Permit C ITY OF TIGARD ELECTRICAL PERMIT
A. PERMIT #: ELC2005 -00136
j 1w DEVELOPMENT SERVICES DATE ISSUED: 3/8/2005
mama 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S126CC-00200
SITE ADDRESS: 10065 SW CASCADE AVE
ZONING: C -G
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Power to gondolas (3) branch circuits
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/ FOR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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:
TOYS "R" US, INC DEKORTE ELECTRIC
ATTN: TAX DEPT PO BOX 12379
225 SUMMIT AVE PORTLAND, OR 97212 -0379
MONTVALE, NJ 07645
Phone: Phone: 503 - 288 - 2211
FEES Reg #: ELE 34 - 541C
Description Date Amount LIP 1075
SUP 40755 5
[ELPRMT] ELC Permit 3/8/2005 $60.15
[TAX] 8% State Surcharge 3/8/2005 $4.81 REQUIRED ITEMS AND REPORTS
Total $64.96
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: 2. �j,(� %� ,�, Permittee Signature: y� e Cs;nn
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 639 -4175 by 7:00pm for an inspection the next 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.
DEKORTE ELECTRIC LLC 5032882231 03/08/0S 12:38pm P. 002
. - i ,.. rc�- - 1- �z� r . i-2-1-1-AFT
TT
Ele 1 Permit AppIREC I �/ : _, FOR OFFICE: USE ONLY
City of Tigard 1 , �— 1... Permit xo.: C,C.��.J ` /3‘
13125 SW Hall Blvd., Tigard OR 97223 MAR 0 2� Ptnn gevicrt
Phone: 503.639.4171 Fax: 503.598.1960 ' �" d. I ;� I Date/By: Other Permit:
Inspection Line: 503.639.4175 ^(' ! „ Date Ready/By: June Si See page 2 for
Internet: www.ci.tigard.or.us to A 1 - "`. _ :r Notified/Method: j ( r Supplemental Information _
PLAN REVIEW .• '.
❑ New construction Addition /alteration /replacement Please check all that apply:
❑ Demolition ❑Other. ['Service over 225 amps, comm'l ['Hazardous location
❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF` CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ',Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi- family ❑Master builder ❑Other: ❑Building over three stories ['Feeders, 400 amps or more
0 Occupant load over 99 persons ❑Manufactured structures or
,' JOB SITE INFORMATION . -AND LOCATION ❑ Egress/lighting plan RV park
Job no.: '5. 1,_9_( Job site address: J l ''' (0, L n , e / . 4 : ,r
❑ Health -care facility ['Other:
•-s° ,. r,te i ' Submit 2 sets of plans with any of the above.
City/State /ZIP; " ~" •tit- d Cr - 7 2 - The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: Project name: - 10( 1 fl, •
FEE* `SCHEDULE'.
�/ �-� D escr i ption 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
r (A l r , dwelling, service and /or feeder 90.90 2
.) ' (,� C. e. - • ,. L .. c-, .. K. . %- la' +- y Services or feeders installation, alteration, and/or relocation
-- 200 amps or less 80.30 2
,0 PROPERTY OWNER. ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: -Toy S ''7_ (ASV.C_..„ 601 amps to 1,000 snips 240.60 2
Address: _2 s 1 i� T \-,5,0....L../ Over 1,000 amps or volts 454.65 2
Reumnect only 66.85 2
City /State/ZIP: M c), \� \(\,) 0 7 6V< Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 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 ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each
665 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 , 2
Address: Farh add'l branch circuit 6.65 i3.-:503 L)J `"`rj 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
Tn •
extension. Describe: Page 2 2
Business name: DeKorte Electric
Address: PO Box 12379 -4— Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZIP: Portland, OR 97212 Investigation per hour (1 hr min) 62.50
Phone: (503) a-$8- - t\ \ Fax: (503) 288 -2231
Industrial plant per hour 73.75
. ELECTRICAL PERMIT. FEES*
CCB Lie.: 159954 Electrical Lic : 3 54 Supry Lie.: 4175S Subtotal (LAC)- /j
Suprv. Electrician signature, required: /���r Plan review (25% of per f ee)
,, _ �� q . To
Print name: -� , State surcharge (8% of permit fee) ' -....-
..1/1 �� )� L "�(_ s . - -) I- 9 . . TOTAL TOTAL PERMIT FEE eity 5,..0e4
Authorized signature: This permit application expires if a permit is noted within 180
days after it has been accepted as complete
Print name: Date: ' Fee methodology set by Tri- County Building Industry Service Board �//�
T 0 ( - 4 — $.402.) tc •� mot. —r...- ..r:........- a.,...- ....- ..._.......u..... -� `
y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00136
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 302006
j
Phone: (503) 639 -4171 nrir�4l�yl�u ��h�
Inspection Requests (24 Hrs.): (503) 639 -4175 :.�� •
INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7 :01AM PAGE: 27
SITE ADDRESS: 10065 SW CASCADE AVE \ CLASS OF WORK:
SUBDIVISION: \� LOT #: .,_...J TY .. E OF USE: A `
PROJECT NAME: TOYS "R" US
DESCRIPTION: Power to gondolas (3) branch circuit, -`.' 11 /06�o i , LA ��
OWNER: TOYS "R" US, INC, \ PHONE • :
CONTRACTOR: DEKORTE ELECTRIC \ PHONE #: 03 -;330' -221 1 *.\
A
Inspection Request Scheduled For: Date: if 2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 024287 -01 503-740-9769 N
Corrections /Comments/ Instructions:
E r : >
tea.— -- :.c?►�:�'ti.� — ��n�:_1� \. _.1��.a– .4 A _0r�■L ■
A PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL ❑ LL OR INSPECTION H ADDITIONAL FEES ASSESSED .
Inspector:
a- .,-/ Date: ) ` 3 U6 Phone #: (503) 718- 2-4