Permit q ELECTRICAL PERMIT
IN
CITY ®F TI GA R o
COMMUNITY DEVELOPMENT PERMIT #: ELC2007 00727
DATE ISSUED: 10/24/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 355 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
PROJECT: BROKERS MORTGAGE
Project Description: TI - install (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
IELPRMTI ELC Permit 10/24/200' $106.70 LIC 51539
'TAXI 8% State Surcharge 10/24/200' $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 -010* • may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issue• ,1/ JjJ j f / Permittee Signature: - 40% at i'
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.
,
Electrical Permit AD 1 # i
y 3
D Y ll.. _ letvli .�' 1 r.� �- I ()� I �< I� 1 �I (1 \ 1 � t ' , '
City of Ti l 1 ^
Bard Reeeivad
�� , . .
13125 SW Hall Blvd., Tigard, OR . r/� 7 Pl an R : I J 5
( Z ( Dot Rev w
....:.'_.-.•:.:. s , r Phone: 50363971
oe : .. Fax: 503. 6 Other Permit;
DatdB
i ? Inspection Line: 503.63' p � El See Pa 2 for
_ Internet: www.tigard -o i . i y Vr 1 lu Q D Notified/Method: Date Ready/By: 1 ,
.am (�qm ` mod ,,. � Supplemental Information rl .� A .' Y , ,i�4 �,' R Q "• t � L . {.,1� 1 � .., T,"' f '�' S 1 � 4 1 M. ''ht. •r C7 }r�i@ iJ tJ
li „ /4 /� : W v .:5;I:.:E li .2',.,.V rai .4 Y } r11 :�Jr LL I �r 'ti-: J[42 y... V • t •�l�Y S + t ,i I .' + l ' :. W C E � 1.N4:�!
❑ New construction ei A. dition/alteration/replacement Please check all that apply (submit 2 sets of plans wlitema clucked below):
❑ Service or feeder 40D amps or more ❑ Building overtime stories
El Demolition El Other:
where the available fault t curran%1 e s r.,-:...1"116 iV 1 •i ,1,r, 'mil ° i' " '� t, rC4tsr r 1 ❑ Marinas and boatyards.
1
^•'' lb •.. to r 4 ail er : l . t -'' ,1:. 1 ! a ° : ..401 c f , � " > ` A „ . , ). r 7; . , , i , . 1 t a ,, exceeds 10,000 amps at IUD veinier ❑ Floatrttg buildia�s
El 1 -and 2- family dwelling ®ConunerciaVindllstrial less to pound ce exceeds 14,000 ❑ Comnurcial -use agrindtural
❑ Accessory building amps for all other installations. buildings
❑ Multi - family ❑ Master builder ❑ Other: ❑Fite pump. ❑ Installation of 75 KVA or
Off pr _ t 17, tr f M 4. �t , °� °e u Emergency system. 1 r a el derived s tan
- 4 : ,:: �'i1Yt r �d tiY i.] A I .v a t . ` f 1 x ° #l'i aTBe Y Ys
" , �. f' • 1..�- a�asir� • � _ t 3 z ... O Add ition of �w motor l oa d of ❑ „ "E•, "1 -2" . •1-4 ..
Job no.: Job site address: / ./ eIll' iidafit/ toortP orisons. occupaa4y.
❑ Six or more residential units. ❑ Recreaticmal vehicle parka.
City /State/ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locanams 600 volts nominal
Suite/bldg. /apt. no.: j ' Project name: Or/01S 14 /y V ❑ Service or feeder 600 amps or mare
Oa.
Cross street/directions to job site:
newr4ao
_:'l it' i:d�S • Il }ti~` !: �' � r` ! 1 F F.
'1 Y + Yk}11l ('�:
on Pen 1 Total l •
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. aYfd'l 500 sq. ft. or portion 33.40 .. 1
t Limited energy, residential 75.00 2
,its l r 0 • •..- F., e. tin .t' : u `. a itki N t `'ie aa 1
tw • ?'.1. ti:.; (with above sq. R.) _
/ M ` -n / Limited energy, multifamily residential (with above sq. ft 75.00 2
t"/I'4�'L , O II ft.)
Services or feeders iastallation,alteration relocation
is E ,t „ q l,tta�i 18 4 1 200 amps or less 80.30 2
�.., t .: Muff_ iievie Burr � t ' . - =a , ; ?}= 'r44!* t , t .. ' .
ca r �, „ s ,; 201 amp to 400 a mps 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: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
„ a„ t ., , ,�„ •: tt ° 7 A. Fee for branch circuits with
l` . .:. lkl(?
