Permit CITY OF TIGARD ELECTRICAL PERMIT
I COMMUNITY DEVELOPMENT Permit #: ELC2013 -00212
TI GAKD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/10/2013
Parcel: 2S112DB00300
Jurisdiction: Tigard
Site address: 7233 SW KABLE LN 100
Project: Western Outdoor Subdivision:'HERN PACIFIC TIGARD INDUSTRIAL I Lot: 5
Project Description: (2) branch circuits to work on warehouse lighting
Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES
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:
FAX: 503 - 698 -2486
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 04/10/2013 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 04/10/2013 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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
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 OA 952 -00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5032232.1987 or 1.800.332.2344.
Issued By: J�'.C.a.► ta Permittee Signature: [/K 4ppeic - -7
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.
RECEIVE)
Electrical Permit Application I 012 01 f I( I •1 10.1 .1 1
City of Tigard APR 0 9 2013 Received N,
Dale/0 : ' c � 1 1 ta x 3 - tvei ,
I = 13125 SW ilall Blvd., Tigard, OR 97224., I-Ty OF TIGARD Plan Review
• Phone: 503,639,4171 Fax: 503.598,1y1� Detain • Other Permit:
Inspection Line: 503439,4175 BUILDING DIVISIO 1 Ustc Rvady /Hy: 1unL a lice Psge 2 fur
Internet: wv w,tlgard- or,gov NotilimVMdirul: f Suppkrocnlul I
TYPE (Mr WOIRM PLAN' REVIEW
❑ New construction El Addition /alteration /replacement Please check all tutu apply (submit a sets of plans w /Items chocked below)
❑ •Service or feeder 400 amps or more Ont. il din aver three yuries,
❑ DCmoliUOtl
❑ Other: where the available fault current 0 Marines end boatyards.
CATEGORY OF CONST1tUCTION • cx4ccds 10,000 taps at 150 volts or 0 floating buildings.
1- and 2 >ibinil dwelling loss to ground, or exceeds 14,000 ['Commercial-use agriculture, [] y g E Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ['Fire pump. ❑ Installation of 75 KvA or
❑ l.:mergwu: system. bo' *t separately deriver! system.
. - JOB. SITE INFORMATION AND LOCATION O AdJ(tlon °fncw moor load of Cl "A" "f "1.2 ", "1.3 ",
� .) '�� IOIII IP tar more, occupancy.
Job no,: Job she address: 1 7
❑Six or more residential units. ❑ Nccrational vehicle perks.
City /State/ZIP: ❑ fleets-care facilities. ❑ Supply voltage for more than
❑ Itrcanlous locutions. 600 volts nominal
Suite/bldg. /apt. no,: !bp Project name: W Q S ❑ Serv or feeder 600 amps or more. • "_ - • . FEE SCt1RDULE '
Cross street/directions to job site: Desalt/lion I Qts. 1 rev. I total I •
New residential single- or multi- family dwelling unit.
Includes attached ga �e
Subdivision: Lot no,: 1,000 sq. R. or Icon 168.54 4
Fa. add 500 sq. ft. or portion 33,92 1
Tax map/parcel no.: Limited energy, residential
D>tSCRIPIION OF 'WORK (with ubuve sq. A.) 75.00 2
Limited energy, multifamily 75.00 2
Work on warehouse lighting residential (with above sq. ft.)
Services or feeders Installattou, alteration, and /or relocation
200 amps or less 100.70 2
t : ?AOP$f'ry OWNER I 0 TENANT. 201 amps to 400 amps 133.56 2
Name: 401 amps to 600 snips 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts - 552.26 2
City /Stair /ZIP: Temporary servkea or feeders Installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or lass 59.36 1
Owner installation: This installation is being made on property that I own which is not
- 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447. 449. 670, and 701. 401 amps to 599 amps 1611.54 2
Branch circuits - new, alteration. or extension, per panel
Owner signature; Date: A. Fee for branch circuits with
above service or feeder fee
+APPLI CANT �'' Q Cq>wIrACT P6R40N 7.42 2
each branch clrouit
RuSineSS n e n w: Johansen Electric lt pee for brunch circuits without
service M feeder fee, first
Contact name: Charlynn Leifsen branch circuil 56.18 dg 2
Each add'I branch circuit ( 7.42 "7 , 42_ 2
Address: 10948 SE Valley View Terr Miscellaneous (service or feeder not included)
City/State/ZiP: Happy Valley, a OR 97086 Each mantill a hared or modular 67.84 2
ppY Y r dwelling, service and/or fbcder
Phone: (5 0 3) 698-3417 Fax:: (5 0 3) 698-2486 Reconnect only 67.84 2
E-mail: Puntpor irrigation circle 67.84 2
Sign or outline lighting 67.84 2
CONTRACTOR _ Signal circuit(s) or lilnited•euergy
Business name: Johans en Electric panel, alteration, or extension. Page 2 _ 2
Each additional inspection over allowable in any of the abov
Address: 10948 SE Valley View Terr Additional inspection (1 hr min) 66.25/ hr
City/State /ZIP: Happy Valley, OR 97086 Investigation (I hrtnlN 66.25/ hr
Industrial plant (I hr min) 78.18/ hr
Phone: (5 0 3) 698-3417 Fax: ( 5 0 3) 698-2486 Inspccniuns for which no six is 9000 / hr
specifically listed (h hr rein)
CCB I.ic,: 5153 9 Electrical Lie.: 3-243C suprv. Lie.: 20535 L1,LcTatcAL' 'moiler FEES '
Suprv. Electrician signature, required: (7.4,4d k Cf.N_,
Plan review (25% of permit
Print name: Carl Johansen Date: 4/9/13 State surcharge (12% of permit fee): 7 4,,
•
Authorized signature: eki._ TOTAL PERMI T PEE; '7 f , 3
'��^ 'fare permit etiolation expires ire permit is not °IMninett within 1a0
Print name: Cha r lynn Leif s en Date: 4/9/13
days after It ha been accepted as complete.
• Number of novieaxirms *unwed per permit
I:UluiidinglPanniti\PI C•Prr'aitApp.doe 07/01 /10 440.4015T(I I/05/COM/WFd1
V /T 'aDVa 98fiiZ869E0S 98tZ869C0S IDHria NaSNIIHOf NV TS:LO ETOZ'60'zdV
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
7233 SW KABLE LN 100, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
04/16/2013 00:00
ELC2013-00212
PASS - No C of O
Violation Summary:
Inspector Contractor