Permit ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2005 -00453
DEVELOPMENT SERVICES DATE ISSUED: 6/27/2005
r ' 11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111DB-13500
SITE ADDRESS: 09185 SW SATTLER ST ZONING: R-4.5
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: 200amp upgrade.
•
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
• 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
LUCAS, STEPHEN G +LYNNETTA MARI PRO CIRCUIT ELECTRIC LLC
9185 SW SATTLER ST PO BOX 3948
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Phone: 971- 563 -2811
FEES Reg #: ELE 3 -60IC
LIC 161382
Description Date Amount SUP 51075
[ELPRMT] ELC Permit 6/27/2005 $80.30
[TAX] 8% State Surcharge 6/27/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
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 rul or direct questions to OUNC at
503 - 246 -6699 or 1- 332 -2344.
Issued By: - Permittee Signature r /\)
• 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.
Electrical Permit (WALED FOR OFFICE IJSF ()NI.)
City of Tigard Received City g ll jk1 2005 DateB . i/4' 7 e9S ,� Permit No.� C �� _or
13125 SW Hall Blvd., Tigard, OR '9 IJIN 2 6� e 005 Plan Revie
,
-,;
Phone: 503.639.4171 Fax: 503.598.1960 u , i i DateB . Other Permit:
Inspection Line: 503.639.4175 -x
, I Date Ready/By: Juris: See Page 2 for
Internet: www.ci.tigard.or.us C ITY OF TIGAR® �''� Notified/Method Supplemental Information
BUILDING nivlSl()N
TYPE OF WORK PLAN REVIEW
❑ New construction Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: ❑Service over 225 amps, comm'I ['Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of l- and 2 -family dwellings 4 or more new residential
i g1 - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION RV
❑Egress/lighting plan park
Job no.: Job site address: 1185 b SATLE 12, ❑ Health -care facility ['Other:
Submit 2 sets of plans with any of the above.
City/ State/ZIP: ri The above are not applicable to temporary construction service.
• Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE
Description I Qty. I Fee. I Total I .•
Cross street/directions to job site: New residential single - or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
• Tax map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
PANEL v f � 11,^ `W dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less i 80.30 h) 2
PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
• � 401 amps to 600 amps 160.60 2
Name: 'JTaia, LOCH e> 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
5G^^�4— cce-' Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
hone: (9 � 3) � - ('3 relocation Fax: ( ) 200 amps or less 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 133.75 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
Contact name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'l branch circuit 6.65 2
City/State/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
? extension. � G a a_ L k, extension. Describe: Page 2 2
Business name: `� G1.Gi..� i 1 C.
Q Address: ex& 3146 Each additional inspection over allowable in any of the above
G a �1 Per inspection 62.50
\City / State/ZIP: �V� 1 (E___;_ i CON - 1 "7o Investigation per hour (1 hr min) 62.50
Phone: (f )(TT / - - 52 I ( Fax: ( .. 1 r LIB Industrial plant per hour 73.75
�/ ELECTRICAL PERMIT FEES*
L CCB Lic.: t ( f, 2 Electri _ • • , ♦ •C Su • rv. Lic.: Subtotal 80 .30
Suprv. Electrician signature, required: 1 '> i r (O -7 - i — ° 7 Plan review (25% of permit fee)
Print name: D ! V y Date: ( - Z•� - State surcharge (8% of permit fee) ( •' ( Z
/ TOTAL PERMIT FEE 8C7 .-a
Authorized signature: This permit application expires if a permit is not obtained within 80
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
i:\ Building \Pennits\ELC- PermitApp.doc 12/03 410.4615T(10/02/COM/W®
• , . - .1
• Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
• I WORK ONLY:
Fee for all residential systems combined $75.00 - _e
Check Type of Work Involved:
❑ Audio and Stereo Systems*
El Burglar Alarm •
El Garage Door Opener* (4; " '
i a: c ) 1 I
❑ Heating, Ventilation and Air Conditioning �.
