Permit CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00625
DEVELOPMENT SERVICES DATE ISSUED: 11/1/2006
' ° I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S113AB-01400
SITE ADDRESS: 07376 SW DURHAM RD BLDG G ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: 8 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: 7 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 11/1/2006 $93.40 LIC 51539
[TAX] 8% State Surcharge 11/1/2006 $7.47 SUP 2053S
Total $100.87 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: 6 A - ,w,,.. t. AA—> Permittee Signature: 6l1
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.
c•
', Electrical Permit Application
l 11u OI i it I I NI ()\1.1
City of Tigard Received
13t2SSW Haft Blvd., Tigard, OR SECE VED t . il0� 45 ' =M - i�6,
Phone: 503.639.4171 Fax: 503.598.1 a . y . FReul Revie "
Inspection Line: 503.639.4175 . a - A i J D Other Permit: Internet: www.ci.tigard.orus OCT 3 1 2006 -- a : T 1 s e: for
uppiameatal Information • ❑ New eoastnsctinn ® .AtTd3(; aTteration7re'pl'aderneat Please chock all that
❑ Demolition ❑ 0th - []Service over 225 My
❑Haza rdous
comrrc location
'on
❑Service over 320 amps - rating ❑Buildng or 10,000 sq. ft.,
❑ I- and 2-family dwelling 0.2 Commercial/industrial of 1 • and 2-family dwellings 4 or more new residential
❑ Multi- family ❑ Master builder D Accessory building ❑8 ding over three stonrsninal ❑ units one structure or more
e
❑Occupant load over 99 GPs
persons ❑Masufactur+ed structures or
Job no.: Job site address: 7376 SW Durham Rd. ❑ ❑Beahb -ear-car e a / plan RV park
n f facacility DOther:
City/State/ZIP: Su .2., sets of plans with any of tie above.
The above are not applicable to temporary construction service.
Suite/bldgJapt. no.: I Project name: AM EC
Cross street/directions to job site: �" lPSOe tea Tsui ••
New residential single- or melt!- Ltalty dwelling unit
_ Includes attached garage.
1,000 sq. fl, or less ' 145.l5 4
Subdivision: . I Lot no Ea. add'! 500 sq. ft. or portion 33.40
1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non resid�entitil 75.00 2
Each manufactlae or modul
Tenant Improvement dwelling„ service and/or fader 90.90 2
Services or feeders installation, alteration, sad/or relocation
amps or less
2
Name: ; 201 amps to 400 amps 106.85 .
401 2
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
C itylState/LIP: Reconnect only 66.85 2
Temporary services or feeders iastalladoa, alteration, and/or
Phone: ( ) J Fax: ( ) relocation
Owner installation: This installation is being made on pro 200 amps or less 66.85 1
intended for sale, lease, rent, or exchart party [ own which is not 201 arrlpa to 400 amps 1 2
exchange, according to ORS 447, 449, 670, and 701.
