Permit CITY TIGARD ELECTRICAL PERMIT
CITY 1° I
PERMIT #: ELC2007 -00460
COMMUNITY DEVELOPMENT DATE ISSUED: 7/6/2007
TLGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102C6 03504
SITE ADDRESS: 10068 SW GARRETT ST ZONING: R -12
SUBDIVISION: SUNNYWOODS APARTMENTS LOT : 010 JURISDICTION: TIG
PROJECT: MAPLE COURT APARTMENTS
Project Description: (1) branch circuit to reground building's plumbing system. Job No. 07.369
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADO•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 FOR: 1 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:
FIRST CLASS PROPERTY MANAGEMENT DEKORTE ELECTRIC INC.
11640 SW CORBY 4115 SE CLINTON ST #1
PORTLAND, OR 97225 PORTLAND, OR 97202
Phone: 503 - 574 - 2443 Contact #: PRI 503 288 - 2211
FAX 503 - 288 -2231
FEES
Description Date Amount Reg #: ELE 34 -541C
[ELPRMT] ELC Permit 7/6/2007 $46.85 LIC 159954
[TAX] 8% State Surcharge 7/6/2007 $3.75 SUP 40755
Total $50.60 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 ar= - • • in OAR • 52- 001 -0010 through OAR 952 -001 -0100. You may obtain co..- e ese rules or direct questions to OUNC at
503.246.66:9 or 1.800.33 .
Issued B : , - 0 / / � / J Pe rmittee Signa Agglift ,riroxvir
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:
ATRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: ' ' „r 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.
III :DEKORTE ELECTRIC INC FAX NO. :5032882231 Jul. 05 2007 12:06AM P4
Eleetri ti Permit Appli a , = 9-. # l r F r� i ' i n a , 1 k�J9 l
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City of Tigard ! Received , 5 P amrt Ti
p.m,: p.m,: ' / pYJ0 7'— c �
13125 SW Ilan Blvd, Tigard, ()R 97223 JUL ��11 V 5 101
Plan Review
;Tone: 503.639.4171 Fax: 503.598.1960 s` ',';t t. +}p/ I ff G y: Other Permit
Inspection 1. "ice: 503.639,4175 CVI y 01' s"'! 'e �. :.i L 8. --Date/B- t . R.id - f 1 /t ifa See Page 2 for
Internet: www.ci.tigard_orus 11 T ��, . ! Notified/Mel i — / G. . l Supp lInformation
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❑ New construction `T, Addition/alteration/rcplacemcnt ('lease check all that apply:
❑ Dermoliucm ❑ Other I [Service over 225 amps. comm'l Oliavardous location
❑ ov 32 0 amps over 10,000 SQ.
ft,
40:9 r!` � t,ctr ' Ar;, snr �srlZ ,t ua�rs.xtt r 1 n'y� F n 'n n S p is OBruldn
.� I ti n 1 ^ , i1- " t i i 4�.. g1, ,1 .' , 6 V I 1'� , .:tai , .r . < l li'r, t �,c tir 0 I k t '� ' , 0 . of 1- and 2 family dwcll'nngaa 4 os lmvle new rrxidcatial
' p i ' and 2- family dwelling ❑ Covn ercial/industrial ❑ Acc:essory u I ❑Sysicrn over 600 volts nominal units ill oar structure
►:. Ildtliti- family El builder ❑ ()t} : 1 I jal3uildinc over three stories OFeede s, 400 amps or more
" p' '{ y r �1�3t ! !Yt l r j ' ` x { � a A a ± s i+a -8' > I, p >CjMip� t ^ �, f�� itic�ti�aPN� t° 7t lr ['Occupant load over99parsons ❑Manutscturcd trbuclures at
Yiiii lit i 1r;iM�ogP' : !1�is i,>: 141., 411,73 u�rr �Y�,ra.S .f���w�iti *[a t� a ?i .�+S iSU"ins;+>' . �/;a 9Z�! lii DEgras/lighling Plun RV park
Job no.: a . :O Job site addres a0 , g ' . .d . j]HcaIth -cart fluidity ❑ Other:
- •--- -- .-- / — . ' o "' Submit sots of plans with any of the above.
City /Stair• /ZIP: • , ' V / I c7� V/ 7 a • 3 ; The above ar not applicable to temporary coosnmct on service.
�.. / lfl trpl�y�6o , �fj • r��1:r. n. - �,r' ��G +4Sy �}(r�ua�,�, Ik i1�2�4�t ''�� r >'jl
Suitelbldg. /apt no Project name: � :• ra .�i1wi N r.Nrl M1,:,r;j; r.! . . r }.�4r4. pS... l �:t, t! !.. + r�,f i,.l:.
