Permit CITY O F T I G A R D ELECTRICAL PERMIT
71
° PERMIT #: ELC2008 00685
COMMUNITY DEVELOPMENT DATE ISSUED: 12/29/2008
TICARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 198 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
PROJECT: COMPUTERATION
Project Description: TI
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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: 10 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: 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 #: PRl 503 - 698 -3417
FAX 503 -698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 12/29/2001 $146.80 LIC 51539
[TAX] 12% State Surchar 12/29/2001 $17.62 SUP 2053S
Total $164.42 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: V MO fILItQA0A Permittee Signature: SiLt A ftl I ( eU `W
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.
0 ,,, - -, a
iiC EIVED
Electrical Permit Api 1ica � �" �e:. '.• -
! r I .lit ai`i`rI< I: I h1. it�l:�
City of Tigard DEC 2 9 2008 Received
tY g 2 9. •;t ■ Pemti No.: • �� , • 60 ,
D a t e : • �:
13125 SW Hall Blvd., Tigard. DR 97223
C ( OF TIGARD ' �" °"
Phone: 503.639.4171 Fax: 503.5 p�B ; Other Permit
! : ; , \ : I ) inspection Line: 503.639.4175 Q Date Ready /By: Sea Page 2 br
Internet www.dgard- or.gav 3 ILDING DIVISIO Notified/Method Supplc 2 ln
I ! 1r�� {I •� r+/r�lga� 3 nn nytr+�a4 � @ 1 � . i WI I ,}� p , Iml j �[ ,f I� ���i y� , � }Ft 1 S 3
�Y� "l �. 8ri11�I1' 1 . rog a F� l f1 v.... �II ,,I .T. .ier:7llfrox..thQ hW.i,tr L� I,II . a � it itu
❑ New construction ® Addition /alteration/replanement Pita8C chock all that apply (submit a sets of plans w /hems ducked below):
❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more 0 Building over three stories.
where the available thrill mcrrsu ❑ Marinas and boatyards.
i. v 1 ` I` III i ' I ` K 7 t e �I f / : S` I1 $yI� p Floating buildings.
P I . i ! V .!�lii `IitBStllLiautirnguiusarh; HA lea iaii add' dun .EVE1111 4 1.1 exceeds 10.000 amps at IS0 volts or 0 Floa! leas to grotmd oe exceeds 14,000 ❑ Camsnerccial -use agricultural
❑ 1 - and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: OFin:pomp. ❑ matallaien of 75 KVA or
} ! ! " I i t rti !'�iv . : "'d'�{+' upC3 :�r! alr ' . ,r. o�:�5 } i ' g a; i c .❑E
i ' .057''''''. larger separately derived system.
"! � I 1 4tas i:Pser'�a? C41� .11c, I�.'!, o' Ai:ss S t4fiP }'' ''t 'I '' .'' ❑Addition otnewm o torloadof ❑ "A "E", °1 - ", - t
-3"
Job no.: Job site address: 15350 Sw Sequoia 100HP or more. occupancy.
0 Six or more residential units. ❑ Recreational vehicle paths.
City /State/ZIP: than
®Health�e facilities. CI Supply voltage for more
['Hazardous locations. 600 volts nominal
Suite/bldgJapt. n .: 19 8 I Project name: c omput e r a t ion ❑ gei"� a feeder 600 or more.
Cross street/directioms to job site: . " `' : ",L �. �I ipi �'
n onerierion otr Pee- Tots •
New residential single- or multi -family dwelling unit.
Includes attached garage.
Subdivision: I L no 1,000 sq. R. or less 145.15 4
Tax map /parcel no.:
Fes. add'I 500 sq. ft. or portion 33.40 l
�i� tat , tY�a, ! rL• EI�fI �ra„'.'I �SMEE Limited energy, residential 75.00
`.2M I M • IIII 1 .i ]i:2" !'!! d!. ,. II1 �'falilJR�:IC ( 2
u i! aIWiIaMRa. ;, with above set. to
Limited energy, multi- family 75.00 2
Tenant Improvement residential (with above sq. ft.)
