Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 - 00391
DEVELOPMENT SERVICES DATE ISSUED: 7/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112AD -01000
SITE ADDRESS: 07007 SW CARDINAL LN 185 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
Project Description: (4) branch circuits for charger receptacle.
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: 3 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: 503 - 624 - 6300 Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 7/17/2006 $66.80 LIC 51539
[TAX] 8% State Surcharge 7/17/2006 $5.34 SUP 2053S
Total $72,14 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: . f /L Permittee Signature: iR T �
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.
Jul 17 2006 8:019M Johansen Electric Inc. 503 -698 -2486 p.1
• Electrical Permit Annlication ®• l 1: t i n 1( i 1.i. t )\ 1 1
City of Tigard REU I V �® Reed :1 _ , ey - r
13123 SW Hall Blvd., Tigard, OR 97223 oatemy. / / / D( , / No 6 �,e „ zoo E; 0 9/
Phone: 503.639.4171 Fax: 503.598.1960 JUL 1 7 2 .:� =. Plan Review
p : other Permit Inspection Line: 503.639.4175 1 i • I L Date Y
Internet www.ci.tigard.or.us C1SY OF , ISIO 1\1 � J Notified/method:
'f ' 6 I ®See Page :ter
etho Supplementallnteresagoa
❑ New construction
® Addition/alteration/replacement Planet check all that apply.
❑ Demolition ❑ other: ❑Service over 225 amps, cornm'l ❑flazardovs location
Sery
icc over 320 amps - rating ❑Buildng over 10,000 sq. ft.,
- oft - and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other:
Occupant load over 99 persons ❑Manuoctured structures or
>' ❑EgdsssJlighting plan RV park
lob no.: lob site address: 7007 SW Cardinal Ln, 185 ❑ Health-care facility ❑°then:
Submit sets of plans with any of the above.
City/State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg./apt. g no.: 185 Prnjectname: Commonwealth
Denritition Q4. Toe. Total
Cross street/directions to job site: New residential single- or multi- family dwelling wit
includes attached garage.
1,000 sq, R. or kss 145.15 4
Subdivision: Lot no.: Ea add'I 500 sq. R. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy. non-residential
75.00 2
Each maraifectural or modular
dwelling, service and/or feeder 90.90 2
charger receptacle Services or feeders installation, alteration, and/or relocation
200 amps or less B0. 2
106.15 2
Nam 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
Reconnect only 66.85 2
City/Stale/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
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 600 amps 133.75 2
Owner signature: Date: Breach circuits- new, alteration, or extension, per panel
�u
A. Fee for branch circuit with
service or feeder fee, each
Business name: Johansen Electric Inc. branch circuit 6.65 2
B. Fee for branch circuits
Contact name: Charlynn Leifsen wldhrearr service or feeder fee,
each branch circuit 1 46.55 46.85 2
Address: 10948 SE Valley View Terr. Each add'l branch circuit 3 6.65 19.95 2
City/StateZIP: Clackamas, OR 97015 Mlscelllancous (service or feeder sot included)
Phone: (503) 698 -3417 Fax: : (503) 698 -2486P a irrigation circk 53.40 2
E - mail: johanseneleetemsn.com Sign l outline li li 53,40 2
Signal eiradt(aj or limited -
- : energy penal, alteration, or
Business name: Johansen Electric Inc. extension. Describe: Page 2 2
Address: 10948 SE Valley View Terr. Each additional inepecdon over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Clackamas, OR 97015 Investigation per hour (1 hr min) 62.50
Phone: (503) 698-3417 Fax: (503) 698 -2486 Industrial plant per hour 73.75
CCB Lic.: 51539 Electrical Lied 3 -243 S .Irv. Lic.: 2053S subtotal 86.80
Suprv. Electrician signature, required: rTJ' f � ��tirT >. Plan review (25% of permit fee)
Print name: 4 � Milli, Date: 7/17/06
State surcharge (8% of permit fee) - 5.34
r ` /• / TOTAL PERMIT FEE 72.14
Authorized signature:
i ..../11111r-
,,. This permit application a =pines its permit is not obtained witGla l
Print name: r : , Date: 7/ 17/06 . Fee methodology og •ice tt hu bees aoa pt>. Industry NM
Print I a� / /A_•'. • o Number of inspection pea permit all Building 8erviw Bond
ed.
