Permit CITY OF TIGARD ELECTRICAL PERMIT
II
PERMIT #: ELC2008 -00248
° COMMUNITY DEVELOPMENT DATE ISSUED: 5/1/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112AC -01100
SITE ADDRESS: 07301 SW KABLE LN 100 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK III LOT : OOH JURISDICTION: TIG
PROJECT: CTX
Project Description: TI.
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: 19 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:
PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC
15350 SW SEQUOIA PKWY #300 -WMI 10948 SE VALLEY VIEW TERR
PORTLAND, OR 97224 HAPPY VALLEY, OR 97086
Phone: Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 5/1/2008 $173.20 LIC 51539
[TAX] 12% State Surchar 5/1/2008 $20.78 SUP 2053S
Total $193.98 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: . ` %- Perm ittee Signature: X
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application 1 4 J 1< <)1.1. i .`,1.: I ,\ 1.1
City of Tigard APR i Received �
11 11 1
DateB : Le< /I Penit No.: n 4 .-. �t� s 0 1 a 1312 SW H all Blvd Tigard, OR 97223 Plan Review
_
C Phone: 503.639.4171 Fax: 5039$.1960 Other Permit:
Inspection Line: 503.639.4175 Dales
h: t Date Read B Juno:
Ready /By: %See Pens fr
Internet: www.tigard- or.gav ; • Notified/Method: Supplemental l Information
if i1 .ai., iii 44 �y1ri' �' : 4J - t 11 . 11 .. r ':'- {i�ll 154tt ,::, } ' q rr 1 g -..� cam, i, • 77 �i , %,i � {�.'�.'- � � 4 ti "-;� q 4 T 'x i 'k 1 1 �I� i, , 1111 4 1 at�� J� : `,.111'.'��lh. `
,f, .;,l�rs .- src..f , Y. � i �:i <.. "`'ii li 4.t ; ,1 ..t1���$,;�� rfil; ".'t .
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans whtems checked below):
❑ Demolition ❑Other: Service or feeder 400 amps or more ❑ Building ova three stories.
t(1[ �; ni af,`) s r { {, ? �r 8 ._, where the available fault auras El Marinas and boatyards.
".;a.l� ,, . rF � •,b" i li `ir i , �' � ` L ' . ', i 8i 0 ' 1 ' _ 1.I '; exceeds 10,000 ❑ Flo f + „? t t )N „r ) Y rr' t'; less to ground, or 000 or Floating buildings.
❑ 1- and 2- family dwelling ® Commercial/industrial on
industrial ❑ Accessory building ❑ d cial ass agricnlnrral
amps for all other instnllatia, ldingirtga.
❑ Muhi family ❑ Master builder
. ❑ Other ❑ Fir P�P. ❑ Installation of 75 KVA or
• t • . rt4 ft rN f ,,, • i tt rl 1 , ' b J ' y , ..f;,,,„••..!: 4 1 k;',; r , t its,., ❑ Emergency system.
� �1' T ,}}! !Yt ¢ l 11:. , } 1,1-.::::'::,,,-. larger separately derived system. ' ❑ Addition of new motor load of
Job no.: Job site address. 7 3 01 SW Ka b l e Ln , 100 100HP or more. occupanry,
❑ Su or more residential ,mils. ❑ Reacahonal vehicle parks.
City /State/ZIP: 19 Health -care facilities. ❑ Supply voltage for more titan
0 Suite/bldg. /apt. no.: 10 0 1 Project name: C TX ❑ service feeder locations. 60 volts nominal.
0 amps or more.
°fit ?; s . i i/ ti l} e t l i 1' Il 1. tlr ,t£:
Cross stteet/directionstojobsite: raI ,
Description 1 Ott. I pee. _ Total •
New residential single- or multi family dwelling unit.
Includes attached garage.
Subdivision: 1 ],pt no.: 1,000 sq. ft, or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. if or portion 33.40 I
1t' ".lX {3i ).� u 0 } �' }a, �p J" "vlynl• "a1}tpr Limited ener residential 75.00 2
'1 A 7:tiii,.:. #it tr,. G s .; (with above s q. ft.)
