Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00281
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/25/2011
Parcel: 2S 112AD01000
Jurisdiction: Tigard
Site address: 14945 SW SEQUOIA PKWY 110
Project: Sterling Communication Subdivision: PACIFIC CORP CENTER BLD 9 Lot:
Project Description: (1) 200 amp or less and (10) branch circuits for server room expansion.
Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES LP
10948 SE VALLEY VIEW TERR ATTN: N PIVEN
HAPPY VALLEY, OR 97086 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 698 -3417 PHONE:
FAX: 503 - 698 -2486
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 05/25/2011 $100.70
Specifics: amps or less
10 crt Branch Circuits w /Purchase 05/25/2011 $74.20
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 05/25/2011 $20.99
Electrical
Type of Const:
Occupancy Grp:
Total $195.89
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through • ' R 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: . /1- f` Permittee Signature: 6 �� / , ��
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' Date:
LICENSE NO.
Call 503.639.4176 by 7:00 a.m. for the next available inspection date.
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.
RECEIVED
Electrical Permit Application rt,K flrri(h. L SF. 0.1.1
City of Tigard MAY 2 4 2011 Received r
City DatelBv: d � .5 // `IUs, Permit No.-e (e / / -p oz,fy
13125 SW Hall Blvd., Tigard, OR 97223 . Plan Rev
• Phone: 503.639.4171 Fax: 503.598.7 }6 Review
Ty OF TIGA D Date.B : DthorPermt EC0Z0// o0i9
T 1, -_ h. n Inspection Line: 503.639.4175 BUILDING DiVISION Date ReadyBy: El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: 1110= Supplemental Information
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❑ New construction ® Addition /alteration/replacement Please check all that apply (submit j sets of plans w /items checked below):
ID Service or feeder 400 amps or more ❑ Building over three stories.
El Demolition El Other:
whore the available fault current ❑ Marinas and boatyards.
a Sri- --t` I r 7n ngtr. -s 11912 t � , A _ 7 „ f tl i ;. i c " exceeds 10,000 amps at 150 volts or floating :t IP 4 . ... - .'�'' Ill-1 �� -r2 t : t th,tl. f t r1, .- a� - =. '-, - -: _a.�'w 1 . ,c. .•, i•: P ❑ Dating buildings. •
less to ground or exceeds 14,000 ❑ Com l•uso agricultural
❑ 1- and 2- family dwelling El Commercial/industrial
❑ A ccessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVAor
Mw : r rmrrt } Pc 7 y , 1 , Y y , t ' 4 ❑ Emergency system larger separately derived system.
1 ' i ii r7 71cs _,!°'i v, r,., ti R7•a � } ! . c LL +Wj+ m I
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w " - ar r• �3'�"✓�fat it tl � :.• •ail n' , r s r . ❑ Addition of new motor load of
1
Job no.: Job site address: 14945 SW Sequoia, 110
q ❑ Six o or r or more. Recreation.
more residential ratite. ❑ Recreational vehicle parks.
City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal.
Suite /bldg. /apt. no 110 I Project name: Sterling Communicatio . MI serifceorfeeder amps ormore
• 13 @ 4 tit `'C" "`,'°' i 'I n ... -r 1, . i
Cross street/directio 0 job site: #I 1 Description # t' ' O t e a ll / 1 E „
J Dnmption � Qty. � Pee, . ( Total I •
New residential single- or multi - family dwelling unit
,ter' Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4
Ea add'/ 500 sq. ft. or portion 33.92 1
Tax map /parcel no.:
I rI �,v_ : Fs: i 7 _{• pt ; F:If' Limited energy, residential 75.00 2
Il91. ,15. ! ;r ,1,,s 't :-, /Ell II ;y aiiill iii 1 h 1.1!.11
Server room i'i �p.!s,� „rill ;, , I �� (with nergy, m lti
1 . i _.,,ii,6la,l�lul ;. _. d�A1 ?:L:iin�i6��i'�dtl : II} upilu :Prliln,�,io,ya'G.4r,9ln�s
Limited energy, multi- family 75 -00 2
m ex ans i on residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 1 100,70 0 0. 7 C 2
t 9g Y r: �rr�.�"'ri e,y ^ 1 T 1,,l : li!)il ,, -� 1 f s ': 201 amps rp�' to 400 133.56 2
amps M .lc; stest m a1 : 5!
}. ur' ;Ill i t, . . t A U 7 i � ' (' .. �. 7 , it:i5 trl 7 p ,
rd t -tic trEri r,
401 amps to 600 amps 200.34 2
Name: -
601 amps to 1,000 amps 301,04 2
Address: Over 1,000 amps or volts I 552.26 2
Temporary services or feeders installation, alteration, and /or
City /State/ZIP:
relocation
Phone: ( ) F ax: ( ) 200 amps or less 59.36 I 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, r panel
' Owner signature: Date: A. Fee for branch circuits with
it coo „ s t c ° „ 1' above service or feeder fee,
,erg e .$0, 1 '(l�lt1 t 1,- Fla.sta•, 7uy,lhll; ,111 11p(I }! 4 ® ii O d r 7.42 74.2 0 2
a. 4 �� ` .. ': ` as}r h.. a. au7 iatla each branch circuit 10
Ausiness name: Johansen Electric B. Fee for branch circuits without
service or feeder fee, first
Contact name: Charlynn Leifsen branch circuit 56.18 2
Each add': branch circuit 7.42 2
Address: 1094 8 SE Valley View Terr Miscellaneous (service or feeder not included)
Valle O R 97086 Each manufactured or modular
City /State/ZIP: Happy 67.84 2
PP y r dwelling, service and /or feeder
Phone: (5 0 3) 698-3417 I Fax::(503) 6 9 8 - 2 4 8 6 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:
Sin or outline lighting 67,84 2
t�.,!” et yr,er,{� � i { rxtr+ t ,u� 8 8 B
'a1t�')u lie,, 'J.rl Ipxl till ° ' ,i i 2; p7, 1., 4.811 1 i� 1 6 ' 3 r I ,, 1911!i1'lo :' „ (tli , 7 '' ,. i'&6 Si circuit(s) or limited- energy
panel, alteration,orextettsion. Poge2 2
Businessnarne• Johansen Electric
Each additional inspection over allowable in any of the abov
Address: 10948 SE Valley View Terr Additional inspection (1 hr min) r 66.25/hr
City/State/ZIP: Happy Valley, OR 970 8 6
Industrial nt
Investigation (l hr min) 66.25/ hr
Idui plant (1 hr min) 78.18 / hr
one: (503) 698-3417
Fax: ( 5 0 3) 698-2486 Inspections for which no fee is 90 00/ hr
s• cificall listed (%r hr min
CCB Lie.: 51539 Electrical Lie.: 3 -243C Suprv. Lie.: 2053 S ' ' 'xi +ill 14.1 F sw %ht: '`.:11 `: P1 `i'il
• Suprv. Electrician signature, required:
e, Subtotal: 174.90
j1, 24.4. / Plan review (25% of permit fee):
Print name: Carl Joky sen e : 5/24/11 State surcharge (12% of permit fee): 20. /
( J TOTAL PERMIT FEE: 195.89
Authorized signature: •
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Charlynn Lei fsen Date: 5/24/11 . Number of inspections allowed per permit.
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