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Permit -- �' ELECTRICAL PERMIT " CITY OF TIGARD PERMIT #: ELC2007 -00256 COMMUNITY DEVELOPMENT DATE ISSUED: 4/20/2007 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: JASON FOX Project Description: New circuit for microwave and front plugs. 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: SVC /FDR >= 225 AMPS: CLASS 'AREA/SPEC OCC: Owner: Contractor: KOLVE, G C DEKORTE ELECTRIC INC. 14389 SW PACIFIC HWY 4115 SE CLINTON ST #1 TIGARD, OR 97224 PORTLAND, OR 97202 Phone: Contact #: PRI 503 - 288 -2211 FAX 503 - 288 -2231 FEES - Description Date Amount Reg #: ELE 34 - 54IC [ELPRMT] ELC Permit 4/20/2007 $60.15 - LIC 159954 [TAX] 8% State Surcharge 4/20/2007 $4.81 SUP 4075S Total $64.96 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: ,j � i j ` � ` 4t // Permittee Signature: ' - � � � 7 77 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. FQOM :DEKORTE ELECTRIC I Ncr.. j FAX NO. :5032882231 Apr. 19 2007 03:29AM P2 FAX Electrical Permit Appl>tcatton ' 1 (`)1( ()1 I,'FI: (J111 City of Tigard . APR �: 7 i 11125 SW Hall Blvd. Tigard. OR 97223 100 / w! iIA Pw /o nu No.: EL 0.2 - , • Phone: 503.639.4171 Fox: 503.59&1 ITS G Plan Review Inspection Line: 503- (,39.4175 8U r 'G� . 2 4` '1_ ; : Duo )) - I otloaporo,;i: Internet: www- ei- tigard.or.us WING D I = -/ •- 1'auR , : No • , ., I Raid' n Aeclagc s tar • ��4 4i : ,' � 1 '�°�"' i +�E` 1 �Or v '� • �"%t r';,u t:dT.7S' 9. 2,171 t t �a� , , t,: SnP1 eatd tntenaaticn , :410161...".,4 ' ,�i '�'SUi•I ic 1,7 ��, 7 i' � 1 y .'N v . s.Nate refs t . , r , -.3- i. 0: M4 RNw �1 �'�d i:v t � 17 ma c. t � +(� ,ht 1 1� r i rz!'.I h r rut t "�— i uf;r:Fi . fu ^.TLS 1 �, 1 : q.1 � } 1-W , t l l ,,`a , T ,.�`5: YN it re . • a � .t7 i,Tbia a.,t. • 0 l ;.. :,, H'.! A 4d d ... , [ 4'k' d � 4 J .1 f �1. �. t < r r I : , ❑ New construction rrc 11 j.t'�Y4_x: i : S: �na�ev'1 ��3 i 49 >a 4) i ' ,i�raslxrli ).� � 1:6� yt rr�i,l � di \t T { � l gn r� Y�1r� i Addition/alteration/replacement I please diet „i,• "" �:.:aa,,: ❑ Demolition all that apply ❑ utttts i ! ['Semi= Ma 225 l ' ��'1T , ,e , tp ; ;yAr�{{} ��iVj'���? e;'nrr ^'vy -iT >Y ��� C •{te �. �y �IW4.t:omllt'l QNaYatdutlsloCatton F v n, tr t b '{ .' r"„e Z; 1 vi &9 , I h{n. .: ' f ,b` p 1u lie��taspq.l ,, y . i.v Cr ,, r , \ . ,.1.,; t \. �, • ° vice ov er 32 - rating t a,t- c1ii., , nu , t a ntud!,1.:)u,0,:a '4 t , +t'S a N`� }, et i r �' �?;,f O�Pe 1 1S � nve wresid 124 t � 1 Y „ , \z`' $' f, r). 4' , " t., t• g SQ. It, {t�. l..1,2,,,;,4,;:4}1,,Y, l.,v!'z: , �c. ri' Ji? 7:` Z1'l, �z f,,? ,• }1 ;P�t,;lil�ti�.G; l�!S i ' zl���� uPl 4nd�i tAnillydwcitlu� 40ti[AOt0flCW1'CAIJ8nt10i ® 1- and 2- family dwelling ❑ Commercial/industrial S 0 A.lccssory uilditt� QL Y;on tc over 600 voila nominal units in ono � ❑ Multi - family [] Mer,Ycr builder [ O ther: I mild over ['Feeders, ders, 400 amps or marc v if I utg tllrCe stories kfO 05•41,`E��x{(�'y�;; 'N1 ,: ; " 1T a, ,. �rP ,.::;P ftliiy, :VAikl ' + r! �•. • s.t � IDOCpl l oa d over?9 (ltNi q ,41!! , . } „(;3:v.. gas yk yy¢� ra } J Py '''' i ' p, t 9 0'3 }fi t: uO . d +, t!': 4'I t 0 persons �l V 1tw�nCtafCd atnl6UUCS Of i<!1! 1G Y 1 .�,. /i4t �$4 N), • 144 1 : .18 6 1 1 7 1?' ` � , . :, ,, , el= i, ,, , ,, Du���,,,,,,���pp�� 1.,,� park no_91 » I Job site address: • 2_ e QHeatth.cme facility ClOtber- ^ Am A I t I'1.!• 1, Submit1setsid Ivu;withan ante above. City/titutc/Llr: n� P � r / Oz v v ! . „ , 2 : The above arc not applicable to temporary construction service. Suite/bldg./apt. 'sal :v ,r "Yn ire , . ; bJ , ri t. no.: oject name - .A 1 . ' rt., .t:I�r.a ;Y!sv. !.`? ..N.A.b.6 t RJ, {t t \ 1t,,,,r0, f ,7_r 1 f� ( n I r ,.TS S'.f \ t ` 1 Cross street/directions to job site: - Pre. T «'a I i New residential mugs; or multKamIly dwelling wait. . i' - I Includes attached }garage_ ,00 q 0 s . tt. i r less 145.15 Subdivision I LoVno.: Fla. a l 500 sq- A or portion 33.10 IIV Tax map/parcel no.: —”" Limited enes�y, rraielcntial 75.00 NEN glev .iii ( ' y k� i r ti i:j �a r ;�,t "�c��t4t ' ,' v e;n e r e' S ,tur r . li l t „ r h , rt; ,' r . Limited energy, non -r 9id<n inl EN ,:a.n t r,; ,,ice, (,, [� • T 7 p ` , ` , 4 )`kv W,, l t 1, {N, r, ttY. 73 , „, I.t,.. .n y . Jd -w ie. Si L � +4 d ,�, r ,( , l . . fF fi ti, ; d y,u,a , +r7f _ .4t «i 1a5a9� ;t t h�'. t l �� t Zl ? . ach manufactured or modular ■ dwelling, service and/or feeder 9( 2 • - — ■ sv ' ■ - ' m Service; or hams installation, alteration. sud/or relocation 1i �.� }� jJ �1'f' "Y,'1. :V�• i ; ".'{j,3; 7,� " t `.- „� ! .(' S . \ P ' \ "vw 1 -� ,{ 19� ' amps or less _ • .3t) U j c1 �, e t c 1 i v n. a+ v d d� , 7 "l v , t I �-, t+ 201 w r;!Eh��,t'ttr'V.u.. � 1 � t , , ;� � �, � k. Q��i q � 1 f �; T� � le ��r n>� 10400 omt►a (16.RS . l tS. l'a- , �5 ?.r�t�n�iU,t..�). }ne 1 �'�, Ih�ro� �'. r�Sd. r�i, kS+,. 3��, � ::!. , a` "� 401 amps to 600 am 160.64 Name O&i Ad - j -- 1 i 01 amps to 1.000 imps 240.60 Aeereav: 1 0� _CM mope M volts City /Statel7.IP: y i i j „ o"Y (4 RS Temporary service; or seeders 1as,Wladoa, alteration, and/or Phone: ( ) g am: (' ) I elo ttlen Owner installation: This installation is being us" ade on 200 amps or less 66.85 !3 pmpex(y'that 1 owr7whieJvis mist amps amps 10030 1111•111111 nose, resit, or 01 am to 400 � intended for [talc, l exchange, according to ORS 447.. 449 6713; and 701. I I 401 � Owner signature: I :_ 600 amps 133.75 � . }S, I I:Yn t 4 .,� {. y/• f -. •: , ('�(��t �.tiLJ- •�j ... • • J • .r '•" VYte• - .-• �• ra ,cb circuits- near, alteration, or extension, per panel G.: i ,i7 a , W�tY , I Ps •;:nt, il , vll V fill ii: 115Py e> i i V in ,, " °� i lg :I i iAAI,) 3e t -Fte _ti I tr d/1 t1 ai ,,R 17K a(. 4 Y QIrCUir9 Rosiness name , or feeder fcc each 6 © brand; circuit 65 COntact. Donne _, I t I . B. Noe for branch circuits Address: i I I ! without s [Feeler fee. 46.85 I.(5- © I t 1 Thu NimiaLikek y �--- _ _ _... i .1 — add'1 brunch circuit t �/� 6 65 . , • , 2 Cit /State/Zl1': Miscellaneous (service or [ceder not indnded) Phone: ( ) Fax:: ( I ) I . Pump or im rion circle 53.40 2 E-mail S;gn or outlige lighting S1.4o �� �� , . t it ( �d i \I �c I II Signal ciliuit(a) or limited- 4 t.t� flit:, -.3).. ∎u',1 F .111 :j7:.I 01,,t L . ISI i �/1.0 4 1 • '! 