Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10095
.�, i DEVELOPMENT SERVICES DATE ISSUED: 3/30/2006
'�I
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S113AB
SITE ADDRESS: 07324 SW DURHAM RD BLDG H ZONING: I -
SUBDIVISION: PACTRUST BUSINESS CENTER 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 WIO 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: Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 4/6/2006 $120.00 LIC 51539
[TAX] 8% State Surcharge 4/6/2006 $9.60 SUP 20535
Total $129.60 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: c5
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.
L
Mar 30 2006 8:48RM Johansen Electric Inc. 503 - 698 -2486 p.l
. Electrical Permit Application
1i City of Tigard „� 6
Tigard, OR 97223 ; ;
�� ��� '� me 3 — 3.0 L.. Pecmitx..: L 0� 00 pt/
13125 SW Hall Blvd.,
Phone: 503.639.4171 Fax: 503.598.1' v, Date/B Review 7,
Inspection Line: 503.639,4175 ;' Div: tldmrParmir.
Internet: www.tti.tigardor.us MAR c1 a
::: • • I\ cT Notified/Method: Inn
2 � �� •• I 81 See Page 2 for
.......... ,: , cites
rt ati�d/luerb • • � r /�
❑ New construction
® Additionhittetaciq ) et�len Please check all that apply. .
[3 Demolition 0 of .BUI VU�t�t ['Service over 22S
amps comm'1 ['Hazardous location
•
['Service o v e r 320 amps - r a t i n g ❑Buildng over 1 0,000 sq. f
❑ 1- and 2-family dwelling ® Commercial/indllslrial of I- and 2- family dwellings 4 or more new residential
[3 - and 2-family 0 Accessory building DSystem over 600 volts nominal units in one structure
Multi-family ❑ Master builder DBuilding over three stones
Other
� , _. Otx over persons M
css, 400 amps or mor
❑ upernt load 99 ❑ aauibcrmred structures o
❑Egress/lighting Plan RV park
Job no.: Job site address: 7324 SW Durham []Health -care facility 00ther: _
City/State/ZIP: Submit 2 sets of pleoss with any of the above.
The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: Performance Systems
Cross street/directions to job site: ¶! -------
°° Qty. t?« 'fetal
New residential single- or multi- family dwelling unit
lodudes attached garage.
1,000 sq. 8 or less 145.15
Subdivision: Lot no.: Ea add'] 500 8, 4
sq. portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non 75.00
Each memufactus d or modular
Ti dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps 2
or es 80 30
•
20! amps to 400 amps 106 85 2
Name: 4431 amps to 600 amps 160.60 2
Address: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65
2
City/State/ZIP: Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
or Owner installation: This installation is being made on property that I own which is not 200 amps to less 66.85 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 100.30 2 401 Owner signature: Brace circuits - signature: to 600 snips 133.75 2
new, alteration, or erteaslot, per panel
A. Fee for branch circuits witk
service or feeder fee, each
Business name: Johansen Electric Inc. branch circuit 6 2
Contact name: Cherlyran Leifsen B. Fee for branch circuits
without service or feeder fee,
Address: 14948 SE Valley View Ter-, each branch circuit 1 46.85 46.85 2
Each add 'I branch circuit 1 1 6.65 t 73.15 2
City /State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder sot included)
Phone: (503) 698-3417 Fmc:: (503) 698 -2486 Pump or irrigation circle . 53.40 2
E -mail: johansenalect@rttsn.com Sign or outline lighting 53.40 2
Signal circuit(s) or limited-
,' - ' ' - ' ' ' - ' '' ' ' ' -. ,.. _ energy pttncl, alteration, or
Business name: Johansen Electric Inc. extension. Describe: Page 2 2
Address: 10948 SE Valley View Tern. Each addltlomal Inspection over allowable in any of the above
Per
City/State/ZIP: Clackamas, OR 97015' 62.50 -
Investigation per hour (1 la min) 62.50
Phone: (503) 698 -3417 Fax: (503) 698 -2486 industrial plant per bow 73.75
CCB Lic.: 51539 Electrical Lic.• 3 -243 S Lie.: 2053S
Suprv. Electrician signature, required: AK 1 P /�' s7�� subtotal _ 120.00
Plan review (25% of permit fee)
n 1/.! /_/ 1 Date: 3/30/06 State surcharge (8%of permit foe)• 9.60
Authorized signature: f ��” TOTAL PERMIT 129.60
/ " • ' i� � penult application expires it a perish is tot obtained wltltin 188
Print name: / '. . 4.0 �� • f -,, Data 3/30/06 • Foe methodoloy set by Tri�nttaccepted s h
i:lauilm� rcmienpp don 12/03 • Number of inspections per permit allowed. 8 Industry Service Board
44046 l3T(te1O2JCOM/wEB
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -10096
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/30/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/2&2006 TIME: 7:03AM PAGE: 44
SITE ADDRESS: 07324 SW DURHAM RD BLDG H CLASS OF WORK:
SUBDIVISION: PAC•TRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: PERFORIvtA14CE SYSTEMS
DESCRIPTION: (12) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 5O3- 608 -3417
Inspection Request Scheduled For: Date: 4/2&2006 Po r Time:
Code # Inspection Description Confirm # Contact # Me. sage
194 Electrical final 028730 -01 503 - 969.6262 �I
Corrections/Comments/Instructions:
1 PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
I FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: CZ-S Y VB L. Date: 4J 2 $ Phone #: (503) 718 -2
CITY ����������%����
-- ' ' ' -- ' - ' --- ---
BUILDING DIVISION PERMIT #: BC2006-1009
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/302080
Phone: (503) 639-4171
Inspection Requests (24Hmj:(508)G3A'4175 *i 1
INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: 7:02AM PAGE: F.36
SITE ADDRESS: 07324 SW DURHAM R[} BLDG M CLASS OF WORK:
SUBDIVISION: PA{TRUSTBUS|NESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: PERFORMANCE SYSTEMS
DESCRIPTION: (12) branch circuits.
OWNER: PACIFIC REALTY A5SX]C1ATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 4/2112006 Pour Time:
Inspection Description Confirm # Contact # Message
Ceiling cover 028428'01 503-969-6262
Corrections/Comments/Instructions:
•
ZASS _
PARTIAL APPROVAL �� �� CANCEL NO ACCESS
l
I FAIL 1 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: V I rk �� 14 � � iff ‘ N) Phone #: (503) 718-
CITY OF TIGARD ...� CZL �/
BUILDING DIVISION PERMIT #: �° `' 00 9S
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 14 , 4 114.10 ..
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7 3 Z'/ DlA.. /A G� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: V R PHONE #: 6 -5 L
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
/�C J e
/, 0 4 ,.
-
o '• = or ments /Instructions:
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- N o eN E 6N 6 /161 I
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0 6`P t■► P ettVi N6 P &
4...9 F kL■....
a ■\ v 6 c‘ biliUk
4 Q R la ) tt-7\) j ______d,
1 7kASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: c31\ N Date: 3 31 Vk• Phone #: (503) 718- 241146 .