Owner signature: amps 133.75 2
Da •
. A Fee Branch - new, alteration, or extension+ per Panel
• for branch circuits with
Business name: Johansen Electric Inc. service or tbedcr fee, each
branch circuit 6.65 2
Contact name: Charllynn Leifsen B. Fee for branch circuits
without service or Rieder fee
Address: 10949 SE Valley View Terr. each branch circuit 1 46.85 46.85 2
City/State/ZIP; Clackamas, OR 97015 Each add branch circuit 7 6.65 , 46.55 2
Miscellaneous (service or feeder not 'Waded)
Phone: (503) 698-3417 1 Fax: : (503) 698 -2486 Pump or irrigation circle 53.40 ' 2
E-mail: johatttsenelectrnsa.com
Sign or outline lighting 53.g0 2
Signal circuit(s) or limited- '
gy pal, alteration or
Business name: Johansen Electric the. extension. Describes Page 2 2
Address: 10948 SE Valley View Terr. Each additional inspection over allowable in any of the above
City/State/ZIP: Clackamas, OR 97015 Per inspection 62.50
Investigation per hour (1 br min) 62.50
Phone: (503) 698-3417 l Fax: (503) 698 - 2486 - Industrial plant per hour 73.75
CCB Lic•: 51539 , Electrical Lic. /� I Sr rv. Lic.: 2053S
Subtotal 93.40
Suprv. Electrician signature, required: Plan review (25% of
Print name: �/� f1 permit fee)
lC . 1 Date: 10/31 /06 state surcharge (8% of permit fee). 7.47
Authorized signature: TOTAL PERMIT FEE 1 00. 87
This permit apptict6on expires Ora fin a n is sue obtained within tan
Print name:th�, /,� /� ) Date: after it has been accepted as ceatpiete
•� . [� , .i1/ I 10/31/06 • Fee methodology set by Tri- County Balding Industry service Bea d
lBai3®ng1P�p .duo 12003 •• Number Of impactions pee permit allowed
440.40151(1 W02'COM/WV1
T Xdd 13Cd3Sd7 dH lddaT:8 9002 1E 400
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639- 4171.w' �Pull�ilj�l �
Inspection Requests (24 Hrs.): (503) 639 -4175 R•__..
INSPECTION WORKSHEET FOR DATE: 12/14/2006 TIME: 7 :02AM PAGE: 2
SITE ADDRESS: 07376 SW DURHAM RD aLDG 1&,. CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: AgF; j
DESCRIPTION: - ti branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.698..3417
Inspection Request Scheduled For: Date: 12/14/2006 Pour Time:
Code # Inspection Description Confirm #- Contact # Message
199 Electrical final 041120 -02 503. 956.6290 V
Corrections /Comments /Instructions:
_R-,, j
q4 0 Pmm*c "I• .1 i G V- P CZs 6-Ea CAN 6 rte-
s • -a- ( (1,x) Ftk., F-;N) kl- I I
G�
PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
I I FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 4 I v 0 b .: Date: 02 i 4 66 Phone #: (503) 718 - )A4___
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 00625
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639 - 4171 °aN��ii f�l
Inspection Requests (24 Hrs.): (503) 639 -4175 :..
INSPECTION WORKSHEET FOR DATE: 11/2./2006 TIME: 7:02AM PAGE: 26
SITE ADDRESS: 07376 SW DURHAM RD BLDG C CLASS OF WORK:
SUBDIVISION: PACi1RUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: AIMMEC
DESCRIPTION: 8 branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-696-3417
Inspection Request Scheduled For: Date: 11/212006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 039207 -01 503. 969-5264 N
Corrections /Comments/ Instructions:
X PASS I I PARTIAL APPROVAL l CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: v 1 " LE Date: VI " "v Phone #: (503) 718- IA Lk .
,
CITY OF TIGARD
BUILDING DIVISION
A- PERMIT #: ELC2006-00625
13125 SW Hall Blvd., Tigard, OR 97223 -. . ; DATE ISSUED: 11/1/2006 -
Phone: (503) 639-4171 A,
Inspection Requests (24 Hrs.): (503) 639-4175 ,-Asir 111.
INSPECTION WORKSHEET FOR DATE: 11/14/2006 TIME: 7:02AM PAGE: 28
SITE ADDRESS: 07376 SW DURHAM RD BLDG G CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: AivIEC
DESCRIPTION: 8 branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 11/14/2006 Pour Time:
,-- # Inspection Desc 'i in Confirm # Contact # Message
130 Ceiling cover 03973401 503-969-5264 N ,
Corrections o - - - • •ins
N
.., PASS I I PARTIAL APPROVAL I I CANCEL fl NO ACCESS
FAIL pi CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
G hfUe LZ ---.
Inspector: Date: l i iq 15‘ Phone #: (503) 718 •
_ _.. . •