• System*
❑ Vacuum Systems*
❑ Other:
•
C OMMERCIAL WORK ONLY:
Fe • for } each commercial system. $75.00
i "thiDAR 918 -260 -260)
Check Type of Work Involved: L
•
❑ Audio and - Stereo Systems
•
El Boiler Controls
El Clock Systems •
•
•
El Data Telecommunication Installation
❑ Fire Alarm Installation
El HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control* •
El Medical �. ri
s y� "(
El Nurse Calls �� , .�
❑ Outdoor Landscape Lighting* (--)7
• 7,!,Yipsp,--emt
or otective Signaling l " G )y 1 .�, •h, S },, ,�
Other
; " Total� � mb er of commercial systems: ', •\ \SAA .;3>: '-
*No licenses are required. Licenses are required
for all other installations
i:\ Building \Pennits\ELC•PennitApp.doc 04/03
i glow,
CITY OF TIGARD `t-N,NLL O. Wtc (' O i wo\ -b
BUILDING DIVISION PERMIT #: ELC2005-00453
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/27 /2005
Phone: (503) 639 -4171 U �u.e4 �.� !J l `
Inspection Requests (24 Hrs.): (503) 639 -4175 �'�� °`' L.
INSPECTION WORKSHEET FOR DATE: 6/29/2005 TIME: 7:08AM PAGE: 17
SITE ADDRESS: 09185 SW SATTLER ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: LUCAS
DESCRIPTION: 200amp upgrade.
OWNER: LUCAS, STEPHEN G + LYNNETTA MARI, PHONE #:
CONTRACTOR: PRO CIRCUIT ELECTRIC LLC PHONE #: 971 - 563-2811
Inspection Request Scheduled For: Date: 6/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Elect se rvice 010438 -01 971 - 563 -8211 Y
PADS
Corrections/Comments/Instructions:
tPS? S bl Doocl., UtJLOc_I<
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: lS Nc Nt% 1,-t Date: C1 iil h- Phone #: (503) 718-
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00453
jli DEVELOPMENT SERVICES DATE ISSUED: 6/27/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S111 DB -13500
SITE ADDRESS: 09185 SW SATTLER ST ZONING: R -4.5
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: 200amp upgrade.
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
LUCAS, STEPHEN G + LYNN ETTA MARI PRO CIRCUIT ELECTRIC LLC
9185 SW SATTLER ST PO BOX 3948
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Phone: 971- 563 -2811
FEES Reg #: ELE 3 -601C
LIC 161382 •
Description Date Amount SUP 5107S
[ELPRMT] ELC Permit 6/27/2005 $80.30
[TAX] 8% State Surcharge 6/27/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
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 or direct qu to OUNC at
503 - 246 -6699 or 1- 332 -2344.
Issued By: Permittee Signature' r -- /
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent. (� 1
OWNER'S SIGNATURE: DATE:
N
CONTRACTOR INSTALLATION ONLY
d
SIGNATURE OF SUPR. ELEC'N: DATE: t
LICENSE NO: " I /
Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. f
This permit card shall be kept in a conspicuous place on the job site until completion of the project. 0
Approved plans are required on the job site at the time of each inspection. ,Z
07
jJ
■
Inspections Required for: ELC20O5 -00453
1 ✓ Code I Inspection Description I PASS Date I By I I ✓ Code I Inspection Description 1 PASS Date B
BUP - Building Permit ELC - Electrical Permit
_ 405 Excavation 105 Underground/slab cover
_ 410 Fill 110 Temporary electrical service
415 Grading X 115 Electrical service
205 Footing • X 120 Electrical rough -in
805 MFG - Structure grading/footing 125 Wall cover
210 Foundation walls • 130 Ceiling cover
•
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection: .
235 Shear walls /anchors X _ 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 _ Misc. inspection: 1
265 Masonry 199 Electrical final L_
270 Reinforcing steel (rebar) -
275 Framing - MEC - Mechanical Permit
810 MFG- Structure set -up -
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
-
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
-
899 MFG - Structure final 625 Duct work
498 Grading final 630 , Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
•
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit ;
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in . 310 Crawl drain ___
•
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
• 998 Alarm final 325 RP/backflow preventer
999 Sprinkler final 330 Water service
335 Rain drain
•
340 Storm drain
STI' - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I :\Building \IVR\InspCard- AOP.doc 06/17/2005