Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00060
∎ DEVELOPMENT SERVICES DATE ISSUED: 2/9/04
I
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 113AC -00103
SITE ADDRESS: 07204 SW DURHAM RD Q800
SUBDIVISION: PACTRUST ZONING. I -P
BLOCK: • LOT : JURISDICTION: TIG
Project Description: (12) 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/ 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: 11 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: Phone: 503 - 698 -3417
Reg #: LIC 51539
SUP 2053S
FEES ELE 3 -243C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 2/9/04 $120.00
[TAX] 8% State Surcharge 2/9/04 $9.60 Rough -
Elect'I Final
Total $129.60
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1-800- 2 -2344.
Issued By: .' ? _a.. 41110 Permit Signature: '7 �i12 .(�i(�G
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO: a-O 5 3 5
Call 639 -4175 by 7:00pm for an inspection the next business day
From: Charlynn J. Leifsen To: City of Tigard Date: 2/5/2004 Time: 5:32:52 PM Page 2 of 3
.
Electrical Permit A i lie ' tion• _:.1.; vativii$CONEVAMPORGE
Recerrod, • 40. ,„, / . 2 A -'' ••4_•31&'-iii- - • ,....,,,• ' : : • • .., _,_-:. • , .,....- -- .. ...: -. ...,...:-: - ,,„—.
RECE v7••:- 4 :. • . :. P6rri
Planning Approval Sign
CitY of Tigard D 13
at.,. ptrmit No.:
• I __.
33125 SW 'Rail Blvd. 0 6 20011. Plan treview 011wr
Iliziratt, Oregon 97223 FEB ...pattAl .. .. Pennithlo.:
MO= 503-639-4171 Fax: 50 ,t,„ p . Land 1.1
I . . "
- qs Datoll3r- Case hie :
,M1 T• .;J,, 4, :,
nternet www,ci. tigzal.oreSTY OF TIGAnu --..!. ''.11 t ________, , ____
tutnIoN r,„,,.,,#.„1,,a4 Contact Joris.:- g, See '' 2 for. . 1
24-11012r ' RequailEffitt.B.4 - . --- - - - --- N./A meiMe.thod: 776, Supplemental informatir;n.
__ .... ....
•
..::::: :
::..,',: ■ ''.7. constru ditionalterat
................................................................... TWRIaiiWYOlika", :4 ,: I: ,',:':::::,g,:;',AI.IiII:.!::MA71 73, ii:417X11.*0111.:4A71.11P 14,4 ...' eP.il fellig13001 ''''''' . . :.: ! ... . ::' ' ''' ' . 2!
F1 New ction 0 Demolition_ 0 Service over 225 amps- 'L..0 th-citi la.c day-
-- canolzardus oaio
el Ad/i urreral 0 Hao lctn
on/replacement I I ()ther: i 0 -5 : , -,rvibe over 320 amps -rating of 0 Building QVc ), squaw. fe1.
0440:1RV''10IVON.S111,0,CIrt,(I ...M 1 i, &. 2 family dwellings fotir or :11:`,Te TeSidetitial units
I - fl i & 2-Family dw c. ellin r Commercial/Industrial 1 1 ID ter Y' P°Ir'in8.- 0-05. :rrittire.
. - _ • ;. „ — .. 1 : 0 fluiltling c three; stories D I' a 400 •,, ILO
ri
Accessory Buildintl EI tvlulti-Family I I 0 • Occupant load over 99 pers ,', ED Manufactured STuctures rtr Ry pzrk
/--
n Master Builder ; 0 Other: :
II 0 ttresslightng i plan • I'l El Other; --- _.•;•,
;
; 0..,Silt „ IXtr..:013: 1 .840 , I6X-',-ii'ii'ilI0cATION„: , ..'::. 1 :::: : i::'„.': i: !::.:::,: ','-,:a! Suhatit sets of plani- with an of the above.
' -,---- - ---- - ----' ” " - • -,,- ------ ----- - I The a bo ve are not applicable to tempo rary. mammon:9 service.
. i Soh site addreigs: 7204 SW Durham
- —.
_.. 4.1L.51 "
'; Suite t 800 I Bld0 ikot li: I '--' Ntiniber ofIn:siecikrWsTp).1'r-pertnit
_.„- r--
I Pro'rt Name: North American World Trade GrouR ' oeteriPtion Qty Pee (ea.) ' Tiitai
.... --''' - ' N ew residential-single or inulti:fainily per
Cross 617c:et/Directions to iob hie: dwelling unit. Includes attached garage. . - I
Service included: . i •
1000 sq. ft. at less 1 . 1-45.i5 • . ' 4
500 s I ft or p .
n thier,,f • , • - il 40- •
, ...- I
.
_.......
Lot r 7" ---- ----- -- 1 d ene nn resi dent
Limited energ,Lrealthmlial I 75.00 , 2.
_
SI.117,)(3.1.Viti 1 ot : ._ ... ii, oial " •7A0 - .
...,„I _ . ,..5 .1_,_ 2
..... _... 1 - - -I
• „ l
Tax man/Fa:eel #: Each mitnufact:greti time or modular dwelling .
! 2 I
fiTi7TI;;;i';',00.ct-14.;:fetION:611`,!%Ve-iRK-..,::-.:•/,•,CE,014.i,I,.;:p: service and or feede 90.90
r
• ; - 1
---;' “ ' ' - ' ' ';' -' ' ' S erVices or foriers - installation, . '.
