Permit •
CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00565
COMMUNITY DEVELOPMENT
DATE ISSUED: 8/13/2007
TIGARD
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DD-00701
SITE ADDRESS: 15846 SW UPPER BOONES FERRY RD BLD.0 ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK II LOT : JURISDICTION: TIG
PROJECT: COUGAR MTN. BAKING
Project Description: TI - (3) 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 W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS 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 8/13/2007 $60.15 LIC 51539
[TAX] 8% State Surcharge 8/13/2007 $4.81 SUP 2053S
Total $64.96 REQUIRED ITEMS AND REPORTS
•
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180'days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
. ,
Issue. =y: ni /, �� i I • / Permittee Signature: C , 1 lr14 . l to- 1
OWNER INSTALLATION ONLY
The installation being made on property I own which is not intended for sale, lease. or rent.
OWNER'S SIGNATURE: DATE: -
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
E"rec'atical Permit A lice o , , , ; e , , , . II I I ; I ,1„ \
City of Tigard IV
� e$ m
F...0 •: _ zo - —i_. .G
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639,4171 Fax: 503,598.1960 AUG 1 3 " ' ' ' i p re an Review
ant
Inspection Line: 503.639.4175 _� J. .II' Dam D„m
Internet: www.ei.tigard.or.us CITY OF CI r a "''` : 8a Sae em 2 hu
• 77C� _ pldoasrsbel sers.uee
[] New construction ® Additom/aheration/replacemeent Please check all that apply.
❑
❑ Deanolidon ❑ Other: 0 Service over 225 amps, comen'I Herardoan location
: toe over amps rating over 10,000
- .• ........ ' _ , ... • 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 army=
❑ Multi family ❑ Master budder ❑ Other: ❑Hltilding over three stories []Foodos, 400 amps or more
s tructures
_ .... .....:...._ ..,., :. „ , persons Or
am load over
❑Egress/Iigbting plan
RV park
Job no.: Job site address: 15846 SW Upper Boones ❑H'-00r` facility 1:10"1°`
Submit nets of plans with any of the above.
City/State/ ZIP: The above are not applicable to temporary construction service.
Su 1:2 . no.: 11.11 Project name: Cougar Mountain
Datrlodr' alb.. It& Teal ..
Cross et/directions to job site: New rexldeatial single- or multi-family dwelling nett
includes 'niched garage.
1,000 sq. R or less 145.15 4
Subdivision: Lot no.: Ea, add'I 500: sq. ft or portion 33.40 1
Tax map/parcel no.: Limited taaBy, residential 75.00 2
, Limited energy, non-residential 75.00 2
Tenant Improvement dwelling, serviceand/or Rader 90.90 2
service, or feeders lustallalion, alteration, and/or relocation
200 amps or less 80.30 2
gas 106.85 2
401 amps to 600 amps 160.60 2
Nye 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 iest lllatioi, elteraloe, and/or
•
Phone: ( ) Fax: ( ) relocation
Owner installation: 'Ibis installation is being made on property that I own which is not 401 amps to 4 200 amps or less s 0 .30 2
.70 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 41000 a 1303 amps amps 133.75 2
Owner signature: Date Branch circuits — new, alteration, or extension, per panel
. A. Fee for branch circuits with
service or feeder fee, each
Business name: Johansen Electric Inc. branch c at 6.65 2
Contact name: Charlyan LeHsea B. Fcc for circuits
without service or feeder fee, 1 46.85 46.85 2
Address: 109418 SE Valley View Terr. each branch circuit
Each add'' branch circuit 2 6.65 13.30 2
City /State/ZIP: Clackamas, OR 97015 Misedlaueo i (service or feeder cot included)
Phone: (503) 698.3417 Fax: : (503) 698 -2486 Pomp or irrigation circle 53.40 2
E -mail: jobanseateleet®rnso.eom Sign or irc ine lighting 53.40 2
Signal circuit(s) or limited-
_ •, • _ ' " " . _ , . • _.. energy panel, idteration, or
Business name Johansen Electric Inc.
extension. Describe: Page 2 2
Address: 10948 SE Valley View Terr. Each addlgogal Inspection a over allowable In any of the above
Per inspection: 62.50
City /State/ZIP: Clackamas, OR 97015 Investigation OCT hOUr (1 >a min ' 62.50
Phone: (563) 69S -3417 Foot: (503) 698-2486 Industrial plarhn per hour 73.75
CCB Lic.: 51539 Electrical Lie.' 3 -243 S •rv. Lie.: 2053S Subtotal 60.15
Su Electrician r r� e i� Plan review (25 %ofpennitfee)
prv. sigrsaturq required:
Print name:
State surcharge (8% ofpe permit fee). ee).
� ' - � l ! / / Date: 8/9/07 4.81
r TOTAL PERhifr FEE 64.96
Authorized signature: f ! Mfr permit application expires Ifs permit Is sot obtained tutees 160
Print name: / days lifter It ha been accepted es respire'
,..1 „ 6 . : Date: 8/9/07 • Fee methodology set by 7ri-Comty Building le my Smite Board
i.lalladieq{taereltsl deli 1203 •, Number ors permit allowed.
440461 ST(10/03/0011 Vr®
T . d Xdd 13C213SEl1 dH WIJ6E : 6 L002 E T 2n171
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00565
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/13/2007
Phone: (503) 639 -4171 lilt'
Inspection Requests (24 Hrs.): (503) 639 -4175 s'� '
INSPECTION WORKSHEET FOR DATE: 9/14/2007 TIME: 7:00AM PAGE: 2f
SITE ADDRESS: 15846 SW UPPER BOONES FERRY RD BLD.0 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: COUGAR MOUNTAIN BAKING
DESCRIPTION: TI - (3) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698 -3417
Inspection Request Scheduled For: Date: 9/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 055734 -01 503 - 209 -3917 Y
Corrections /Comments /Instructions: SK (' `210Q.
- f N N&. P p i NI ? m\ra_ . 6 ct\ O VL.k .
\\-\:\\
Wi \
V
PA `S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ► Kii;)4 Li Date: a( Pi( 'J Phone #: (503) 718 - i'14I0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00565
1312: SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/13/2007
Phone: (503), 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 AA :Mt
t..
INSPECTION WORKSHEET FOR DATE: 9/12/2007 TIME: 7:01AM PAGE: 4
SITE ADDRESS: 15846 SW UPPER BOONES FERRY RD BLD.0 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: COUGAR MOUNTAIN BAKING
DESCRIPTION: TI - (3) branc:h circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 6983417
Inspection Request Scheduled For: Date: 9112/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 055591 -01 503 - 209.3917 N
Corrections /Comments /Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: e HIV 7 Date: 74 1 -7 Phone #: (503) 718-