Limited energy, multi family
Tenant Imp rove nt residential (with above sq. 8.) 75.00 2
Services or feeders installation and/or relocation
„'ri I 200 amps or less 80.30 2
P ' �I }` I�
1 4 ,*fi 1(f �.!,1:!t(. t i1 ., . jI 0 , ,i :.t, it ' i,, i' `'1.'i 201 amps to 400 amps 10685
I .. . 2
Name: 401 amps to 600 amps 160.60 2
Address:
601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) L Fax: ( ) 200 amps or less 1 66.85 1 1 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
I intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
,'l1iU �l r ;r t t k l " s t 1 t # " ? y f ;f A. Fee for branch circuits with
l
1 1.. i �^�: i CAVO • l i1 '!41, •t 1 1 1 D # i fi, `Li >N ) >4 above service or feeder fee,
each branch circuit 6.65 2
Business name: Johansen Electric Inc. S. Fee for branch circuits
Contact name: Charlynn Leifsen without service or feeder fee, 1 46.85 46 . 8 2
fast branch circuit
Address: 10948 SE Valley View Terrace Each add'I branch circuit 19 1 6.65 126.4
Miscellaneous (service or feeder not included)
Cicy/State/ZIP: Happy Valley, OR 97086
Each manufactured or modular 90.90 2
Phone: (503 698 -3417 dwelling, service and/or feeder
Fax:: (503} 698 -2486 Reconnect only 66.85 2
E-mail: johansenelect@msn.com Pump or irrigation circle 53.49 2
if iirt' / ' . : :. fi ')i' t ::r4tt*-t*4i +)1`.;'11 iI)•�t I �. 1 li ?�t, Si or outlineli lighting �iar , x ,. ,.�.. �::,,� tits 1111 ,: , . • sign 6h . nB 53.40 2
Business name: Johansen Electric Inc. Signal circuit(s) or limited -
energy panel, alteration, or
Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2
City /State/ZIP: Happy Valley, OR 97086 Each additional inspection over allowable in an of the above
Per inspection 62.50
Phone: (503) 698-3417 . 1 Fax: (503) 698 -2486 Investigation per hour (1 hr min) 62.50
CCB Lic.: 51539 I Electrical Lic,: 3 -243C I Suprv. Lic.: 2053S Industrial plant per hour 73.75
Suprv. Electrician signature, required /� �j !_-:.;:.,5..,. • mar' It , a=1,7 l 1, '
'�R. f AP""
Subtotal: f
r `74....
Print name: Carl K. Johansen ( Date: 4/30/08 Plan review (25 of permit fee):
State surcharge (12% of permit fee). 20.78
Authorized signature: TOTAL PERMIT FEE 193.98
Print narne: Charlynn J. Leifsen Date: 4 /3 0/08 This permit application expires if a permit is not obtained within 180
days after it b as been accepted as complete-
• Number of inspections allowed per permit.
1:\i 1l1d PmnitApp.doc 05/23.,06 440.4615T( 1 1/05 /COM/WEa
I ' d XEIJ 13C213S1:11 dH Wd8E : z 8002 OE .add
CITY OF TIGARD
BUILDING 'DIVISION PERMIT #: ELC2008•002..48 .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/'!20(.18
. Phone: (503) 639 -4171 ' ��I�I
Inspection Requests (24 Hrs.): (503) 639 -4175 B' °_:.
INSPECTION WORKSHEET FOR DATE: 5/21/2008 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 07301 SW KABLE LN 100 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK III LOT #: 00H TYPE OF USE:
PROJECT NAME: CTX
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698 -3417
Inspection Request Scheduled For: Date: 5/21/2008 Pour Time:
Code # Inspection Description .. Confirm # Contact # Message
'199 Electrical final / 070216.01 \ \ 503- 209 -3917 N
Corrections /Comments /Instructions:
v0 Pte\ , (\ L 8 \) . 4o (-
\ - \
(-- , \ '
q //
/ U
n PAS'. n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G M)QL Date: 6110% Phone #: (503) 718 -144
CITY ��N~��� ������8��������
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BUILDING DIVISION ~~~°"~~~°""~~° ~~"°"~°"~,,~ PER[N|T#: K4EC2008-O0248
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/1E/2UO8
Phone: (503) 639-4171
Inspection Requests C24Hmj �
�}3>83Q~4175 .J .^
INSPECTION WORKSHEET FOR DATE: 5/1 TIME: 7:0OAN| PAGE: 3
SITE ADDRESS: 07301 �yVKA8LE LM 1OD ' - CLASS OF WORK:
� �
SUBDIVISION: OREGON BUSINESS PARK Itt /" LOT #: UOH TYPE OF USE:
PROJECT NAME: crx
DESCRIPTION: T|. Replacing grills.
OWNER: PACIFIC REALTY ASSOC1AJES, PHONE.#:
CONTRACTOR: PROTEK4P ASSOCIATES INC PHONE #: 503-519-6195
•
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 07008f3-01 6O3'619-6199 Y
Corrections/Comments/Instructions:
•
•
•
_-� -
, 2741W rA PARTIAL [1] ALAPPROVAL CANCEL ` n NO ACCESS
| 1 ��
/ / FAIL CALL FOR INSPECTION �� ADDITIONAL FEES ASSESSED
•
��
Inspector: . Date: / Phone #: (503) 718-
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