Permit r
i TIGARD C
CITY O I ELECTRICAL PERMIT
x: " PERMIT #: ELC2007
COMMUNITY DEVELOPMENT DATE ISSUED: 4/12/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102DB - 03800
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SITE ADDRESS: 13473 SW CHELSEA LP ZONING: R -12
SUBDIVISION: CHELSEA HILL LOT : 015 JURISDICTION: TIG
PROJECT: FORBES
Project Description: 2 branch circuits: microwave and family room lights.
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: 1 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:
MARTIN FORBES DEKORTE ELECTRIC INC.
13473 SW CHELSEA LOOP 4115 SE CLINTON ST #1
TIGARD, OR 97223 PORTLAND, OR 97202
Phone: 503 - 833 -2514 Contact #: PRI 503 - 288 -2211
FAX 503 - 288 -2231
FEES
Description Date Amount Reg #: ELE 34-541C
[ELPRMT] ELC Permit 4/12/2007 $53.50 LIC 159954
[TAX] 8% State Surcharge 4/12/2007 $4.28 SUP 4075S
Total $57.78 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: I ‘,....L /5------- -- Permittee Signature: N a
`
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 ND. :5a32882231 Apr. 11 2007 08: 15PM P2
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Illectritiki Permit Ap ti .E1-.‘..i, 0 , i,. L
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City of Tigard i Received 111,1Werfali .—■
FerinitN 0 LcOO1
. : ,..nEcip ! ,: Arffrajw/mm
13125 SW Halt Blvd., l'igard, OR. 97713 APR 12 20q , I pi., R .,,, i .
tava
Phone; 503,639,4171 Fax: 503.598.1960 ''',,, '110," Dstelly: ,,' Other Permit;
Inspection Line: 503,6394175 . 4 M.% -101 — D - aie itiiiiii /Ei I JoriA: El See Page 2 for
Internet: www.ciligarclorms I, : ' ; . y or 1 1.* 1 - ‘' w 1 Notified/Wird 1 Supplemental torormatiao
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gifeigre Ifieyoler. 11 ;,. -, qlw, 'iii, ,,i,„,..1„.,,. lit ioc q , ; e: 41 0. 4 . tvr r ilitirmim rp itwfwayir , „g
As at '''1.......1.+4VdtaAtissttattkikt,tob !I t o . , .■ Of 14 art , , ,,,I l t Alt ' 1,..131M A ' ! 1 ... '11 Is;n1t,o. 4'404 os AO,' r ,;: ',, Ns' 4 ttitr i .1‘,. 0/O1r11F0101 OA /J voal IA
0 New construction .711 A. 'it iesdaliteration/repliteeirient . ; Plc= check all that apply;
.: riServiee twer 225 amps, comml DITazardous location
D Demolition 0 Other:
• pService over 320 amps- rating ClBui
NN ldng over w 10,000 sq. ft.,
allifilitr I iiiiti '''''#`V ''' ' 7 iftari 1174M VIPPES111 f I d z f
. , t• - It t . • .• la tiir..°: ' $1„S ''14 tt'' A ti istl it ;! Ais a,: •.' it • ; ° - a - an Y 6 W $11W6 4 or mire ne residentigi
lk:
I- and 2-family dwelling El ConuncreinItinittorial Q Accessory t lidding l=1,Sysirm. over 600 volOp nominal Wail in one structure
. pibildin, over three stories Oreeders, 400 amps or more
0 .Multi-family El Master builder 0 Other: • 101Occupant load over 99 persons E3Manufacturcd structures or
rfni f ArrAr e P t ir t ir ri nri ''' ' .;:!'.x..,.:,,- ',.,'"1:410AvisurvtioilitF lj 19 11 1 m 34 ighting Pim
. iiki.a. . , i... t..ti t ' 14 !Ar.sii•w! i&ifg A,, ,,, M 4t . L , !! A. '.. ..., Ntin, i tb 1re'i , 'Afei i ' 0: b , .4 RV park
IDOther:
Job no.( y7 , 2,0 1 Job site address: i 473 ....56.0 CM! " . , La) , P leul . 111-curc fiK. .
ubmit 2., sets ot plaits with any of Me above,
City/State/ZIP: •-, o x c4-7223. , .