»rst.+ouo Qty. tree Mal
Cross street /directions to, job site: ' New residential single- or n t.
tumid-family dwelling unit
- T — Includes attached gasser_
- -. ...-.. .�. .,..... ,.. ' d00 s q fL u fees .... - 145.15 4
,....r, -.. �.,..r.._�
Subdivision: ' 1 Lot ±no.: , t a• add't 500 sq.1t. or portion 33.40 ;
Tux map/parcel no.: "., -.r .. �. • ..r,._....r..�......r .._, d .. � ... M �.imifcdencrgy.re idcntial 75.00 2
r t,!r ur i tiY , .x - � .. rtr 1 c. � r P" r q � limited energy, npn�IX3tdesttid 75.00 ?.
, ar. a + r� t �Y i ' " It qi 'C r � _i __1�,� �?r ^ 1i f ;�
a ' l tildho 0 ' n,,,Zt`.. „l i, 4., 14,14, ,a a,, , �r t 4•g ''�t� ; t . ' `, 0 r 1, , 41 � �� , ovt r J , n, 1 i f a' Each maaufacaucd or modular � r..
dwelling, service and/or feeder 90.90 _ _ 2
/.J` .f / �4� - / o' . ...A / ;' - , 4 . 1 /� — .,� Services or [oedema installation, alteration, and/or relocation
i I II 204 amps or less a Wr W... 80.30 2
4 1111, � �' a �f it r' 9 i ', z t h t. "� vt,. �1 i
.4. fir 1 ' 1 '', • ,' 1 ,' J .i 02. yt, }�? ^ 201 amps to 400 amps 106.85 _ _ 2
�� avr. a60.,;m:go..,;1l�.n!,, 4 tor A t era , t a i .fr . '• 1 , Ai,: I t ,4 ; 401 ampsro600,,,rpx 160.60 2
Nrnma: / 1 2gT Cl Ld9 5 $ QO I'f Q_r .M H7 I _ _ 601 amps to 1.000 amp 24 0.60 _.. w 2
Address:
l ' / /(p /c w 0 ,t - y ^ Uvar 1,000 amps or wills 454.65 2
City/State/ZIP: Pr/. D D 9 7 22-5 Reconnect only --- 66.85 2
i Temporary services er feeders installation, alteration, and /or
Phone: (cb 6 74l — ,g r / 4 /3 V I, Far. ( ) i relocation _
-i h . 2 00 amps or Icss 6 1
h.- Owner ins This instatlotinn ieirig made no pmperty that 1 own which' is ' 201 amity to 400 amps 10030 ■ 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670 n P and 701. 401 amps to 600 amps W 133.75 2 -
Owner signature' Date: 1 Branch circuits -new, alteration, or extension, per panel �^
?r rM tG )rip ; ,z ri i rtscr �Y r t +ag",� n� o eta d {' " a t q vi _
1dtl t�'ylf r / p + l i, {� 1 y 7P i' i ti Y Mir”' a Ktg1'� e�yt ,. s a d . , l, h l N i s � A. F a for branch circuik9 w kh
r , . AQ k+ . U, ,,, ,.s :,tA'� �`irl,}2`rr,k,.A `i . , 7Sn� r Av t.:ra,N AttS .61. t Pr r' l* i..:f1RY 'F'l service or feeder fox: call
RUSittess mtnie: I branch circuit 6.65 2
ConteCt name: _.- ,r_..,,.. -- - - • R. Fca:.for branch circuit
without scr;vice of feeder the, / 46115 4t, • " 2
— I ' first branch circuit
Address: j .
— — Each add'1 breach circuit ___ _ _ _ 6_65 2
1
City/State/Zll': Miscellaneous (service or feeder not included)
}amp or irrig t on curie 53.40 2
Phone: ( ) I Pax:: ( ) Sign or null inc lighting 53.40 2
E-mail Signal circuit(s) or ;baited- _ ..
o / '' + ,� r l , • ,g ry'V "t u �n :f 1 " "Z• 71 re f~' R : "� y anti, "
1 '( � d ,41,r4, ∎,r e t' t�1, t + ,41 \St i , r� a 4r x r4 i t + o r f' . a i t'd t ' p
�1 ) `' a r r� �! �tw t . r i, :I w ,M,"i3 2 ' ` K, d 34'� xr 4 �r �+ 9 extension. Dr�tcri a;ltraliw bt Page 2 2
Business name: beKorte Electrte, Inc ___
Address: 4115 SE Clinton St.. #1 . . arh additional in pectton over allowable to any at tire abaft
-_ V
�1'er inspection _ 62.50
City/State/ZIP: Portland, OR 97202 . ,_.,....... _ _... i - r • lmrxtigat[00 per lto• u (t hrmin) +. 62.50
Phone: (503) 2811-2211 Fax: (303) 288-2 1
industrial plant per boor i 73 7S • - - ..,. .... _.._.. _ _ II .1.�1{ 1�3�t, J `,iiir` l u � �S,.ar$J�,r3,,. i rj3, tr.r.f y ,a .;!'. Yr t� } sr!+ +?�`�
CCB l..i .: 159954 �� .Elxtri al Lic : 3' 1 C " S piv. ,ic : 407� "
►/ ^ Subtotal , �5
Suprv_ Elcetr &:ian. /: / ' . Pian review (25%of permit fee)
Print name: K \ - Y/� 1 _D D i te. "', o i State surcharge (8% of permit fro) - 7 _
`^�"' I� .. ' r TOTAL PERMIT FEE 50 e,
1
' Authorized signature: ; Ti,ix j Moat pppticarieu e if a pettish ix oat obtaMed within 180
- - '" " "° . days after It has beta accepted as complete
Print name: .w. _._ , e: . 1 Fen methodology set. by Tri.cmmty Rnadin l a eery Service li„ard
n ✓y -'7 r Q
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City of Tigard, Oregon 0 13125 SW Hall Blvd. • Tigard, OR 97223 � � ` ` ; v f ..i4
e4 + <� } rt rv � d Vii. .Y
.t4 mot'
TitI Dt
September 17, 2007 r
DeKorte Electric, Inc.
