Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2008 -00194 ° COMMUNITY DEVELOPMENT DATE ISSUED: 4/3/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 113AD -01900 SITE ADDRESS: 16640 SW 72ND AVE B10 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK I LOT : 009 JURISDICTION: TIG PROJECT: VERIS INDUSTRIES 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: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 2 W /SERVICE OR FEEDER: 6 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 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 4/3/2008 $200.50 LIC 51539 [TAX] 12% State Surchar 4/3/2008 $24.06 SUP 2053S Total $224.56 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: �/i _,- - - iii ittee Signature: / j2a iv a-- 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. i IIIIL Electrical Permit Annlicat EG l } �� l 1 u l; in i• t l l 1•: 1 .l- ().1) City of Ti gard 2 .: 0S - Permit No.: _ /w 13125 SW Hall Blvd., Tigard, OR 97225 ' © LG ��� j0 / ✓I L i b Phone: 503.639.4171 Fax: 503.595.1 p Plao Revaew Other Permit: Inspection Line: 503.639.4175 a , P , Data Ready/By: Iwas - See Page 2 for Internet: www.tigard-or.gov o U � jj �N 1�r 11 ° Non ed/Mnhod: t t s 1 I . lei •, siemee1 E!! ,;tU y j ( '+v , d ", 1 . •,� I '�' u• ar „r::: NM -i ugr , r l ;t W . ,t151:. ..474'W 11,1 7ta ? !!slain i���l y'xi `.,Act , t.. .lil .i ; l : d„ ME�Z���Z y , Z , �@y l W i ' � : i �'rn � .1 .. - '.�i r- ..:.naLiJiY:,iue...vr:J;t.l r.� �li+. ^��N 1�1 ❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 3 sets of plans wiitems checked below) ❑ Demolition ❑ Other. ❑ Service or feeder 400 amps or mom Building over three stores. u Y g u _ , t t as s where the available fault current 0 Marinas and boatyards ..as a; ! i i ' rr ,: ,l .7. ,ins 4,11.: tiiviii,,Ik if u l I. - i! i t ' ' � , r r exceeds 10,000 amps at 150 volt or ❑ Floating buildings. Jtt lass to ground, or exceeds 14,000 0 Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all ocher installations. buildings. ❑Multi- family ❑Masterbuilder ❑Other. CI Fire pump. 0 Installation of75KVAor ��zz { �sl. a vv r+": ^•. it�°s:zcramk i�^,�3 y'nu ac,�yasu 7n:at+. F �: ❑Emagaacysymm• asersepunulyrive dayecm. 'ti.11i ,AlMK�i a�i f^iaat!ia .ti°A,o7,p;ry 'i a `I'• Ay`itI' i .. �' /�NIN+l m l;.'. " li' ❑ Addit ofne'w s molar load of ❑ " ", "E ", "1 -2 " , " -3 " , Job no.: Job site address: 16640 SW 72nd 100HP or more. may. 0 Six or more residential units. ❑ Recreational vdnele parks. City/State/Z1P: El Health -case facilities. 0 Supply voltage for more 'him to I 0 Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Ver i s Industries 0 Service or feeder 600 amps or more. Cross street/directions to job site: ���, ° �: See. Tar • New residential single- or multi - family dwelling unit • Includes steadied garage. Subdivision: I Lot no.: 1.000 sq. ft. or less - 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 S.) 1 Tax asap /ptircel no.. Limited energy, residential 1s re. .! s ,fi.am4wa.:ay►ptP ���u�,���ytt� e :.1 �: 75.00 2 I ' ;z '.t:;a.a:•i?i: liwld�l 6h:il::.s2 , ''` , 4 . , 1 /1', 6i •��� e, w fi ' !' i (with *0" aq. Limited energy, multi - family 75.00 2 Tenant Improvement residential (with above s e . Services or feeders installation, alteration, and/or relocation • • �� a. : t I �y " "s e I f. 200 amps or less 2 80.30 160. 2 lIR)l ►;ia, s r ,i =TS: s> 6s x• u l il , , •. Y `i i, .1 -' : l 20 1 am is ! I ha. =. - :':- -.a ,1 . _ '4:,t i amps to 400 turps 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 services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less ] I 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps I I 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps f I 133.75 12 D Brunel circuits - new, alteration, or extension, per panel _ yy Owner signature: Date: A. Fee for branch circuits w ith 1 � �II7 l i I {# `iris I riff qu mr, w r se. l a, ��: ; 'a:�a y ,sxa ° I =M al 1 3% �s above service