Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00971
1 1. DEVELOPMENT SERVICES DATE ISSUED: 12/21/2005
'�I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 330 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
Project Description: (6) branch circuits.
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: 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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 5 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 #: LIC 51539
[ELPRMT] ELC Permit 12/21/200' $80.10 SUP 20535
[ TAX] 8% State Surcharge 12/21/200: $6.41 ELE 3 -243C
Total $86.51 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: � g Permittee Signature: s e
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.
From: Charlynn Leifsen 503 - 698 -2486 To: City of Tigard Date: 12/21/2005 lime: 4:34:02 PM Page 2 of 3
• Electrical Permit Application i • i n () l l ,, I .11 11\1 . \
City of Tigard RecervaaJ _ - _ AQ 7
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' /i = _-_
Phone: 503.639.4171 Fax: 503.598.1960 . .. e',, .4, I g • Other Permit:
Inspection Line: 503.639.4175 - 1.,.. '1 . , Data ReadyBy: See Page 2 for
Internet: www.citigard.or.us -- Notified /Method:
Supplemental Information
❑ New construction ® Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l ['Hazardous location
r ,' ; Y ` 1 ;# ' ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
' ..... ' 1 " of I - 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 OFeeders, 400 amps or more
El Multi- family ❑Master builder ❑Other;
a - _-� , ' , . 1 ['Occupant load over 99 persons ['Manufactured structures or • f / ` I' ' IA A :. _ ❑Egn ss/lightmg Plan RV park
Job no.: Job site address: 6650 SW Redwood Ln, 330 ❑Health -care facility [Other:
Submit .. sets of plans with any of the above.
City/State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: Fred Millard ..... _ .: f
Sawfishes Qty. Fm Toot
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
includes attached garage.
1,000 sq. R. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy, non - residential 75.00 2 • r 4 .' ;!1 r Each manufactured or modular
s .. . ,..i. y_�. a.,.. . .�° .r,`lr.e;.. . ,-,'..,t1-•,, ,u„ ,} 1
TI dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
= 1 r ,,- < + . : ) : } 201 amps to 400 amps 106.85 2
_. ...... . .... .::R ...... s.. ._ :r. _�'!_r .. ,: -• 3 tit ` ; 2
401 amps to 600 amps 160.60 2
Name: 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/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
Owner installation: This installation is be made on ro 201 amps amps to or less 66.85 1
tug p party that 1 own which is not 201 a 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: Branch circuits - new, alteration, or extension, per panel
' A. Fee for branch circuits with
. _a _._ ...: k ,. - .. ,. .. - ':: service or feeder fee. each
Business name: Johansen Electric Inc. branch circuit 6 2
B. Fee for branch circuits
Contact name: Charlyno Leifsen without service or feeder fec, 46.85 46.85 2
Address: 10948 SE Valley View Tem. each branch circuit
Each act's branch circuit 5 6.65 _ 33.25 2
City / State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not included)
Phone: (503) 698 -3417 Fax: : (503) 698 -2486 Pump or irrigation circle 53.40 z
Signor outline lighting 53.40 2
E -mail: johansenelect(gmsn.com Signal circuit(s) or limited-
'• ‘. f 1j ; ;. ( '' 'E , .,._ '• _ _ •,`,i' - energy panel alteration, or
Business name: Johansen Electric Inc.
extension. Describe: Page 2 2
Address: 10948 SE Valley View Terr. Each additional inspection over allowable in any of the above
Per inspection 62.50
City/ State/ZIP: Clackamas, OR 97015 Investigation per hour (I hr min) 62.50
Phone: (503) 698 Fax: (503) 698 - 2486 Industrial .lent pe r hour 73.75
?
CCB Lic.: 51539 Electrical Lie.' 3 -243 S v . Lic.: 2053S
jri_ i� s s-t' - subtotal 80.10
Suprv. Electrician signature, required: / Plan review (25% of permit fee)
Date: 12/21/05 State surcharge (8% of permit fee). 86.51 MI
I/ �! / . ' / ' TOTAL PERT FEE 86.51
Authorized signature: / / This permit apportion expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: i ,�/� � , Date: 12/21/05 • Fee methodology set by Tri.Colenty Building Industry Service Board
•' Number of inspections per permit allowed.
i:\ Buildiay1Petmin \61.C- PennItApp.doc INW 440.461ST(10/01COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200S -00971
13125 SW Hall Blvd., Tigard, OR 97223 ■ DATE ISSUED: 12/21/2005
Phone: (503) 639 -4171 IC
Inspection Requests (24 Hrs.): (503) 639 -4175 W 1 .
INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 33
SITE ADDRESS: 06650 SW REDWOOD LN 330 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: FRED MILLARD ATTORNEY
DESCRIPTION: (6) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698-3417
Inspection Request Scheduled For: Date: 12/22/2005 Pour Time:
Code # • = - ion Desch. on Confirm # Contact # Message
125 Wail cover 023926 -01 503 - 704 -1534 N
Corrections /Comments /Instructions:
PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: j Date: /2-" 7 2- S Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: l LC2605.00071
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/21/200
Phone: (503) 639 -4171 w
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I..
INSPECTION WORKSHEET FOR DATE: 1/25/2006 TIME: 7 :03AM PAGE: 15
SITE ADDRESS: 06650 SW REDWOOD LN 130 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: FRED MILLARD ATTORNEY
DESCRIPTION: (6) branch circuits.
OWNER: PACIFIC REALTY ASSOC TES, PHONE #: 5036246300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698 -3417
Inspection Request Scheduled For: te: 1/25/2006 Pour Time:
Code # Inspection Description Con irm # Contact # Message
199 ` ed final 0257 ' ? -01 503-699-3417 N
Corrections /Comme - . - '.ns:
1
J
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: 6— ' Date: -2 -5' 0 10 Phone #: (503) 718- 24Ltio