Permit I I4 CITY OF TIGARD ELECTRICAL PERMIT
g COMMUNITY DEVELOPMENT Permit #: ELC201300382
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/09/2013
Parcel: 2S115AA01900
Jurisdiction: Tigard
Site address: 16565 SW 108TH AVE
Project: Eckweiler Subdivision: DOVER LANDING Lot: 22
Project Description: Replace panel and add (3) branch circuits
Contractor: DEKORTE ELECTRIC INC. Owner: ECKWEILER, KARL T & BETH ANN
5331 SW MACADAM AVE #258 -113 84 LIBERTY LAKES DR
PORTLAND, OR 97239 VALPARAISO, IN 46385
PHONE: 503 - 288 -2211 PHONE:
FAX: 503 - 292 -8237
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 07/09/2013 $100.70
Specifics: amps or less
3 crt Branch Circuits w /Purchase 07/09/2013 $22.26
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/09/2013 $14.76
Electrical
Type of Const:
Occupancy Grp:
Total $137.72
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION' O e``gon law requires you to follow the rules adopted by the Oregon Utility Notifi , '- Center. Those rules are set forth in OAR
952- 001 -0010 ough OA 52-001- . You may obtain a copy of the rules or direct questions to OUNC by cal ' - 2.1987 or 1.800.332.2344. 1
Issued B • \\ � • P ermittee Signature �' d' Ad. __ -r . .j_ -
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' < r Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
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.
I002/003
07/05/2013 15:14 FAX
. 1
Electrical Permit Appitca ? . ; •
. kln. I CEIVEit .
. FOR OFFICE IISI.: ON1,1' • - .
City of Tigard 8 2013 R 7 ?Aggiten Permit No.: Ede.0 5-ea 3 i',2,
il __ q 13125 SW Nall Blvd., Tigard, OR 9721a Date/13 :
Plan Review
II Phone: 503.718.2439 Fax: 503.598,1960 Date/ B ; Other Permit:
Inspection Line: 503.639,4175 CITY OF TIGARD Date Ready/By;
- - -
Internet: wWw.tigard-or.p,ov Notified/Method:
11.1= SIp I
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ir::'',... ;;,: -- ',1 ., - . v ' • ''., .-- . . -,;■,-; 7:; . .;,."7 , 4 1,1 !:. -• .: .., ,,,.;
t,...., • rtili.r.e'diVL■'. - , .. - Lf '.-' ,- ± ' - - :: ---- 1 -, ..._...:',,;1 ..... __." .,...., ..sZ..2.1. '` ' . ,. ' -- - - -?-:. •,-
0 New construction adition/alteration/replacement Please check all that apply (introit a acts of plans w/items checked below):
0 Service Or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
71.,mr - • : . . i 7 r :7 ■ ' ' 7 , , , :I . awed& 10,000 amps at 150 volts or 0 Mooting buildings.
-- - ' --- " - - ' •---- -' • ---"'"'"- to around, or exceeds 14,000 I:I Conuneroinl-use agricultural
nsIl 0. d 2-family dwelling D Commercial/industrial 0 Accessory building liMpl far all othe.r instafiaj0113. buildings.
0 Multi-family D Mater bUilder 0 Other. ['Fire pump. 0 InstalLstion of 150 KVA or
-. :- 1 ,:•.•'.- .• i t; ..- -., . rj - 1 --- :": i '• - - ' '-: ' CI Elml quern' larger Separately dcaived syStem,
' ' :_-' ' j' ..,::-_.. il''.' _;;,-.' : 0 Additiao of new motor load of 0 "A". "P "1.2" "I-3",
J013 no.. '1 • ( , Job site address: i s - , ... "fh 100HP or more. occupancy.
. ■ 4 .-- I:134 or more residential unite. 1:1 Recreational vehicle parks.
City/State/ZIP: 1 „ 0 EiHealltpatre beanies. 0 Supply voltage for more than
I 0 firizerdotts locations. 600 volts nominal.
Suite/bldg./apt no.; Project name: 1:1Savice Of feeder 600 amps or more.
. i'. '1 a "'ir',--k.
.
Cross street/directions to job site: . . __. .
bssenotion . • Frmalt Total •
New residential single- or multi-family dwelling unit,
Includes attached garage.
