Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00377
�I�`� DEVELOPMENT SERVICES DATE ISSUED: 7/11/2006
- ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 113AC -00103
SITE ADDRESS: 07244 SW DURHAM RD M900 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: 1 branch circuit. (charger receptacle)
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/ SVCI 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: J 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 7/11/2006 $46.85 LIC 51539
[TAX] 8% State Surcharge 7/11/2006 $3.75 SUP 20535
Total $50.60 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 B
Issued By: Permittee Signature: a �L9=�
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.
1 .Elect1 ical Permit Apulic CEIV ED 1-(m ( )I I I( I 'I 0\1 N
13125 w SW B ad Tigard, OR 97223 JUL 1 0 2 7 11 0( ) Parma N. _ q", —, off 77
Plan
Phone: 503.639.4171 FM: 503.598.1960 ` ' • �' I > wa Other Permit:
•
Inspection Line: 503.639.4175 CITY OF TI } -_.. Date ReadyB i y: • to See Page 2 ter
Internet: www.c i.tigard.or.us BUILDING D Notified/Method: _ Supplemental Inf rmafiea
❑ New construction ® Addition /al terationfreplacement please check all that apply:
❑ Demolition ❑ Other: ❑Service over 225 amps, oomm'l ['Hazardous location
. ['Service over 320 amps – rating ❑ Buildng over 10,000 sq. ft,
' of 1- and 2 -family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Building over three stories ❑Feeder', 400 amps or more
❑ Mind- family 1:1 Master builder CI Other:
❑Occupant load over 99 persons ❑Manufactured structures or
DEVCSSAighting plan RV park
Job no.: fob site address: 7244 SW Durham Rd., 900 ❑xeahll -care facility ['Other:
Submit j sets of plans with my of the above.
City/ State /ZIP: The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: 900 Project name: Forms PIUS
De e,(vtim Qtr. terra. Tuna ..
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: Lot no Ea edd'l 500 sq. ft or portion 33.40 l
Fax map /parcel no.: Limited energy, residential 75.04 2
Limited energy, non -residential 75.00 2
Each manufactured or modular
charger receptacle dwelling, service and/or f eder 90.90 2
Services or feeders instaUatlo , alteration, and/or relocation
200 amps or less 80.30 2
201 amps to 400 amps 106.85 2
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
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: relocation
( ) Fax: ( ) 200 amps or less 66.85 1
Owner Installation: This installation is being made on property that 1 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 evtenaion, per
Panel
A. Fee for branch circuits wilk
Business name: Johansen Electric In service or feeder fee, each 6.65 2
s
branch circuit
B. Fee for branch circuits
Contact name: Charlynn Lelfsea without service or feeder tee,
each branch circuit 1 46.85 46.85 2
Address: 10948 SE Valley View Terr.
Each midi branch circuit 6.65 2
City/State/ZIP: Clackamas, OR 97015 Misedlaaeons (service or feeder not included)
Phone: (503) 698 - 3417 Fax: : (503) 698 -2486 Pump or irrigation circle 53.40 2
Sign or outline lighting 5340 2
E-mail: oharsenelect®msa.com 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 ogre above
Per inspection 62.50
City/State/ZIP: Clackamas, OR 97015 Investigation per hour (1 hr min) 62.50
Phone: (503) 698 - 3417 Fax: (503) 698 -2486 Industrial plant per hour 73.75
CC'S Lin.: 51539 Electrical Lie. , req 3.243 S •rv. Lice: 2053S Subtotal 46.85
Suprv. Electrician si re rr♦ �� ��
gn Plan review (25% of permit fee)
Print name: i D 7/10/06 State surcharge (8% of permit tee). 3.75
lI • /` • /, i /� TOTAL P FEZ 50.60
Authorized signature:
I % � Mb permit spoked.. mans if ■ parnk is not obtained witLie lice
Print name: days after it has bees eseepatd as ° mplete
l : _ � ,� .i:.. Date: 7/ 10/06 • Fee m��logy set by Tri -County Balding Industry service end
•s Number of inspeetions par permit tdlmMed
i iauiI 5n a mibkELC- ramitApp.daa 12103 410- 46ItT(101071COM/WEB
"w l' ?i k 7,i dy l Ft 1 0 0 /eze '
I 'd 913f:Z 1369 -EOS 'out oi...1'0ai3 uasueyoC Wd917:z 9002 O1 Inc
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00377
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 7/11/2006
Phone: (503) 639-4171 ', �1�-
Inspection Requests (24 Hrs.): (503) 639 -4175 "__..
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 0 :2Alva PAGE: 72
SITE ADDRESS: 07244 SW DURHAM RD M900 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: FORMS PLUS INC
DESCRIPTION: 1 branch circuit. (charger receptacle) 7/26106, adding (3) additional branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 7/25/2007 Pour Time:
Code # Inspection Description 7t6r firm # Contact # Message
199 Electrical final 052661..01 503- 704 -1534 N
Corrections /Comments/Instructions:
\)/■)
‘ )74L PASS PARTIAL APPROVAL I I CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C7 N W Date: I I I i al �? Phone #: (503) 718- 1-111I()
CITY OF TIGARD • •
BUILDING DIVISION PERMIT #: ELC2006 -00377
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2006
Phone: (503) 639 -4171 II�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,�,_, F'
7 f i `/ VOCE 7 f f »1 33
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 07244 `;'W DURHAM RD M900 CLASS OF WORK:
SUBDIVISION: PAOTR41ST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: FORMS PLUS INC
DESCRIPTION: _1 branch circuit, (charger receptacle)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.69 8-:3417
Inspection Request Scheduled For: Date: 7/12/2006 Pour Time:
o• . _ • Inspection Description Confirm # Contact # Message
Wall cover 032970 01 503$-69g 3417 N — Toy -
Corrections/Comments/Instructions:
,PASS I I PARTIAL APPROVAL CANCEL NO ACCESS
FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: '" 08 L Date: r 7 I/ t 6,6 Phone #: (503) 718- DM
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. .
CITY 6r�����U��������
��nn n OF nu�m�mx��� —
BUILDING DIVISION PERMIT #: EUC200G'00377
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: n1 loOm,
Phone: (503) 639-4171 mi Inspection Requests (24Hroj:(5U3)83Q'4175 a��� °
INSPECTION WORKSHEET FOR DATE: 712612006 TIME: /Oy� :,1 PAGE: 16
SITE ADDRESS: 07244 SW DURHAM RD M900 CLASS OF WORK:
SUBDIVISION: pAC[RUSTB0S|NESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: FORMS PLUS INC
DESCRIPTION: 1 branch circuit. (charger receptacle)
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.69113417
Inspection Request Scheduled For: Date: 7/26/2O06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 033783-01 503-698-3417 Y
'7
Corrections/Comments/Instructions: �~' �\
� �- \x�� \&\ ���� � � '
- r
. ' �`/ `�� � \ ��
| I PASS PARTIAL APPROVAL XCANCEL I I NO ACCESS
FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G 1\1 UiL� 112.6(01)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00377
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/11/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/10/2006 TIME: 7 -04AM PAGE: 8r)
SITE ADDRESS: 07244 SW DURHAM RD M900 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: FORMS PLUS INC
DESCRIPTION: 1 branch circuit. (charger receptacle) 7/26/06, adding (3) additional branch circuits. 96 _ s � 6-
Z
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698 -3417
Inspection Request Scheduled For: Date: 8/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Electrical final 03470E -01 603.698 -3417
Corrections /Comments /Instructions:
fr142- c 6iCtr8 e r c P u AI pc e l
E 1 , c o i-t 'Ls b C V C
th
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918 -271 -0030
oi
PASS PARTIAL APPROVAL I I CANCEL I I NO ACCESS
• AILALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector:
/ 6 7 4 /ticZA Date: Si 1 0 106 Phone #: (503) 718- ?AID