Permit v
CITY OF TIGARD ELECTRICAL PERMIT
Iiiii
PERMIT #: ELC2007 -00309
i .
COMMUNITY DEVELOPMENT DATE ISSUED: 5/4/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 113AA -01000
SITE ADDRESS: 16562 SW 72ND AVE B9 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT : OOC JURISDICTION: TIG
PROJECT: SERVICE MASTER OF TIGARD
Project Description: TI with (10) 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: 9 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 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 5/4/2007 $106.70 LIC 51539
[TAX] 8% State Surcharge 5/4/2007 $8.54 SUP 20535
Total $115.24 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: 519/jj� RA, Permittee Signature: /9 l I ('GY �1 vl 1
PP
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. ELECN: 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.
Please cheek , , ' app1Y:
• Scrvioe over 225 amps, eoann•1
3Hamndoos
[BoiWng
4
amts
OFeedcrs.
OMenu6acaeed
RV
°Ot
of the above.
Qty.
Nation
over 1 0,000 se. 8.,
or snore new reside anal
in one MVO=
o
400 amps or mare
structures or
park
er:
['Service over 320 amps — rating
of 1- and 2 -I1 mily dwellings
['System over 600 volts nominal
• Building over three stories
• Occupant load over 99 persons
OBgresa11ghling Pion
bodily
Submit j_ sets of plan with ay
The above aro not applicable to temporary
Deordplied
construction service.
Iva Toed
New r eddeatlal single- or multi-badly dwelling omit
Iodides attached garage.
1,000 sq. ft or less
145.15
'
4
Ea add'1500 sq. R or portion
33.40
1
Limited energy, residential
75.00
2
Limited mergm, sort -resides ial
75.00 ,
2
Bads manufactured or modular
dwelling. service and/or finder
- 90.90
-
2
Services or feeders ln,talhdoa, alteration, and/or reload=
200 amps or leis
80.30
2
201 amps to 400 amps
106.85
2
401 amps to 600 ernes
160.60
2
601 amps to 1,000 amps
240.60
2
Over 1,000 amps or vole
454.65
2
Rammed only
66.85
2
Temporary services err flees iodination. alteration, and/or
reloeadon
200 amps or less
66.85
- 1
201 an to 400 asps
10030
2
401 amps to 600 amps
133.75
2
Branch drealts— new, alteration, or esteadon, per land
A. Fee for brand, circuits with
service or feeder fee. each
branch circuit
6.65
2
B. Pee for branch dreuits
wialmtu amulet or feeder fee,
each brands etrmit
46.85
46.85
2
Each add1 branch circuit
V
6.65
59.85
2
Miseellaneoas (service or feeder cwt included)
Pump or irrigation circle
- 53.40
2
Sign or outline lighting
53.40
2
Signal circuit(s) ce limited-
energy pant, alteration, or
ehdamion. Describe:
Page 2
2
Each additional Inspection over allowable in may of the above
Per inspection 62.50
Invesdgabon per hour (1 brmiz) 62.50
Industrial • last per hour 73.75
•E:, :.rical Permit A Dlialjian ",
City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 501639.4171 Fax: 503.598.1960
inspection Line: 503.639.4175
latama: www.d.tigad.or.es
❑ New construction
❑ Demolition
IN • 1'Y r 7eal `..pa*
OOther:
❑ 1- and 2- family dwelling CommcrciaVinduaMal ❑ Accessory building
❑ Multi -fay ❑ Master builder ❑ Other.
Job no.:
City/State/Z[P:
Suite/bldgJapt. no.:
Project name: Service Master of Tigard
Cross strcct/ditectlons to job site:
Subdivision:
Phone: (
Phone: (503) 6983417
Phone: (S03)698-3417
Lot no.:
Tax map/pamel no.:
Tenant Im • rovement
Name:
Address:
City/State/ZIP:
Fax: (
Owner installation: This installation is being made on properly that 1 own which is not
intended fbr sale, lease, rent, or exchange. according to ORS 447, 449, 670, and 701.
Owner signature: Date:
Business name: Johansen Electric Inc.
Contact name: Charlynn Ldtken
Address: 10948 SE Valley View Terr.
City/State/ZIP: Clackamas, OR 97015
Fax: : (503) 698-2486
E -mail: jobonsene lsctt msacom
Business name: Johansen Eleelc Inc.
Address: 10948 SE Valley View Terr.
City/State/ZIP: Clackamas, OR 97015
Fax: (503) 698-2486
I . 12/03
140.40 1!T(I000/COM/ar®
Other Permit
Date Ready/By:
Neseea/Methea.
rerlc '` BI See Pc 1 f r
'r 1� 8applmeaed le(ermdi•a
Plan review (2596 of pemhit Re)
State surcharge (896 of penult Poe)
TOTAL PERMIT FEE
8.54
115.24
subtotal 106.70
Mb permit spoked= expires We peaah is not obtained *this 180
days afar It boo been accepted u complete
• Fee methodology set by 1 i Coen ty Building Iadmtry Saviee Booed
• • Number of bawd= pa permit allowed.
Xdd 13C83SI11 dH Wd90 : i L002 t►0 ReW
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/412007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 - 4175 I I
INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7:04AM PAGE: 42
SITE ADDRESS: 16562 SW 72ND AVE B9 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 00C TYPE OF USE:
PROJECT NAME: SERVICE MASTER OF TIGARD
DESCRIPTION: TI with (10) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698-3417
Inspection Request Scheduled For: Date: 6/20/2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 050562 -01 ��, 503 -209 -3917 N
Corrections /Comments /Instructions:
► PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G---t N d e L Date: 6'1J3 Phone #: (503) 718- 24L6
•
• CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2007
Phone: (503) 639 - 4171..x((,,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/17/2007 TIME: 7:OOAM PAGE: 65
SITE ADDRESS: 16562 SW 72ND AVE B9 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOC TYPE OF USE:
PROJECT NAME: SERVICE MASTER OF TIGARD
DESCRIPTION: TI with (10) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 6983417
Inspection Request Scheduled For: Date: 5/17/2007 Pour Time:
Code # Inspection Description Confirm -# Contact # Message
125 Wall cover 048476 -01 503- 698 -3417 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ("--• IA 0 8 Lk. Date: Z11131 Phone #: (503) 718- 1 IQ'