4i1.ii :!'W:,, t > g ..., sts 'tell E r1 l w + 1 ' i "� a i t i ' : : i 'fF above service or feeder fee, 6.65 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
Contact name: Cbas lynn A.eifaen withou service or feeder fee, 46.85 2
first branch circuit (P
Address: 10948 SE Valley View Terr. ' Each add'I branch circuit q 6.65 5 •4C 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Clackamas, OR 97086 Each manufactured or modular 1
dwelling, service and/or feeds 90.90 2
Phone: (303) 698 -3417 I Fax: : (503) 698 -2486 Reconnect only 66.85 2
E-mail: johansenelect@msn,com Pump or irrigation circle 53.40 2
1. 1. t_'. '+ .0 !.;i .' $ :'iii 1. r ' n,;;` J`' s• { trig { a i'% Sign outline lighting 53.40 2
Business name: Johansen Ekctric Inc. Signal circuits) or limited -
energy panel, alteration, or
Address: 10948 SE Valley View Terr. extension. Describe: Page 2 2
City /State/ZIP: Clackamas, OR 97086 Each additional inspection over allowable in an of the above
Per inspection 62.50
Phone: (503) 698-3417 Fax: (503) 698 -2486 Investigation per hour (1 hr nun) 62.50
CCB Lic.: 51539 l Electrical Lic.: 3-243C Suprv. Lic,: 2053S Industrial plant per hour 73.75
I � (
°G lj 4, l ` 1.'._.;Ea� 1 k , rz ' ^11.
Suprv. Electrician signature, requi Subtotal: '""
Subtotal /0
Print name: Carl Johansen Date: / 0/1,q70 Plan review (25% of permit fee):
I / State surcharge (8% of permit fee): C E r , 5 (J
Authorized signature: ,..-f-, TOTAL PERMIT FEE. / 5, 2
S / /
This permit application expires if a permit is not obtained within 1B0
Print flatus: Charlynn Leifsen Data
Ol Z y�(! days after it has been accepted as complete.
777 • Number of inspections allowed per penrnt.
I:1 Building \Pam+its'ELC- ParrnitApp.doc OSP23.b6 441.4615T(1 1/05/COMPNEa
T • d Kd3 13C213Sd1 dH WdS I : Z LOOZ .frZ 100
r ~ ak- El Electrical Permit A
ei V f,
City of Tigard
Date, B
13125 SW Hall Blvd., Tigard, OR qg ENcdfiWMcthod- ev; w
o Phone: 503.639.4171 Fax: 503. . 6(2 `a 200 7 F. Other Permit;
Inspection Line: 503.63 see page 2 for
Interne. .tigard-OW Y Ur Y Y VI Q supplemeapl latormatioe
fi;wpll `xdij
❑NOWconstruction Addition/alteration/replacemenr Please oheckall that apply (submit 2, sets ofplanswhoemsal,eckodbelow):
r-~ ❑ Service or foeder 400 amps or more ❑ Building over three stories
❑ Demolition tJ Other where the available fault wheat ❑ Marinas and boatyuda.
Fa " s r < t , r a ;r. t .3 E 7i10iw E; I a r exceeds 10,000 amps at 150 voila or [I Floating b uildiogs
a -
less to ground, or exceeds 14,000 ❑ coeaneroia)-use sgriculaual
❑ I. and 2-family dwelling, ® CommerciaVindustrial ❑ Accessory building amps for all other installations. buildings
❑ Multi-family ❑ Master builder ❑ Other. ❑ Fire pump. ❑ htstallation of 75 KVA or
1, 4 s ❑ Emergency system. larger scparataly dcrivcd system
.r,; rli!iS', - •:^'It f., "i'¢~F,.,u' ❑ Addition ofnew motor load of ❑ "A" "S" "1.2"
more, oocaparwy
Job site address: Six or y. or a
Job no
❑ morn residential units, ❑ Recreational vehicle parks.
CityJState(ZIP: ❑ Health-care ti<cilibea. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nouynal.
Suite/bldgdapt. no.: -36 ~5 Project name: ❑ Ser~icc or feeder 600 amps or more.
41 ale , , t
9
l
Cross street/directions to job site: Dew i tine free Toed
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft or less 145.15 4
Ea. add'1 500 sq. ft. or portion 33.40 1
Tax map/parcel no Limited energy, residential
Y, 75.00 2
gel. 3 n' < , K k; ry~ r > A3eEs with above . ft.