4115 SE Clinton St., #1
Portland, OR 97202
Attn: Ken DeKorte
Re: Permit No. ELC2007 -00460
Dear Mr. DeKorte:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 10068 SW Garrett St.
Project Name: Maple Court Apartments
Job No.: N/A
Refund: ❑ Check # in the am ount of $ .
Credit card "return" receipt in the amount of $40.48.
❑ Trust account "deposit" receipt in the amount of $ .
Notes: Per applicant's request as work was cancelled. Refund 80% of permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
"Ilk 4
Dianna Howse
Building Division Services Coordinator
Enc.
1:\ Budding \ Refunds \ Administration \LtrRefund- CancelPermit.doc 01/16/07
Phone: 503.639.4171 e Fax: 503.684.7297 o www.tigard - or.gov o TTY Relay: 503.684.2772
•
C�< <— 1 CXJq
° City of Tigard
TIGARD Tidemark Refund Request
This form is used for refund requests of land use, engineering and building application fees.
Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be
attached to this form. Refund requests are due to Tidemark System Administrator by Friday
at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark
System Administrator for distribution. Please allow 1 -2 weeks for processing.
PAYABLE TO: DeKorte Electric, Inc. DATE: September 17, 2007
4115 SE Clinton St. #1
Portland, OR 97202 REQUESTED BY: Dianna Howse
Attn: Ken DeKorte
TRANSACTION INFORMATION:
Receipt #: 2007 -3133 Case #: ELC2007 -00460
Date: 7/6/07 Address /Parcel: 10068 SW Garrett St.
Pay Method: CreditCard Project Name: Maple Court Apartments
EXPLANATION: Per applicant's request as work was cancelled. Refund 80% of permit fees.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: [BUILD] Permit Fee Example: 245- 0000 - 432000 $ Amount
[ELPRMT] ELC Permit 220 - 0000 - 431510 $37.48
[TAX] 8% State Surcharge 100- 0000 - 207020 3.00
TOTAL REFUND: $40.48
APPROVALS:
If under $500 Professional Staff A#r
If under $7,500 Division Manager
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: I yz 7 / 2 I By: 1 _ /
\Building \Refunds\ RefundRequestdoc 05/23/07
lEinilding .Division Al
m1'1'41%, Request for Permit Action or Refund ti G p
Ci 0 acrd - - �, E1°1®�1
TO: CITY OF TIGARD gk,l®
Permit System Administrator
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960
FROM: ❑ Owner ❑ Applicant M Contractor ,
trek one) (� City Staff
f.. '. N DeKorte Electric Inc.
111 (Iiusine or Individual)
9 , 0 )f* Mailing Address: 4115 SE Clinton St. #1
City /State/Zip: Portland, OR 97202
Phone No_: 503 -288 -2211
PLEASE TAKE ACTION FOR THE . ITEM(S) CHECKED (✓):
El CANCEL PERMIT APPLICATION.
El REFUND PERMIT FEES.
❑ REMOVE CONTRACTOR FROM PERMv11T (do not cancel permit).
Permit. #: ELC2007 -00460
Site Address or Parcel #: 10068 SW Garrett St_
Project Name: Maple Court Apts
Subdivision Name: Sunnywoods Apartments Lot #: 010
EXPLANATION: __Customer changed their mind.
._
Signature: Date: 09 /11/07
Print Name: Ken DeKortc
�.. � „,
eiguitl Policy
I . The Building Officio! may authority the refund
s) ally fcc which was wnxaeously Paid or collected.
b) not mote than 8O percent of the permit t'ec .tbr issued permits prior to any inspection request;.
4 not mare than ttn percent of plan review fee when an application is canceled before any play review effort has been expended,
2. Refunds will be retuned to the original Payer iu the an method in which payment win receives!.
Rte to S s Ad
R
y min: Date 9 / o7 216 Itto to 131 _Adtnin
Refund Processed: Date ?A:f'0 13 .;. Invoice Processed: Date 8
Permit Canceled: Date 9//7/ 7 B f Parcel Ta Added: Date B
1} P..nmt it 7 .�� n- / 7 ?wf th...t C d r
�j
A ►hnmid V ,e
3,75
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