6 + ` r\ ir \ i ,��� ,t � � lt, ",n "+it s f!�`4' CnOf u tr ? ,w�.:7 (t �,i 1,$ s�.� ,. t 2 , lA�?�t.,...Frir,,�r.V.'�1 f� G a P1met al :radon, or L'4E 13usiness name: DeKorte Electric, Inc i �O" +* Page 2 Il Address: 4115 SE Clinton St. 81 —..- I I r {' d+W. r:' rr - ll Deegan over allowable in any of the above City/Stnte/ IP: Portland, OR 97202 Investigation inspection 1 � ti2 SA � - IIII �� ,o g►ttion per „ ., :.) 6230 Phone: (503) 288 -221.1 [ fax: (503 218- ' 1 I • industrial (limper our 73.75 X11 "ri"�':U'. ���', .�i N�i�l \..v .,�/ -• 1{ � t �1 • �; : ✓$slid "'; r.;03;'Yftl' la?:',Ri Zi::; ;:?`t�`�,', �t1,;..!:�`;a 1, S;Sag \ ��1`X1:e..;itati C H I Lie.: 159954 ElectricalLia• 1 IC • S 'e: 41f1,' i o I i r,1. � ., .[ir. Suprv. Ltectricion signature required / .+, r ''' - , ' (25% Subtotal / Q - . � , i Pion sew (25 of fee) ....mn Print name: , State ,' dimge (8% of permit fee) *+ Authorized signatures TOTAL PERiIf t'P FEE / MII __ - ,- ' I " i lids permit calibres Ira permit ie stet obtained within LSO Print nmhe: ; days at'ee it lass been accgded as complete { I) le _ • ' 1 F .. .'u ology un by 1Ti- Coty Building industry Service Bard CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00256 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2012007 Phone: (503) 639 -4171 �j�l Inspection Requests (24 Hrs.): (503) 639 -4175 �_ INSPECTION WORKSHEET FOR DATE: 6/14/2007 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 14295 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - TYPE OF USE: PROJECT NAME: FOXY'S DESCRIPTION: New circuit for microwave and front plugs. OWNER: KOLVE, G C, PHONE #: CONTRACTOR: - . DEKORTE ELECTRIC INC. PHONE #: 503-288-2211 Inspection Request Scheduled For: Date: 6/14 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 050218 -01 503.288-2211 N Corrections /Comments /Instructions: ffC ,/19 x - // 7 ( 01 Vi 1 d 11 - ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS i FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ey Aif Date: aD f ��� Phone #: (503) 718- CITY OF TIGARD • A . BUILDING DIVISION PERMIT #: ELC2007 -00256 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/20/2007 Phone: (503) 639-4171 11\ Inspection Requests (24 Hrs.): (503) 639 -4175 �' `'I 1 .. INSPECTION WORKSHEET FOR DATE: 6/7 /2007 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 14295 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE: PROJECT NAME: FOXY'S DESCRIPTION: New circuit for microwave and front plugs. OWNER: KOLVE, G C. PHONE #: CONTRACTOR: DEKORTE ELECTRIC INC. PHONE #: 503 - 288-2211 Inspection Request Scheduled For: Date: 6/7 /2007 Pour Time: Code # Inspection Description Ciinfirm #, Contact # Message 199 Electrical final 979&.02 503 - 258-7249 N Corrections/Comments/Instructions: 5" R-ts,V t O‹ C±c4 P21JT E ^U I.0 F-0 L 1va . 1J2Z+f\. Qzc.> 1► c-AL ;of KsT e_ 1A6k t i w Nvi. klece.rn Reck f C.A. '$ S 1/4\Ta . Porf C(L.w0 Ti c&. iN Pe£4 ok(L ycxx .)C.siGX,?( ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 7 ,<AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � ' NoSek. Date: 6.1 .101 Phone #: (503) 718 - ti'f''EL