. The above arc not applicable to temporary construction service.
1 i ERNE NOV ig graPP1' :,,' r,i` MAI. SAMIESE
suite/bld no., I Project name: Fpr hie ,s — I Ow. litill
losestdoo T0211_ '"".
Cross street/directions to job the: ! .1tiew reridenital single- or multi-family dwelling nun.
111:11ndmi attached garage- ...,_
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__ , ; l,000 sq. ft. or less 145.15 Ki
. ..., -
Subdivision: Lot no.: • 1 . .. . p . 119.1t,. or portion 33,40
II
— - --... .Citnited energy. residential 75
Tax mop/parcel no.: I Limited cricru, non-rmidenti _ al 75.00
PrigglifillIk:7idi'-4,F'71 10' ;4; .,,'." '11k..;,cviiill t gach illainilkturcil of modular "'" ---
N
. 1 „,,,,,..1 • .,,i,,,,,,.,,,„. and/or feeder _ 90.90
. ., .• . I . i Services or &criers installation, alteration, ond/or relocation
i • I ----.-----.--
200 0111f13 or less 80.30 2
, ...--
. -',' , • • 11 ' t Ir.rar ; ' ,i .'el ,I''ti ' . til &II fv.l.'1 rftlt' 1(1 'W ti''‘ i,t' 4 slur' 't Vit i 134.' ' ,,,l)h. OM? ,01 • 2 . °1 din 113 4°° amPs 454 106.85
t , dials MI/1.0.1 1 oel.45: Egg/Mt. 6.A.riksaginaN ., , ' Y '.'' .s". i.Y.il 1 t 'igiUikkatIct . ..404VNtext, kVA V 160.60 MN
amps to 600 amps •
Name: 11 1169 1 ,!=iiOn li W .. . / --------.-.....-.— --
' E. 601 amps to .1.000 amps 240.60
------
. I ! Over amps or volts 454.('5
Address: 4 a410(4 1 ., I'. I
.. •--J----------- --
11i:connect only 66.85 1E1
City/State/ZIP: • ' . I , I 1 • -., --.- --.—_
: • I ; I i ' 1 empurary services or feeders Installation. alteration, and/or
— ----
Phone: (i, 73 3 a6 I y Fax: ( ) . i 1 ! relocation ,,_.,. ...,_,.,._
200 amps or less 66.85 1
Owner installation: This - installation is being made on property that 1 own which! is not • - 201 amps tr) 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ()RS 447, 449, 670, and 701. : —, .-.--
- 401 Amps to 600 amps I375 2
I • • ' -. _._
Owner signature: Date: : i ! 1 • Itraucli circuits - new, alteration, or Extetts tia,yerpanel
EntAIS it! ' '4 Iftellin l' • A- Fee I" kalich circuits 11'4
" ' service or •Tecdcr fee. cacb
Business name: . ; branch 6.65 2
. . 1 ranc circuit
' I .. .---
-
13. Fee for brunch circuits
Contact name: I i
I • ' without service or 'realer fcc,
first branch circuit 46.85 4)41, ' 5 2 . •
Address: . -'
Tiacli adri'l branch circuit Ifili 6.65 IFOt$..L.
City/Stae/ZJP: 1 Nliseellaneolto (oervicr or feeder not included)
i----- -..-.______ 2
Pump or irrigation circle 53.40
Phone (
. 53A0 2
. 1
) -- . __-......-
Sign or uutliric ligliding
. _-_,_-_.--
Pi-nutil: I Sii or limited-
IV iiriNNIFPNIMPERFICSITNIZ,-"ilIt. , '', 19fRilitinallEf IN l'efor ['and nitCUI*41. or
1 -s-d-.1 11,' ,i,..., ..-, ,, • ,
• I . E . extension. trescrinc: Page 2 2
Ilusineas name: IDOKo•to Electric, Inc I I I
I.
