Permit 4 CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00193
r DEVELOPMENT SERVICES DATE ISSUED: 4/12/2006
r� ��I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112DD -00701
SITE ADDRESS: 15800 SW UPPER BOONES FERRY RD A -400 ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK II LOT : JURISDICTION: TIG
Project Description: 2 - 200 amp services.
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: 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
[TAX] 8% State Surcharge 4/12/2006 $12.85 LIC 51539
CITY OF TIGARD MENU 4/12/2006 $160.60 SUP 2053S
Total $173.45 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: � , � , Art Permittee Signature: rr . &;
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.
Apr 10 2006 2:37PM Johansen Electric Inc. 503 - 698 -2486 p -1
E lectrical Permit A , L1lt': S , ; i , . ;• • '44 i 1)1: ( I I I 1 ( 1 1 1 I (\ 1 )
City of Tigard WillUlara 6 =6 Perish '_i_ _ ,", -
13125 SW HaU Bhd., Tigard, OR 97223 Ober per
Phone: 503.639.4171 Fax: 503.598.1960 A pR 1 0 . .— ! � , I� Y e Page 1
Inspection Line 503.639.4175 I� ?00 N � f' g tar
Interne►: wrwar.ci. .or.us or.ns
- '.1:Pr r"Pr. .;,.,. Mesedieck all that apply:
111 New oonstructioa '= • - ❑Service ova 223 amps, cannel ❑ Haaadous location
❑ Demolition ❑ Other: ❑Service over 320 amps — rating ❑Sunda& over 10,000 sq. ft.,
• - .- -:...
. - otl - and
dwellings
- . g ❑Syemm aver 600 volts nominal wits to one structure ❑ 1- and 2 - family dwelling ®ta 4 or more new residential
Commercial/industrial ❑Accessary building ❑B over three nodes ❑Feeders, 400 as s or more
❑ Multi family ❑ Master builder ❑ Other: [Occupant load over 99 persons ❑Matitik4t strunnera or
p� RV park
❑Other.
Job no.: Job site address: 15800 SW Upper Boones of phew with any oleo above. sets
City/State/ZIP: The above aro not applicable to temporary mastructicm service.
SuitrJbldgJapt. no.: 400 Project name: S - rvlce S e a p '1 ne ,,, k e eq. w` rtirar
Cross street/directions to job site: New reaideetial sale- or malt► -family dwelling unit.
Includes attached garage.
1,000 aq. fl. or less 145.15 4
Lot no.: Ea add'I S00 R. it. or Pardon 33.40 1
Subdivision: Limited may residential 75.00 2
Tax map/parcel no.: Limited energy►, non 75.00 2 • -
- ' F.ech taamkf�rned or modular
- dwelling, service and/or tinder 90.90. 2
Service work Swiss or tads ImAailadon, alteration, and/or relocation
• 200 amps or leas 2 80.30 160.60 2
2A] esups to 400 exnps
- ..
106.85 2
'P .. ..
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 sums 240.60 2
Over 1,000 amps or volts 454.65 2
Address Reconnect O nly 66.85 2 ,
City/State/ZIP: Temporary services or feeders Instillation, alteration, and/or
relocation
Phone: ( )
Fax: ( ) 200 amps less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 1 2
intended for sale, lease, rant, or eatchange, according to ORS 447, 449, 670, and 701 401 amps m 600 amps 133.75 2
Owner signature: Date: Branch dreudb —new, alteration, or extension, f pane -
A. Foe for branch circuits with
feeder fee, each 6.6
aetvioa or 5 2
Business name Johansen Electric Ise. bfaO1ch cif .
• B. Fee for branch circuits
Contact frame: Char lynn Lenten without service or Rader fee. • 46.85 2
each ter mch drernit
Address: 10948 SE Valley View Terr. Each add'► branch circuit 6.65 2
City/State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not mended)
Pump or brigade% circle - 53.40 i 2
Phone: (503) 698-3417 Fax:: (503) 698-2486 Sign or outline lighting 53.40 2
E-mail: jobansenelesbalman.eons Signal circuit(s)
2
Page 2
extension. Describe: 1 Business name: Johansen Electric Inc. Rath additkmal topeedoe over allowable to any of tbe above
Address: 10948 SE Valley View Tern- Per Inapecion 62.50
City /State/ZIP: Clackamas, OR 97015 Investigation per hour (1 ter mm) 62.50
I teat per hour 73.7S •
Phone: (503) 698 - 3417
Fax (503) 698 -2486
CCB Lic.: 51539 - - - • , . Lie,: 20535 Stdrootd 160.6
�/ f/' i r.. Plan eevIevr (25%olpermit fie)
Suprv. Electrician signature, required: / State wine (896 of permit ). 12.85
Print name: g ' , / J: / / r Namur 4/10/06 - TOTAL Namu 173.45
Authorized signature: .. /� '� permit aportoete w empires If a puma te ateA. tea
/ ",I, days alter it hat bees accepted as complete
Print name: Date: 4/10/06 • F03 ' 1 b' Tti'Ommd' mdatry vice shard
/ / iw� • • Dumber of inspections per permit allawnd.
r,16w1 trier estmstentou c.c4t4WEe
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00193
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/121200
Phone: (503) 639 -4171 o�� yt II
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_
INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 15000 SW UPPER 1300NES FERRY RD A -400 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: 2 -200 amp services.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -690 -3417
Inspection Request Scheduled For: Date: 4/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 I: — � •� .r .0 ,- ice 027940-01 503- 969.5262 N
Co - ions /Comme ions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e �� PJ VS Lk- Lk- Date: L1/1 310 Phone #: (503) 718- 2q4
I