Permit A - `CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00364
DEVELOPMENT SERVICES DATE ISSUED: 6/18/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 231120B-00400
•
SITE ADDRESS: 07337 SW KABLE LN
SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. ZONING: I -
BLOCK: LOT : 004 JURISDICTION: TIG
Project Description: (4) branch circuits for air handlers.
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: 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: 3 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:
OR -WASH ENTERPRISES, UNLIMITED DEKORTE ELECTRIC
BY JOHN F MEUPERT PO BOX 12379
111 SW 5TH AVE #3400 PORTLAND, OR 97212 -0379
PORTLAND, OR 97204
Phone: . . Phone: 503 - 740 - 9769
Reg #: ELE 34-541C
LIC 159954
FEES SUP 4075S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/18/2004 $60.15
[TAX] 8% State Surcharge 6/18/2004 $4.81 Rough -in
[ELPRMT] ELC Permit 6/18/2004 $6.65 Elea] Final
(additional fees not listed here)
Total $72.14
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 -3 -2344.
Issued By: � �i� %�`' Permit Signature: iJT /'JL Z.! ' _ I'1 C ✓Y�
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
4
SIGNATURE OF SUPR. ELEC'N: 5 5 DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
DEKORTE ELECTRIC LLC 5032882231 06/19/04 04:12pm P. 001
•-i..., .4,
, Elecirical .Permit Application . FOR OFFICE USE ONLY
City of Tigard Received
Permit No.: Ct....C.7_6re) Li— op 361
Date/By:
13125 SW Hall Blvd., Tigard, OR 972 23 Plan Revic w
Phone: 503 m
.639.4171 Fax: 503.598.1960 Al O.,
A:i Datc/B : Other Perit:
Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.ci.tigard.or.us Notificd/Mcthod: Supplemental Information
4 ,'-„,MVIIZA'ALL,,i , ,,,1,..,q , i l ai10 : 1j! . i'.;!i',....:...,,...::i'.:::;:.1. : .:,::: ..,..ir., .:F ... .., .• : • • .
aBM':nlorittr - ,.os ...!R ' v •••,,, •,-,-%-' , • ,,,•., . "''''' ' .,..‘“•,' . ' • •,"..•'''' ' '.'' -.• •• • '
0 New construction dditionialteration/replacement Please check all that apply:
OService over 225 amps, comai'l 17 Hazardous location
1=1 Demolition El Other: OService over 320 amps — rating 0 Buildng over 10,000 sq. ft.,
11A0121.a.11.01Migililig,4601,,,A0fitat:IWgliALQ:kli-41i16; of 1- and 2-family dwellings 4 or more new residential
Ell and 2 dwelling ,, El Accessory building ' OSystem over 600 volts nominal units in one structure
:J Building over three stories OFeeders, 400 amps or more
0
iA Multi-family El Master builder 0 Other:
• DOccupant load over 99 persons DManufactured structures or
' '• ' ''''''"`ok.2':.:lllll:!: ,.%,..•-•
I',4,,, ,„ olvririP:rii ril 0 Egress/lighting plan RV park
-., , i'Mk1.61 liriag41:4A141,4:: :`,.: i. .,: • , , ..t4,14,...1,,,igi4,1'1, • . t. ., . ■ , ..1,.,..• pvt...i,Ki4,., „, ,51 MI it&
El Health-care facility ClOther:
Job no.:Oft 2_37 Job site address: 7:95,..5,44,2 ....--:" 21.42# Submit 2 sets of plans with any of the above. •
City/State/ZIP: 7 ,.. .7 '?,_ 2",-- The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name:
il,i ' ' ' :: l •
e ..-..001.
Description Qty. [ Fee. I Total
Cross street/directions to job site: -1 4`.*L. 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 I
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non-residential 75.00 - 2
111•434U-F1"3444-ti114-04-4:00g1110:141i0WLIIaligii•Ilrl+,411ilvi•=lligiis‘;:lrt11;4' lilelill:l Each manufactured or modular
451ete-42exe4,,— dwelling, service and/or feeder 90.90
Services or feeders installation, alteration, and/or relocation 2
200 amps or less 80.30 2
Viagikilii'-'4,-::„,';41,1-:;liail2h.Olki•P'410,N tpllill',11I=EMit,),!,-Wth•Illki:i.:..,i:%:g! 201 amps to 400 amps 106.85 2
... ai.i.i. te I, Ake w c&Ao b amps to 600 amps 160.60 2
Name: &ivi054.7eXa 5-4091,-..-- 601 amps to 1,000 amps 240.60 2
Address: .7 57 5 jf.- / 9. 2_,ef/— Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: (,05)e 2 . Fax: ( ) relocation
200 amps or less 66.85 ,
i
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
pilikliggilitgagilitaigailltilag 10.44 gMtlgt A. Fee for branch circuits with
service or feeder fcc, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit i 46.85 W j76
Address: Each add'I 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 Signal circuit(s) or limited-
g*gig;l:14.0glitigalggi,;,it'i;...,ll:Maigt4014k;LI,, ;17.Ill:Tli,',,Z;;;;•]■-,i.1;ll energy panel, alteration, or
• extension. Describe: Page 2 2
Business name: i ,
Each additional inspection over allowable in any of the above
Address:/, 5 ; , 6 x
Per inspection 62.50
City/State/ZIP: i e - 9 - 2' /1C 27/.... Investigation per hour (1 hr min) 62.50
Industrial plant per hour 73.75
Phone: (03) 7-ice,_ 777 Fax: ( ) 2Vgf /
,:;;::".::::H,R!iihi:C;IMOWKOT40.1.04tW
CCB Lic./ Electrical Lic.: ff„..l.rjr/ € Suprv. Lic.: Ite;t3--?3---5- Subtotal g6; ,57
Suprv. Electrician signature, required: . p„ ,_ Plan review (25% of permit fee)
te .._,,- I
-1-7--.1 - p- i9r,•:- State surcharge (8% of permit fee) 3
Print name: Date: .„./..
r ---
TOTAL PERMIT FEE 7
Authorized signature: 4,.. 2) ..„6.,. This permit application expires if a permit is not obtained within 180
,
days after it has been accepted as complete
Print name: , , ..,, Date; , . - . ' Fee methodology set by Tri-County Building Industry Service Board
Aliamom- ...f ,...4.4........ , , ,
" Number of inspections per permit allowed,
i:\Building\Permits1ELC-PermitApp.doc 12103 / 6 1 -2 1 C-45 2 6/rf 4%4615T( I OM/COM/WEB ' 7 , /1
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received /�°�' ' -te R-quest- 8 /� ' AM PM BUP
Location -- 3 � �1 .∎_ : i Suite MEC
Contact Person Ph ( ) PLM
Contractor 6c4 _.e Ph ( ) SWR
BUILDING Tenant/Owner ELC POO '
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: 9 _ SIT
Post & Beam ''� t �-,
Shear Anchors /
Ext Sheath /Shear - �—K i ( �'�-p� ' --al
Int Sheath /Shear w"
Framing
Insulation
Drywall Nailing
Firewall Pif1)12-uk/ ^ J v' /I .-�
4
Fire Sprinkler b�J �
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
• Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ETRIC,
Service
Rough -In
UG /Slab
Low Voltage
Fi Alarm
ASS PART FAIL
❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line _
ADA , �p� f�
Approach/Sidewalk Data 1 �� Inspect ti / � w�'� "�" Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL