Permit CITY OF TIGARD
RELECTRICAL PERMIT
#
Permit#: ELC2017-00282
.. COMMUNITY DEVELOPMENT
Date Issued: 04/20/2017
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S111 CA14700
Jurisdiction: Tigard
Site address: 9885 SW SATTLER ST
Project: COTTING Subdivision: ALDERBROOK FARM Lot: 7
Project Description: Replacement of(1)electrical service and(1)new feeder for existing electrical panel.
Contractor: OWNER Owner: COTTING, PETER C JR
PETER COTTING 9885 SW SATTLER ST
9885 SW SATTLER ST TIGARD, OR 97224
TIGARD, OR 97224
PHONE: 971-678-4085 PHONE:
FAX:
FEES
Quantity Description Date Amount
2 ea Services or Feeders-200 04/20/2017 $201.40
Specifics: amps or less
1 ea 12%State Surcharge- 04/20/2017 $24.17
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $225.57
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 f - the rules adopted by the Oregon Utility Notification C, ' •• _ - "•• - forth in OAR
952-001-0010 through R 952-001-0090/M may 0.140 a cop of the rules or direct questions to OUNC by calling 503.232 ::7•r 1.800.332.2344.
Issued By: ,-i.- Permittee Signature: 1
lir
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 Permit Application FOR OFFICE 1 SE 0y1.1
City of TigardReceived L ,_ .210=4117M111
4 j'
1ateB r1I
't 13125 SW Hall Blvd.,Tigard,OR 97223 iry 'an Review
Phone: 503.718.2439 Fax: 503.598.1960 , i DateB : Related Permit#:
Inspection Line: 503.639.4175 fl ` o Ready Date/By: ® See Page 2 for
T I C ARD Internet: www.tigard-or.gov `� leto/ [Notified/Method: �, Supplemental Information
TYPE OF WORK a ®� I PLAN REVIEW
❑New construction ►1 Addition/alteration/replacet nt ���ray../` Please check all that apply(submit 2 sets of plans w/items checked):
0% O 0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: C,G where the available fault current El Marinas and boatyards.
CATEGORY OF CONSTRUCT•���40�` exceeds 10,000 amps at 150 volts or 0 Floating buildings.
r. less to ground,or exceeds 14,000 0 Commercial-use agricultural
® 1-and 2-family dwelling 0 Commercial/industrial r Accessory building amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:9885 SW Sattler St. 100HP or more. ❑"A","E","1-2">"1-3">
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard 0 Health-care facilities. 0 Recreational vehicle parks.
0 Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt.#: Project name:
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:Sattler St.and 110th Ave, FEE SCHEDULE
Description i Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'!500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
(with above sq.ft.)
Replacement of electrical service and new feeder for existing electrical panel. Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Peter Cotting 200 amps or less 2 100.70 201.40 2
201 amps to 400 amps 133.56 2
Address:9885 SW Sattler St. 401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,Or.97224 601 amps to 1,000 amps 301.04 2
Phone:(971)678-4085 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This ins •-.tion is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease, >�F or e ••. --, •e -t rding to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
/� 3/4-� � 401 amps to 599 amps 168.54 2
Owner signature: /! _ Date:
Branch circuits—new,alteration,or extension,per panel
IL 'PLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
7 42 2
Business name: above service or feeder fee,
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: branch circuit
Each add'l branch circuit 7.42 2
City/State/ZIP:
Miscellaneous(service or feeder not included)
Phone:( ) Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: Inspections for which no fee is
specifically listed('/Z hr min) 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 201.4
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 24.17
TOTAL PERMIT FEE: 225.57
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Pennits\ELC_PennitApp ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9885 SW SATTLER ST, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Electrical ELC2017-00282
Inspection Type: Inspector:
115 Electrical service Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9885 SW SATTLER ST, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Electrical ELC2017-00282
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor