Permit ELECTRICAL PERMIT
• . .
II .„ C I TY O ! . - ■ PAD . 4 0 PERMIT #: ELC2007 -00459
•
= , • COMMUNITY DEVELOPMENT DATE ISSUED: 7/6/2007
T I GA RD ' 13125 SW Hall Blvd. Tigard, OR 97223 503.639.4171
Blvd., PARCEL: 2S102CB -03504
SITE 10062 SW GARRETT ST ZONING: R -12 •
• ' SUBDIVISION: SUNNYWOODS APARTMENTS LOT: 010 JURISDICTION: TIG
PROJECT: MAPLE COURT APTS •
• . Project Description: (1) branch:circuit to reground buildings plumbing system. Job No. 07 -368
' RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
• 1000 SF OR LESS: • 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L.500SF: 201 - 400 amp: SIGN /OUTLINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGN
IGN.AIJPANEL:
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:
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% Surchargc 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 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 b ie Oregon Utility Notification Center.
Those rul - - e se • • in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain co.' - oft - e rules or direct questions to OUNC at
503.246 •699 or 1.800. .
Issued = y: % i 4 i ` P Signa re: ,� , . ; .
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: </D r DATE:
LICENSE
• . 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. . •
lir FR ORTE ELECTRIC INC FAX NO. :5032882231 Jul. 05 2007 12:05AM P2
cesso f":'
. ,. .
Electrical Permit A. ii ' M1 V 1.... I ()R (II II( r I'm_ ( ) \ i 1
City of Tigard Received r....... .r.v4 i . , •
Date : . 7
13125 SW flail Blvd., Tigard, OR 97223 • s lut. 0 .0,, O
Phone: 503.639A171 Far. 503.598.1960 , Ill',44' t ''.` Other Parma: .
Inispedion Line. 503.639.4175 . ' AL A ji 11
Internet wwwci
.tigorrLimus 1 YIN -.. - ..._ Km el See Page 2 for . ---
Supplier's:mid %sitar/nation
----
Fiegg,MMWFMTERege - .I?',Klit l -r f .. c .'s ;,„slir:TVA:ciNttilaR-?4,7449iM, ,e-1 paZiMiraFaqr.M Ziiiyi'ip9a, .....1: :as
a New construction . . Addi . n . arm/replacement Please check all that apply.
EiScrvice ovcr 22-5 amps, crimm'l ORmeardous location
Klelq Demolition 0 Other: three stories OService ova 520 amps - ming EIBuildng over 10,000 sq. Lt.
i i'Vg*I: 1 14„K .\•;', 4 ,4‘ 7 1 . 4 -- r 07 i4• of I- and 2-family dwellings 4 or more ncw reodential
'f. , A. , 1 ts ,‘ . s tV• ' 7,' .?..%). ;`. , • ...1.• ', kAs,' ‘, , ,IA , ...t 4_ .1' ' .• • wiz •s" , i ',. ., ,s, i' ,
4 1- and 2-family dwelling D Conunercialiindustrial 0 Accessory building
■:1 Multi-famil
.---
0 Master builder 0 Other ['System over 600 volts nominal Unita in One structure
O puilding over three 400 amp or more
s
D o ccuPaili IOW Over 9') persons ElMaoufactured struenuts or
0 Egregatfighting plan RV park
: ‘.• 0 i. 1., .. . '' ois 7 'a. 1....1% '.'.' 'lici ' • . '1-41';`, .1/4M6.,',,' g 4 ' *i ' i 44,P,O1! .1t4R/0 P ■il N4.44:1V.ah
' Oilculth-corc ilicilay OCkhec
Job no.: 07, , : Job siic address: 1 006g‘ 51A (Oa I Submit 1_ sets of plans witb any of the above.
City/State/ZIP
..... .. ,i The above are not applicable to temporary cunslniclioo service.
Suite/bldg./apt. no.: Project name: Ni .WW,r1 411 fl',W .`Pr4,,,,:tr
litirripties Qkr• Teu
CMS SOreefidire40011.9 to job site: New residential single Or multi dwelling ma
Includes attached garage.
1,000 sq. ft. or tem , 145.15 4
Suhdiyision: I Lot nu.: Bs, midi 500 sq. 11 or pnrtion - 33.40 1
------------
Limited energy, residmlial 75.00 2
Tax map/parcel no.: - .--......-
Limited energy. non-rcsiderdial 75.00 2
1. ..CRITA.YOrttiTede., 1 ' . 1 4 ) li ^.-tn• ...._
men manufectured °r modular
P . .
Ai / dwelling. service and/or fccdrx 90.90 2
. As , , I , osi . . ir ,411 ' e!.. .4... #45 - - _,__z.. sent= or feeders imaallnlion, alteration, and/or relocation
/ --
200 amps or less 80.30 2
4..., .401 , tio --
rip A rva;',,,,75 4 1M - rtc,774 1 .17,,, - . ..,.:9,1 gimarmswpwr,:mtr.otr,,... ap 184. , , i, R , 201 amps to 400 amps 106.85 2
et...tr.gcb. ' g 'eShe %'''' :Ali I.Vello 6.4.:.4...:16:.t1A, 401 amps 03 6 amps 160.60 2
...
Name.- 64.5r em-ss ° R-olOtRI - t/ 1161-er 6 amps In 1,000 amps J 240.60 2
Address: /fe ek 1.40 e.40,24-t/ Over 1,000 amps or VOID 454.65 2
Reconnect only ' 66.85 2
City/Slate/ZIP: In_ 0 /2.
