Permit C IT'S OF TIGARD ELECTRICAL PERMIT
1,
° V PERMIT #: ELC2008 -00599
COMMUNITY DEVELOPMENT
DATE ISSUED: 10/22/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110AB -00200
SITE ADDRESS: 14295 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: CANTERBURY SQUARE LOT: 1 -3 JURISDICTION: TIG
PROJECT: FOXY'S
Project Description: (3) branch circuits for kitchen appliances.
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: 2 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: >=4 RES UNITS: > 600 VOLT NOMINAL: •
Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
G C KOLVE DEKORTE ELECTRIC INC.
14389 SW PACIFIC HWY 4115 SE CLINTON ST #1
TIGARD, OR 97224 PORTLAND, OR 97202
Phone: 503 - 890 -1563 Contact #: PRI 503- 288 -2211
FAX 503 - 288 -2231
FEES
Description Date Amount Reg #: ELE 34 -54IC
[ELPRMT] ELC Permit 10/22/2001 $60.15 L1C 159954
[TAX] 12% State Surchar 10/22/2001 $7.22 SUP 40755
Total $67.37 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:
_
ii S i�1
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.
10/21/2008 01:06 FAX 5032882211 DeKorte Electric, Inc. Q1002
lectrE_ApAcaii_jocal n
.. •
FOR OFFICE I. SF:ON f 11
.,.0
, .,..::. City of Tigard
,,jiialliMMACn Permit No.: , r.--005fit
13125 SW Had Ear& Tigard, OR 971g . coss
' :' nom: 501639.4171 Fat 503.598. I Datall • . Other Pertui
•
• Insiraction Liar $113.639A 175
T`Ci ARO
Date/trimly:By
Ell See Paige 2
: Internet: wwwitigard-orgov tc.: 14‘. . 111 • Maim&
YPCO Supplemental lutormatiou
_ 2. t 'e.,,h/re.w
r ;' ' ''#';.. . ' '...'
•.' 4 .i ., :i.';:.1 , :i ' ,. ... ,1 •4::Eti - i' . ,i''' - 74.7,".••■r.,'!,•• • ="7., , •''t1 , - .10:.' ., It 1 • „: ..t,..,......, vic,u,'2.4,$., • ,. .A . ,-.4:% - :.
0 New =marathon TI Addition/alteration/. T. .1",.!M V Masa diedrall thM altply (admit ?. sets aplass Mitects elsedo:d below):
- % la SCTIACC Of feeder 400 amps or more 0 Building corcr twee attics.
0 Demolition Q Other ______01
%there Ise available fault norm °Marian and beagurrL.
ggli.W.;Mei;I:04#4:041:*:t:00304..§014*MUWakg,gekri " cgeds " z wg's as ISP wits � 0 Fkillifi buddi
/call 10 grouted, or enneds 14.000 0 Commumall-use egricutturul
CI I - and 2-raunily dwelling Fi Canunerciabindustrial 0 Accessory building
mum fes all ad= isstallnioss. boildisigs_
CI Multi-family 0 ma_qcr builder 0 Other: a Fire pump. 0 hutalbsion of 7S kVA. at
; g? , t 3 ftt i iV i I ?4,4***: C 3:1*** :t****M *0 NIC N XXX 8 ZOOJr loud of 0 - dmvL 1. - ; .413Y514.
kb no.0? ,g i::1 lob site address: 14 '5 3P aC
13 six or mut resideutial runts. CI Rcnispintrid vehichi psdks.
....----
0 Fich-eatt facilitisni. 0 stip.* volume for IMOCc duo
CityiStarteiVP lb ,, ( Ci ,
0 liznimous I:mums. 600 miss nominal
_
Suiteibldglapt no.: Project name: Vrbe El sen. . 7r .,.. amps (X mom , ).. , . .
: " ' '. •;:-:.:.;
Cross sopootedircctions to job site: .....' - ';;;i'.;•::',-V..°0',:;;<0. •:.i .'•''';; ; k . . .,....; ... , • • : • . :c..,... •:.
-.....•
-----------_ New residential single- or multi-family dwelling unit.
Tatham attached garage.
-
Subdivision:
Lot no.: _1,000 sq. IL or less 145.15 4
Ea. addl 500 sq. h_ or plum 33.40 l
Tax map/paned no.:
-
Limited energy midnal
,.ili......,ii.,64:-"--"-iii.. .,,,,...41..,Y,N('.4,777.7.77 .
