Permit II CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008-00546
COMMUNITY DEVELOPMENT DATE ISSUED: 9/26/2008
TIGARD 13125 SW Hall BIvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AC-00103
SITE ADDRESS: 07204 SW DURHAM RD Q300 ZONING: I -
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: CONSUMER CELLULAR
Project Description: (1) service and (20) 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/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 20 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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 9/26/2008 $213.30 LIC 51539
[TAX] 12% State 9/26/2008 $25.60 SUP 20535
Total $238.90 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 rule ° e erth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of tI -se rules or direct questions to OUNC at
503.246.6.99 or 1.800. 3 .
Issued B 1 _ 2 � /��� Permittee SigT A _�
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.
, ,.RECEI
SEP 2 6 2008 = ,
Electrical Permit A Beat' n i= E)L()l1 1:1 . ;r..()v f'
Cif of Tigard OF TIGARD Recoive
1312 SW Hall Blvd., Tigard,IAVI DIVISION Plan Re �� �[ No - f,�
j ". Phone: 503.639.4171 Fax: 503.598.1960 Datel3: OtherPerant:
t ; ` y =; Inspection Line: 503.639.4175 Date Ready/By: El= le See Page z for
Internet: www.tigard -or.gov Norified/Mathod: Supplemental Information
r
r ^� tr p ,,`3 ter - - [ 9 I / ua i. l 7rF ' n . -.l " [
l t t r R .; ' g� l , aE st, 1 t > eaL nil r v "... t ut w i l > t : q s i a t= �ana r x ' rg 1
El New construction ® Addition/alteration/replacement Please check all that apply (submit a sets of plans wfitoms checked bel°w)c
CI Service or feeder 400 amps or more ❑ Building over three stones.
❑ Demolition Other: where the avail fault crureat ❑ Marinas and boatyards.
.. fi
t II' A ' ril' a i r 1 2 , i i tY P i e i " s , o ` ` , , , . , exceeds 10,000 amps S i t 50 volts or ❑ Floating buildings.
14 Aiik -, r 0 1aE7 i ;
&� ��tl�f��. ,�� �^ �r � ` ' �a � / , , , g r ..a,,�<+h mil. ?ti�'st'rsur , +q �
- _ ° ^'' ; less to ground, or exceeds 14,000 ❑ Commen:ialasa agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial f ❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other: ❑ Fite pump. ❑ Incrallaaon of 75 KVA or
t , ; tt ti t TEN a i ft ri 8 -" t ua ,y q. �,, Emergency system.
'roger separately derived system.
f t l l�l i i , i l s b i e l , �: t t. .t411: ` 4 3 , 1 C, i (r,:; 1. ❑ Addition of new motor load of ❑ .. „ -j ..
Job no.: Job site address: 7204 S W Durham I OOHP or mom. occupancy
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: El Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous loranons. 600 volts nominal.
Suite/bldg. /apt. no.: 3 0 0 l Project name: Consumer Cellular ❑ Service or feeder 600 amps or mote.
tlr. "dl.� ° _ig abiahi ..Mri'" a IC %?d, .r; . tu
Cross street/directions to job site: Description Ore. ree. Total •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1
F r V Limited energy, residential
¢!ill , x 1r1 : ¢ : l N : -,
. r :. r f , i17 � ' : i (with above se. h.) 75.00 2
[ tip
� � elf +t _ r e.&.azr . a t
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 1 80.30 80.30 2
1 J 1 t w g n1 . . � II tl �r a itI b; 0`i
R DIt 1 3 i
,na1t1�2a >, " -�».� - <.,{ .��r, T..., 'iYifia ®� i . <,,,,..,t,turCnhn�L�.. ,�., , �_ ` ��la��,. 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 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
Branch circuits - new, alteration, or extension, per panel
Owner siL ature: Date
A. Fee for branch circuits with ad
i + t : :1;6* ' ° Ni Ala a " alas ut3wWy,.e<l:>::aln'�`�mRe above service or feeder fee, 1 6.65 133 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
Contact name: Char nn Lesen
without r a nc h service or feeder fee, 46.85 2
� if
' first branch circuit
Address: 10948 SE Valley View Terrace Each add'/ branch circuit 6.65 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 66.85 2
E -mail: johansenelect@msn.com Pump or irrigation circle 53.40 2
c t . - "� i - 1} ° f ah. a ihot9: i • 1 It J /ih 1 k „ i t ;iO3 . `°_ Sign or outline lighting 53.40 2
Business name: Johansen Electric Inc. Signal circuit(s)
energy panel, alterer limited-
or
Address: 10948 SE Valky View Terrace extension. Describe: Page 2 2
City/State /ZIP: Happy Valley, OR 97086 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 698-3417 Fax: (503) 698 -2486
Investigation per hour (1 hr mini 62.50
CCB Lie,: 51539 l Electrical Lie.: 3 -243C Suprv. Lie.: 20535 tt Industrial plant per hour �� tt 73.75
Il n . l ; l't`irf l.11a1 a gJ# =C; I�Wt� ri t o - � , tid.2 $11, k" r �4� * V;. :, -; t 1 .
Suprv. Electrician signature, required: / Subtotal: •
Plan review (25% of permit fee)
Print name: Carl K. Johansen Date: 9/26/08
State surcharge (12 °/n of permit fee): 25.60
v
Authorized signature: (J This application TOTAL PERMIT FEE: 238.90
Print name: Charlynn J. Lei fse Date: 9/26/08 permit app expires if perrtrit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit
I:\ Building \PeanitswELC PermitApp 05 /23/06 410- 1415T(11 /05/COM/WEB
T ' d Xd3 13C?13Sd1 dH WbB I : T T 800 9Z das
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CITY OF TIGARD. .,
BUILDING DIVISION It PERMIT #:
ELC2008-00516
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
9/26/200S
Phone: (503) 639-4171 . ititillit i I ill'
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/15/2008 TIME: 7:00Atvi PAGE: 21
SITE ADDRESS: 07204 SW DURHAM RD 0,300 CLASS OF WORK:
SUBDIVISION: PACTRUS'T BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CONSUMER CELLULAR
DESCRIPTION: .
( I) service and (20) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: , JOHANSEN ELECTRIC INC PHONE #: 503-698-'3417
Inspection Request Scheduled For: Date
• 10/15/2008 Pour Time:
Code # Inspection Description Co irm , Contact # Message
199 Eled.iical final 0' 6740-01 503-209-3917 N
....._
Corrections/Comments/Instructions:
•
•
v v ki
..-.
in PASS 111 PARTIAL APPROVAL D CANCEL 0 NO ACCESS
pi CALL FOR INSPECTION ADDITIONAL FEES ASSESSED •
Inspector: G•••• M C t2) I-15, Date: 1 Ir 01 Phone #: (503) 718- V
. ,