatyards.
Milib_fh t t i t 1 i € €:
l r 0Z' tl'@fR:T T1 I exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ElAccessory building less to ground,or exceeds 14,000 ❑commercial-ase agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
111001iiiietifrOAS0VW4...9N.44WilMCM,WiliniIIIMMERINit 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: I Job site address:7980 SW Durham Road IOOHP or more.
City/State/ZIP:Tigard,Oregon 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Durham Elm School Improv ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: _ '' i ", ill E' Utr
South on SW 79th Ave from SW Durham Road DescriptioQty. Each m ITotal 'I
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#:2S113B000300 1,000 sq.ft.or less 168.54 4
Ea.add'!500 sq.ft.or portion 33.92 1
.�.<, .=1 "1 i`'4{il€#t€..s + #M,}.i, d i It `' __ O =•'i§'i's €€1 1 tr: €r
!,::., ._€. Limited energy,residential
New administrative areas one new classroom, (with above sq.ft.) 75.00 2
and a secure entry vestibule are Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
created within the existing building footprint;no building area increase.
Renewable Energy 1 0 See Page 2
isrognist t4 P P 5'<A I.:, l5. = .-. .. r T:° Services or feeders installation,alteration,and/or relocation
Name:Tigard-Tualatin School District 200 amps or less 100.70 2
Address:6960 SW Sandburg 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 is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
m II(
l' t"•`.•.• . o,!i • •.••. 1 :- #l. ...h,, 3,ai Branch
Fee foc bran h circuits alteration,or extension,per panel
Business name:DAYCPM,An Otak Division above service or feeder fee, 7.42 2
each branch circuit J
Contact name:Juliet Jacobsen B.Fee for branch circuits without
Address:6960 S W Sandburg
service or feeder fee,first 1 56.18 56.18 2
branch circuit
City/State/ZIP:Tigard,OR 97223 Each add'l branch circuit 32 7.42 237.44 2
Miscellaneous(service or feeder not included)
Phone:(503)984-6801 I Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:juliet.jacobsen@otak.com Reconnect only 67.84 2
lientillIENIMEINIVIEW ::::4#11i11111111iiiiiiiiiiiiiiiallialliiiiiiiiiiiiiiiialPump or irrigation circle 67.84 2
Business name:Prime Electrical Services,LLC Sign or outline lighting 67.84 2
1 Signal circuit(s)or limited-energy
Address:PO Box 872395 panel,alteration,or extension. ® See Page 2 150 2
City/State/ZIP:Vancouver,WA 98687 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)318-5170 I Fax:(360)869-9989 Investigation(1 hr min) 90.00/hr
Email:oleg.p@primeelectricalco.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 217825 Electrical Lic.: C1324 Suprv.Lic.: 6270S specifically listed(r/hr,mm)
Suprv.Electrician signature,required:4/ Subtotal: 443.62
Print name: Oleg Primachenko Date: 3/19/2019 ❑Plan Review Required(25%of permit fee): (l 0..1t
�/ " _ State surcharge(12%of permit fee): 53.23
�
Authorized signature: TOTAL PERMIT FEE: 6 07. 7
This permit application expires if a permit is not obtained within 180
Print name: Oleg Primach nko Date: 3/19/2019 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:1Building\PertnitsIELC_PermitApp_ELR_ERE.doe Rev 06/i7/2015 440-4615T(I l/05/COM/WEB ------------- - --
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Renewable Energy Permit Fees:
Limited
Energy Permit
Fees: UIM kF +� W it ; " U 6/o= ,N
_fltr ; . g *9r .: tiB a . ixs Description Qty. Each Total Fee for all residential systems combined: $75.00 Renewable 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:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ 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:
El 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
specificall'listed(V!hr mm)
Fee for each commercial system: $75.00 Subtotal(Enter on Pagel).
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
® Fire Alarm Installation
❑ HVAC
Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems: 2
*No licenses are required. Licenses are required for all
other installations
- t:\Buildiag\Permits\ELC_PernatApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
7980 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2019-00367
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor