Permit 11 CITY OF TIGARD ELECTRICAL PERMIT
• �! COMMUNITY DEVELOPMENT Permit #: ELC2013 00153
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/06/2013
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16280 SW UPPER BOONES FERRY RD
Project: Service Master Subdivision: COUNCIL VIEW ACRES (LOTS 21-44) Lot: 30
Project Description: (24) branch circuits for TI
Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES LP
10948 SE VALLEY VIEW TERR ATTN: N PIVEN
HAPPY VALLEY, OR 97086 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 698 -3417
PHONE: 503 - 624 -6300
FAX: 503 - 698 -2486
FEES
Quantity Description Date Amount
24 crt Branch Circuits wo /Purchase 03/06/2013 $226.84
Specifics: Service or Feeder
1 ea 12% State Surcharge - 03/06/2013 $27.22
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $254.06
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
9 9 P
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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0010 through OAR - 0 -0090. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: ()Ai PL/ e 77,0
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Electrical Permit ArmlicatioREC ,.0R,),..,u F r.si.: oNi.,-
City of Tigard 5 2 013 Dil li
Rose AW1
■ -, FIAYAt a I C 2: I tw.. W- i 1 riM ''
13125 SW 14a11 Blvd Tigard, OR 9722. A AR Plan Review
ne:
' • : PhO 503.639.4171 Fax: 503.598.1960 r . Dale/B . Other Pentlig4/ if
- • luspeoliOn Line: 503,639.4175 CITY OF TILIARD Ditto Ready/11y;
Internet: www.tigard-or.gov 131j11 WO DIVJSION Notificd/Method; IMIFEEEMIIII
4 ;.,.,...,,...:!.:.•-?..! : : ;,^ , , , ,: ;',./ r,...• f: ..: .: ; ,, •:..i,.: :71: .i.f.. :.:,;''?,.:.'• :/..'.'...,: .-i....r:::4 R: .. . , ,:i ic:ii,:. •
El New construction El Addition/alteration/replacement Please check all that apply (submit a sets of plans w/iteros clutdced below);
0 Service or tbeder 400 amps or more LI Building over three stories.
0 Demolition 0 Other: where the eyelid% huh current 13 Merinos and boatyards.
exceeds 10 000 at 150 volts or In Ploatin buildings.
....'. 0 - 0 4 * 4014,: : , .. :',..:::-...= :' : 0 ::, :; :.'... ... L to g ro u nd, or ..,h 14,000 In Commer agricultural
El 1- and 2-family dwelling El Commerciallindustrial 0 Accessory building amps for all other inslallationa. buildings.
0 Multi El Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
0 Emergency system. larger separately derived system.
..' r .... ir :; . . ..;,?.•:, l' ',AO: .-0. ••• ,.: XRP471.• 00 , .. , .-...h ; :.. , ,, , .: , ..•,••:...,,,,. ['Addition of new motet load of 0 "A", "1-2", - 1-3",
Hump or mien. 0 .1
Job no.: I Job site address: 16 2 8 0 SW Upper Boones 0 Si/: or more residential units, CI Recreational vehicle darks
City/State/ZIP: zi 11 facilities. 0 Supply vollege for more than
. In itlatrdIDIA bea00118. (700 volts nominal,
Suite/bldg./apt. no.; Project name; Service Master 0 Serviee or feeder 600 amps Or mom
' :•Sa. niSt..0
Cross street/directions to job sito: Description Uty, .1 . ' Yoe. - I. Total 1
New residential single- or multi-family dwelling tulle
- Includes attached garage.
Subdivision: I Lot no,: 1,0n0 sq. ft. or loss 16854 4
En, addi 500 sq. ft. or portion 33.92 1
Tax map/parcel no.: Limited cncrgy, residential 7540 2
.1. '.'.'...,..,';'. ';:. :... ".;.•.' :',',',:•■• ;'''::„;' . - .4 .•: , •'. 4) .:0,y.w6Rx ,:. • ,,...;,.:. (with ObilV0 8% ft.) _
75.00 2
Tenant Improvement Josidcntisi (with above se. ft.)
Services or feeders Instaftation,alteration, ond/or relocation ..
200 amps or lei 100.70 2
...
133,56 2
-
401 amps In 600 snipe 200.34 ' 2
Name:
• . 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
. .
Temporary services or feeders installation, alteration, and/or
City/Statc/Z — —
IP: relocation
...
Phone ( ) Fax: ( ) 200 amps or leas 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is boing made on property that I own which is not 401 amps to 599 amps - - 16854 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 7(11.
Branch circuits – new, alteration, or extension, per panel
Owner signature: Date: A. Foe for branch circuits with
.-
.'..4.`'A ,...".:':•:-. ,kicii; i,sh,.: u t . :i i ,..,i!, ...F... ' ., shave aervi cc or feeder 742 2 fee,
...''''''' A
'''' ' ''' '- '1%.' ' ::''' ' '' ....: 1. ' : " 41..1474. " ' ''' ' '':',''''';■ each brim eh circuit
BminvisnaMe Johansen Electric B. Pee for braneh eireuits without
— service or feeder fee, first i 56.18 2
Contact name; Charlynn Leif sen . branch circuit
Each addi branch eirimit 7--'3 7.42 ria icto 2
-
Address: 1 0 9 4 8 SE Valley View Terr Miscellaneous hervice or feeder net included)
Eueli man uhctured or modular
City/State/ZIP: Happy Valley, OR 97086 dwelling, service and/or feeder 67,84 2
Phone(5O3) 698-3417 I Fax; : (503) 698-2486 Reconnect only . 67.84 2
pump or irrigation circle 67.84 2
E -mail: si or nucline lighting 67.84 2
-•;•., ‘Y..::Z:.;•.' '..:........_... :1_,..._,..,..._.....,_____._,_______,_,_. ,•'; . '''. T:.' : . ':';'' Signal circuit(s) or limited-energy
panel, WEerali on, or extension. Pago 2 _ 2
Business name: Joha nsen nsen Electric Each additional inspection over allowable in any of ibe abov
Address: 10948 SE Valley View Terr Additional inspection (1 hr min) 66.25/ hr
, investigation (I hr mill) 66.29 hr
City/State/ZIP: Happy Valley, OR 97086
Industrial plant (1 hr min) 78.18/hr
Plum:: ( 503) 6 9 8 - 3417 I Fax: ( 5 0 3) 698 - 2486 Inspections for which no fec is , -
°°/ r
h
specificaq listed (A hr min) 90.
CCB Lie.: 51539 f Electrical Lic.: 3 - 2 4 3 C I Suprv, Lie.: 20535 .:•': " , ‘-;:'`. ',,:.: - ..'':....'i . .-10000itti:VP.VAT: tact ::' :..
Subtotal: 224 • li
Suprv. Electrician signature, required: Plan review (25% of permit lee): '
Print name: Carl Johansen r 0 :3/4/13 4 state surcharge (12% Of pemit fee): Zi
TOTAL PERMIT FEE: . 1 2/ 1 . 06 ••"°°-
Authorized signature: e --' --- . This permit application expires Ifs permit is not obtained wtcliin180
days after it his been accepted as complete.
Print name: Charlynn Lei en Date; 3 / 4 /13 • Number of inspections allowed per permit, 2 51/ 0 CO
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9 IS •aDVa 98VZ869E09 98VZ869C0S 'Darla NaSNYHOf lid 8Z:90 ETOZ'VO'auli
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16280 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commercial - Electrical
105 Underground/slab cover
04/02/2013 00:00
ELC2013-00153
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16280 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
05/07/2013 00:00
ELC2013-00153
PASS - No C of O
Violation Summary:
Inspector Contractor