Permit f
111111 •
CITY OF TIGARD ELECTRICAL PERMIT
q PERMIT #: ELC2008 -00681
COMMUNITY DEVELOPMENT DATE ISSUED: 12/22/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 DA -00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: (2) services and (14) branch circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 2 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: 14 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR >= 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
[ELPRMT] ELC Permit 12/22/2001 $253.70 LIC 51539
[TAX] 12% State Surchar 12/22/2001 $30.44 SUP 2053S
Total $284.14 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: i l iv JQ Permittee Signature: Q AD1*k
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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Electrical Permit Applicatio rRECEIVE 1.01: ( )rl l( h: l ,1'. elNl.l
City of Tigard 1 Received �
13125 SW Ball Blvd., Tigard, OR 97223 DEC g ZUU8 [gat es •,.. ♦ Permit NO ' 1C2cA.Q r r . �
B Phone: 5.4171 Fax: 503.598.1 TY OF TIt AR 1 Date/By: 1» Permit
: 1 I Inspection Line: 503.639.4175 I Date Re ]arms BA P� sae 2 for
Internet: www.tigard- or.gov • :6ed/Methnd: Supplemental Iotbrmadoa
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` trr',,pp.,, i a l �s "'S i ��,•' f; ' �i/ I' i . 1. i @ `, fi p I , A a �y _
1111- p�•� ) G14Y' 1➢IiN; fSst `I iarllwllle ktri�nL'3euu F rtITI4t. - ei Y . pr 1 kyr :r .'. : r it � ' . IxW-;31.rs:. MrLi1M7k �� :(' m.•
❑ New construction ® Addition /aheration/replacement Please check all that apply (submit jams of plans w/items checked below):
❑ Service or feeder 400 snips or more ❑ Building over three stories.
13 Demolition ❑ Other: where the available fault current ❑ Marines and boatyards
'y 1 t' Dir ❑ n . F '`�.'r 1 A� c e u. nrrM it "14 h t i exceeds 10,000 amps at 150 volts or ❑ Mating buildings
( Ifdf3hlllll kiiliiecike. 2im N�tk a sl . Ut t t s " a! ,ve li t .:, : less to ground, or exceeds 14.000 ❑ Commercial-use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all otter installations buildings.
❑,Multi - family ❑ Master builder ❑ Other. ❑ Fire pump. ❑ Installation of 75 KVA or
k ,- il ' I p ann r u ku mice Iill�q k r'#.i I ;1' 11:; _ ❑ Emergency system. larger separately derived system
1. lilt Vi!i ui. -- Z.Not :i;n a;ir lSttal kliit a rm ` I -; '..;=!. ? 4
' - ❑ Addition of new motor load of ❑ "A_, , •E_, .•1 - 2" "1 -
Job no.: Job site address: 15115 SW Sequoia 100HP or more. occupancy.
❑ Six or more residential unite. ❑ Rational vehicle casks. .
City/State/ZIP: IS Health-care facilities ❑ Supply voltage for marethan
❑ Hazardous locations. 600 votes nominal.
Suite/bldg. /apt. no.: 10 0 1 Project name: p C C 2 31 spec ❑ Service or feeder 60 . e orr more. w�; ` (ll +
1... � r,..'}I 1i(rii`lir-�ottry 4 W. t 4 : aS]AI.�16F�N17t t'iti <:
Cross street/directions to job site: nnirlpaiea Ott. pee. Tent •
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 add'l 500 sq. ft. or portion , 33.40 1
Limited energy, residential
above sq.
I . i ; ��jr Mn Ts , ay p re � n� 1 t. 1rra i
r ',�.'i g ry�! �ag5r�t�1 � a •� i t ' (with ft.) 75.00 2
1 ���; �. ut; il�1�111 ;1L�31.�i�X.•[�t � 'i�76d.ai,drlitl�.' fl'.Ii�W G.I .Y" :S'' 'r' (wi
i
Limited energy, multi -family 75.00 I 12
Tenant Improvement residential (with above sq. ft.)