Subdivision:
Lot no.; 1,000 sq. ft. or lens
168.54 4
Ea. addl 500 sq. R. or portion .... 33.92 1
Tax map/parcel no.:
. . Limited energy, residential
75.00 2
, (with above SQ. ft.)
Limited energy. multi-family
75.00 2
, 1 i residential with above s .. ft.
rt.re,„4-illt-init=7;r4inns.74TRi.,l7-1-iggi' -.-
, i
Services or feeders installadonitcradon, and/or relocation
_ 4_4 "'' • • . air. ..,..,_, ...__ , _
"...:11: ` 2 t,i; : :: -:.JZ74-=::1;.7.ii:j.,:::', :. I 2°° egu °I. im's i 100.70 /0.7s') 2
201 IIMPS 10 400 emPs 133.56 2
Name:
401 amps to 600 amps 200.34 2
-
Address; 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552_26 2
City/State/ZIP:
Temporary services or feeders installation, alteration, and/o
Phone: ( ) Fax: ( ) relocation
200 amps or less '39.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 jops 125,08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
.401 amps to 599 amps 168,54 . 2
Owner signature:. Date: ' . , Branch circuits - new; alteration, or extension, per panel
.• , - -- - -- • .. _. .T.-; -:-.....,-. , 7 --- - 77,1 for circuits with
r.,;.::,■iZAPIEEKINMiLd-;.•: .
- :.t:r Q- T, , A. Fee branch - above service or feeder fee, 2
each branch circuit 7 A2 A2.,,2 2
Business name:
S. Pee fix branch circuits withat4
Contact name: service or feeder fee, first
56,18 2
branch circuit
Address:
Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State/ZIP:
Bach manufactured or modular
67 2
dwelling, service and/or feeder
Phone: ( ) Fax; ; ( )
&NOM= only • 67,84 2
E-mail:
Pump or irrigation circle 67.84 2
a ,.. ..,.... 1 .1 ". .3 " fligoVi T, EMV4.41R . j ',13 %.:: cv :- . • 7 . " : Z . ' i....: , • - ''''''-''. ' ' Sign or outline lighting 67.84 2
Signal circuit(s) or limited-energy See
EMCEE panalalturation, or extension. ,.. Page 2 2 — AddreSS: - - A i .,, , ..,. ,_ i ik L 2 .; 4 * . A Each .. additional ins . cction over allowable in an of the above
ul.
ddmaruil msprimson (1 hr min)
66.25/ hr
City/State/ZIP. ,-- 91 _ •4■1 113
Investigation (1 hr min) 66,25/ hr
Industrial plant (I hr min) 78.111/hr .
Phone: (5 ---/_ % - .. ..-- CZEIMIMMEglil Inspections for which no fee is 90.00/ hr
prv. Lie.: 0.-? 5 c . - 'fical listed_ 54 in- min ,,...
IBEENIZEOMIEFlar Su
i PA ;..1.1;iti•% •' ' ' ■E -:. ..`
Suprv, Electrician signature, required..... ._.WNMIIIIIIIIIIIIII Subtotal: IS_ 1 (
(2 fe
Print name: ft. . Date: Pla review 5% of permit e):
State surcharge (12% of permit fec): / 5•7 • .
Q
-
.
- TOTAL PERMIT FEE: 1 3 - 7. 7/
Authorized signature:
Thlsieradt application expires Ifs permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1: ZU841/404nlikAISLC_PermitApp ELR JEFLE Ripi 05/21/2013 440-46157(11/05/0014/Vin
•
07/05/2013 15:14 FAX lj001 /003
5331 SW Macadam Ave Ste 258.512
PoRland,OR97239 Dekorte Electric Inc.
Phone: 503- 288,2211
Fax: 503. 292.8237
Fax
To: City of Tigard From: Atika with Dekorte Electric
Fax 503-598 -1960 Pages: 3
Phones 503 - 718 -2439 Date: 7/5/2013
Re: Electrical permit application CC:
Address: 16565 SW 108 Ave
D Urgent X For Review El Please Comment ❑ Please Reply ❑ Please Recycle
• Comments:
Atika Taylor
Dekorte Electric
5331 SW Macadam Ave Ste 258 -113
Portland, OR 97239
Phone: 503 - 288 -2211
Fax. 503 -292 -8237