I ,
Tenant Improvement . alteration or relocation: 1
......
arrips less - ; • • • • • • - • -
4 ;
20; arrtp,t to 400 amps 2
., . 106%85 l
4 ha 6 2 :
• 0; amps 11101tplo "- ' ...-- I lial i' !
_..._ _ 240
_ .-
Lk: ..Z-ft*iII0:4:I'J'f..Ia.,104.40*-7,7:_.3]7.:7:7,k-43,-,::ii:A,: i* ampa to WM am2s 40 -' 2
_ _ . -__ .:____,-, . - - --'4 ' ' — ' ' ' '''''' Over 1000 amps' or roit4 • - ... ... 54,65
Name': — _ Reco.anect only.. , ... 66.85 l 2
. .
Addres - Temporary services r &
o odors - installation, i , - - , " • ' ' l
— - — -- 1 alteration; or relocation:
[ City/State
L 2(.10 amris or le% 66.85 .. _1
r - .
Phone' Fax.: i I 201 .amps to 400 -.Napa 0.31; 2 I
— L 133.75 1
F ,M,741?„:10,03 - 10,;:%:=4 - NRVI::::7_T -17 :00:44 : 0!t : 0-0. 0 . 71 - 17 a 1 L . 341 1. Itcench circuits - new, aiiiralloo, or
I Name: Johansen Electric Inc. I 4: xtg nsi a n per panel:.
. • •
,t i A . Fee ibr branch circuits with purchasc tal . -
i Address: 10948 SE Valley View Terr. j servize or feeder fee, each branch circuit 0.65 2
Citv/State/Zin: Clackamas, OR 97015 1 ri_ 'Pee for branch circuits wllhotit purchat4e Of • ,- -.- I • -. .:. - ' - . . I .
,t --. service or feeder ftm, first branch circuit . r I i 4( r 8 5 46 . 85 •
ph 698-3417 I Fax: (503) 698-2486 11 1 73 15 rf
I Fiach nail tonal branch en cuit
I &mail: Johansenelect@aol.com Istirte (Srvice or feeder wit. inttluited). 2
tttiMii '.k W r-l'ilqW 17:261 irrt ---- I 4 . -- -- .z
p l , ,n , lf-.ultle_:allttl;:a4Msf.1_ , /-1//z ,,,, ;- • ,.. • ' 7"^" '•• ''''''•..-' .' ' ''''' " ' - '-';:i.: t '.•=2 . - E s , & ou tie' e 1i.g;tuiriLt_ .. ..... ... —.4---... 1 ..
Job No: 8482 si citcua(N)- c),T a limited anew panel,
--_
coesino. Pogo 2 1
'. Business Name: Johansen Electric Inc.
nes.cric,:ior.: n .
Addr 10948 SE Valley View Terr. 1
Each additional lny'inelioia over the :allowable in any clew fal(I VC: ' . - 1
City/State/Zip: Clackamas, OR 97015 ........_ -.:,..
......„ ._ ps insgtici ion per hoar Quin. I hoty) 62-0
...
Phone: ( 698-3417 Tr ax: (503) 698-2486 Investiga :ion feet .
- — -
CC.13 Lie. #:. 51539 Lie. 4: 3-243 Oh _. ........
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. . ' • • -,' ''' ' ..Sl I g`ileik, .....2i '' ... , -.T.2 - 1U1:: ' • '-' .. . .., . . 1,. ,. ,- , ,' . 2 2 . , ..1.7:!'e2:"92.1.t•V t rr...V . :7 7 . R. i...:` , ..". , ;.,1,•...f 1 ...". ' :
S U Dervisme elc.ctricatin
signature rTquired: / l.., Plan Review (25% of Pennitizeo, . $ ... - • i
Print Name: Carl K. Johansen Lic. #: 2053S „ State Surcharge .(8% of:Permit Feet s 9.60 .
— TOTAL YERmrtPEt
.._ _
' I . -.. R
." $
-----'
Authorized i ' ', rk,,---„
; i 1„,,,4 k.,-;* . i ( ,. -) 2/5/04 .Notto.: This permit a pplication.apiresita permit is not obtained within
Sign , ature: 1..-- y' \,../' ..- y . Jic: ISO days after It lttis been accepted as complete..
.... _ 1 —
*Pee methodology set by 'fat-County Building Industry Service Board.
'
Charlyn 3 Leifs n t)
_........, _ . _
(Please print runnel . .
iAlDsts‘Perrnit Forms \ FleFerrnitApp_doc 01102,
CITY OF TIGARD 24 -Hour
BUILDING Inspection,,Line: (503) 639 -4175
INSPECTION DIVISION BusirLLine: (503) 639 -4171 MST
BUP
Received Date Requested 3 - /.0 AM v PM BUP
Location S uite 00 ° MEC
Contact Person Ph ( 1 (- /``i PLM 4 1-00 d 60
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection No � SIT
Post &Beam �' � - -• �
S
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear U
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler — — .F ,�
Fire Alarm ,..���
p , g —
Sus d Ceiling
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole ..
Storm Drain
Shower Pan
Other:
PART FAIL
HANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect – no access
Fire Supply Line
ADA
Approach /Sidewalk Date I U Inspector Ext
Other:
Final D I NOT REMOVE this inspection record from the job site.
PASS PART FAIL