Services or feeders installation and/or relocation
u k k :5' , e r w stu r k 1 ' - - - sat -yu s, , u - , , ,
200 amps or less Z 80.30 ! 06,60 2
tg ` . �l1 l iz ad ; �Faa : M • .. 1 Il i ' . I :.- ( r i, , i + 1 ' : ' f i fr • 201 amps to 400 amps 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
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
t i'F ai I f r �w�= 3Qf?gf'a'rk,. t! 1, n {F'pTM" a?'°!'S, t t' ,• above s ervice or feeder fee.
I:.,,1N . il"�,i1;tlli ° klr l a uli N ! �1rf / 6.65 13.10 2
Business name: Johansen Electric Inc.
each r circuit
B. Fee for branch c h circuits
Contact name: Chu n Leitlien without service or feeder fee, 46.85 2
first branch circuit
Address: 10948 SE Valley View Terrace • Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/ State/ZIP: Happy Valley, OR 97086 Each manufactured or modular
dwelling, service and/or feeder x.90 2
Phone: (503) 698-3417 Fax:: (503) 698 Reconnect only 66.85 2
E jo Pump or irrigation circle 53.40 2
i iu nk q t ti ;1: S � A r t r ev _ , ,, s, L 1 ; `'' Sign or outline lighting 53.40 2
Signal p al er limited -
Business name: Johansen Electric Inc.
energy p alteration, or
Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2
City/ State/ZIP: Happy Valley, OR 97086 Each additional inspection over allowable in any oldie above •
Per inspection 62.50
Phone: (503) 698 -3417 I Fax: (503) 698 -2486 _Investigation per hour (1 hr min) 62.50
CCB Lic.: 51539 I Electrical Lic.: , 3 -243C Suprv. Lic.: 2053S Industrial .la • r hour 73.75
Suprv. Electrician signature, I ` '' I .` tt r :.., =a� f '...r . !' 5 a,' . s
Su
p gnature, required : �W U { m Subtotal: Z 3. '70
Print name: Carl K. Johansen Date: 12 / 19 / 0 8 - Plan review (25% of permit fee):
A State surcharge (12% of permit fee): . /
Authorized signature: ` - - _ ` TOTAL PERMIT FEE: , Z J y , /V
Print name: Charlynn J. Leifsen Date: 12 / . 9 / 0 8 This permit days after it K ape accepted 6a mot within ISO
• Number of inspections allowed per permit.
I, UluiIdinaW«mies1EtC- PermitA1 .dw W 440-4615Tf11/OS/COMIWEB
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BUILDING DIVISION
PERMIT #: FLC200800681
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/22/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2y27/2009 TIME: 7:01Ak8 PAGE: 13
SITE ADDRESS: 16116 SIN SEQUOIA PKWY 1OU CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: (2) services and U4\branch circuits.
OWNER: PACIFIC REALTY ASSOC|ATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-0983417
Inspection Request Scheduled For: Date: 2/27/2009 Pour Time:
Code # Inspection Description ' °^ ' oo # Contact # Message
199 Bmxt|ina|finzH 080899-01 603-909-5262 N
Corrections/Comments/Instructions:
^ �
t- PASS �� 0 RART|ALAPPR[��� CANCEL �� NO ACCESS
���
0 --' El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: g."-- 0J �� elo Date: al Phone #: (503) 718- 193
CfTY OF TIGARD
BUILDING DIVISION PERMIT #: E_LC2008 -0 31
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/22/2008
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 irill'Ilti..
INSPECTION WORKSHEET FOR DATE: 213/2009 TIME: 7 :00AM PAGE: 2
SITE ADDRESS: 151'15 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: (2) services and (14) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: ,IOHAN SEN ELECTRIC INC PHONE #: 503.69(3-3417
Inspection Request Scheduled For: Date: 2f3/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 000237 -01 503 -209 -3917 N
Corrections /Comments/ Instructions:
NON (k iNet6 • .
It.) t LL . 76 6 N `Q 17
G c►N - `P • c vl ce FEiS Jo
•
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT N 6Q, L - Date: Z" 74 1 Phone #: (503) 718- VOA)