- Limited energy, multi-family 75.00 2
residential with above . ft) Services or feeders installation alteration and/or relocation
1l 200 amps or less 80.30 2
l a '.c; 201 amps to 400 amps 106.85 2
Name: y 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
Ci lStste/ZIP: Temporary services or feeders installation, alteration, and/or
ty relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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 net
Owner signature: Date: A. Fee for branch circuits with
above service or feeder fee,
each branch circuit 6.65 2
Business name: Johansen Electric Inc. B. Fee for branch circuits
without service or feeder fee, 46.85 1 2
Contact name: Charlyna Leifsen first branch circuit
Address: 10948 SE Valley View Terr. Each add'1 branch circuit 6.65 -15,q -10 2
Miscellaneous service or feeder not' ludedCity/State/ZIP: Clackamas, OR 97086 Each manufactured or modular 9090 2
dwellin service ardor feeder
Phone: (S03) 698-3417 Fax:: (503) 698-2486 Reconnect only 66.85 2
E-mail: jobs nsenelectj~atsu.cotn Pump or irrigation circle 53.40 2
Signor outline lighti 53.40 2
Signal
name: Johansen Electric Inc. circuit(s) er limited-
energy panel, alteration, or
Address: 10948 SE Valley View Terr. extension. Describe: Page 2 2
City/State/ZIP: Clackamas, OR 97086 Each additional inspection over allowable in an of the above
Per inspection 62.50
Phone: (503) 698-3417 Fax: (503) 698-24$6 Investigation per hour (1 hr min) 62.50
CCB Lic.: 51539 Electrical Lic•: 3-243C Suprv. Lie.: 2053S Industrial plant per hour 73.75
in.
Suprv. Electrician signature, requi Subrotal: (,7 Q
Print name: Carl Johansen Date: f Plan review (25% of permit fee)
State surcharge (81/6 of permit fee): 5
Authorized signal=: l TOTAL PERMIT FEE. j , 2
This permit application expires ;f a permit is not obtained within 180
Print name: Charlynn Leifsen Date: p Z days after it has been accepted an complete.
" Number of inspections alto-Avd per permit.
I:\BuildingTorm;teELC-PmmAApp.doe 05MY06 440d615T(11/05/C0 WM
I . d X1 3 13C2i3S1 -i dH WdS 1 : Z LOOZ bZ q00
CITY OF TIGARD
BUILDING DIVISION PERMIT #: F:t t:2007•G0727
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2007
Phone: (503) 639 -4171 I � I e
Inspection Requests (24 Hrs.): (503) 639 -4175 s' 1!.
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 06650 SW REDWOOD LN 355 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: BROKERS MORTGAGE
DESCRIPTION: TI - install (10) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698 -3417
Inspection Request Scheduled For: Date: 11/8/2007 Pour Time:
Code # Inspection Description— Confir-m_# Contact # Message
130 Ceiling cover 069269 -01 503. 969-5262 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL _ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" NCS6 L Date: W 4 6' Q Phone #: (503) 718- -
CITY OF TIGARD
BUILDING DIVISION � `' PERMIT #: ELC2007 -00727
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10!24/2007
Phone: (503) 639 -4171 A,
I nspection Requests (24 Hrs.): (503) 639 -4175 ,_ 0°1 L..
. INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7:01AM PAGE: 33
SITE ADDRESS: 06650 SW REDWOOD LN 355 CLASS OF WORK:
SUBDIVISION: pACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: BROKERS MORTGAGE
DESCRIPTION: 11 install (10) branch circuits.
OWNER: PACIFIC REAL....TY ASSOC! A1 S, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: .f: ;03-698 - 3,117
Inspection Request Scheduled For: Date: '10/25/2007 Pour Time:
Code # Inspection Description ( CofiT#\ Contact # Message
• 125 Wall cover 058337 -01 503. -96!3 -5262 N
Corrections /Comments /Instructions:
P AS JJ n PARTIAL APPROVAL Ti CANCEL n NO ACCESS
n FAIL 7 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ' 6 06 L—E Date: `O 01 Phone #: (503) 718 - -ell*
CITY OF TIGARD
BUILDING DIVISION PERMIT #: i" LC2007- 110727
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2007
Phone: (503) 639 -4171 ° d� li��
Inspection Requests (24 Hrs.): (503) 639 -4175 �' F:_..
INSPECTION WORKSHEET FOR DATE: 11/28/2007 TIME: 7 :00AM PAGE: 21
SITE ADDRESS: 06650 SW REDWOOD LW :555 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: BROKERS MORTGAGE
DESCRIPTION: TI - install (10) branch circuits.
OWNER: f >ACiFiC REALTY ASSOCIATE..::, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503- 658 -3417
Inspection Request Scheduled For: Date: 11/20/2007 Pour Time:
Code # Inspection Description ` (Confirm # Contact # Message
199 EIQdiiral final 000401 i 503-969-5262 N
Corrections /Comments /Instructions: . 1
. ,i_.-:,5
or
. . w
\\
Oe,
\ W \
PA n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G'. NOB L.- Date: ill 'AI 01 Phone #: (503) 718- 11414.b