The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT 12. '{ COMMUNITY DEVELOPMENT Permit#: ELC2017-00055 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/24/2017 T[c �� g Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: (4)branch circuits for second floor common area. Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES 16869 SW 65TH AVE, SUITE 311 ATTN: N PIVEN LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-747-2503 PHONE: FAX: 503-972-1861 FEES Quantity Description Date Amount 4 crt Branch Circuits wo/Purchase 01/24/2017 $78.44 Specifics: Service or Feeder 1 ea 12%State Surcharge- 01/24/2017 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 952-001-0090 •• - •btai• of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8000..333223',‹-r........, ,,,. 44. Issued By: - �,` ,�i.eF 4�Permittee Signature: �� , .2ter._.... �.,•,., 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. To: Page 6 of 7 E 0:33:35(GMT) 15039721861 From: Charlynn Leifsen Cf Electrical Permit Application FOR OFFICE USE ONLN' ! City of Tigard ,•iA\I 19 2017 l'—'ved P,mnt' t>atk��,�/ f I2 /_ !. .(. of,—os3T' : 'a 1312'5 SW Hall Blvd l igatd OR 97223 Plan Rectew Phone: 503 718.24 9 Fax 503:"s9 1' ) ' ' -' Related Permit Inspection Line: 503639 4175 ARD Ruadf •Date Fie trim ' 0 See Page 3 far 1 ::!...:.'`,:9.:1 ".j.-"!.1.:: Internet: www.tigard-ot.gov U N iVRSIO \otUtedM shod Su lenrentri lnforcnaelan T%3 OF t 1 J .' ;_ ILA' I ,V k Nr j 0 Nciv construction ®CSdditioil!alter ation/replacement 1 Please cheek all that appf}(suLnlit a sets of'piasn u items chaoked}: ' i _ ❑Service o feeder 400 amps or more. I]lIt siding over three e Steric.,. ❑Demolition 0 Other: where the available nigh crown ❑Mamas and boatyards. C to ". OR' (31 �;(r<"w �110`-C..ftO •:` � xceed5 In,000 slaps ri in volts or ❑i ioai ing buildings. ❑ 1-and 2-fdtaily dwelling ►�QonunerazUindustrkal ❑Ace,t,ssnr}building, lkss rti tsouna-or exceeds 19,0550 0 t..untmcrcial-useagricahu.ai Multi-familyamps forill other installations, irmidm�s. E 0 Master builder 0 Other I ❑i ire pump ❑Installation of 150 K VA or FI' JOR SI Ft Y:IFfi' iifATI j'ti 4\'VI'l L,t`1C41 i(?R 0 Cancrguney system. larger separately derived . []Aiidriion�,t;rk.v motor load of systern. 1 Joh r I Job site address:6650 SW Redwood Lane IOoilP or snore. �_. -.._.,_ occupancy. 1 City/State/ZIP: I ❑Sic-t)r sn rt residential units. j - _...-.. _.. . ❑Health-care facilities. ❑Recreational vehicle parks_ �v �`lL yy ^ �y p q Suite!bldg. alar.'4:Sand fir i Project name:Bldg 240 common area rem ; ©t'a'La:dous I eat ons ❑.Sllppl��o:fS5su fol 10010 than ' ❑service or feeler fi00 amps or more 000 volts nonunal. I Cross streeiidirwO ons to job site: _ p» Lk S(f1E11{ : { ! t7 vetintxnn 1-6,,..-1 Foch 1T r1,0 I . New residential single-or multi-family dwelling unit. Subdivision: T- ; f Includes attachedgarage. I 1 of r#: ____ .— --` j 1,000 sq.tt or less 108.54 Tax to ip/parcel 4: ld'I ti( ft nI _ 1 a.a se or portion 33 c2 i :7777ESC PF1 N iOF.1'ok f imiteden'r'5, residential 75.00 2 Common area remodel - _ tuuth abase sy.ti.) _ ._,. __ _ on 2 floor .__. -_.-_�_ _� nd � . I energy,multi-family � 75-00 ; 2 residential(with above ss<_It} � I Rertei'<able l;reeky : ❑ See Pa-r2 r...