Permit CITY OF TIGARD ELECTRICAL PERMIT
t • A
r ' PERMIT #: ELC2006 -00428
i DEVELOPMENT SERVICES DATE ISSUED: 8/3/2006
81f II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112DD -00701
SITE ADDRESS: 15812 SW UPPER BOONES FERRY RD BLD.B ZONING: I -P
SUBDIVISION: OREGON BUSINESS PARK II LOT : JURISDICTION: TIG
Project Description: 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 8/3/2006 $106.70 LIC 51539
[TAX] 8% State Surcharge 8/3/2006 $8.54 SUP 2053S
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: / � Permittee Signature: L7 ez t aL.r d
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.
FluCI012 2006 1:56PM Johansen Electric Inc. 503- 698 -2486 P.1
Electrical Permit ADDlication ; i c, II( l i . i . l
City d Tigard, o f:
r N CE 3 ab $ Pant L t_20,10 41, ,2 ' .
Phone: 501639.4171 Fax: S03 .II :' : i ... Pl at Review
inspection Litre 503.639.4175 � •d , . �v: Ot>>efwmlc
Internet www.citigard.or.us s 0 G 2 200 w oe: '' '' I ti see t� t
S r�aam.tl..
■
❑ New cansirualon Q 7. risTrTP.7.r1 . • - . lam anent Please check all that apply:
❑ Demolition
❑ Other: O s ervice over 225 amps, oo nin'1 ❑plia>�dons location
Service over 20 amps - rating 0.
and 2- g over sq. 8.,
❑ 1- and family dwelling ® eommercia /industrial
of I • dwellings its e structure
4 in o r ient;el
❑ Accessory building O�lding tthree stoies r ❑Feodao. 400 S111pa or Wife ❑ Milli-family ❑ Master builder CI Other: °Occupant>oad over 99 persons ❑Manuf doted structures or
: Intl N RV perk
Job no.: Job site address: 15812 SW Upper Boones [Wealth-care facility 001
Submits, sate of plans with any of the above,
City/Stare/ZIP: The above are not applicable to temporary construction serried
Suite/bldg./apt. no.: Project name: Classic Signs
• Qty. rm. Teed ••
Cross street/directions to job site: New residential single- or multi-badly dwelling unit.
Includes attached garage.
1,000 sq. B. or less 145.15 4
Subdivision: Lot no.: F,a. ald'I S00 sq. ft. or portion 33.40 1
Tax rnap/paroel no.: Limited energy, residential 73.00 2
Limited energy, non - reside id 75.00 2
Each manufactured or modular
Tenant Inv • rovement
dwelling, service �d/er + 90.90 2
Services or feeders instefadoa, alteration, and/or relocation
200 amps or less 80.30 r 2
:, emlps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 1
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect City /Stan:MP: only _ 66.85 2
Temporary services or feeders installation, elteredoa, and/or
Phone: ( ) Feat ( )
Owner Intstaliatlon: This installation is being made on property that I own which is not 200 so 00. 1
intended for sale, lease, rent, or 401 amps to 400 t 133.73 5 2
X80. according to ORS 4.47, 670, end 701. 401 amps to 600 amps 133.75 2
Owner Date: Branch circuits - new, alteration, or mrtenelon, panel
A Fee for branch circuits with
service or Ponder fee, each
Business name Johansen Electric Inc. branch circuit 6.65 2
Contact name: Cha�rlynn When
B. Fee far branch circuit'
winnow service or feeder fee. 1 44,85 46.85 2
Address: 10948 SE Valley View Terr. each branch circuit
Each add'I branch circuit 9 6.65 59.85 _ 2
City/State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not lneltided)
Phone: (503) 698-3417 Fax: : (503) 698 -2486 Pump or irrigation circle 53.40 2
Sipe or outline lighting 53.40 2
E -mail: jobaoseaeleetelmsa.eom
Signal dreuit(s) or limited-
Business name: Johansen Electric Inc. extension. Describe: Page 2 2
mat
Address: 10948 SE Valley View Tarr. Back additional inspection over allowable In ante( the above
Per inspection 62.50
City /State/ZIP: Claekamrts, OR 97015 Investigation per how tI hr min) 62.50
Phone: (503) 698 -3417 Fax: (503) 698 -2486 Industrial leaf per hour 73.75
CCB Lie.: 51539 Electrical Lic.• 3 -243 . . Lit.: 2053S
Subtotal 1 06. 70
Suprv. Electrician ` �� % ;�.•� (25% permit fire)
�P signature, required: Plan review 7b of
Print name ` l /! % / / Date: 8/2/06 State surcharge (8% of permit tic) 8.54
Authorized s; �' TOTAL PERMIT 115.24
�i /� Tits permit application expires ire permit Is Not obtafned within NO
Print name ! days after it has has areeptad as 4 »aplete
/ ; _ / / T Date: 6/2/06 • Fee methodology set by Tri-Camty Build Industry service Hoard
•• Number of inspsedom per permit allowed
atelld 1 103 440461ST(10102.0 AM
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00428
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/25/2007 TIME: 7:02AM PAGE: 73
SITE ADDRESS: 15912 SW UPPER BOONES FERRY RD BLD.B CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: CLASSIC SIGNS
DESCRIPTION: 10 branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.688 -3417
Inspection Request Scheduled For: Date: 7/25/2007 Pour Time:
Code # Inspection Description a. # Contact # Message
199 Electrical final 052660 -01 503-704 -1534 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - N 6 Lt Date: _ i V\ Phone #: (503) 718- r
CITY OF TIGARD
BUILDING DIVISION , ; PERMIT #: ELC2006- 00428
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2006
Phone: (503) 639 -4171 �I�
Inspection Requests (24 Hrs.): (503) 639 -4175 "_
INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7:04ANi PAGE: 88
SITE ADDRESS: 15812 SW UPPER BOONES FERRY RD BLD.B CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: CLASSIC SIGNS 9 L� C / Z
DESCRIPTION: 10 branch circuits. J b
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -698 -3417
Inspection Request Scheduled For: Date: 8/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034360 -01 503-698 -3417 N
Co r /Comments /Instructions:
�J TA N s 44.b OLFc 1 P(CI M01. •
T1 CAC L NF P0V
o Chi J Al t. � v iu 1 t PTA.11Y■r1 C se r ' %061A % b
l0.1N rterAta L__ .a_a t
Ak . ok.
The elentrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
11 /4 0 - 7
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 'it CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • r" EJ CIF Date: 0' L • /3 6 Phone #: (503) 718-241.