Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: EL C2006 -00640
COMMUNITY DEVELOPMENT DATE ISSUED: 11 /8/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 DA -01400
SITE ADDRESS: 06650 SW REDWOOD LN 300 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
Project Description: Electrical TI
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: 1 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 CLACKAMAS, OR 97015 -000
Phone: • Contact #: PRI 503 - 698 - 3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 11/8/2006 $146.80 LIC 51539
[TAX] 8% State Surcharge 11/8/2006 $11.74 SUP 20535
Total $158.54 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 rul re se orth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at •
503.24 .6699 or 1.800: .
Issue By: 112.../Pv Permittee Signature: 7
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:
72 CONTRACTOR I STALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: Ji -'_ �:. ::— 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.
,Electrical Permit Apnlication ri ►ll t►ffl( 1: t Sl: t►".\
City of Tigard Ai ; < Permit No.: i .i1p e yd Received
13125 S W Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 1�' I I Date/13 ; Other Permit:
,
Inspection Line: 503.639.4175 - a... �'� _. Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: IIM Supplemental Information
t' , j ky "f F s i7 ` p q ' .. SS 'F y s 'A Y
❑ New construction ® Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, comm'I ❑Hazardous location
,; �, r , «.r»r , r w.r ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
. -`ii� . ,_ t {`'/7 ,. t rt, of 1- and 2- family dwellings 4 or more new residential
1- and 2-family dwelling ❑System over 600 volts nominal units in one structure
❑ y g ®CommerciaUindustrial 0 building
❑ Multi-family ❑Master builder ❑Other ['Building over three stories ['Feeders, 400 amps or more
❑ Occupant load over 99 persons ❑Manufactured structures or
.: ' .., _ .'. - '. :.F . ` s k ' - ` 1. " :t-:; >. ,.._. '. ❑ Egress/ h ght i ng plan RV park
12.04N -f Job no.: Job site address: 6650 SW Redwood, 300 [Wealth-care facility ❑other:
Submit" sets of plans with any of the above.
City/State/ZIP: The above are not applicable to temporary construction service.
g .
� .. �i�: .n,.�.1 .. ,:+ ',1: +''fit '�!.
Suite/bldg./apt no.: 300 Project name: Maxim ' .
Description Qtr. Pee. Total .,
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
�,' i1., ra� raray^� -,7,-..,,‘. r . r 2 ., ' .ry-kr , Limited energy, non-residential 75.00 2
i f * S ' !: i:r i } Q i 1,_' s "' -: X
'� .......� .. �., .. . __,: L r 'e
� ` �r .. �a ` ::,fj Each manufactured or modular
Tenant Improvement dwelling, service and/or feeder 90.90 _ 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 1 80.30 80.3 2
7. 41 i - '.1 e�/ � 1 a 1r . ...:, • . ' . . 4 201 amps to 400 amps 106.85 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
200 amps or less I 66.85 L 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: Branch circuits - new, alteration, or extension, per panel
0 M+ •, ?rr `v1 ', ; . , 4.4- ? .. r , ;,�` 'rr �. :. a, `.' A. Fee for branch circuits with
. ,... . _a n.. .. "$ ...Y, service or feeder fee, each 10 6.65 66.50 2
Business name: Johansen Electric Inc. branch circuit
B. Fee for branch circuits
Contact name: Charlynn Leifsen without service or feeder fee,
each branch circuit 46.85 2
Address: 10948 SE Valley View Terr. Each add'I branch circuit 6.65 2
City/State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not included)
Phone: (503) 698 -3417 Fax: : (503) 698 -2486 or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: johansenelect@msn.com Signal circuit(s) or limited-
. c e a ;' °7" i , ; t ""` ,- ,: energy panel, alteration, or
�,.. t extension. Describe: Page 2 2
Business name: Johansen Electric Inc.
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 (1 hr min) 62.50
Phone: 503 698 - 3417 Fax: 503 698 - 2486 Industrial plant pct hour 73.75
Phone: ( 503) ( ) 1 27 7-r ' ... knee t . .
CCB Lic.: 51539 Electrical Lic.. 3 -243 S r /, i/, w'l .rv. Lic.: 2053S Subtotal 146.80
% 7rt,
Suprv. Electrician signature, required: Plan review (25% of permit fee)
IM1, _ Date: 11/8/06 State surcharge (8% of permit fee). 11.74
TOTAL PERMIT FEE 158.54 _
Authorized signature: / ., � . This permit application U is
tion expires permit not obtained within 160
. / ��
days after it has been accepted as complete
Print name: AIMMIMIIIII Date: 11/8/06 • Fee methodology set by Tri- County Building industry Service Board
� / / ee Number of inspections per permit allowed.
i:% BuildingTermitetELC- PermitApp.doc 12/03 4404diST(10/02/COMIWEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200 &00&0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 � !J' F•__..
INSPECTION WORKSHEET FOR DATE: /1/2912006 TIME: 7 :04AM PAGE: 18
•
SITE ADDRESS: 06650 SW REDWOOD LW 300 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MAXIM CAPITAL
DESCRIPTION: Electrical TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 6983417
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040389 -01 503 -969 -5262 N
Corrections /Comments /Instructions:
SEFLV i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' NW) Date: i as1 ' 1 Phone #: (503) 718 - 1.44ku
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC.2006`00640
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/27/2006 TIME: 7:05AM PAGE: 27
SITE ADDRESS: 06650 SW REDWOOD W 300 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MAXIM CAPITAL
DESCRIPTION: Electrical TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -698 -3417
Inspection Request Scheduled For: Date: 11/27/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 040235 -01 503-969-5262 N
Corrections /Comments /Instructions:
12 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G • WA \., Date: iv • oO Phone #: (503) 718 - 211.41).
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006.00640
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2006
Phone: (503) 639 -4171 VLw�� rla
Inspection Requests (24 Hrs.): (503) 639 - 4175 i.
INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7 :04AM PAGE: 44
SITE ADDRESS: 06650 SW REDWOOD LN 300 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MAXIM CAPITAL
DESCRIPTION: c II
OWNER: r:LAL Y ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 11/13/2006 Pour Time:
Code # _--- tnspection�e ription Confirm # Contact # Message
5 • - co 039633 -01 503-704-1534 N
Corrections/Comments/Instructions:
❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: j 3 _0 6 Phone #: (503) 718-