Permit o CITY OF TIGARD ELECTRICAL PERMIT
.11 COMMUNITY DEVELOPMENT Permit #: ELC2010 00535
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/29/2010
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 215
Subdivision: PACIFIC CORPORATE CENTER Lot: 0
Project: Umpqua Bank
Project Description: TI
Owner: FEES
PACIFIC REALTY ASSOCIATES Quantity Description Date Amount
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 11 crt Branch Circuits 09/29/2010 $130.38
wo /Purchase Service or
PHONE: 503 - 624 -6300 Feeder
1 ea 12% State Surcharge - 09/29/2010 $15.65
Electrical
Contractor:
JOHANSEN ELECTRIC INC
10948 SE VALLEY VIEW TERR
HAPPY VALLEY, OR 97086
PHONE: 503 - 698 -3417
FAX: 503 - 698 -2486
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $146.03
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: Oregon law requires you to follow the 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 a cop 644 a: les or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
/
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' 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.
RECEIVED
Electrical Permit Application SEP 2 8 21 .. l s >i; (fl 1 II •r. l ' t\I
City f Tigard " rernut ND-: II
131 SW Hall Blvd., Tigard, OR 97223 C ITY OF TIGA Date R0"ie"' 1 ; Other / 9010- 005
Phone: 503.639.4171 Fax: 503.598.19608 Ir%t DNI I e:
r , 1 Inspection Lire: 503.639.4175 :`�• See Page 2 for
q� II��q Internet www.tigard-or.gov - 1,, a/ Sap SupplementalInformationInformationS f rll c 1 i ?J�uil�l i'ZZ , L'_;' ' fl 6t t71t�t ! tkv • u;I',1'i .. t ilif.3HPl ..�:i; . il. .'¢'?�" .+ 17 tF'gi! 7t ky ' r ` p�i`� , `° , z "° t 1r t 't..
❑ New construction ® Addition/alteration/replacement Plea cheek all that apply (submit j sets of plans wfitenss checked belowk
❑ Demolition ❑Other. 0 Service or feeder 400 amps or more 0 Building over three s.
e storie
what the available Walt current 0 /Amiens and boatyards.
1iii ill iagr ' ' l f r g713 M e.aa� F a3 . k f n ,r f << a { i I tti made 10.000 maps at 150 volts or 0 pig Maldive.
less to ground. or exceeds 14,000 0 Commercial-use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other. 0 Fire pump. 0 installation of 75 KVA a
l a! rr rw 1 qnu c 1� ~IL 14F1 :: , 0 Energ Y "Wm. larger eeperatcly derived system.
,y;�15,�,,�ay�, d`g > xi- 1 x at r t:sly "4 >. A ,. . .
'Irdii � P�l �ttl5i C. ^� `y � ntii.bid,muJ imiti c :rSvar 1 a � 1 - ") i# �1 i? ` O Addition of new tss osor load of 0 "A E 4Y "1
WHIP ormore. occupancy.
Job Job site address : 6650 SW Redwood O Six or moro residential amts. 0 Recreational vehicle parka.
City /State/ZIP: ❑ Health -true mss. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldgJapt. no.:215 /2351 Project name: Umpqua Bank 0 Service or feeder 600 amps or morn. �
Cross street/directions to job site: ; Des r l i ket , r t :: ! V II. l ' it ir
py(
Rte. Taal •
New re idential single- or multi- family dwelling twit
Includes attached garage.
Subdivision 1 Lot no.: 1,000 sq. R or less 168.54 4
Tax map /parcel no.: Ea add'I 500 sq. R or portion 33.92 1
..p/�pp _ yq y r �ry Limited energy, residential 75.00 2
T, _ a /iii. -i 1111 (v 1 sr "A't }icztr. 5 ti A r 1: 7 1`uS� 'Vt` t r u 1; r.i I 1 �' } �'.IS's (with above SQ. R.)
51.1 ,... : '...,
. ..t.til _... Wtlol ;'ltolo,..,.,i,t.ls6,itat �"'a :fi { . - L.. Limited energy. multi-family
r esidential (with above ere. ft) 75.00 2
Tenant improvement
Services or feeders installation. alteration, and/or relocation _
200 amps or less 100.70 2
` 'ii • :�..,.. _,.�,.. vl svic•�•.x. qi nrr -• a¢{�,�� yr ,S -I
i ii "- ' • �t� u - a J � . ikiiiilma r.rir p P "e•r Z•Oi , l � 201 amps to 400 amps 133.56 2
,:�lrJai�•,6'.xra'6.alm �.... , ... , nr ..... to f � thli:Ltrivr,imi ..
Name: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or votes 552.26 2
City/State/ZIP: relocation services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 rumps 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
Branch circuits -new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
1 cr•ruAUS a.luwe wpoistrfl E• : . :: 1 ru {ep •trs ear rm ,1 +tort, 7. mw.„ g sc41 ai above service or feeder fee,
1! l d il ' lL.f..il:ili:din.. Ti z: !4114.4 �11 S "• • ip , ` ' I . :,:. s4 ` +,k : 7.42 2
,..:�.., _... :, �:: lu , ,..ul..c each branchcireuit
Businessname• Johansen Electric B without
service or feeder fee, first 1 56.18 56 .18 2
Contact name: Charlynn Leifsen branch circuit
Each add•I branch circuit 10 7.42 74.20 2
Address: 10948 SE Valley View Terr Miscellaneous (service or feeder not included) _
Each manufactured or modular 67.84 2
City/State/ZIP: Happy Valley, OR 97086 dwelling. service mirror feeder
.- Phone: ( 503) 698 -3417 I Fax:: (503) 698 -2486 Reconnect only 67.84 2
E -mail: Pump or irrigation circle 67.84 2
�� Signor outline lighting 67.84 2
DiR.i. , MIT} gi ( tlbi6idflk tnifital >, .: r.ui:� i;a�.1 MIK + sR &Eggl P k r:Mil': si circuit(e) or smited- attergy
Business name: Johansen Electric panel, alteration. or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 10948 SE Valley View Terr Additional inspection (lhrmin) 66.25/hr
Investigation (1 lir min) 66.25/ br
City/State/ZIP: Happy Valley, OR 97086 Industrial plant (I In mat) 7818/ lir
Phone: (5 0 3) 698-3417 I Fax: (5 0 3) 698-2486 Inspections for which no fee is 90.00/ In
NI a. - 'Scan listed h hr min
cgs Lit.: 51539 Electrical 3 -243C I S .Lic.: 2053S " . -_ ' "'"•'•� =�"' 7 "
��g� �,�rl`dll:l. �.iS'.� :•"� :9' : ; W .i �" , •, 1FiIR� ( ", y ; . .
�' .baF5lahTirf&6 :b :a_�a.a; u•' ..a: � � tY.c..ri - ,�
S Electrician a 26 re� Subtotal: 1 !' • . ( .
t' 9d � I�,Q a J Plan review (25% of permit fee):
. nt n Carl J horns en Date: 9/27/10 State surcharge (12% of permit fee): 15.65
Authorized signature This permit PERMIT FEE: 146. 03
permit opp&aties expires if a permit is not obtained within 180
Print name: Char l ynn sen I Date: 9/27/10 nape L ions to has been permit
0/9 complete.
• Number of inspections allowed per petffit
1. Zu4dintatrmibtH.0 -0a[ntitApp.doe 07 /01/10 440.4613T(11ro5/C0M/1V®
T ' d Xd3 13C213S131 dH WdB T : T T 0102 LZ daS