Permit CITY OF TIGARD ELECTRICAL PERMIT
TIGARD #: ELC2006 -00354
DEVELOPMENT SERVICES DATE ISSUED: 6/26/2006
�I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 101 AD -03200
SITE ADDRESS: 12909 SW 68TH PKWY 410 ZONING: MUE
SUBDIVISION: TIGARD TRIANGLE CENTER LOT : JURISDICTION: TIG
Project Description: (5) branch circuits.
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/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 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: 4 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 CLACKAMAS, OR 97015 -000
Phone: 503- 624 -6300 Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 6/26/2006 $73.45 LIC 51539
[TAX] 8% State Surcharge 6/26/2006 $5.88 SUP 2053S
Total $79.33 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: -Z za Permittee Signature: � f, ("
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.
Jun 26 2006 11:39RM Johansen Electric Inc. 503 - 698 -2486 p.1
.
Electrical Permit ADDli do
City of Tigard EIVEk ,( _ 11)1; Hi i� �; 1 -.1 �,.� ,
13125 SW Hap Blvd., Tigard, OR 97223 DamlBy: " r�� �� � //' v` ` Na:(� �(� % . �y
Phone: 503.639.4171 Fax 503.598.1960 JUN 2 6 20 Plea draw
Dated Permit:
In:pe�iaol,ine: 503.639.4175 , .1 Ducats:war Internet www.ci.tigud.m.us CITY OF TI c - J. : 0 Br I liapN l>s
❑ New construction ® Addition/alteration/replacement Please cheek all that apply:
❑ Dentolrtlou p Other: OSavice over 225 amps, worm 1 D11a location
Savior over 3W a rating 0Buildng over 10,000
of 1 and 2 -family lmga or more new residential
j
residential
❑ 1- and 2- flintily dwelling ■4 Commercial/industrial ❑ Accessory building OsYNcin over 600 volts nwntnal unita in ono ma=
❑ Multi-family ❑ Master builder 13 Other: Oamlding overarm stories OFeedas, 400 amps or mad
❑Occupant load ova 99 persona 1:1Ma udecrosed structures or
E
Job no.: Job site address: 12909 SW 68th Pkwy, O i 13
kWy, 41'0 Submit sets of
City/State/ZIP: plans with any of the above.
The above are not applicebls to temporary construction service.
Suite/bldg./apt. no.: 410 Project name: National Title
neascrise go. Fm. 'toed .•
Cross street/directions to job site: New residential single- or multi- flmdly dwelling unit.
Includes attached garage.
1,000 sq. ft. or loss 145.15 4
Subdivision: L no E. add'1500 sq. S. or portion 33.40' 1
Tax mapfparcel no.: Limited . «aideeedsl 75.00 2
Limited energy, non- residcn al 75.00 2
Each mormadu ell or modular
Tenant improvement
dwelling. gavia lartd/orReda 90.90 - 2
Services or feeders isstdlatlaa, &Bandon, and/or relocation
200 amps or less 80.30 2
cps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Ova 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/Stal&ZIP: Temporary services or faders latallation,'Reredos, and/or
Phone: relocation
( ) Fax: ( ) 200 amps or less 6635 1
Owner installation: This installation is being made on property that I own which is not 201 amps m 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: Dam Branch circuits - new, alteration, or estsisioa, per paid
A Fee for branch circuits will:
service or feeder fog each
Business n% Johansen Bean rie inc. branch circuit
6 65 2
on
B. Fee fbr branch Omits
Contact none: Charlynn Laken without service or kegler flee,
each branch circuit 1 46 83 48.85 2
Address: 10948 SE Valley View Tarr. Each add' branch circuit 4 6.65 26.60 2
City/State/ZIP: Clackamas, OR 97015 M1saBaaeosa (service or feeder not included) -
Pum Phone: (5 6984417 Fax : (503) 698 -2486 or irrI nth o circle 53.40 2
13-mail: , ansende coon Signor lank lighting 53.40 2
Signal oirouit(s) or limited-
®mgy panel, alteration, or
Business s: Johanson Electric Inc. Describe: Pegs 2 z
mar
Address: 10948 SE Valley View Tarr. B additional impaction over allowable In any of the above
City /State/ZIP: Mamas, OR 97015 6150 Itivestigffiion pa hour (l hr can) 62.50
Phone: (51)08,3417 Pax: (503) 6984486 Industrial t hour 73.79
CCB Lit.: 51539 Electrical • 3 -243 S S. . Lice: 20538
Suprv. Electrician signature, required: ` mil f , / I P1en review (25%ofpa the) 73.45
Stare stacharge (8%ofpennit fee). 5.88
Print name: ,; 7, / / Date: 6/26/06
Authorised signature: TOTAL PERRO ' FEE 79.33
: , . . '� .r. Ms t expires *Wined ire permit is list *Wined widda 180
&p aha it has been accepted w aeetplele
Print name: # j 1 / � _ Da te 6/26/06 • lee methodology ear by=> t.CountY esiikog tampny service Dowd
•• Number etiospeetioee per peomit allowed.
