Permit CITY OF TIGARD ELECTRICAL PERMIT
!PI COMMUNITY DEVELOPMENT Permit #: ELC2013 -00151
Date Issued: 03/06/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 365
Project: Future Electronics Subdivision: 1996 -048 PARTITION PLAT Lot: 2
Project Description: (10) branch circuits for TI
Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES
10948 SE VALLEY VIEW TERR ATTN: N PIVEN
HAPPY VALLEY, OR 97086 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 698 -3417
PHONE:
FAX: 503 - 698 -2486
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo /Purchase 03/06/2013 $122.96
Specifics: Service or Feeder
1 ea 12% State Surcharge - 03/06/2013 $14.76
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $137.72
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 01 -0 9 Y u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: OA/ /9- PPL!e`
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Electrical Permit ADplicatio EIVED ,.< Hz o rif l: I tit.. ONLY
City of Tigard Dat dR i' f .� %IP, permit No /4' _,,,045,
al 13(25 SW Hall Blvd., Tigard, OR 972 %iJ AR 5 2013 Plan Review
other perm it
= Phone: 503.039.4171 Fax: 503.59}!.1 Dnte/12 : / /3 �t73�
f) Inspection Line; 503,639.4175 Data Roady/Ity' 6 See Page 2 far
Internet; www,tigard- or.gov CITY OF TIGARD Notiaed/Method: IM supplemental Information
7 :.,. : :": , •....... , 1 lease the k r feeder t hat apply
® Addition/alteration/replacement
pply (submit j sots td'plana w /inane ;baked below):
❑ New construction
Demolition Other: wh 1C the available their current 0 Building over Marinas and boatyards.
d srica,
❑ ❑ ere ❑ Mstvnalyadv.
'''� :. , -''`'' %•, :•' ` 'i exceeds 10,000 amps at ISO volts or 0 Floating buildings.
'' � lass TO ground, or exceeds 14,000 ❑ COmmntainl -uses agricultural
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations, buildings.
❑ Multi- family ❑ Master builder ❑ Other; ❑ Fire pump. 0 Installation of 75 ISVA or
:w y . A , /,'. ,;: O rrtcrgoncy system. larger unseemly derived systen.
r: e .. .. Addition of new motor load of 0"A", "IL", ..1.2 °, . ",
._..... .. .''.�''Bl�t;$ : :�id'!,`�ttpi<. "�,Y�;�kt ?N
:'• _ ., ... •:::. to O
Job no.: I Job Site dddre98: 6650 SW Redwood, ) 100H , or more, et:mumey.
6; ❑ Six ur mere reeiduntiel unite, ❑ Recreational vehicle parks.
City /State/ZIP: / ❑ Health-care facilities. ❑ Supply volmge for mom than
❑ hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: Future Electronics ['Service or ibeder 600 arms or mare,
job site: ' assert ue� ry''' +// ' :
Cross street/directions to
p .. ... .. • 1 QV. t� vet I .' Total �
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision; I Lot no,. _ 1.000 sq. ft. or loss 168.54 4
Tax map /parcel no.: Es. add'I 500 sq. R, or portion 33.92 1
_ Limited an orgy, residential 75,00 2
'' (with above sq. R.)
Limited energy, multi- family 75.00 2
Tenant Improvement residential (with above sq, ft,)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
4.' :w ; . 201 amps to 400 amps 133,56 2
401 amps to 600 amps 200:34 2
Names 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Ci /Statc/ZIP. Temporary services or feeders Installation, alteration, and/o
tY relocation
Phone: ( ) 1 Fax; ( ) - 200 amps or lass 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps I65.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 7(11.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date; A. loo for branch circuits with
7'....,''.',..' ,'' :. f above service o feeder fee 7
r ;` a.. , : . .42 2
. ..... . ., : :ltlPl<!�W+Ch1V`�y� •, '
� .- � . � ., •' :�, • '� �CU hrc��" . .� . . :
�� , i .� :� .. ':�'' each brunch mean
Business name: B. Fee for branch uirvuit% wuhnsrr
Johansenl Electr service or feeder feo,firet
Coniactmm�e: Charlynn Lei:EBen branch circuit s6.ls (ptf$ 2
.. --- Each add'I branch circuit R 7.42 6ger ,Iii. I 2
Address: 10 94 8 SE Valley View Terr Miscellaneous (service or feeder not included)
Ci /State/ZI P; Happy y OR 9 7 0 8 6 Each ntanufr a us d/ modular
ty Ha Valley, e dwa,sn , =yoke mxd/ur feeder 67.64 2
Phone :(503) 698 -3417 Fax:: 698 -2486 Reconnect only 67.84 2
Pump or irriguticat circle 67.84 2
E
Sign or outline lighting 67.84 2
. , ,., :, .
..,..... ... . , •, , #1'P1'1�A'6��'�`t + : }'�'`; :•;.; :c•� ' :" r' r . , :,. signet ctircvit(K)or limited-energy l
Business name; Johansen Electric E ald,alteration,orextension, 1 I Paget 2
Each additional inspection over allowable In any of the abov
Address: 10948 SE Valley View Terr Additional inspection (1 hr min) 66.25/ hr
I
City /State/ZIP: Happy Valley, OR 97086 ntBaGon (l hr min) 78. 8/ hr
_ industrial plant (1 hr min) 78.118/ hr
Phone; (5 0 3) 698-34) 7 I Fux. (5 0 3) 6 9 8 — 24 8 6 lnapcationa for which no fw is 90.00 hr
' / ! spaeiPca1 y listed '/s hr min
y(1�/ CCB Lis : 515 3 9 I Electrical Lic.. 3 — 2 4 3 C ~/ uprv, Lie Z 0535 . . « •! , iRtirel eXt :) 1541 ;VSE4 ",
UUUVVV Suprv. Electrician signature. required:
/> c• Su: � /76 j
( Plan review (25% of permit it fee)
Print name; Carl J n s en D 3 / 4 / 13 State surcharge (12% of permit fee): / y, 74
Authorized signature: This PERMIT FEE: 137.72.
This permit application expires Ifs permit is not obtained within 180
Print name: Char 1 n Leif f s en Date; 3 4 13 days alter a far bear mu:opted as complete.
P
Yn / / • Number of inspections allowed per permit,
I: uluildiagtPonniu1P .LC_PormitApp.dno 07/01/10 440.4613'I'(1ln5&7lt4/WRs
9 /T - 3DVd 986Z869COS 986Z869CO9 Z03Z3 MHSMVHO2 Yid LZ :90 CTOZ'Ii0' -Ew
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6650 SW REDWOOD LN 365, TIGARD, OR,
97224
Commercial - Electrical
199 Electrical final
04/23/2013 00:00
ELC2013-00151
PASS - No C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6650 SW REDWOOD LN 365, TIGARD, OR,
97224
Commercial - Electrical
130 Ceiling cover
03/25/2013 00:00
ELC2013-00151
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6650 SW REDWOOD LN 365, TIGARD, OR,
97224
Commercial - Electrical
130 Ceiling cover
03/25/2013 00:00
ELC2013-00151
PASS
Violation Summary:
Inspector Contractor