e :16uHdoyePamidlEt.C- PamiVWp.doc 12/43 44o- 46IST(10/02/COM/il'68
CITY OF TIGARD -
BUILDING DIVISION ;_ ,,. PERMIT #: FLC2006 -00391
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1762006
Phone: (503) 639 -4171 I1" .
Inspection Requests (24 Hrs.): (503) 639 -4175 - 1 �I
INSPECTION WORKSHEET FOR DATE: 8/4/2006 TIME: 7 :04Am PAGE: 60
SITE ADDRESS: 07007 SW CARDINAL LW 106 CLASS OF WORK: '
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: COMMONWEALTH
DESCRIPTION: ( branch circuits for charger receptacle.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 603. 624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.698-3417
Inspection Request Scheduled For: Date: 864/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034394.01 603 - 9695263 N
Corrections /Comments /Instructions:
r
V ..... -- ,
) PASS
n PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: U" 66 L Date: g' i f - 0 1 0 Phone #: (503) 718- 204)
CITY OF TIGARD
BUILDING DIVISION . .� PERMIT #: ELC2006 -00391
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 kayegivO �
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 8/3/2006 TIME: 7 : 05AM PAGE: 24
SITE ADDRESS: 07007 SW CARDINAL LN '185 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: COMMONWEALTH
DESCRIPTION: (4) branch circuits for charger receptacle.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503624 -5300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.698 -3417
Inspection Request Scheduled For: Date: 8/3/20g6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034313 -02 503 - 698-3417 N
Corrections /Comments /Instructions:
•
•
❑ PASS n PARTIAL APPROVAL X CANCEL ❑ NO ACCESS
I FAIL 1 I CALL FOR INSPECTION I i ADDITIONAL FEES ASSESSED
Inspector: t'° ( St' Date: t 3 . O'‘. Phone #: (503) 718-
.1
CITY OF TIGARD . _.
BUILDING DIVISION - - PERMIT #: EL 00 003 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/17/2006
Phone: (503) 639 -4171 42,41ieill �a
Inspection Requests (24 Hrs.): (503) 639 -4175 adAP en-
INSPECTION WORKSHEET FOR DATE: 8/3/2006 TIME: 7:05AM PAGE: 26'
SITE ADDRESS: 07007 SW CARDINAL LN 185 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: COMMONWEALTH
DESCRIPTION: (4) branch circuits for charger receptacle.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624- 5300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 898.3117
Inspection Request Scheduled For: Date: 813/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 034313 -01 503 - 608 N
Corrections/Comments/Instructions:
•
F2 PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
loev.e' 0
Inspector: Date: 0 4:• Phone #: (503) 718-
CITY OF TIGARD , -, ■:
BUILDING DIVISION PERMIT #: ELC2006.o0391
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7117/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
ja I .
INSPECTION WORKSHEET FOR DATE: 7/20/2006 TIME: 7:04AM PAGE: 39
SITE ADDRESS: 07007 SW CARDINAL LN 1135 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: COMMONWEALTH
DESCRIPTION: (4) branch circuits for charger receptacle.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 624 - 6300
CONTRACTOR: •J OHANSEN ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 7/20/2000 Pour Time:
Code # . - . '• Description Confirm # Contact # Message
125 .: -.I cover 033394 -01 503 - 368.5262 Y
Corrections /Comments /Instructions: ,\
NN, —J
t f ' .. ; S,
.6'
,\PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: v ' 0 6 6 L Date: 1 /Db Phone #: (503) 718 - Lifil O