Permit � " CITY OF TIGAR® ELECTRICAL PERMIT
PERMIT #: ELC2007 -00186
r ' ^'9 COMMUNITY DEVELOPMENT DATE ISSUED: 3/27/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA-01400
SITE ADDRESS: 06650 SW REDWOOD LN 160 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT 002 JURISDICTION: TIG
PROJECT: STAPLES CONTRACT & COMMERCIAL
Project Description: Tenant Improvement
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: 5 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 3/27/2007 $80.10 LIC 51539
[TAX] 8% State Surcharge 3/27/2007 $6.41 SUP 2053S
Total $86.51 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: / i A i ✓AL, ,a
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
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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.
+.w. a arr~•~~~•v..
Received
13125 SW Hall Blvd., Tigard, OR 97223 IL CKhor
Pla► Review
Phone: 503.639.4171 Fax: 503.598.1960 Datw2 : , L? '7
- 0016
Inspection Line. 503.639.4175 Due Ready/By. ► la s6e pope 2 fir
Internet www.ci.tigard.or n Nodded/Mahod: Seppteereahal lat'orautloa
❑ New construction ® Addition/alteration/repiamncnt Please check all that apply:
❑ Demolition ❑ Other: OService over 225 amps, coaWl []Hazardous location
OSeavieo over 320 amps - rating ❑Buildnl over 10,000 sq. ft,
of i- and 24bouly dwellings 4 or more new residential
❑ 1- and 2-family dwelling ® Commerciallindustrial ❑ Accessary building []System over 600 volts nominal ~ in one stnrcaue
❑ lNold-fatally ❑ blaster builder ❑ Other; []Building over three stories ❑Foeders, 400 amps or mom
[]Occupant load over 99 persons OManuhctwcd structurev or
0Is'3ress1lighting plan RV Part
Jaw no.: Job site addrms: 6650 SW Redwood, 160 []Health-care facility []Other:
Submit 2 sets of plate with any of the above.
City/State/LIP: The above are not applicable to temponvy construction service.
Suite/bldg,/apt no.: 160 Project naane: Staples
DwcrtpSaa Qt,. res. 7oeeh
Cross street/dirwtions to job site: New residential single- or muWfamily dwelling unit.
Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision; Lot tm•: Ea. add'[ 500 sq. A or portion 33.40 1
Limited anergy, residential 75.00 2
Tax map/parcel no.: Limited energy, non-reaidemial 75.00 2
Each mWr tfictured or modular
Tenant Improvement dwellin serv+iceand/orfeeder 90.90 2
Services or feeders installation, aftemdon, and/or relocation
200 amps or less 5030 2
201 amps to 400 amps 106.63 2
401 amps to 600 amps 160.60 2
/dame: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/St8*jZIP: Temporary services or feeden installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.95 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch dmelb - new, alteration, or estensins. per pand
A. Foe for branch circuits with
service or feeder fee, each d.65 2
Business name: Johansen Electric Inc. branch circuit
B
Contact name: CbarlYna I.e[ben B. Foe for branch circuits
wirleohrl service or feeder ke.
Address: 10948 SE Valley Vier Terr. each branch circuit 1 46.35 146.85 2
Each add'I branch circuit 6.65 33.25 2
City/State/Z1P: Clackamas, OR 97015 MlsceWaeons (service or feeder not included)
Phone: (503) 698-3417 Fax:: (503) 698-2486 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: johansenelect@msn.com Signal circuit(s) or limited-
energy panel, alteration, or
Business name: Johansen Electric Inc- extension. Describe: Pap 2 2
Address: 10948 SE Valley View Terr. Each additional iuapeeties wer allowable la any of the above
Per inspaxion 62.50
City/State/Z1P : Clackamas, OR 97015 Investigation per bola (1 hr mia) 62.50
Phone: (503) 6983417 Fax: (503) 698-2456 Industrial phw per hour 73-
C CB Lic.: 51339 Electrical 3-243 S . Lic.: 20535 Sabwtal 80,10
Suprv. Electrician signature, required: Plan review (25% of permit fee)
P ri nt State surcharge (8'/e of permit fee); 6.41
na me: Date: 3/26107
TOTAL FERMIT FEE 86.51
Authorized signature:
auk4d~E~ TLis paessit spptiradem expires Us permit is ast obtained witbia l30
days after it bore been aeeepred u eonpleee
Print name: Date: W26107 e Fee metbodoloay set by Tri-county Bu ldit lohnhy Service hoard
ee Number of inspections per permit &Ibwed•
i:u~i,elrwmiulD.Cpar~sp.doe taros ~o-~tscporoanCO
I'd XHJ 13CN3SFJ1 dH WdSO:E LoDZ 9Z Jew
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7 :00AM PAGE: 9
SITE ADDRESS: 06650 SW REDWOOD LN 160 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: STAPLES CONTRACT & COMMERCIAL
DESCRIPTION: Tonant.Improvement
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 6983417
Inspection Request Scheduled For: Date: 4111/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 046338 -01 503- 695.3417 N
s �
Corrections /Comments /Instructions:
PA I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,V Date: Lk I iI ( "1 Phone #: (503) 718 - ` i LfJ
' CITY OF TIGARD _
..._ ,
BUILDING DIVISION PERMIT #: ELC2007- 00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/27/2007
Phone: (503) 639 -4171 >- . �
Inspection Requests (24 Hrs.): (503) 639 -4175 .00 I..
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:O0AM PAGE: 10
SITE ADDRESS: 06650 SW REDWOOD LN 160 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: STAPLES CONTRACT & COMMERCIAL
DESCRIPTION: Tenant Improvement
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.698 -3417
Inspection Request Scheduled For: Date: 3/30/2007 Pour Time:
Code # Inspection Description - Qfirm- Contact # Message
04577701.. 503 -969 -5262 N
105 VNItt>lq
Corrections /Comments / Instructions:
PASS / ) 1 1 PARTIAL APPROVAL El CANCEL El NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V • t' bet.- Date: 3'30.0V Phone #: (503) 718- 2 4 1 1 1 0
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