Permit 4• ELECTRICAL PERMIT
• CITY OF TIGARD.
PERMIT #: ELC2006 -10078
DEVELOPMENT SERVICES DATE ISSUED: 3/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 102AA -01700
SITE ADDRESS: 08975 SW CENTER ST ZONING: C -P
SUBDIVISION: KINGSTON LOT : 008 JURISDICTION: TIG
Project Description: Rewire portions of house.
•
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: • X i ! 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:
KENNETH DEKORTE DEKORTE ELECTRIC INC.
8975 SW CENTER ST PO BOX 12379
TIGARD, OR 97223 PORTLAND, OR 97212 -0379
Phone: 503 - 740 -9769 Contact #: PRI 503 - 288 -2211
FAX 503 - 288 -2231
FEES
Description Date Amount Reg #: ELE 34 -541C
[ELPRMT] ELC Permit 4/6/2006 $146.80 LIC 159954
[TAX] 8% State Surcharge 4/6/2006 $11.74 SUP 4075S
Total $158.54 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: _C. ( 3 \C•
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.
FROM :"DEKORTE ELECTRIC INC FAX N0. :5032882231 Mar. 27 2006 03:16AM P2
• -•• • • 1 • % Iv v .• .V • — •— • - •
' Electrical Permit A Ilea �i x» \ 'E . D „OR ...tic": •
t sl': t1vl,,
Received ■
City of Tigard r 4 Remit No -: -,tom / i 1
)3125 'SW I Blvd., Tigard, OR 97223 ` an Review
Phone: 503,639,4171 Fax: 503.598.1960 V\ � F: ( 2a . "M I Ran ; - Other Peranit: •
Inspection Line: 503.639.4175 � 'i 11 . Date ReadyBY: nlr s: !� paw 2 for
Internet: www.ci.tigard.or.us yiC Q v�„t.•. � V P R tlod
1 4i/Mettlod: , Supplemental Information
1 ..
, W �
❑ New construction Addition/alteration/replacement 1 iiorl /alteration/replacement Please check all that apply:
Service over 225 amps, comm'I Hazardous location
[J Demolition D Other:
OService over 320 amps - rating �] liuildng over 10,000 sq. ft.,
} ' ,y :, . , ;�. p ,, ' . , „ >� 0 ;,' ,,._ , , of 1- and 2 -fl mily dwellings 4 or more new residential
NI 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building ['System over 600 volts nominal units in one structure
°Building over three stories ❑Feeders, 400 amps or more
ID Multi - family Marten builder ❑ Other:
-,, persons red structures a
,.. ,�,,, - " ❑O ccltpant l oad rn 99 pe lvlanufectu ot
)' ... ''J� : 'S�.r „ �':IN''FORiV a �•/,' ■�r+ '' = ens li
:rig ' : >�:' .�•�' t T4W�'I>•-��'Jdt.._,- ..� ❑�%� / gh g P lan RV park
[health -care facility
ifC
Job no. Job site address: 1.911a � ' l ��
Q � /1P C L la Submit 2' sets of plans with any of the above.
City/State/ZIP: 4 1I'►_1 ' , ■ c P The above are not applicable to temporary construction service.
Suite /bldg. /apt. no i Project name: ; ?'.;h; .`y :..: , ...° :'.#1`' 'Fi' :' On si %t ' '' ' , :: ; :, : : ,_ `'
� • >;, •
�,...,,,,,, «. • Dacdpdoa Qty, F. I Total I ••
Cross street/directions to job site New residential mingle- multi - family dwelling unit.
-- •. -- Includes attached garage.
1.000 sq, ft. or less _ 145.15 4
Subdivision: _ ^ ". Lot no.: - Ea. add'l 500 sq. tt. or portion 33.40 1
map/parcel no.: residential 7'S 00 2
Tax map /pa
,,,,;,,,x.....K,.,,:,.',rcel •.•";, : ( :..;y�. :h :.' _ s energy, non-residential 75.00 2
-f., .,.... ,...,......,., ".: ; :r: ". :.rr. �.' b.r:,;,: yy���� �y .. Each manufactured or modular
(P AA) •'�t O o C � _ 5 b � dwelling, service and/or feeder 90.90 2
l PAUV 1. r t ,� V' 0 ',* reloca
Services or feeders installation, alteration, and/or �tlo�n
, 200 amps or less ...._.. ,� 80.30 B aril
20I amps to 400 a 106 65
, r �
^ -
40t amps to 600 amps
Nam 601 amps to 1,000 amps III 240.60
Address: Over 1, amps or volts 454.65
•• °" .- Reconnect oat Ell 66.85
City /Suite /ZIP: Temporary services or feeders installation, alteration, and /or
Phone: OD/ )05Si t ) / Fax: - ( ) relocation
_ 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 am. • to 400 antes 100.30 2
intended for sale, lease, rent, or exchange, according to ()RS 447, 449, 670, and 701 401 am .s to 600 amp 2 s
Owner signature: Date: Branch circuits -- new, alteration, or extension, per panel
.' : �.' ` N - A. Pee fur branch circuits with
>`„ ,'" 1 x '� ,, , , _ . _ /r
,,, .a " se rvi ce o r f ee de r fee, each / Q 6 - 0 9 ��� 2
Business name: branch circuit —
"• ° - ", B. FCC for branch circuits
Contact name: - -- - - without service or fboder fbc 46.85 2
" "" each branch circuit
Address: — Each add'l branch circuit 6.65 2
City/Stste/ZIP: Misretlttncoue (service or feeder not included) _ _
—•~
"'"' - — Pump or irrigation circle _1 53.40 L 2
Phone: ( ) Pax:: ( )
Sign or outline lighting 53.4(1 2
E -mail: Signal cimuit(s) or limited-
,...- ''.." .,
;,... .;;;:',:':-.- •:,"••:,:'„:-,''..,'',.:,.',‘ : ,!r energy panel, alienation, or
Business name: DeKorte Electric Tnc • extension, Dcacribc: Page 2 2.
Address: PO Box 12379 -- - Each additional inspection over allowable in say of the above
---- -� _ Per inspection 62.50
City /State /71P: Portland, OR 97212 Investigation per how (1 lv min) 62.50
Phone: (503) 'l.- 3a,\ \ Fax: (503) 288 -2231 Industrial plant per hour
CCB Lie.: 159954 Electrical'Lic : 3 54 S pry Lie.: 75$ Subtotal /c./‘
Sunrv. Electrician signature, required:
--/le _ - Plan review (25% '
( permit fee) tj
Print name: Dom: State surcharge (8% of permit fee) //. 1 7
Authorized signature: TOTAL PERMIT' FEE
This permit application expires if a permit ie not obtained within ISO
. _ "" - anYa after it has beer tepted as eerpkte
Print name: Date: • Fee methodology set by Tri- Co' Building Industry 9ervieo Board
cE..D t tJ • Dw
CITY OF TIGARD .. .
BUILDING DIVISION t. PERMIT #: ELC2006-1007B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3129/2006
Phone: (503) 639-4171 awililvel
Inspection Requests (24 Hrs.): (503) 639-4175 AJ IL
INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7:02Atvi PAGE: 49
SITE ADDRESS: 013975 SW CENTER ST CLASS OF WORK:
SUBDIVISION: KINGSTON LOT #: 008 TYPE OF USE:
PROJECT NAME: DEKORTE
DESCRIPTION: Rewire portions of house. 4/26/06: Added (9) branch circuit.
Job # 06-263.
OWNER: DEKORTE, KENNETH PHONE #: 503- 7
CONTRACTOR: DEKORTE ELECTRIC INC. PHONE #: 503-288-22.11
Inspection Request Scheduled For: Date: 619/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031453-01 503440-9769
Corrections/Comments/Instructions:
Ad
7.2 PASS 0 PARTIAL APPROVAL n CANCEL Lii NO ACCESS
n FAIL 0 CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Ci Date: 4 e Phone #: (503) 718-
, _
• •
CITY OF TIGARD ,. •
, ,
BUILDING DIVISION
A PERMIT #: EL.C2009- 10078
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3129/2008
Phone: (503) 639-4171 _ I N/41V \
Inspection Requests (24 Hrs.): (503) 639-4175 ---MIP. ■ t'l....
INSPECTION WORKSHEET FOR DATE: 4/2512006 TIME: 7:00MA PAGE: 73
SITE ADDRESS: 08975 SW CENTER ST CLASS OF WORK:
SUBDIVISION: KINGSTON LOT #: 008 TYPE OF USE:
PROJECT NAME: DEKORTE
DESCRIPTION: Rewire portions of house.
OWNER: DEKORTE, KENNErH PHONE #: 503-740-9769
CONTRACTOR: DEKORTE ELECTRIC INC. PHONE #: 503-288-2211
Inspection Request Scheduled For: Date: 4/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 028623 503-740 N
32.0 (k,04C—F• .. i 14 .
Corrections /Comments/ Instructions:
•
A PASS 0 PARTIAL APPROVAL El CANCEL fl NO ACCESS
n FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Glka- (N) 1,.. Date: ii /-5 0 ko Phone #: (503) 718- Z. _.
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