Permit ..
CITY OF TIGARD - ELECTRICAL PERMIT
71 ° PERMIT #: ELC2007 - 00822
' COMMUNITY DEVELOPMENT DATE ISSUED: 12/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S134CA
SITE ADDRESS: 11575 SW TIMOTHY PL ZONING: R -4.5
SUBDIVISION: BARTON LOT : 006 JURISDICTION: TIG
PROJECT: SATRAN
Project Description: Replace service panel (200) amp.
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:
BRAD SATRAN TRI STAR ELECTIC INC
11575 SW TIMOTHY PL PO BOX 231175
TIGARD, OR 97223 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 860 - 5249
FAX 503 - 590 -2302
FEES
Description Date Amount Reg #: ELE 34 -620C
FELPRMTI ELC Permit 12/5/2007 $80.30 LIC 153559
[TAX] 8% State Surcharge 12/5/2007 $6.43 SUP 3832S
Total $86.73 REQUIRED ITEMS AND REPORTS
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 rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: , /PAP IL_
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 Am)li FOR OFFICE: lJS1l ()NIA
Ci of Tigard 1 V ed pp Permit No. �j,}/�
•
City g � � Date/By: /.2. 0 i B 6 if dT — OD gaZ a---�
Ill
a 1 3125 SW Hall Blvd., Tigar , O Plan Review
41 • Phone: 503.639.4171 Fax: 503.598. 60 , 1 1 5 200 Date/By: Other Permit:
TIGARD
Inspection Line: 503.639.4175 Utv V Date Ready/By: /uris:, ® See Page 2 for
Internet: www.tigard- or.gov (7 I Notified/Method: Supplemental Information
TYpiGliv v RIB ifj li
,,, /y /'\ST PLAN REVIEW
❑ New construction ®Ad�n} tt � 1 rtt tl �fi`t Please check all that apply (submit 2 sets of plans w /items checked below):
lJ 1 L ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® I- 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
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", `1 -2 ", "I -3 ",
Job no.: 786 Job site address: 11575 SW TIMOTHY PLACE 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City / State/ZIP: TIGARD, OR 97223 ❑ Health facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt no.: Project name: SATRAN PANEL CHANGE ['Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: 115TH Description I 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 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. fl) 75.00 2
REPLACE ELECTRICAL SERVICE PANEL
Limited energy, (with above sq . fl 75.00 2
residential (with above sq. fl.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 80.30 2
PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 'B Spy -\-1R) 401 amps to 600 amps 160.60 2
C . ,�-�; 601 amps to 1,000 amps 240.60 2
Address: l 16-75 5W 1 1 KA O - n - 1 / Pt._ Over 1,000 amps or volts 454.65 2
City/State /ZIP: - W I 1 2 D, 02_ q - i a a 3 relocation services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Temporary
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 599 amps _ 133.75 _ _ 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal panel, or limited -
Business name: TRI -STAR ELECTRIC, INC.
energy panel, alteration, or
Address: P.O. BOX 231175 extension. Describe: Page 2 2
City /State/ZIP: TIGARD, OR 97281 Each additional inspection over allowable in an of the above
Per inspection 62.50
Phone: (503) 860 -3838 Fax: (503) 590 -2302 Investigation per hour (I hr min) 62.50
CCB Lic.: 153559 Electrical Lic.: 34 -620C Suprv. Lic.: 3832S Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ` Subtotal: 80.30
Print name: RICHARD METZLER l �ate: 12/4/07 Plan review (25% of permit fee):
State surcharge (8% of permit fee): 6.43
Authorized signature: TOTAL PERMIT FEE: 86.73
This permit application expires if a permit is not obtained within ISO
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\Building\Permits\ELC- PermitApp.doc 05/23 /06 440- 4615T(11 /05 /COM/WEB
CITY OF TIGARD G ?
BUILDING DIVISION - PERMIT #: ELC2007- 00822
13125 SW Hall Blvd., Tigard, OR 97223 47 DATE ISSUED: 17/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/6/2007 TIME: 7:06AM PAGE: 12
SITE ADDRESS: 1'1575 SW TIMOTHY PL CLASS OF WORK:
SUBDIVISION: BARTON LOT #: 006 TYPE OF USE:
PROJECT NAME: SATRAN
DESCRIPTION: Replace service panel (200) amp.
OWNER: PHONE #:
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 503-860-5249
Inspection Request Scheduled For: Date: 12/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 060976 -01 503860.3838 N
Corrections/Comments/Instructions:
D i \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I , Date: 17 (0° v7 Phone #: (503) 718-