Permit CITY OF T I G A R D ELECTRICAL PERMIT
4
PERMIT ISSUED ELC2009
COMMUNITY DEVELOPMENT
DATE ISSUED: 1/14/2009
T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112AD-01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
PROJECT: STERLING COMMUNICATIONS
Project Description: Electrical TI. (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: SIGNAUPANEL:
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 HAPPY VALLEY, OR 97086
Phone: Contact #: PRI 503 - 698 - 3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
IELPRMT] ELC Permit 1/14/2009 $93.40 LIC 51539
'TAX] 12% State Surchar 1/14/2009 $11.21 SUP 2053S
Total $104.61 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 daeturtA th rough 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: 4 Qn� Permittee Signature: C l) (Q f 011.
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.
•
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ENED
Electrical Permit AnyliaC
cati 1 iiu i Il 1.. 1 •;I ()\ I
City of Tigard 1 6,14 1 4 Z (•t !L — A
OOS Remived
Permit No.:1 ..... 0 • zo
11/1 13125 SW Hall Blvd., Tigard, OR 97223 . fin p R
Date/B . k Oct ,
Phone: 503.639.4171 Fax: 503.598.1962. , iN GI1GPilW , Dare/T3 . Other Permit:
, , A_, .,., , i , 11U/section Line: 503.639.4175 CRIL Vi ^ ...% TISION Date Ready/By: WM 7 . - See Page 2 tor
Internet: i.vww.rigard-or.gov s i %NO 1 NoliSedA4alrod: Supplemental Information
iMillEVIMIZEtiZminzamt,..:
0 New construction Egi Addition/alteration/replacement Please check all that apply (submit/ sets of plans veitema checked below)
0 Service or feeder 400 amps or mom 0 Building over three stones.
0 Demolition 0 Other: when dm available fault current 0 Marinas and boatyards-
t fUTZE:17/222:717117LNEMITEtt f;..:',irk. exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14.000 0 Commercial-use agricultund
0 1- and 2-family dwelling Eg Commercial/industrial 0 Accessory building amps for all other installations. In/tidings.
0 Multi 0 Master builder 0 Other: 0 Fire pump. 0 Install:Mein of 75 KVA or
.ffglr- .. A . 4 0 Emergency sYstarn- larger separately derived system.
.. . . ' ailliklaillfilkatali://610.4.1tautill 1 .... D'iltZi 1 : tt 't- eiL,':, 0 Addition of new motor load of 0
Job no.: Job site address: 1 4 94 5 SW Sequoia 100HP or more. °mummy.
0 Six or more residential mite. 0 Recreatiorml vdticle paths.
City/State/ZIP: ID Health-care facilities. 0 Supply voltage for more that
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: 110 I Project name: Sterling Communicatio . ! Service or feeder 600 amps or more.
r iiit.,..MV'titaMMitifinigNM:',"",
Cross street/directions to job site: Edon Oh ININ 'raid •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1.000 sq. ft. or less 145.15 4
Ea. addl 500 sq. ft or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential
t i iiiffigni !lg,' idittEMMICELM7 Tifi1[1 VI (with above sq. ft.) 75.00 2
Limited energy, multi-family
75.00 2
Tenant Improvement residential (with above sq. R.)
Services or feeders installation alteration, and/or relocation
. 200 amps or less 80.30 2
' ' ''' li II la Ir fi aril' 14 0 worir gm) ,,.,,p,. 1 , 14 ,
, .,, 201 amPa to 40 0 amps ,,
n - t ' s It t ')Archttisiiihil ' ' 14 tafUltht". ' lu) . v.. la . -' 'Imitc., • 'r • •i 'i q
1 106.85 2
401 amps to 600 amps 160.60
Name: 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 habitation, 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 amps ps to 599 am 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
1 ' • , ENEREEriat510223 i ,1: v . HIE Wa 'T " : = ,- c . • M C 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, I
Contact name: Charlynn Leifsen • 46.85 q (, .15 2
first branch circuit
Address: 10948 SE Valley View Terrace Each add'I branch circuit ed i : 6.65 (-it .65" 2
Mbcellancons (service or feeder not Included)
City/StaterZIP: Happy Valley, OR 97086 Each manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: (503) 698-3417 I Fax: : (503) 698-2486
Reconnect only
66.85 2
E-mail: johansenelect@msn.com Pump or irrigation circle 53.40 2
'IllatkilingiLlinnakile5=SEirtaliMail ' ), IkAil Y ...,.. I3 Sign or outline lighting 53.40 2
s) or
Business name: Johansen Electric Inc. Signal circuit( limited
energy panel, alteration, or
. Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2
City/State/ZIP: Happy Valley, OR 97()86 Each additional isspectioN over allowable in : , of the above
Per inspection 62.50
Phone: (503) 698-3417 Fax: (503) 698-2486
Investigation per hour ( 1 hr rain) 62.50
CCB Lic.: 51539 Electrical Lie.: 3-243C Su rv. Lic.: 2053S industrial 'hint per hour 73.75
lialaffaini=nr,rArg=re- 73
Suprv. Electrician signature, required: Subtotal: r - . 16 .
