Permit •
CI TY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00651
111 DEVELOPMENT SERVICES DATE ISSUED: 10/23/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AD - 01000
SITE ADDRESS: 07007 SW CARDINAL LN 185
SUBDIVISION: PACIFIC CORP. CENTER ZONING. I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Electrical tenant improvement, (20) branch circuits. Job No. 8375
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: 19 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: Phone: 503 - 698 - 3417
Reg #: LIC 51539
SUP 2053S
FEES ELE 3 -243C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 10/23/03 $173.20
[TAX] 8% State Surcharge 10/23/03 $13.86 Rough -in
Elect'I Final
Total $187.06
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 AR through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1 -8 - 332 -2344.
, / . / / Permit Si nature: ,I // :1j 0'�, /
I sued By: G�t�ll� LLL 9 . . ...r../l
- _ r
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
lG¢L
SIGNATURE OF SUPR. ELEC'N: s- �- P�C DATE:
r�_
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
, From: Charlynn J. Leifsen To: City of Tigard Date: 10/23/2003 Time: 11:05:22 AM Page 2 of 3
.•; • ,
Electrical Per ;• s -..i', 1-1', '111 , 11
- lc iiti■e. 4'1.2 11., --ft ' . i- annarna V.VISSONMEM
• ... • . • .. ... . .... ,
. _. ' '7" , . ' ■ , ' t `ow Reeeid -/ „ j • •-• • Eletrical- -...„.- - - , .... . .
isiy,(4:43 j0 .203-.-:::: ,.. . l'ormitNts,2j,,C.A042.
City of Tigard Plonning Approval Sizo
1 ;SW Hall - Blvd. OCT 2 3 2003 Dak/By. - a
;
Plnit Review Permit No.:
Other ......._
1" iRri.rd Orognn 97223 .ynteilty, . . Permit No.: _......
i'hono: 503-639-4171 Fax: CXV59ff..MAFID rt, Poi,t-Rnviest." Land I. Use
f>atitiLiv: Cs.e No :
Ilnerret www,c3.ti an:1-01%115BUILDING DIVISIO — -
— —
„,a:1::::,,
8 „FI . A
conion JUVIN.:-
24 l'nspec lion Request: 503-639-4 ;:. 75 - - --- - - '-''- NameNothod: I -7a Supplemental lolocmation.
, .. ..
;;.:.,•:::!:•'::F..' ::' :-17,YtE,1451N, '..0jiliT:3 ';:::; ':::...,::.:.,,,t!:.,,, 7..:?,:::::::.,7-7 ITNIOAM:gWV-ia.:044:e. •f:
. ,
0 NeNv construction , D Demolition -- ElSer vice ' 225 ain•P'..;- ' 0 11-care fait ..
.. - , comment:al i O i-Ia2aiduos litcat:on
el Addttionialtera.z.:ionireplacement El °tiler: i ! 0 s.:, vrvet 320 Limps-rating '1 t 0 liuilding OYCI: I. squaw. fee:,
l i, - ,•': . , Y.'i.''.:1'...'.:: : :.,7:::,7.:',.('-04108'..:i5F-0.5.* . ,110 1 ctioN ' ' , . : . •, : . . '- :::. r . • ;:.. : : . , ,:. FT. ; 1 & 2 fanly dwellings 1 - fo LK Or nr..7c reSICICTOLIIII :Inis ir
0 & 2.-.Family dwellina Cominercial/Indostrial I ; D "tys ter o'..kr ;300 t.ts non-tna t Que. ot.;-.tore.
_ - ! r 0 tluilding over three storks 1 0 Fdeditrs. 400 :zips .n
0 mile
Accessory Building El Multi-Family _ .1 0 C.:4x tinair, load over 99 pers0ns 'i 0 Mnirefacturcd snuoinrcs (tr RV park
- _
L fv1 aster Bu ilder _. .._ .
, El Other: 0 Egres9flighong plan I 0 Othnt t......:,
)(N.F013,1MI0 ‘LOCAT101' . V..:,!: '/ I Subru4 sets of plan.s - with any of the above.
-.,.
...—.........— . i The above are not applicable to telriporary construction service.
Job s it e a ddress: 7007 SW Cardinal Ln i r77.:.
- ---
`r Suite #:.-1-Ger / g 5
____ ,
I Bid° lApt.ii: Nturiber of in;spectiorts per permit allowed •
Pro'oct Name: Commonwealth ; Dp.„scription QN Fee (en.) Toth) ,
------- - New residential or mut t6family per !- i
,
Cross sIzectiT)ireetions to job SiIC: dwelling unit. Includes intached
Se evice included: i ' - -
• 1000 :al_ ft.ri kss : :145,1
., — .
achntlititinnol 500 sq. ft. ouortion tht.krea ... • : • . .i.1.4 _
- _ ____.
S Li bd I,V1E,Mfl: Lot #: : limited el.v. N:sitleritil 7.00
-----' — - ''- ---
. 1.irn ited energy. non residentia i ' . • .i . 7.! Jr) I
Tax mar)/ ?ared #: L mimuracioiedlIvne or modular dwelling
:ere= , irld , 'or feede
8CF,03.i -;; - ' ' - - ;
. . 90.90 ; .. 2
Services or 'feeders - installag ion, . . I ' •
.. .
alteration or relocation! • , • ,
...._
0.30 's !
200 arnps:ot less • • • - .:, .
, .. . 2 i' tirip tit 400 ainpS 106.g5 I 2 :
40 i amps to Of.q ,
_____ ._ ,,, .- . 1 . . . . . . ...—
-' - 1 --- • 2 ■
.-,_ ...
