Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 00046
COMMUNITY DEVELOPMENT
DATE ISSUED: 1/28/2008
TIGARD 13125 W Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DC
SITE ADDRESS: SW 72ND AVE BLDG - ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK III LOT : 038 JURISDICTION: TIG
PROJECT: CASCADE COMPUTER
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: SIGNAUPANEL:
MANF HM/ SVCI 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 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 HAPPY VALLEY, OR 97086
Phone: Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 1/28/2008 $60.15 LIC 51539
[TAX] 12% State Surchar 1/28/2008 $7.22 SUP 2053S
Total $67.37 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: _See v 1/
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.
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Electrical Permit Applicatio CE I c w r l r 1 i, ,.: 1\ i. um,
City of Tigard 1 a5 g 0 37 7" P emat No.: V�..Cri :/Ki r+ cal t (Q
Phone: 0Hall 9 41 1, Tigard,
F 503.59821960 pM `, 4 7. 0) U j
Plan Review U n '4,0
_ ��g ether Formic; 6 e. I , ,.: Inspection Line: 503.639.4175 1 G A , Ready/Pty: ha;c r Page 2 for [nte - met: www.tigard- or.gov OC ; .„ - ethod: upplementalInfermation
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❑ New construction ® Addition/alterati =)' . acement Pleam cheek all that apply (submit 1 sets of;dans writmu checked below):
❑ service or feeder 400 amps or more 0 Building over three dories.
❑ Demolition ❑Other:
where the available fault comma 0 Marian and lwatyards,
an ,. "T rt ;nr+a +5oi :rr. a e : ; i i exceeds 10,000 at 15 v
'I � � rY.t � I fl�i`� l9 `'. e` ; I: Mry �, �. ii�� .i 6 i p r! c� , ,_
nl i i�s����c. .. tit :a...li •t rarilt -�'A 'i'5 il , y c ! , .. ��, amps volts or ❑ Floating buildings.
iLni,.•a,i� LiS-• 11i:( �, Il: uttN: iS:,: utl V:tti:i�t'. �lNl��'•�!'i't��lu.� Iessmgrrnm40rmceeeds 11.000 e OCoIttmercial• use al
CI 1- and 2- family dwelling ® Commercial/industrial m
ustrial ❑ Accessory building as far ad ether installation,. ne<iarlutz
❑ Muhi ■fanli ❑ Master builder ❑ Other. ❑ Fire paw. ❑ Installation of 75 KVA or
N.,7 'i r :"nj .tl'rC:' '' ^- e7F:!AY1 h >;1r9 I tut, A Sul U.'
ta 1, • �1 l � 3 S Ihp y ,,.W"�te r- +r x144 �7 r!� 1 t ti.i`�+r t' ' �°S�Y synem. larger separately deri I...LIZI.r. e..1ntilr a ' IIt„" - ut a i II ie +E t 11 1 p�,, � system.
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} i:'rr avlr4:- � 'aw,...3. � r >y !•.lu>�^:L>�1:: d!.�.�IJW�S ❑ AddiUDn of new motor load Of ❑ "A••, "E••, ••I -2•• •1_3••
Job no.: Job she address: 15 9 52. SW 7 2nd 10011P or more. occupancy.
❑ Six or more residential unite 0 Recreational vehicle parka.
City/State/Z IP: ❑ Health•eare %citifies. 0 Supply voltage for more than
Suite/bldg./apt. ./ 0 Haratdem locations. 600 volta nominal.
gapt . no. Project name: Ca scade Computer °Service or feeder 600 amps ca more.
'J.1 P :rulsV.w r.: I
Cross street/directions to job site: li _, ;y;�J_ , ," i:1 1. ', r a 11 111,1 , .iti41EV. i )6
� tits •
New r'esldenthtl single- or multi- family dwelling unit.
-
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map/paroel no :
Ea. add'I 500 sq. ft or portion 33.40 1
,,,, Limited energy. residential
1 75 00 2 ( �i 'r "I�'r'tl yyl 11 ii�,� ncu.rl un +ex:�J4! :9•` tX+ r •^: •. . f , t 5 ' f,,, m.