. Print name: Carl K. Johansen Date: 1/14/09 Plan review (25% of permit fee):
-
State surcharge (12% of permit fee): 1/, 2/
Authorized signature: 0 t.N....Th TOTAL PERMIT FEE: /61e,4/
Print name: Charlynn J. Leifsen I Date: 1/14 /0 9 nil permit application aspires if a permit is not obtdoed within 180
drys after it has hem accepted as oomplete.
• Number of inspections allowed per permit
Llthalding.PermonELC-PentiitApp.doe 05/23/06 440-46157(11/05/COmiwn
I • ol XUA 13C83SU1 dH WEJTE:IT 6002 tPT ueC
• D-IT,( OF TIGARD ,fir
BUILDING DIVISION PERMIT #: �C Zoa
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 940020
Phone: (503) 639 -4171 '11 y O
Inspection Requests (24 Hrs.): (503) 639 -4175 =1 9
INSPECTION WORKSHEET FOR DATE: 2,-2''1 •0 9 TIME: PAGE:
SITE ADDRESS: L}G� fi S 08� '1* 110 CLASS OF WORK:
SUBDIVISION: b `. LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: T j
OWNER: PHONE #:
CONTRACTOR: trbi - �•-- PHONE #:
Inspection Request Scheduled For: - - :?'2 . 1.01 Pour Time:
Code # Inspection Description Confirm • Contact # Message
1179 c -iNAL
Corrections /Comments/ Instructions:
•
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • 4\ 166 Date: 2- 21 •O Phone #: (503) 718 - 21141)
CITY ����^�����U�Q�
OF mo���m���� '
BUILDING DIVISION ~�~°"~~=°""°~° ~="°"~~"=~"" PERMIT #:
1312SSVV Hall 8lvd, Tigard, OR07223 DATEISSUED: 1/14/:2009 Phone:(503)639'4171
Inspection Requests (24Hm.):(503)S3B'4175 ---"A 'II: I
INSPECTION WORKSHEET FOR DATE: 2y9/2009 TIME: 7:O0AK8 PAGE: 9
SITE ADDRESS: 14U45EW SEQUOIA PKWY 11O CLASS OF WORK:
SUBDIVISION: PACII9C CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: t;TERL|N(3COMMUNICATIONS
DESCRIPTION: Electrical 11. 03) branch circuits.
OWNER: PACIFIC REALTY ASSAC1A7E8, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 603-69O3417
Inspection Request Scheduled For: Date: 2/9/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message h V
130 Ceiling 503-969-5262 U 000417-02 �O9'�����2 N U
Corrections/Comments/Instructions:
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PASS 0 PARTIAL APPROVAL 0 CANCEL rl NO ACCESS
0 AIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
�Inspector: ^--^ ) l NC~ Date. .1-..
C l - Phone #: (503) 718' '414%
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELC2003.00020
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2009
Phone: (503) 639-4171 , i � .l�l
Inspection Requests (24 Hrs.): (503) 639 -4175 : , R._,..
INSPECTION WORKSHEET FOR DATE: 2/9/2009 TIME: 7 :00AM PAGE: 10
SITE ADDRESS: 14916 SW SEQUOIA PKW'( 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: STERLING COMMUNICATIONS
DESCRIPTION: Electrical 11. (0) branch circuits.
OWNER: PACIFIC REALTY ASSOC)AFES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 603G98 -3417
Inspection Request Scheduled For: Date: 2/011003 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall 1::over 080417 -01 503 N
Corrections /Comments /Instructions:
0 , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v i v b!) Date: t I ' C i Phone #: (503) 718- *ft,.
,, .•: