Permit k CITY OF TIGARD ELECTRICAL PERMIT
" P ERMIT #: ELC2006 -00675
COMMUNITY DEVELOPMENT DATE ISSUED 11/28/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AC -00103
SITE ADDRESS: 07204 SW DURHAM RD Q300 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: (15) branch circuits for furniture hookup. CONSUMER CELLULAR.
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: 14 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: Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 1 1/28/200( $139.95 LIC 51539
[TAX] 8% State Surcharge 11/28/2001 $11.20 SUP 20535
Total $151.15 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: -- 1 Permittee Signature: `� C:=1
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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city of Tigard �� r
Received
13125 SW Hall Blvd., Tigard, OR 9722 _ 3 '. _ �� Permit No. — -1 ,, / / 6 r 7
Phone: 503.639.4171 Pax: 503.598_19601i � 2006 Plan Review A J � ' p Other Permit: ,
inspection Line: S03.639.4175 x,11 per, R� �y. see Fag = for
Internet: www.ci.tigard.or.us CITY OF TIGARD . NotiSied/Metbod: Simplatnental Information
❑ New construction ® Addition/alteration/replacement Please check all that apply:
1::1 Demolition ❑ Other: ['Service over 225 amps, cce nt'l ['Hazardous location
['Service over 320 amps rating ElBuildng over 10,000 sq. ft.
of 1 -and 2- ithrrrily dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercialindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ❑Feeders, 400 amps or more
ID Multi - family El Master builder ❑Other;
.,.. ,.... .... Occupant load over 99 persons ❑Manufacnaed structures or
, . ❑Egress/lightingpian RV park
Job no.: lob site address: 7204 SW Durham, 300 ❑Health-care facility ❑m
di
a
Submit 2 sets of pleas with any of the above.
City/State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt no.: 300 Project name: Consumer Cellular
Dettaiptino tom. rig Total ••
Cross street/directions to job site: New r•eaideatial single- or multi- family dwelling unit
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. addl 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non- residential 75.00 2
Each manufactured or modular
dwelling, service and/or feeder 90.90 _ 2
Furniture hookup Services or feeders iastsilatioo, altered on, and/or relocation
200 amps or less 80.30 2
. 201 amps to 400 amps 106.85 2
. . `.:> ` r 401 amps to 600 amps 160.60 2
Name:
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
Ctty/Stabc/ZIP. Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.85 1 1
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 600 amps 733.7 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
- A. Fee for branch circuits with
service or feeder fee, each
Business name: Johansen Electric Inc. branch circuit 6.65 2
B. Fee for branch circuits
Contact name: Charlynn Leifsen w1 i,o l service or feeder fee,
each branch circuit 1 46.85 46.85 2
Address: 10948 SE Valley View Tern.
Each add'! branch circuit 14 6.65 93.1 2
City /State/ZIP: Clackamas, OR 97015 Miscellaneons (service or feeder not induded)
Phone: (503) 698 Fax: : (503) 698 Pump or irrigation circle . 53.40 2
Sign or outline lightkg 53.40 2
E -mail: johaneenelechg sn.coen Signal circuit(s) or limited-
,. .
energy panel, alteration, or
Business name: Johansen Electric Inc.
extension. Describe: Page 2 2
Address: 10948 SE Valley View Terr, Each additional inspection over allowable in any of the above
Per inspection 62.50
City /StateJZIP: Clackamas, OR 97015 Investigation per hour (1 br min) 62.50
Phone: (503) 698 -3417 Fax: (503) 698 - 2486 Industrial plain per hour 73.73
CCB Lic.: 51539 Electrical Lic.. 3-243 S . Lic.: 2053S Subtotal 139.95
Suprv. Electrician signature, required: �' ! 7 '
Plan review (25% of permit fee)
-
Print name: Date: 11 /28!06 Stare surcharge (8% of perm it fee). 11.20
r l ! / ♦ TOTAL PERMIT FEE 151.15
Authorized signature:
� : / —45t!1111111111111111111111111 This hermit application expires If a permit is not obtained within 180
' � days attor it bas been accepted as complete
Print name:
.'. _ z i �i��:MINIM Date: 11 /28/06 • Pec methodology set by Tri•County Building Industry Service Board
•• Number et per permit allowed.
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CITY OF TIGARD
BUILDING DIVISION .. .. PERMIT #: ELC2006-00675
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28.12006
Phone: (503) 639-4171 "lliep i t
Inspection Requests (24 Hrs.): (503) 639-4175 ..„.._,111-• IL
INSPECTION WORKSHEET FOR DATE: 11/30/2006 TIME: 7:004,4 PAGE: 61
SITE ADDRESS: 07204 SW DURHAM RD 0300 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: .
PROJECT NAME: CONSUMER CELLULAR
DESCRIPTION: (15) branch circuits for furniture hookup. CONSUMER CELLULAR.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC • PHONE #: 503-698.3417
Inspection Request Scheduled For: Date: 11/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040453-01 503-969-5262 N
Corrections /Comments/ Instructions:
-- i,ikSA4(14Z.PA f‘rsqJ Li `I I E 6
----____
. ,
PASS I I PARTIAL APPROVAL fl CANCEL NO ACCESS
I I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Nioel--G' Date: il 3 06 Phone #: (503) 718- 7
_ . _