ryas 44034e1s100 aolsra EB
CITY OF TIGARD. - r
BUILDING DIVISION PERMIT #: ELC200G -00354
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2006
Phone: (503) 639 -4171 , � , cii�l
Inspection Requests (24 Hrs.): (503) 639 -4175 . -' `__
INSPECTION WORKSHEET FOR DATE: 7118!2006 TIME: 7:03AM PAGE: 62
SITE ADDRESS: 12909 SW 68T11 PKWY 410 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL TITLE
DESCRIPTION: ( branch circuits. 7/14106: Added (1) 200 amp service.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: 503-624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 603- 698.3417
Inspection Request Scheduled For: Date: 7//812006 Pour Time:
Cove # Inspection Description Confirm # Contact # Message
A:ft Electrical final 033217 -01 503.969 -5263 N
Corrections /Comments /Instructions:
c
..//\/
l PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NM Li Date: ( 6 Phone #: (503) 718- Z44.`'
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2t)Ot; 003's�l
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2006
Phone: (503) 639 -4171 V- 0v l ,.
Inspection Requests (24 Hrs.): (503) 639 -4175 _..' 4-
INSPECTION WORKSHEET FOR DATE: 7/13/2006 TIME: 7:02AM PAGE: 29
SITE ADDRESS: 12909 SW 68TH PKWY 410 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL TITLE
DESCRIPTION: (5) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -696 -3417
Inspection Request Scheduled For: Date: 7/1312006 Pour Time:
;_# Inspection Description -:^ Contact # Message
® Wall cover 133052 -01 503. 96%5263 N
Corrections /Comments / Instructions:
S SCO NP it\ _6■) aL
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �6 Date: ( i3 0'1) Phone #: (503) 718- VI
■
CITY OF TIGARD _-
BUILDING DIVISION PERMIT #: ELC2006 00354
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6126/200o
Phone: (503) 639 -4171 „It j i ,#
Inspection Requests (24 Hrs.): (503) 639 -4175 °t 'I�I
INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7:05AM PAGE: 32
SITE ADDRESS: 12909 SW 68TH PKWY 410 CLASS OF WORK:
SUBDIVISION: TIGARD TRIANGLE CENTER LOT #: TYPE OF USE:
PROJECT NAME: NATIONAL TITLE
DESCRIPTION: ( branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-6246300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698 -3417
Inspection Request Scheduled For: Date: 7112/2006 Pour Time:
Inspection Description Confirm # Contact # Message
130 Ceiling cover 032972 -01 503 - 969 -5263 N
Corrections /Comments /Instructions:
cn C5i8 YA r■ � (MP 10 EX161 ►N _ ^.'1) Wi ti sob -Ptk E l-,
PNi Fair I f .t6Q. 10 F ;NFL -- .
.4 �RI vZ -. Lraw \I ta N € ee_ (- LA
Q5. \I-L& •
•
Y I,IDASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , 6\)%1.3 Date: II VI o6 Phone #: (503) 718- 2q76 `
CITY OF TIGARD
, , A: .,
BUILDING DIVISION - PERMIT #: G OO ,—OO29
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: r
Phone: (503) 639 -4171 ,, u11I �I I
Inspection Requests (24 Hrs.): (503) 639 -4175 _..' !,-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: a- 0 S p t zt,,/ Y CLASS OF WORK:
SUBDIVISION: LT #: TYPE OF USE:
PROJECT NAME: �
DESCRIPTION: t - 1 -- [ . _ - / __- 0 0
CONTRACTOR: �j " e/v PHONE OP 3Y 65,s---)...4,3
PHONE
Inspection Request Scheduled For: Date: as • - ---Q(0 Pour Time:
Code # Inspection Description Confirm # Contact # Message
/
Corrections /Comments/ Instructions:
'6')t: - R. oi.. V\ ctS) "&. C O(Ll-
'I\bD i ` ► 6N 4 -- fJ 613 tNN.s
cAN es- PM tY
E L�c:I c_i\L
w AL -, c av Wit- v 1
r ----------- " --- ------_______ j
A PASS 111 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: tv b Date: qL4101c) Phone #: (503) 718 -14