I '�11I i .� 1 .., 4 ri } �{I2is"s' - I f a l v :e S r i l ,r i Fq' , li {' ,�,{�I vt'rt with above R
r rc:.,n �, au <u.:�:r;ri4ie�.mam,:s,ml�liiMn, �'N��.`:.I(ii$I(•���TS�V�I � ( r4
Tenant Improvement L rte (with above q' 75.00 2
_Services or feeders instaiation. alteration. and/or relocation
' IPw , ,Ire c, { r4p s!'t t rer, a r+ , : arR ' c n cnl,4 e . r.•q, ,rasnm 200 arms or less 80.30 2
> i .... ' ar : n:,, 149 .2u..__ :i t4s_c ......�.# :;i' Riii�. .._. 'i;l,a,6 ,'f ._ " ri ; 201 amps to 400 106.85 2
amps
Name: 401 amps to 600 amps 160.60 2
Address 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeden installation, alterattoa, and/or
Phone. I relocation
( ) 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 crepe 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner si Branch circuits - new, alteration, or extension, per pawl
Y� 8 Date A. Fee for branch circuits w1Yk
1J +I?ir it ' lii,. � xtr,3 ell [LliPa1.' i RI , AVi • '� JQ171r rti {- :lv
tL! `+tl:. lUl e.:::..l:l..,l.du:� 1u1.1{ is 11 1 i.-: ! ,' 1 - &c.ri:. u..14.ul -. r'•...ii.ssy 1�, IC. above service or feeder fee. 665 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
Contact name: Charlyan Leifsen Wilma service or feeder fee, 1 4 4 6 . S 2
first branch circuit
Address: 10948 SE Valley View Terrace Each add'l branch circuit 2 6.65 13.3 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Happy Valley. OR 97086 Each manufactured or modular
90.90 2
dwelling, service and/or feeder _
Phone: (503) 698 -3417 I Fax: : (503) 698 -2486 Reconnect only 66 2
E -mail: johansenele ct ®msn.com _ Pump or irrigation circle 53.40 2
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aii 'n f ill 1. t : I"I` fi till lI r 1 .! lit' [: .t st a::'q' -� r1,ry, •r.16 �I ��{ s r.� c
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.:411 .�1.:�:I::...fs.4.a:�:fum„ �ta41 i'.,p�f��l�Vli' "_ yp.iliiti�lY'�"r Si � _�'•^ It$ttttetg 2
Business name: Johansen Electric Inc. Signal circuit(s) or limited
energy panel, alteration, or
Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2
City /State/ZIP: Happy Valley, OR 97086 Each additional inspection ever allowable in an - of the above
Per inspection 62.50
Phase: (503) 698-3417 I Fax: ( 503) 698 -2486 hrvestigation per hear (1 hr min) 62.50
CCB Lic.: 51539 I Electrical Lie.: 3- 2430 I Suprv. Lic.: 2053S Industrial pleat • - hour 73.75
l tl'lifl ! ?:icier b.• ; ;171 y 5 '�a:.t ubr yy!��� 'in5t ".J.Ett
Suprv. Electrician signature, required: r 43 !� _ . Subto tol`„
taal. • s
Print name: Carl K. Johansen Date: 1 / 2 5 / 0 8 -, Plan review (25% of permit fee):
i ' / State sltreharge permit fee): 7.22
Authorized signature: C _._. .... TOTAL PEERMIT FEE: 6 7 . 3 7
Print name: Charlynn J. Leifsen I Date: 1 / 2 5 / 0 8 This permit application It � o permit Is not obtained within ISO
4e [mo as complete.
Number of iaapectioos allowed per permit.
C,BtuldinglPermiu'':F1+ .Pe nji pp.doc 03/23/06 440.4615T(I1'O5 051/W®
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008 -00046
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/28/2008
Phone: (503) 639- 4171 I t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/29/2008 TIME: 7:02AM PAGE: 20
/595/
SITE ADDRESS: iferrEM 72ND AVE BLDG - CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARI< Ill LOT #: 038 TYPE OF USE:
PROJECT NAME: CASCADE COMPUTER
DESCRIPTION: 11 (3) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.698.3417
Inspection Request Scheduled For: ,Date: 1/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 7 06412303 503.698 -3417 N
Corrections /Comments/ Instructions:
0
i;\ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CS(in Date: I' 7-ft- Phone #: (503) 718- _ .