Permit CITY OF TIGARD ELECTRICAL PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: E 8/2008
PARCEL: 2S 112 DD -00400
-00070
DATE ISSUED: 2/8/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
SITE ADDRESS: 15954 SW 72ND AVE ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK I LOT : 017 JURISDICTION: TIG •
PROJECT: OREGON AIR REPS
Project Description: TI (2) 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: SIGNAUPANEL:
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: 1 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 JOHANSEN ELECTRIC INC
15350 SW SEQUOIA PKWY #300 10948 SE VALLEY VIEW TERR
PORTLAND, OR 97224 HAPPY VALLEY, OR 97086
Phone: 503 - 624 -6300 Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 2/8/2008 $53.50 LIC 51539
[TAX] 12% State Surchar 2/8/2008 $6.42 SUP 2053S
Total $59.92 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: Permittee Signature: The t_ L 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'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.
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Electrical Permit A • t l !_ �; C E .
t . s..e
Cis of Tianti ��' -
13125 SW Hall Blvd., T' Plate/ Ravi
Hermit NgGj jsi„vA ®�O 18 tgard, OR 97223 [[ r( ply
`/ Phone: 503.639.4171 Fax: 503.598. I96p' L J V .. 2008 Date/HY: Other Permit:
r ; , • Inspection Line: 503.639.4175 Date Ready/By: Jana 1 See Page 2 for
`fi 1 ; • ; chid: f
�; "e Y9 i 7 r : +ff I 11 � :a, Sopptemeahl Inhumation
Internet: www.tigard-or.gov
t 1 ti , � . :Britt �; t ,t7. r,M P r i - a. .1 . ry 1 rn -'•�i � f i Yr15i ".''.
""�� ` 1� _ J ,{. 1 �l + rR i� '�� L j . , � y: ' fr! F.':
' y , e' - f w 1 • { i I �.>�M1�YII C'�.Il Ll.f/.] t• 1:1. SI� L.}rA ( r� L. � ,, 5 t i..�Lwr �tt .!1 (71�.. �Y1iY1,Iilly C � i k. Fi �
❑ New construction 0 • .1, o . IT, p :..at * I T I '' 1 up 1 Please check all that apply (submit 2 awn of plats w/itecta checked below):
❑ Demolition n ❑Other. 0 Service or £ceder 400 amps or more El Building over three stories.
" ��` tq y y , `O q @74!Aau; r_ whore the available Built current ❑ Marinas ®d baaryuda.
1' „ :: $ . I . i i 'i t tal a »4 ieii M i a Fop '�: " , j�( '1>} t ? 1 exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
a l ie 1. ...10;., " if.-.., leas ro ound, or acme 1.4,000
❑ 1- and 2- family dwelling ' 0 Commercialindustrial ❑ Accessory building amps for all other installations. ❑ Commercial-use � agricultural
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fite Pump. ❑ Installation of75 KVA or
47'11 11}. . ' ii r "fds T j or , ' a i '' .4.; F!' i tr ` riCh>sti ' ,: 1 ,: , ', ❑ Emergency System larger separate;y derived system
' ' r.ra „ v�13u,e, , +aFwl6. .7 " � '''pa• R`: 1:�.; {i2ri. ❑ Addition of new motor load of °A
Job no.: Job site address: 15 954 sw 72nd 100HP or mere' occupancy.
0 Six or more residential units. ❑ Recreational vehicle parka.
City/State/ZIP: 0 Health -wee facilities. 0 Supply voltage for more that
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: Oregon Air Reps O Service or feeder 600 amps or
Cross street/directions to job site: : 1',";; j TIti 4 .l . ? °r. "7.: a
5
':.
man Qtr. Wee. tMd •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. R or less ' 145.15 4
Tax m 1 Ea. add'I 500 sq. ft. or portion 33.40 1
ap parcel no.:
iii'�',�t , t �� { w>r r ut n ,r 4 .o.vn• M�:gi : .�, Limited energy, residential
f iiii liifCi.: . ViiH l @'u .YN!.'� � 1":i;i�sl liw?1; IA 1C!tc•:'' c . .- �,�t1il i) t11' r . , (with above s4. f.) 75.00 2
Limited energy, multi - family
Tenant Improvement residential (with above sq. a.) 75.00 2
I - - Services or feeders IaaWlatiotr, aheratloa, and/or relocation
alt m, la • I / , _ 200 amps or less 80.30 2
I` . t .•i r 9 'w t stn, .e *.
