Permit CITY OF TIGARD ELECTRICAL PERMIT
1 , 1 111 1 q
s COMMUNITY DEVELOPMENT Permit #: ELC2013 -00246
T F G AR U) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/30/2013
Parcel: 2S112DB00300
Jurisdiction: Tigard
Site address: 7257 SW KABLE LN 100
Project: Trane Subdivision:"HERN PACIFIC TIGARD INDUSTRIAL I Lot: 5
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 SE 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 04/30/2013 $122.96
Specifics: Service or Feeder
1 ea 12% State Surcharge - 04/30/2013 $14.76
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $137.72
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OA 9 -001 -0 90. You ma / obttain ; copy ' a opy of the rules or direct questions to OUNC by calling 503.232.19887 1.800.332.2344. 4 � ,(
Issued By: D1'Le in Permittee Signature: DL Pf
/ P PlA ` ' ( 7 AO-
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
* )old b.' is - aiiks
Electrical Permit Application � •, , 2 9 2013 I e>k mil( 1 I , I et♦I 1
II
City of Tigard
vod �30 13 sf
13125 SW Hall Blvd., Tigard, OR 9722 OF MAR , ' ' Other Permit:
503.639.4171 Pax: 503.598
inspection tine: 507.639,4175 LDI DIVISI I 1 `A lteady/3y: Japrjr 63 See Page 2 rot
Internet: www,tigard or.gov No[ified/Mcd[od I ( Snpplea[ental Information
:' : • .31(Pk O>F ` ORK PL4J' REEW ;
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 1 sets of plans iv/items checked below):
❑ Service or fbeder 100 imps or mom ❑ flullding over three stories,
❑ Demolition Q Other:
where the available fault current 0 Marinas and boatyards.
' CA'FRGORY Qp CoN$r*vcnQN exceeds 10,000 amps at ISO volts or 0 Floating buildings.
• less to ground, or exceeds 14,000 ID Commercial use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial 0 Accessory building amps fur an other installations, buildings.
❑Multi- family ❑ Master builder 0 Other: Oi.ite pump. D Installation of 75 KVAoT
JOB' SITS INFORMATION AND LOCATION ' ❑ Entewge,ary .rys[am. larger separately derived system.
❑Additlmt of new motor load of ❑ -A" "r "1.2","1-1",
Job no.: Job site address: 7257 SW Kable, 100 I store. Ration.
❑ Six oP or mare midnnlal un1t4. ❑Recr vehicle parks.
City/State/ZI P: ❑ Health -cue facilities, D Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 100 1 Project name: Trane ❑ Servlco or feeder 600 amps or ro m.
Cross street/directions to Job site: , kycMa t � y
4s I Ow. I FN. I MOW 1 •
New residential single• or multi - family dwelling unit.
__ includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
— Es. add' 1 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
I7>'R1fP�N :�t!OillC.., (with shove sq. ft.)
Limited energy, multi- family 75.00 2
TX residential (with above sq. ft.)
_r____. Services or feeders installation alteration, and /or relocation
200 amps or less 100.70 2
11 201 amps to 400 amps 133.56 2
301 amps to 600 amps 200.34 2
Name:
.- . 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation, alte and/o
relocation
Phone: ( ) F ax: ( ) 200 amps or Icss 59.36 I
•
Owner Installation: This installation is being made on property that I own which is not 20l amps to 400 amps 125.08 2
401 amps to 599 amps 168,54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 • Branch circuits new, alteration, or extension, r panel
Owner signature: Date: A. Fee for branch cira ish dts w 1
•' �eg APP,GI(AT4T 1 -, Ii CONTACT 8R'�ON above service or Feeder fee, 7.42 2
each branch circuit
Business name: Johansen Electric B. Fee for branch circuits without
service or feeder fee, first
•
Contact name: Cha rlynn Le i f sen branch circuit I 56.18 (� 2
Each add'I branch circuit 7.42 (Q, �/ 2
Address: 10948 SE Valley View Terr Miscellaneous (service or feeder not induded)
City /State /ZIP: Happy Valley, 11 a OR 9 7 0 8 6 Gashmanufactured , ece or and/or modular 67.34 2
ppY Y , dwelling, service and/or teeekr
Phone: (503) 698 - 3417 Fax::(503) 698 Reconnect only 67.84 2
Pump or irrigation circle 67.34 2
E-mail: Sign ur outline lighting 67.84 2
CONT , ._ Signal circult(s) or limited - energy
Business name: Johansen Electric panel, alteration, or extension. Page 2 2
Each additional inspection over allowable In any of the shov
Address: 10948 SE Valley View Terr Additional inspection (I hr min) 66,25/ hr
City /State/ZIP: Happy Valley, OR 97086 investigation (I hr min) 66.25/ hr
industrial plant (1 hr min) 78.18/1g
Phone: (503) 698-3417 Fax: (5 0 3) 698-2486 Inspections for which no fee is 90.00/ hr
specifically listed ( hr min)
CCB Lic.: 51539 Electricalt.ic.: -243 Suprv.I.ic.: 20535 „_ . _• . ELal TR4CLL,YNnnot oleo
/�
�, (/ subtotal i2-7 , qto .
Sum. Electrician signature, req(gict !'ve, /1 Plan review (25% of permit fcc):
Print name' Carl antaen Date: 4/29/13 State surcharge (12% of permit Yee): 1 r 76
TOTAL PERMIT FEE: 13 ; "!')
Authorized signature' Thla permit applkadon expires If a penult is not obtained within ISO
Print name: Char_ nn Leif s en Date: 4/29/13 days after it has been accepted as complete.
Number of inspections allowed per permit.
I:I&iilainglPe mitslLLC•PonnitApp doe 07R11l10 440.461ST(1 I /OV/COM/WF6
Z / T • aDFla 9817Z869C0S 9817Z869C09 1DTZ2 MaSMVHOr Nd 6S:Z0 CTOZ•6Z'1dV
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
7257 SW KABLE LN 100, TIGARD, OR, 97224
Commercial - Electrical
105 Underground/slab cover
05/31/2013 00:00
ELC2013-00246
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
7257 SW KABLE LN 100, TIGARD, OR, 97224
Commercial - Electrical
125 Wall cover
05/01/2013 00:00
ELC2013-00246
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
7257 SW KABLE LN 100, TIGARD, OR, 97224
Commercial - Electrical
130 Ceiling cover
05/17/2013 00:00
ELC2013-00246
PASS
Violation Summary:
Inspector Contractor