......._b 91 A< Temporary services or feeders Instalittion, idteradon, and/or •
rdoeation
Phone: ( 15) 5 7zi..- Awe/3 Fax: ( ) _ 200 amps or less 66.115 1
---------..--.... .- ........._ -..................... .---.-
Owner installation: Thin installation is being made on property Oust I own which 1 not 201 amps in 400 amps 100.30 I .... 2
intended for sale, lease, rent, or exchange, according to ()RS 447, 449, 670, and 701. .
40.1 amps to 600 amps 133.75 2 ,
Owner sigoature:______ Date: Branch circuits new, abandon, or extension, per . , eel
-.-
fpg z474r,M7FP 7 t .41 A. Fcc for branch cimults with
irangn E1705 : .4 led , .Y1 4 VARII.,;4.:p.,,K.;,...,LLAZ:44-.,,En,, .
service or feeder fee, ea& 6.65 2
Business name: branch circuit ......... -
B. Fce for branch circuim
Contact name: without service Or feeder Ice. /
fiat branch circuit
Address:
Each a dd'I branch circuit 6.65 2
---.. - . - ......-- . - - .. . .. „...-- -- .,..---- ..,..„.. „....,
City/Slate/11P: Miscellaneous (serviee or feeder not Included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Pax: : ( ) -
Sign or outline lighting _ _ -. 53.40 2
- -
• E-mail: Signal cirmit(s) or limita:
RIPARVAtqlfgagnf •T:FtEriSIMMT.M.'3E:_.• IMM encr P illteL alietatim "
extuision. Describe: Page 2 2
Business name: DeKorte Electric, Inc
Address 4115 SE Clintno St. 01 • --.. - - - Huh additional inspection over ollawnbk in . , of (hr above
:
Per inspection 62.50
City/Slate/ZIP: Portland, OR 37202 Investigation per huur ( i hr oda) 6230
-.-.....-. ....... ....- ________
Phone: (503) 288-2211 I Fax (503) 288-2231 industrial plant per hour 73.75
---- -- -- 4 .5RIParif0,117171,TV'YZ4, 1 ; : gli ''' , .51/. ....A
CCR Lie.: 159954 1 Electrical Lie.: 3' - IC ' Pupa/. ie.: 407/... &Mtund lieti;1454.5-
. .
Supra. nectrician signature, required: .0"
Pion review (25% orpormit fee)
%NW -
-Dek I/ f State surcharge (8% of permit too) . ,
4\ , ,,
... A5-
Print name: k , Date: 7 .
. TOTAL PERMIT FEE
• Authorized signature: This permit application expires If • permit isnot obtained within 1
..............,..............._ days after it has been accepted as complete
Print, name: I Date: • Fee mediodulogysa by Tri-County Buudiugladustry Service Board
City of Tigard, Oregon - • 13125 SW Hall Blvd. • Tigard, OR 97223
I1
GAR,
September 17, 2007
DeKorte Electric, Inc.
4115 SE Clinton St., #1
Portland, OR 97202
Attn: Ken DeKorte
Re: Permit No. ELC2007 -00459
Dear Mr. DeKorte:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 10062 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,
Dianna Howse
Building Division Services Coordinator
Enc.
I: \Building\ Refunds \ Administration \LtrRefund- CancelPermiidoc 01/16/07
Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772
,1
City of Tigard
T I G A R D 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 -3132 Case #: ELC2007 -00459
Date: 7/6/07 Address /Parcel: 10062 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: IBUILD1 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 �� ='�C.�
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 ON� 4
Case Refund Processed: I Date: I / � 7 I By: I
I: \Building \Refunds \RefundRequest.doc 05/23/07
FROM :OEKORTE ELECTRIC INC FAX NO. :5032882231 Sep. 11 2007 08:31PM P1
Building Division
.14
Request for Permit Action or Refund
_City o • and R C\JED � 1
f Tigard S[FA 2 N
TO: CITY OF TIGARD GC" OF MID
Permit System Administrator BU1�DN GD1VI S10N
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960
FROM: ❑ Owner ❑ Applicant ® Contractor [] City Staff
(duck one)
Name: DeKorte Electric, Inc.
V 0 1 ® (Business or Individual)
Mailing Address: 4115 SE Clinton St. #1
/ / 2
City/State/Zip: Portland, OR 97202 —
Phone No.: 503- 288 -2211
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
® CANCEL PERMIT APPLICATION.
® REFUND PERMIT FEES.
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: ELC2007 -00459
Site Address or Parcel #: 10062 SW Garrett St.
Project Name: Maple Court Apts
Subdivision Name: Sunnywoods Apartments Lot #: 010
EXPLANATION: Customer changed their mind.
Signature: Date: 09/11/07
Ken Dc}Kcrite ( � .._.
Print Name:
R wd taaic
i . Thu Building Official may authorize the refund of:
a) any fee which was erroneously paid or collected.
b) not more than R0 wrest of the permit fee Ibr issued permits prior to any inspection requests.
c) nit mare than tlO pen cut of plan review fee when AA application is canceled hefnne any plan review effort has been expended.
2 Refunds will be returned In the original Payer in the same method in which payment was received.
i ) 1 ? ) 1 i 1 1 .SF: (1 \I,1
Rte to Sys Admire: Date ' / D Clurpil Rtc to Bldg Date ' B :1;7_
Refund Processed: Date - 7 0 7 , r T Invoice Processed: Date B
Permit Canceled: Date J 7, 7 By , <• • arcel Tag Added; Date "" By
Y
t7swale,' not. ilA'MhnA Ammmf C
d7 - 3i3�t 2 41 .2 7 Cc_. yt. . P5
3.