Permit TIGARD r,;,,,,-97,„ CITY OF tl IGB 9R® ELECTRICAL PERMIT
PERMIT #: ELC2007-00687 COMMUNITY DEVELOPMENT
_ + D ATE ISSUED: 10/5/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 12DA -01400
6 SITE ADDRESS: 06650 SW REDWOOD LN 370 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
PROJECT: CSB SYSTEMS
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
IELPRMTI ELC Permit 10/5/2007 $93.40 LIC 51539
(TAXI 8% State Surcharge 10/5/2007 $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: �L } e, � 6,1/1-44_, Permittee Signature: Q
0t lit4------,
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 Application
T 4 206 7N7 City of Tigard Date /By, Perinit DNo. 7 _qp W
13125 5W Hall Blvd., Tigard, OR 97 TV OF r1 1 Other Permit:
Phone: SQ3.639.417] Fax: ~i d~~^` ~ ~ x' , Inspection Line: 503.639.4175 1 w.~ 0 S« Pn=e 2 [or
Intern[ www.tigard-or.gov Supplemental Information
' t i . t s ! 1 ;r ~ i:..;.. Is . ~:';...III ❑ New construction ® Addition/alteration/replacement Please check all that apply (submit I sets of plans wtitemx ebeckcd bel(yw):
❑ Service or feeder 400 amps or more ❑ Building over throe stavies.
❑ Demolition ❑ Other: where the available fault current ❑ Marines and boatyards.
lark= p r exceeds 10,000 s at 150 volts or [I Floating amps buildings.
lees to ground, or exceeds 14,000 ❑ commacial-use agricultural
❑ I- and 2-family dwelttng ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Insrallatic o of 73 KVA or
m li Emergency system, large separately derived systoat
11,11
%
„ a. _ a ❑ Addition of sew motor load of
Job no.: Job site addre ss: I OOHP or mom. occupancy.
u ! ❑ Six or more residrntial units. ❑ Recreational vehicle parks.
City/State/LIP. ❑ Health-care facilities. ❑ supply voltage for more then
oNew ous IDrntions 600 volts nominal.
SuitrJbldg✓apt. no.: Project nine: or feeder 600 amps or more.
Cross street/directions to job site: Fee. I Taal
deotial single- o r multi-family dwelling unit.
attached garage.
Subdivision: Lot no.: 1,000 s q. fl. or less 145.15 4
Ea. add'l 500 . ft. or portion 33.40 1
Tax map/parcel no 1rr1tted residential
r ' ~ ~ ~ • , - ~ . ~ t , ~ I!. energy, res 75.00 2
with above s f idC
.it
Limited energy, multi-family 75.00 2
/ !•r/ residential with above . ft.
Services or feeders installation alteration and/or relocation
200 amps or less 80.30 2
M'. ale 't rr . gJ 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 anaps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/Stato/ZIP: Temporary services or feeders installation, alteration, and/or
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 am s to 400 am 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, alters tion or extension r anel
Owner signature: Date: A. Fee for branch circuits w irh
T ( J l above service or feeder fee,
. ~ 6.65 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
without service or feeder fee,
Contact name: Charlynn Leifsen ` 46.85 C(~p. 2
first branch circuit
Address: 10948 SE Valley View Terr. Each add'I branch circuit 6.65 2
Miscellaneous service or feeder not included
City/State/ZIP: Clackamas, OR 97086 Each manufactured or modular 9090 2
Phone: (503) 698-3417 Fax:: (503) 698-2486 dwellin service and/or feeder
Reconnect only 66.85 2
E-mail: johansenelect,&m3n.com Pump or irrigation circle 53.40 2
„
as i't 3, Itxr. ~".lt c `~#t`='~,, t 5 , „ _ , wr. I Sign or outline lighting 53.40 2
Business name: Johansen Electric Inc. Signal circuit(s) or lintited-
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 as of the above
Per inspection 62.50
Phone: (503) 698-3417 Fax: (503) 698-2486 Investigation per hour(1 hr min) 62.50
CCB Lie.: 51539 Electrical Lic.: 3-243C Suprv_ Lie.. 20535 Industrial plant erhour 73.75
Suprv. Electrician signature, required: Subtotal: d
Print name: Carl Johansen Date: Plan review (259A of permit fee):
~ b b State surcharge (8% of permit fee): 47
Authorized signature: TOTAL PERMIT FEE; 40, 07
O This pertait application expires Its permit is not obtained within 130
Print name: Charlynn Leifsen Date: days after it has been accepted as complete.
Number of impoctiom allowed per parrot.
I:tBaildiogTaTrtitsTLC-PwmilApp.dw 05/23106 440.461 5T(I 1,U%C0M'W®
T -d Xldd 13C213Sd1 dH Wd80 : T L00a fro 400
f
CITY OF TI BYARD
BUILDING DIVISION PERMIT #: FLC2007•006t17
13125 SW Hall Blvd., Tigard, OR 97223 A. DATE ISSUED: 10/5/2007
Phone: (503) 639 -4171 iksii 1 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 -±i
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 PAGE: 37
SITE ADDRESS: 06650 SW REDWOOD LN 370 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CSB SYSTEMS
DESCRIPTION: 8 branch circuit:.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 50$ -6913 -3417
Inspection Request Scheduled For: Date: 1012312007 Pour Time:
Code # Inspection Description ; Confirm # - Contact # Message
199 t Iectyical final 06813401 503 - 969-5262 N
Corrections /Comments /Instructions: �
(----N
PASS PARTIAL APPROVAL I I CANCEL n NO ACCESS
n FAIL CALL FOR INSPECTION 1 I ADDITIONAL FEES ASSESSED
Inspector: 6 * - ' 4 E S91 1 Date: 1011,3101 Phone #: (503) 718-
CITY. OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00687
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1p/ai200
Phone: (503) 639 -4171 `'4444 4'�.4 �r 1t.
Inspection Requests (24 Hrs.): (503) 639 -4175 c-!+r
INSPECTION WORKSHEET FOR DATE: 10/17/7007 TIME: 7:02AM PAGE: 34 •
SITE ADDRESS: 06660 SW REDWOOD LN 370 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: C S3 SYSTEMS
DESCRIPTION: g branch circuit.:,
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 603-690.3417
Inspection Request Scheduled For: Date: 10/17/2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
i -
130 Coiling over \ 067753-01 \ 603.969 -5262 N
\N, Corrections /Comments /Instructions:
i
coN Isk 0 c. ► CA NI wb`t 6k-4 Vol cx IAN
N I A< IW,.e.70 et • A Rini:0 ftk, c-st q 4:
i
, PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • t`bi 1■
Date: 1 1 0 1 Phone #: (503) 718 -2.44
CITY OF TIGAR®
BUILDING DIVISION , PERMIT #:
El_C2007 006 87
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 10/5p007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ..' :VIII'
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 06650 SW REDWOOD LN 370 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: CSD SYSTEMS
DESCRIPTION: 8 branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 10/9 /2007 Pour Time:
Code # Inspection Description C no firm Contact # Message
125 Wall cover 057220 -01 ) 503 -704 -1534 N
Corrections /Comments /Instructions: i
P,: PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • ode Date: i f rf i Phone #: (503) 718- 1-A 1P0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC20O7.00€37
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/51'X)07
Phone: (503) 639 -4171 ' i li
Inspection Requests (24 Hrs.): (503) 639 -4175 F' lI
INSPECTION WORKSHEET FOR DATE: 1018/2007 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 06650 SW REDWOOD LN 370 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 007 TYPE OF USE:
PROJECT NAME: CSI3 SYSTEMS
DESCRIPTION: 8 branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503608-3417
Inspection Request Scheduled For: Date: 10/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover M7126.01 503-96(3-5262 N
Corrections /Comments/ Instructions:
\-- 1 00Y-E - ,D •
n PASS n PARTIAL APPROVAL n CANCEL ANO ACCESS
p: FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: k 0 ( L Date: la 0 Phone #: (503) 718- 2-ji