Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00403
COMMUNITY DEVELOPMENT DATE ISSUED: 6/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AC -00103
SITE ADDRESS: 07216 SW DURHAM RD 200 P ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: WELLPARTNER
Project Description: TI - (2) service panels and (40) 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: 2 W /SERVICE OR FEEDER: 40 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 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 6/14/2007 $426.60 LIC 51539
[TAX] 8% State Surcharge 6/14/2007 $34.13 SUP 2053S
Total $460.73 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 j ��/ f / // Permittee Signature: S ( 11--pp �-- J ' t
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.
Electrical Permit A 1. L ■ I I ill 4►1• i It I I •I. 11.1)
City of Tigard 0 //4 / (L.1L) t we- -: C LCjy - 00403'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Renew �
Phone: 503.639.4171 Fax 503.598.1960 i • . Other Permit: � op 260 ? -60 �!
Inspection Line: 503.639.4175 JUN i 3 201 : .- '.! + _ ) Y. Data/By: r Date l S Fa e 1 Information Intrnet: www.cl.tigard..or.us Notified/Me
❑ New construction °sew: tai ' • rr.' g Please check all that apply:
-- l.� VI J �
❑ Demolition RI a : amps, cannel ['Hazardous location
- family dwelling ['Bulking or more over new residential
a t ,
of 1 l
Sere g
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one amebae
['Building over three stories ()Feeders, 400 amps or more
❑ Multi family ❑ Master builder ❑ Od
- 0 over 99 persons Manus d structures or
_ C]Egtess/lighta►g Plan RV
7216 SW ee ,,,, C e ° [Wealth-care facility e a :
Job no.: Job site address: y - dY
Submit 2 sets of plans with any ofthe above.
City/State/ZIP: 16 r ,, I A., The above are not applicable to temporary oonsiructic° service.
1dg. /apt no.: '2 1) Project name: Well Partner
Deserlplbn Qtr. Tea Total '''
Cross street/directions to job site: New residential single- or multi- family dwelling unit
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: it no.. Ea. add' 1 500 sq. 8 or portion 33.40 1
Limited energy, residential . 75.00 2
Tax snap/parcel no.: Limited energy, eon- residential 75.00 2
Tenant Improvement dwelling, services d/orfeeder 90.90 _ 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 2 80.30 160.60 2
mo}is m 400 amps 106.85 2
401 aegis 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
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or tees 1 66.85 I 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
Business name: Johansen Electric In ran eh circuit or feeder Pee, each 266
b>ai
r 40 6 2
B. Fee for branch circuits
Chastens name: Chaune Le.liken without service or feeder fee, • 46,85 2
Address: 10948 SE Valley View Terr, each breach circuit
Each add'] branch circuit 6.65 2
City/State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not induded)
Phone: (503) 695 -3417 Fax: : (503) 698 -2486 Pump or irsigntiou circle - 53.40 2
Sign or outline lighting 53.40 2
E - mail: johanseneled@msn.com Signal circuit(s) or limited-
etlergypanel, alteration, or
Business name: Johansen Electric Inc.
extension. Describe: Page 2 2
Address: 10945 SE Valley View Terr. Each additional inapectiao over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Clackamas, OR 97015 Investigation per hour (1 Sr min) 6250
Phone: (503) 698-3417 Fax: (503) 698-2486 industrial .lint per lour ' 73.75
•
CCB Lie.: 51539 Electrical Li 3-243 S . .. . Lic.: 20535 Subtotal 426.60
Suprv. Electrician signature, required: r" r� t " >' Plan review 59',of
(2 permit fee)
Print name: State surcharge (846 of permit fee) • 34.13
A �' ! / /� Date: 6/13107 TOTAL PERMIT FEE 460.73 _
Authorized signature: ) �. : t om�/ �. , This permit spplisation expires If a pert la eat obtained stable 180
Print name: / ;' . i- J a /mow! - Date: 6/ 13/07 • Fee methodology T Building Industry Service Bout
se- Number of inspections per permit elbowed.
ismuildi preemsAue GPc,mleappaoo 12103 445.46l5T(io+02/COMIwm
a • d Xd3 13C2I3SEJ1 dH Wd T S : T L002 E T unC
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00403
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611412007
Phone: (503) 639- 4171u'N41iNlalf�lt
Inspection Requests (24 Hrs.): (503) 639 -4175 ' `__..
1
INSPECTION WORKSHEET FOR DATE: 11/14/2007 TIME: 7 :02AM PAGE: 48
SITE ADDRESS: 07216 SW DURHAM RD 200P CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS ,S CENTER LOT #: TYPE OF USE:
PROJECT NAME: 1ELLPARTNER
DESCRIPTION: TI - (2) service panels and (40) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-690-3417
Inspection Request Scheduled For: Date: 11/14/2007 Pour Time:
Code # Inspection Description Conf rim • Contact # Message
19.E Electrical final 059590 -01 503969 -5717 N
-)0 1 - 1S3y
Corrections /Comments /Instructions: �___,
i AL ? iN A CitAl 5 •
m pi 1408.'-1 1.A4 Z7 (L'a osR
(1) BtAtiVs cow_ Lik ,
N.
. 1\tNi
d \
,PASS ❑ PARTIAL APPROVAL n CANCEL '❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 3- I v f s e ) Date: 1i ! L (/) Phone #: (503) 718 - 1-11
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00403
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639- 41714pi "
Inspection Requests (24 Hrs.): (503) 639 -4175 � ' I
INSPECTION WORKSHEET FOR DATE: 6/15/2007 TIME: 7 :02AM PAGE: 10
SITE ADDRESS: 07216 SW DURHAM RD 200 P CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: WELLPARTNER
DESCRIPTION: TI - (2) service panels and (40) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 6115/2007 Pour Time:
Code # I spectror Confirm # Contact # Message
125 Wall cover 050319-01 503- 209 -3917 N
Corrections /Comments/ Instructions:
PASS n PARTIAL APPROVAL I CANCEL I I NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: (al Date: Phone #: (503) 718 -