)n1 ' o 1 00 arnns 240 60 ;
'''..:':•Eliil 0*
kr,,V.IP:414t2,SAF:Niya.l.iir,t.,;:;:, ,..:,,!-,. , t',. armAi 0 .._ ..... .. , .__.. .
.. , - ...,....--......... - - - -- ' '' -------t------- ' • ” - ' '''' ` ' '' (..),, J (XXI =p.c.' or vOlUI '• • - - .454 65 r
Name: i Recoanzot only 0.85 I 2 ,
Address : ----- — •
. 1 Temporary services or feeders - installation, .1 . • • •• . ' • f
.. . ,
-- — -- '' . - 1 alturatioit,'or relocation:
1 City/StatelZip:
: • ,2010 amps or less 66.85
-- - 1 :'—' ., . 1,0 30
I Ph_atle: .
Fax 1 .. 2P1 amps b-4-00.arlys - - ■
- . ,- . ,,,, 40I lo 'MO amps l'33.75 2
rir 7 7k 7 1 3 1!,dr. 4 i1N'1 7 .4:'''".. :- ". 4 ' . 71 7; 'At-,1:0,04,ri -
t;A".. n t.., • ' • i `
':,. • ...., '., n' ..;';' ..,-.`'''''" ".,...,-'. --,' ' - ' -'-' ...--,--------. ,.."...:—..,--:-.=Z= ' i' '''''''j I: .4113QC.. MUMS - n f ow, 'A-ttrntiott, or
Name: Johansen Electric Inc. -,.; exc. per Noel: •
...„.._,_. i• i A. ' !lit brancli•circiiits with pu or
Address 10948 SE Valley View Terr. __ sers'f.-m er feeder fee, nett branch circuit .. 6.65 2
L .._ ..... _ ... ....._ — ---
1 Ci Clackamas, OR 97015 • i ft. Fee for Israradi circufts witho,:it purchase a -- - I - • l - ••• 6 -+0 , • A o or .
1 ; .0 2 '
5 _______ .---- s h ArviCc ot feedet first branch circuit
PlTorT0 698:3417 ! Fax: (503) 698-2486 — . .
i FAc additional hrauch circuit 126 .„,
35 2 -
_.
1 it• Johansenelectgaol.com Mii:c (Service i.n feeder not inzliiitzit):
,,,,:„;.,..„„ , . ...,,,i. Each pumpor i.goit Cire Le 53 40 ' ' 2
----- --
. t;. sitin or outlive ightirir,• I 53.40 2
Job No: 8375 Signai ci:eu4i,;o7 a limited erieru panel, --------- i
, .7 . . — alterztion, or 4.: KteriS IC:1 1 Pa 2 I • 2
Business N Johansen Electric Inc. ,..
Address: 10948 SE Valley View T
._ Des,:ri
- --
err. .....
_,_._ ____ ._... "-------- Each adiAitirand iii..Teeticiti over the, allnwabloio antr of the a/tore: . 1
City/State/Zip: Clackamas, OR 97015 Ppr inspocti(vi pe; hear (rn M. 1 hour) 62.30 I i
„,,.... ._
Phone: (503)698-3417 Fax: ( 698-2486 rnvestiptionp,...:
. .
CC13 Lie. #: 51539 3-2 ... , .- ''. T:T7
Su:)ervising electrician . ...-- -,-.. „,..,- i.,,i, ,.e. ...,,. . . r . : : :„... .'. ...• • , .. . Sub total ,: .S . 173 20 . . • • i
.
signature required: • Plan Review (25% of Peprit Peel 7
. $ . ..
Print Name: Carl K. Johansen Lie, #: 2053S 1 r State Surcharge (Sr% of Pe rrni t Fee) S 13.86
... ,
. - -■•■■ ■■•■■■1
■•■■■■■■..■ ., ,,3".. ■■••'\ 10 'FAL PERMIT.FET. $187.06
Authorized C I it 'At.t‘ t--; ( ; X i ' I; 10/23/03 ntleet This perm m
it application. expires if a permit is not obtained tvgthir
. .
e
Signature:
.„ A, A. v A '4. .,. ''. ' "'. • ' d ie: ISO days after it has been accepted as complete.
*Pee ntethodolomi set by Tri-Cou ray Building industry Service Board.
Charlynkl. Leifs n l'../ ,
--"-- '-------- (P le useprint n0000) . .
. ... .
. .
iADstsTerniii. Forms \ FloPerrnitApp-doc 01/03
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST "-
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested " (—( ' D — AM PM BUP
Location 7 0 0 J SI Suite /8 MEC
Contact Person i Ph ( ) i iz ? — So� ' Z PLM
Contractor .+,� s 6 Ph ( ) SWR
BUILDING Tenant/Owner ELC 3-00657
Footing ELC
Foundation • Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation //
Drywall Nailing /
Fi rewal I
Fire Sprinkler •
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam •
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
- .t arm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
C. > PART FAIL
SITE Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA / `
Approach /Sidewalk Date L 6 , X23 Inspector J( Ext
Other: �/
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (50,3) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
Ll BUP
Received Date Requested / 0 r°� 7 AM PM BUP
Location 7 0 0 7 p-eA Suite / MEC
Contact Person Ph ( ) - 153 PLM
Contractor Ph.( ) SWR
BUILDING Tenant/Owner ELC 3 - 6
Footing
ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors •
Ext Sheath/Shear
Int Sheath /Shear
Framing '
Insulation _7;4
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service -
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post& Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Seu (4"'—e
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
AS RT FAIL
SITS Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date d d _ Inspector Eat
Other: '
Final DO NOT REMOVE this inspection record o th ob site.
PASS PART FAIL