Permit ti
C ITY OF ,TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00018
DEVELOPMENT SERVICES DATE ISSUED: 1/10/2006
4116i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2$112DD -00701
SITE ADDRESS: 15854 SW UPPER BOONES FERRY RD BLD.0 ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK II LOT : JURISDICTION: TIG
Project Description: T.I. (1) branch circuit.
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: 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 #: LIC 51539
[ELPRMT] ELC Permit 1/10/2006 $46.85 SUP 20535
[TAX] 8% State Surcharge 1/10/2006 $3.75 ELE 3 -243C
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 By: Permittee Signature: c
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.
From: Charlynn Leifsen 503 - 698 -2486 To. City of Tigard Date: 1/10/2006 Time: 2:34:08 PM Page 2 of 3
"d-
Electrical Permit AppliCatin \\S,® I•(1i OIFI( 1. I .I: 1)\1
City of Tigard S' C Received -
13125 SW Hall Blvd., Tigard, OR 9 3 06 Da<eB ' ' --'"1 Permi No. L . o O ► OQ Q /
`�O Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 V i ^` A °
1:t �'yt�` I '• DateB : Other Permit:
Inspection Line: 503.639.4175 �' : =ANL - 1 � � Date Ready/By. 15111 fa Sex Page 2 for
Internet: www.ci.tigard.or.us 11611 •N Notified /Method: Supplemental Information
i . x . It l' ;4 'hat .T._7.. Y - -yU"� '� `-7^ 6R .. +- L}j ' i r" l ;r y :, - :.L-irif . ..u . „..,_ y L"" i, „, u r ... f ... (y -{ ,. .t• v
e` �. i. f i _.iii; v , A 1 4, 1.. t1 .._ ix _, :'?auid r r � :..V,N 6 • :3.r &._ f '«Utiltiiii:,:. a ' - , S .._ : ..:t.�i � . ' ? _: , it . t r rt tt•
❑ New construction ® Addi il. •)tl teration/replacement Please check all that apply:
❑ Demolition El Other: ❑Service over 225 amps, comm'I ['Hazardous location
r , ,. ti ti , � ti „ �� { r 1 ['Service over 320 amps - rating ['Bulldog over 10,000 sq. ft,
i • C - - 4 ' =. ,5:5 xa!' > ?W..( ,.. ;r 4.. :.., > ::Zai_>,k-'; . ,\. '• „ t +. ly. k . 1� , , , ..r t of l- 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 ❑Feeders, 400 amps or more
❑ Multi family 0 Master builder 0 Other:
❑Occupant load over 99 ons ❑Manufactured structures or
.'2/C- 1` r r"p' i i'I !Pr,. - 1 iq i'3' j�3t .,5.. ra a `'1h y , t j P
x 3.1 W i' ti` r' t i ..
, , if Il ._ -rrtn! �: t a - . l i , 7 , 1 d f l ai r ? , i 1 - ❑E t tm plan RV park
x .'31. , .�{..c_�4�r ..._ �: u3 .a ,.s : ws x 1 - e..irs:.i ', ?-'-� a aS .�. :.- ..,.r._. , �.' : .aa.: t::!5 8� Sh g P
Job no.: Job site address: 15854 SW Upper Boones ❑Health-care facility ❑Other:
Submit „3„ sets of plans with any of the above.
City/State/ZIP: The above are not applicable to temporary construction service.
Suite bldg. /apt. no.: Project name h `':}. ` : : f', ,{ i t.:3
C ( I Description Qty. Fm Twat ••
Cross street/directions to job site: °� l lJ t -� New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, Hatt - residential 75.00 2
f ief ef 3 ie:Zk - µ' "... ,ens e r,. t ,+I a . rit 1 -rz- --rr I r, fi IGSiKt. : ":.y
kiiiii....1 -:?f ,. !^ �..: , ..,n".1t a ' y . i_... .;44,4;..5 !.t <e�1v II'iidg Sip tgli tc', I , -kf'2 .: PA'`, Each manufactured or modular
TI dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
i� ft, 200 amps or less 80.30 2
'r ! ;, i 6 � 1 11 � ..`� i; fi iaiim;: " ! ;;;_ .' i r ' j!xl '` (I r l 1�. •v " -.: 201 amps to 400 amps 106.85 2
_. lO.. - . Ir. i.- ..,.i� ,. 4 ., r.. r . ._ .:�_-.._t . .d 1 t .. ,.r,,� �, xc:5... �. ... Fad .. 1 401 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
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 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
WZ p nc.y. �.° . S �
1 _ , �g. a,t
! iR I G 1 .{ ir4i c %• ; ; ( . �Ier ii f --t .s3 , f rn P -c�. A. Fee for branch circuits with
:i :- _...-o:.: • 2.;.., _._ . .......:r .v- a1x :',,r ..1 ::, th F.e, ,.i�..6 - ,. ::: :a.a> 4.u:- 'tt.` -)kr- .�
- ` service or feeder fee, each 6.65 2
Business name: Johansen Electric Inc. branch circuit
no Leifsen B. Fee for branch circuits
Contact name: Chsrl
Y without service or feeder fee,
each branch circuit 1 46.85 46.85 2
Address: 10948 SE Valley View Terr. Each add'I branch circuit 6.65 2
City/ State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (503) 698 -3417 Fax: : (503) 698 -2486 Sign or outline lighting 53.40 2
E -mail: johansenelect@msn.com Signal circuit(s) or limited -
" .. p, :k X , :Ffi Rna.Ir. ,. .U..1° S d.. �� F70. C 1, r? i _. `?-0 •,...Git„ . l!l'l -. ] i energy panel alteration of
extension. Describe: Page 2 2
Business name: Johansen Electric Inc.
Address: 10948 SE Valley View Terr. Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Clackamas, OR 97015 Investigation per hour (I br min) 62.50
Phone: (503) 698 -3417 Fax: (503) 698 -2486 Industrial plant per hour 73.75
CCB Lic.: 51539 Electrical Lic.• 3 -243 S • . Lic.: 2053S Subtotal 46.85
Suprv. Electrician signature, required: � ro, f^ � � Plan review (25% of permit fee)
/! / '
Date: 1/10/06
State surcharge (8% of permit fee) . 3.75
/ TOTAL PERMIT FEE 50.60
Authorized signature: /. . , ....• ter /� : Tbis permit application expires if a permit is not obtained within 180
ffIM days after it has been accepted as complete
Date: 1/10/06 a Fee methodology set by Tri -County Building Industry Service Board
" Number of inspections per moth allowed
, teuildie3 ermit :t.C- PermiLApp doe 12/03 4 0.441ST(1a/D2/COM/wae
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL C2006 00010
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/100()M
Phone: (503) 639 -4171 121111411i
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 10/` 00G TIME: 7 PAGE: 67
N
SITE ADDRESS: 150EA SW UPPER BOONES FE `, RD BI.D.t: CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II \ LOT #: TYPE OF USE:
PROJECT NAME: (2) COOL
DESCRIPTION: T.I. (1) branch circuit. This space curra'tJy being ustA foi siorage only
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-69B-34
Inspection Request Scheduled For: Date: 2/1 ',08t; Pour Time:
Code # pection : ; ription Confirm # Contact # Message
1v�3 ElecliicaI final 0266113 -01 603 - 704 -1534 N
Correctio - ' a. ents /Instructions:
•
1
PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G. ®e Date: 41A10___Phone #: (503) 718 -2� 'I'