•!.4- _ -100 `!,3' O 'N..R, J..::. . .._ -ii;:.__ ___ _ 1.Services or feeders installation,alteration,and/or relocation Jsatne; 1200 amps or le::s I 100.70 ( 2 Address: i 201 amps to 400 amps - 133.56 1,.._ i 2 ' i i dtiI amps to ff)0,apps I 700.34 j 2 I I Cat}-/StatJ/LIP: -_. I h. f 2 :.- 1601 amps to 1,(100 amps 301.04 Phone:( ) Fax..( ) I 1 Ova 1.000 amts or volts »2:26 I 12 ' I I Temporary services or feeders installation,alteration,and/or I E'.rnail: _l relocation Owner installation:This installation is being,made on property that 1 otvn which is not 'au amps or less 59 30 -- intended for sale,lease,rent,orexchange,according to ORS 447,449.070.and 701. 1 201 amps to 400 amps 12598 7 �� Queerer 3i nature: Dale. 401 amps to 599 pups 168.54 ! 2 1 Y A:11'1 lf.Aiti 1 __ .__ 1 Branch circuits new,alteration,or extension,per�ianel i 1 f t(3'4'IAC'T 'l<z -';.; A.Fee for branch t:ucurts with �.. I 1 l 13u'siness' name.:Johansen Electric 1 above se, ice or feeder fee: 7.r2 ' 1 7 ; _...-- --._-__._......_.......- ..___ ---- ---_-*..---,___-_— tch branch ircuit + ! I Contact name:Charlynn Leifsen l Fee--iiir branch circuits tr Jhosr 1 t - # 1 s rti ices orfeeder fr e,i'trc; 1 56.;8 1 Address: 16869 S5 650'Ave#311 I 56.18 t nranch circuit 1 City/State/ZIP:Lake Oswego,OR 97035 [ T 1t x d'I br eneh cir cit 3 i 7.42 22.26 r ._- -- r r- - t eellnneous(service ice or feeder not included' l Phone:(503)747-2503 I Fax: (303)972-1861 Each manufactured or modular p { —._..— - _. 07.$4 1 E.dw-llua .service.and/or feeder Email.:o tee Q Jo `lEtSeIECICCtYIC CCIn] _ f 1__ --- _7 Ke co reel only 57 S4 2 t-.•"' -- ('O 77-777:777.77.77T,ti77-77;7-777r7:77:7-7-7"':t}Et. ____-,_,•._ I ; Pump or�lrriRation cire.le � j 67.84 1111 [3usiness name:Johansen Electric I sign or outline.lighting 67.81 2 1_.._ __ , I Address:16869 SW 65thAve#311 I Signal cite utt(s)or]ext extension, 0 see Pagt 2 2 I vtr 1,alteration,ara tension. 1 Each additional inspection over alluwabie in any of theabove City/State/ZIP:Lake Oswego,OR 97035 I as<; 5i hr i ■ Phone:(503)747-2503 ,.Fax:(503)972-1861 — Additional Investigation n(I inspection O hr min) o mm) h0 530%hr 1— l Email:_.off ce u.johanseneleetrie tom industrial plant(I hr min) 111.1178.18'hr I i _ _.._ inspections t© vvhieir no fee is 9p 0p;hr i I CC)3 Lie.: 51539 I Piect't is of Lie,: 3-2430 1 Soprv..Lie.: 5378S L speeirically listed t':i-t tot} ,,.„,,,,,,,.:.,,,):,,,77 :; Ei.J C 'R1C' 1,1'El'f 0, EEE. Supry Ilect its to signature,required: dlv'4 Subto�� tail- -;7-8A4 --._ Print name: JonathanJohansen Date: 1/19/17 11WrLIP/siti Rev ,iesv Required(25%of permit fee): I- State surcharge(12%of permit fee): 1 9.41 Authorized signature: -„ iC0"1At PER\2i1 PEE: 87.85 ..._..._--_- _ I his pernutapplication expires ria permit is not obtained within 180 Print name: Charlynn Leifsen Date: 1/19/17 day after it has been accepted as complete. -- - --- _... --- - Number of'inspections allowed per pemiit. 1 Huish t',:P errnits'ELC PtanilApp ISLS ERE doe Rcv 0o'17.2015 4404615-n I i/05,COndiSX'ER City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6650 SW REDWOOD LN, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Electrical ELC2017-00055 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor