Permit CITY OF TIGARD ELECTRICAL PERMIT
r ° PERMIT #: ELC2005 -00681
DEVELOPMENT SERVICES DATE ISSUED: 9/15/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
• PARCEL: 2S102BD -02900
SITE ADDRESS: 13025 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT : 036 JURISDICTION: TIG
Project Description:. Reconnect existing circuit to sauna.
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: 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:
TRUCK TERMINALS DEKORTE ELECTRIC •
1825 SW PHEASANT DR PO BOX 12379
BEAVERTON, OR 97006 PORTLAND, OR 97212 -0379
Phone: Phone: 503 - 288 -2211
FEES Reg #: ELE 34 -541C
Description Date Amount LIP 159954
SUP 4075S
[ELPRMT] ELC Permit 9/15/2005 $46.85
[TAX] 8% State Surcharge 9/15/2005 $3.75 REQUIRED ITEMS AND REPORTS
•
Total $50.60
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:
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.
DEKORTE ELECTRIC LLC 50328E12291 09/14/05 09:54am P. 002
Electrical Pehrmit''A - r NED j 1 FOR OFFICE USE ONIA _
City of Tigard n e I Pamir No. :( / 6 GD A Aall
13125 SW Hall Blvd., Tigard, OR 97223 , i A . Finn Review
Phone: 503.639.4171 Fax: 503.598.1960` 4 "•'"i "". ' Date/By:
Inspection Line: 503.639.4175 � . ; : ��! "' � Other Permit ® Sec ., Date Rcady/By: Page 2 for
Internet: w.
wwci.tigard.or.us Q • P��l (T Notified/Method: 1 Supplemental Information
1t� f ,: . • PLAN REVILE
❑ New construction IgAddition /alteration/replacement Please check all that apply:
❑Service over 225 amps, comm'l ['Hazardous location
❑ Demolition
❑ Other: ['Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
. CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling igi Commercial/industrial ❑ Accessory building ['System over volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other: . ❑Occupant load over 99 persons ❑Manufactured structures or
.. .LOB SITE INFORMATION AND LOCATION ❑Egress lighting plan RV park
❑Health -care facility ['Other:
ilk Job no.05 ..—/ (Q I Job site address: t?) O2 5,,
• ra ., • i
C Submit 2, sets of plans with any of the above.
City/State /ZIP: ;1 F'1 C The above are not applicable to temporary construction service.
• FEE* SCHEDULE
Suite/bldg. /apt. no.: Project name: , <' 1 E_. ne iprloa Qq• I Fee 1 Twat *•
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Es. add'l 500 sq. 11 or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2 •
• . • . DESCRIP'T'ION, OF WORK Each manufactured or modular
- dwelling, service and /or feeder - 90.90 2
CE 1 Q & ° • ., • - (""1 ice. . Ltd • Services or feeders installation, alteration, and/or relocation
_)Gd_ t~- ttiG.--
200 amps or less 80.30 2
• 201 amps to 400 amps 106.85 2
13 PROPERTY OWNER - I ❑ TENANT 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
Address: Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
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
• ' . ❑ APPLICANT 1 ❑ CONTACT PERSON A Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 [� ��, 2
each branch circuit
Address: Each add'( branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: . ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
CON'Y'RACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: DeKorte Electric • "tnc
Each additional inspection over allowable In any of the above
Address: PO Box •12379 Per inspection 62.50 _
City/State/ZIP: Portland, OR 97212 Investigation per hour (1 ter min) 62.50
Industrial plant per hour 73.75
Phone: (503) a` - a• .\ \ • I Fax: (503) 288 -223Il
ELECTRICAL PEl Mff FEPS" _
CCB Lic.: 159954 I Electrical Lic • 3 54 Supty Lic.: 4 75S Subtotal ' J�PO , °_
Supty. Electrician signature, required: /�? Plan review (25% of permit fee) w�-
----/ i State surcharge "of permit fee) 3 . • 7,,
Print name: -) Lam) r 4 _.. e. Date: CI i D q I U c; TOTAL PERMIT FEE 50. (
. Authorized signature: • This permit application expires if a permit is not obtained within 180
days after it has beta accepted as complete
Print name: I Date: • FFen methodology set by Tel-County Building Industry Service Board
C*9.1125
FD t
CITY O TIGARD
BUILDING DIVISION PERMIT #: ELC200S -00681
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005
Phone: (503) 639- 4171 o d 9pmj�l
Inspection Requests (24 Hrs.): (503) 639 -4175 "_
INSPECTION WORKSHEET FOR DATE: 10/19/2005 TIME: 7:03AM PAGE: 54
SITE ADDRESS: 13025 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 036 TYPE OF USE:
PROJECT NAME: POOL & SPA HOUSE
DESCRIPTION: Reconnect existing circuit to sauna.
OWNER: TRUCK TERMINALS, PHONE #:
CONTRACTOR: DEKORTE ELECTRIC PHONE #: 503- 288 -2211
Inspection Request Scheduled For: Date: 10/19/2005 Pour Time:
Code # I I • - ' - • 5 -- cription Confirm # Contact # Message -1112 11:b 199 018708 -01 503-740-9769 N
Corrections /Comments /Instructions:
-PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G • "k 6 2) L Date: 101 II( c•,5 Phone #: (503) 718 - C