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Address: 411S St Clinton St. #1 I • : I ttach additional inspection over allowable Illa auy of the above
1 _ per inspection I 62.5n
City/State/ZIP: Portland. OR 97202 . i , investigation per ho r (I la olio 6,2.50
I
Phone: (583) 288-2211 j Fax: (503) 288-2 31 . ' -- I : Industrial plant par tur INEEE1.11111 . .
.--. .-....., . _-_ : 7 14, v illr :i
CaB Lic.: 159954 i
Electrical Lie.; 3 541C , 1 13 prv. -eint .: subtotal
3 . 50
t..A.,prv. Eicorician signature. .fe)
required: • - e'. .--ao
' . ra - t ' 7----- Plan . - rviww . 715 1 7. - (;1 7 ntre
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Print name: K e4 , \ - ,
/
Ait _i I pco
.. j . e.:: 4 1 / 2, : State lunge (RV. of permit fee) 14 ,
,,,--
TOTAL PERMIT FEE 51 .1 6
• Authorized signature: .
; . • . I 1 . 'TIN permit applicadon &nne i If a permiasnOinhiained width, 180
....,.. , dye akcr it boa been accepted as complete
Print name: . I I) c; : t Fee mettiodolory 7 by 1'6-County 1316.141ing lndluary H.MC. 136
....,. ,,—
I
' _ . _
CITY OF �����������
��m m m n�`w TIGARD
BUILDING DIVISION �
~°~°"~~~�""�=° ~°"°"~°"~~"� ' ,- PERMIT #: ELC2007-00295
13125 SW Ha|| Blvd., Tigard, OR 97223 DATE ISSUED: 4112/2007
Phone: (503) 889-4171 i/A —
Inspection Requests (24Hxoj:(503)G3Q'4175 ~�.4- "�Z.
INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 43
SITE ADDRESS: 13473 SW CHELSEA LP CLASS OF WORK:
SUBDIVISION: CHELSEA HILL LOT #: 015 TYPE OF USE:
PROJECT NAME: FORBES
DESCRIPTION: 2 branch circ:uits: microwave andlamik, rot= lights.
OWNER: FORBES, MARTIN �- PHONE #: 603-833-2514
CONTRACTOR: DEKORTE ELECTRIC INC. PHONE #: 03-288
,
Inspection Request Scheduled For: Date: 3/31/2008 Pour Time:
Code # Inspection Description ^ age
Electrical ecthc,dfioe| 20'01 503.-639-3560 D Y
~. ` A/n�7 — '
..1. �
Corrections/Comments/Instructions: \ q
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.
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/0
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X c PASS 0 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
�~ �� ��' �— 1•11' �� ���8
Inspector: �� ^ N ~ »�N�� K~�� Date: �� � Phone #: (503) 718- °�~8'��,
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CITY OF TIGARD , ' `•
1 BUILDING DIVISION PERMIT #: ELC2007 -00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/12/2007
Phone: (503) 639 -4171 /uru�ii
Inspection Requests (24 Hrs.): (503) 639 -4175 A .
INSPECTION WORKSHEET FOR DATE: 3/21/2008 TIME: 7:01AM PAGE: 21
SITE ADDRESS: 13473 SW CHELSEA LP CLASS OF WORK:
SUBDIVISION: CHELSEA HILL LOT #: 015 TYPE OF USE:
PROJECT NAME: FORBES
DESCRIPTION: 2 branch circuits: microwave and family room lights.
OWNER: FORBES, MARTIN PHONE #: 503 - 833.2514
CONTRACTOR: DEKORTE ELECTRIC INC. PHONE #: 503-280-2211
Inspection Request Scheduled For: Date: 3/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 067132 -01 503.288 -2211 Y
Corrections /Comments /Instructions:
A cs w 1 °c Pi
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL kNO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 6 v Phone #: (503) 718 -