. Inset
t r q • 9f s! • . t:Y 6i# :d �. , ": 1t' r
Luti:� i �kwi . :!-'.: 11� ,(F�t,.„1�i5.6,�. ±3'�; '-: r 20l amps to 400 ergs 106.85 _ 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 ' 2
City/State/ZIP: Temporary aervlces or feeders installaton, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) _ 200 amps or less 66.85 1
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circnita- new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
tY•.. iergr ,a,r , a : .. : xr ',t; +, n,m b,
ii ' i' a.W.d,��� 217if i il� e . > >' :,ha" ,°i>bo'Jil T k M � -',1�'.115'.'n: i ' above service or feeder fee, 6.65 2
each bnutch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits -
Contact name: C6arlynn Leifaen without service or fader fee, 3 46 46.852
first branch circuit
Address: 10948 SE Valley View Terrace Each adel branch circuit 1 6.65 6.65 2
Miscellaneous (service or feeder act included)
City/State/ZIP: Happy Valley, OR 97086 Each manufactured or modular ' 90.90 2
dwelling, service and/or feeder
Phone: (503) 698-3417 I Fax: : (503) 698 -2486 Reconnect only 66.85 2
E -mail: johaasenelect@msn.com Pump or irrigation circle 53.40 2
I(....: ;1 N � s Iiiii„.f u�:: ra i :;,"` ' i ` n i ; -f't' i i:NJ si outline lighting 53.40 2
Business name: Johansen Electric Inc. Signal circuit(s) or limited -
energy panel. alteration. or
Address: 10948 SE Valley View Terre extension. Describe: Page 2 2
ac
City/State/ZIP: Happy Valley, OR 97086 Each additional inspectlon over allowable in an of the above
Per inspection 62.50
Phone: (503) 698.3417 I Fax: (503) 698 - 2486 Investigation per hour (1 hr mint 62.50 '
CCB Lic.: 51539 I Electrical Lic 3 -243C Suprv. Lie.: 2053S Industrial .hurt r hour 73.75
:: Suprv. Electrician signature, requit q.i gF A" '° g t M i M'L ? �°' u : ry I tt . , ::
Subtotal: • s
Print name: Carl K. Johansen Date: 2 / 8 / 0 8 Plan review (25% of permit fee):
C) �� ^ State surcharge (12% of penult fee): 6 . 4 2
Authorized signature: IV ` TOTAL PERMIT FEE: 59.92
Print name: Charlywl J. Leifsen I Date: 2 /8/08 The permit application expires if a permit is not obtained within lee
days after it has been accepted an complete.
• Number of impaction allowed per perrmt.
I: 1BuildrnalParmutELC- PemdtApp.doe 05/23/06 44046157(11/05
I - Xti3 13CN3S1d1 dH WULb :8 8002 BO clad
CITY OF TIGARD • ,
BUILDING DIVISION PERMIT #: ELC2008 -00070
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/017008
Phone: (503) 639 -4171 �u
Inspection Requests (24 Hrs.): (503) 639 -4175 1 L.
INSPECTION WORKSHEET FOR DATE: 2/21/2008 TIME: 7 :00AM PAGE: 22
SITE ADDRESS: 15854 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 017 TYPE OF USE:
PROJECT NAME: OREGON AIR REPS
DESCRIPTION: TI (2) branch circuits.
OWNER: PACIFIC REALTY, PHONE #: 503-624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 50369E -3417
Inspection Request Scheduled For: Date: 2/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electric. :al final 06533001 503369.5262 N
Corrections /Comments /Instructions:
I It\
74 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-, N (6(2) L^ Date: 21 • al Phone #: (503)' 718- "1,41110-
CITY OF TIGARD
BUILDING DIVISION ' PERMIT #: EI-C2008 00070
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 202008
Phone: (503) 639 -4171 m
Inspection Requests (24 Hrs.): (503) 639 -4175 j _
INSPECTION WORKSHEET FOR DATE: 2/11/2008 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 16964 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 017 TYPE OF USE:
PROJECT NAME: OREGON AIR REPS
DESCRIPTION: TI (2) branch circuits.
OWNER: PAC-IFIC REALTY, PHONE #: 503-624 -6300
CONTRACTOR: JOIHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 2/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover \064810 -02 503. 963.5262 N
Corrections /Comments/ Instructions:
7 . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
' / Date: 2 F 1 "? Phon #: (503) 718-24 ► v
Inspector: ' N ( )
•
CITY OF TIGARD . .
BUILDING DIVISION PERMIT #: ELC2008.00070
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7,70/2008
Phone: (503) 639 -4171 �ru
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/11 /200B TIME: 7:01AM PAGE: 17
•
SITE ADDRESS: 16964 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: U17 TYPE OF USE:
PROJECT NAME: (.>RFGON AIR REPS
DESCRIPTION: 1I (2) branch circuits.
OWNER: PACIFIC REALTY, PHONE #: 503 -624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-6913 -3417
Inspection Request Scheduled For: Date: 7/11/2008 Pour Time:
Code # Inspection Description Confir -rr# Contact # Message
12( Wall rover O64810.0' 503-96%5262 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: � ' 1V01 Date: 2- - 01 Phone #: (503) 718- liftb
•