75.00 2
4:ALiwv: !?.7,7;....w. 7
?';ItIrI:4.4kVe.fiZ.:.7f.;;!';;:ii!1:',.,‘,:.! <ugh alta.c ni- FL)
-
75.00 [ 2
Serthei or feeders installation. theta ion, and/or relocation
e‘' 0: '
P .
200 amps or ss 80.30 2 1 .
il ''-'.i Z! :54--1:4 *P r t:NO; c :il•WI : 00. 201 amps I° le ilgDP 10615 2
Name -- ja4Cyr s , F Crxx 401 amps to 600 amps 160.60 2
- 6 01 amps 10 1,000 amps 240.60 2
Addrets:
Over 1.000 amps or volts 454.65 2
- -_
•
City/Slate/ZIP:
Temporary services or feeders installation, alteration, and/or
relocition
Phone: (Su jiff (,3 Fax ( ) 200 amps or la4 66.S5 I
Owner installation: This installation is being made on property that I own whith is not 201 maps w 400 ma 1 0030 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, altermino, or exteusion, per panel
Owner signamre:
- Date:
A, Fee liw branch circuits trirk
,
'::'.?n.`0,.:.,Wii'■.''.::ia.Fkimitje:4*Y4'.:V.S':.;:N.;:::;4/.:',..i=1;lairtaitti*O4e.iptiestrftP!:rii; above service or feeder Ice.
6.65 2
Business name:
B. Foe for branch circuits
without service or feeder fee.
COntact titanic
1 46.85 1 2
'first broach Lirnsi t J . 0
..
AddresS:
Each addi branch circuit Fa WEEIN00 2
•-• ..
- lifisedbuteents (service or feeder not inducted)
City/Slaw/2CP:
Each mamductured or modukar ' '
90.90 2
--
- , dwelling, servim amid/or feeder
Phone:( ) I Fav: : ( )
Reconnect only 66.85
2
E-mail:
. Pump or inigzaion circle 53.40 2
::•7•'•::.;:a4W:E3';:ik'egii.i..W;r1ON0400k:§'N:Pag'•:?:.W::;.:,P; Si " wiline li 53.40 2
Signal eireuit(s) ar UrairCd-
a usincss name DeKent Electric, Inc.
_ enmity panet, atteamino, or
•
__.
Addrm 41 IS SE Clinton St_ ffl odensian. Describe: Past 2 2
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City/Siate/ZIP: Penland, OR 97202
Eacb ail4i stion tier av allowable in i airv o of the 'drove :
-
--
Per inspection
Phone: (503) 2/13-721.1 Fax: (503) 2311-223.1
Investigation pet - boar (1 hr WOO 62.50
CCB Lic.: 159954 ' Electrical "c. 34 Siaprv. Lic.: 4875S industrial plant per hour 7175
iii...,,y,,is cc g ovaenaftPuf - mt, ,, 4 , .., , ,.:,/, ..00...
Suprv. Electrician signature, required: .. , 0 17 / 11.
Subtotal: 6 . 15
-,-.„
Plan missy (25% of permit leer
Print came: Ken DcKortc i Date: ic i 2 1 0 W
State surcharge ((2% of math. fee): 7 , c-
_
Authothxd sigrurture:
TOTAL PERMIT FEE: (n 1- 5-7
' Thu penult am:radon expirm ifa want is not obtained within ISO
Print name:
-
1 ,_ Date:
tiro after it has men attecoul as tomplete. . .
CITY OF TIQARD • ,.
BUILDING DIVISION PERMIT #: ELC2006- 00599
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/22/2008
Phone: (503) 639 -4171 is°q °'iP I .e�
Inspection Requests (24 Hrs.): (503) 639 -4175 -' I I
INSPECTION WORKSHEET FOR DATE: 11/18/2008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 14295 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - TYPE OF USE: C (—
PROJECT NAME: FOXY'S
DESCRIPTION: (3) branch circuits for kitchen appliances.
OWNER: KOLVE, C C PHONE #: 503-890-1563
CONTRACTOR: DEKORTE ELECTRIC INC. PHONE #: 503-2613 -2211
Inspection Request Scheduled For: Date: 11/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 078172 -01 503 - 288 -2211 N
Corrections /Comments /Instructions:
SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _____gaii" Date: h s Phone #: (503) 718- Vi iV