or feeder fee, 6 6.65 9.9 2 iu> ,'l„y each branch circuit Business name: Johansen Electric Inc. B. Fee for branch circuits without service or feeder fee, Contact name: Charlynn Leifsen first breach circuit 46.85 2 Address: 10948 SE Valley View Terrace Eachadd'I branch circuit 6.65 _ 2 Miscellaneous (service or feeder not included) City/State/ZIP: Happy Valley, OR 97086 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (S03)698-3417 I Fax: : (503) 698 -2486 Reconnect only 66.85 2 E-mail: johanseneket@msn.com Pump or irrigation circle 53.40 2 :fl+e' l . n I ' ' iI ,V=I!'r? . N.,.,"P. Sign or outline bghting 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 inspecdoo over allowable in aav_of the above Per inspection 62.50 Phone: (503) 698 -3417 I Fax: (503) 698 -2486 Investigation per hour (1 hr min) 62.50 CCB Lic.: 51539 I Electrical Lic.: 3 -243C Suprv. Lic.: 2053S Industry y . ; �� y hour ``..°.§ :t: , h _ !� 1 ' 0. ' `' "1 73.75 Suprv. Electrician signature, required � ,. i liligi )»!'' IF: A �`i` ' /emu �_ J�� � Date: - i7 Subtotal: • • , • Print name: Carl K. Johansen 8 - Plan review (25% of permit fee): / Stan s utrlt (12% of permit fee): 2 6 Authorized signature: TOTAL PERMIT FEE: 2 2 4 2 4 . 5 6 Print name: Charlynn J. Leifse Date: 4 /2 / 0 8 This permit application aspires la permit b not obtained within ISO days attar it has been accepted as complets. • Number of inspections allowed per pamit. r1&plduleenmtAELC- Permitnpp.doc 03/23/06 440.4613T( 11/05/COMN/BB I . d Xd3 13C213Sd1 dH Wd2S t 8 8002 60 add i CITY OF TIGARD ` BUILDING DIVISION :_ PERMIT #: ELC2008 -00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008 Phone: (503) 639 -4171 / d1 Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 10/fJ2008 TIME: 7 :OOAM PAGE 24 SITE ADDRESS: 16640 SW 72ND AVE B10 CLASS OF WORK: ri SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE: PROJECT NAME: VERIS INDUSTRIES DESCRIPTION: 11. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC #: 503-698-3417 Inspection Request Scheduled For: Date: 10/6/2008 Pour Time: Code # Inspection Description -Confirm \ Contact # Message 199 Elect final 076324 -01 503 -963 -5262 N Corrections /Comments /Instructions: J N (\ --._\ A ii\d/ Ifi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G" ' t 6 Q)L.E Date: 1 Lit Phone #: (503) 718- b CITY OF TIGARD . - LA BUILDING DIVISION ._ . . • PERMIT #: ELC2003.00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008 Phone: (503) 639 -4171 47�e �Y I�I i a Inspection Requests (24 Hrs.): (503) 639 -4175 - "'_ INSPECTION WORKSHEET FOR DATE: 4/8/2008 TIME: 7:OOAM PAGE: 12 SITE ADDRESS: 16640 SW 72ND AVE 1310 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE: PROJECT NAME: VERIS INDUS1 RI ES DESCRIPTION: TI. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: .JOIHANSEN ELECTRIC INC PHONE #: C:03 Inspection Request Scheduled For: Date: 4/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service ! 068045-01 503 969 -5262 N Corrections /Comments /Instructions: ■11 PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �1 t`iVe:) Date: 2 1 1 . Q % Phone #: (503) 718- 2114 CITY OF TIGARD , BUILDING DIVISION , . - , PERMIT #: ELC200B- 00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008 Phone: (503) 639 -4171 , j Inspection Requests (24 Hrs.): (503) 639 -4175 ...!.- `__.. INSPECTION WORKSHEET FOR DATE: 4/4/2008 TIME: 7:02AM PAGE: 24 SITE ADDRESS: 16640 SW 72ND AVE B10 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 009 TYPE OF USE: PROJECT NAME: VER1S INDUSTRIES DESCRIPTION: TI. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503- 698.3417 Inspection Request Scheduled For: Date: 4/4/2008 Pour Time: Code # Inspection Description -Cb f1rtm Contact # Message 199 Electrical final 067879-01 503 - 969.5264 Y Corrections /Comments /Instructions: v 1 N ❑ PASS ❑ PARTIAL APPROVAL XCANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N 1 Date: y • 4 ' 01 Phone #: (503) 718- WO