Services or feeders installation ration, and/or ca
r ;;,� r!r�nna�. teesetnam� ;r 200 amps or less y 80.30 ° • 2
,I,' ei' INE 34 ;;'�,tb�:' a l t t I I :t t ! ti s �1 ti a`I;l` 4 i 1 201 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
I relocation
Phone: ( ) Fax: ( ) 200 amps or less 1 66.85 1 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1 00. 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 (Ircaits- new, alteration, or extension, per panel _
Owner signature: ;��t'' ' '�gB�i Date: A. Fee for branch circuits with
.ra', I 's ! ,'i Ili+iti v a " IIVIIii gl�!eI C i ;" ' ''',11M �1. t above service or feeder fee, 10 6.65 66.5 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
Contact name: Charlynn Leifsen wrr►rout servic or feede fee, 46.85 2
first branch circuit
Address: 10948 SE Valley View Terrace Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: 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: johanseielect®msn.com Pump or irrigation circle 53.40 2
r't y1 F i , , ilritgair ' MqN RF ' ENSEE IN1 ll `1.- Sign or outline lighting 53.40 2
Business name: Johansen Electric Inc Signal circuit(s) or limited-
energy panel, aheration, or
Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2
City /State/ZIP: Happy Valley, OR 97086 Eaeh additional inspection over allowable in an • of the above
Per inspection 62.50
Phone: (503) 698-3417 Fax: (503) 698 - 2486
Investigation per hots (t hr main) 62.50
CCB Lie.: 51539 I Electrical Lie.: 3 -243C I Suprv. Lie.: 2053S Industrial plant per hour . = .75 g�s��;��
,
1� / /' I r!.I:� 'i. a� `E t � r35s'I'i1Rl :01. �{
[.
Suprv. Electrician signature, required: f 1( Subtotal:
- Print name: Carl K. Johansen f Date: 12/24/08 Plan review (25% of permit fee):
Authorized signatu State surcharge (12% of permit fee): 17.62
f TOTAL PERMIT FEE: 164 . 42
Print name: Charlynn J. Leifsen I Date: 12/ 24/08 This permit application esplres if a per•itit is as obtained within 180
days after It has been accepted as complete.
• Number of inspections allowed per permit.
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CITY OF TIGARD
•
BUILDING DIVISION PERMIT #:E112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12i
Phone: (503) 639 -4171 ° . R . i i i r�
• Inspection Requests (24 Hrs.): (503) 639 -4175 -:_�
INSPECTION WORKSHEET FOR DATE: 1 — 16 - Qg TIME: PAGE:
SITE ADDRESS: 133,5 S ,- Q1 fl r 1 OP CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: . - 16 - 01 Pour Time:
Code # Inspection Description Confirm # Contact # Message
ter Ft 4... °a F ' "
•
Corrections /Comments structions:
k t l ' ■.!, k i:% 4F =a . ► ;: ■. 'AV. `
0 0 . , 1__ - 5- I s 6 VE3 .
pii P'et. Aq. 14 .4 -
--""lillIllIllIllIllIllik , ,
U
►_A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G t Date: 1 - 16 4 9 Phone #: (503) 718- 2-iIhl 6
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC20010 -00696
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2000
Phone: (503) 639 -4171 .111
Inspection Requests (24 Hrs.): (503) 639 -4175 r__..
INSPECTION WORKSHEET FOR DATE: 1114/2009 TIME: 7 :01AM PAGE: 43
SITE ADDRESS: 15350 SW SEOUOIA PKWY 196 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMPUTERATION
DESCRIPTION: 1
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection .Request Scheduled For: . Date: 1/14/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 079642 -02 503 - 969.6262 N
Corrections /Comments /Instructions:
O '. ,
- Pan Nk� Pa slims 010 o' er
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v 08 Date: 1 ' I L I ' / Phone #: (503) 718- PM) r
CITY OF TIGARD f .. r
BUILDING DIVISION ! r ` PERMIT #: EL C2008-00686
006[6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2008
Phone: (503) 639 -4171 . ',�,,.�����i�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 122131/2008 TIME: 7:00Am PAGE: 3
SITE ADDRESS: 15350 SW SEQl1OIA PKWY 198 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMPUTERATION
DESCRIPTION: Ti
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC. PHONE #: 603-698-3417
Inspection Request Scheduled For: Date: 12/31/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
12S Wall cover / 079319 -01 603 - 9(9.5262 N
Corrections /Comments /Instructions: \
I
y 4 1 \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • N68 Date: r .3 I Phone #: (503) 718 - /11%