Permit ,„
7 A CITY O F TIGARD G w^ D ELECTRICAL PERMIT
CITY V H K PERMIT #: ELC2005 -00575
P DEVELOPMENT SERVICES DATE ISSUED: 8/10/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112AD-01000
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 ZONING: I -P
SUBDIVISION: PACIFIC CORP. CENTER LOT : JURISDICTION: TIG
Project Description: (3) 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: SIGNAL /PANEL:
MANF HM/ SVG 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: 2 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 Phone: 503 - 698 -3417
FEES Reg #: LIC 51539
SUP 2053S
Description Date Amount ELE 3 -243C
[ELPRMT] ELC Permit 8/10/2005 $60.15
[TAX] 8% State Surcharge 8/10/2005 $4.81 REQUIRED ITEMS AND REPORTS
Total $64.96
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: ' � Permittee Signature: _S.P
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: 8/9/2005 Time: 2:38:26 PM Page 2 of 3
Electr Permit ADnlication — ,. e R ()1.1 1( I , ,1 1)\ 1
City of Tigard t itt,../
DaoelB : , - I - 0 •�Ci ��. Pe mit No.: ��� -� OQ)' 7
13125 SW Hall Blvd, Tigard, OR 97223
Pbm tiev
Phone: 503.639.4171 Fax: 503.598.1960 A4 J u 200�i - .. DIWB : Other Permit:
Inspection Line: 503.639.4175 j. i j ► p g�y/gy IS p 3 ler
Internet: vrww.ci.tigard.or.us NotiSedIdethod s Lrormuioa
v r' AD
❑ New construe ion ® Addition/alteration/replacement Please check all that apply:
❑ Demolition ❑ Other: ❑Service over 225 amps, comm'i ❑Harardoua location
- ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. R.,
of 1- 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
❑ Multi- family ❑ Master builder . ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Menufbettaed structures or
❑Esreaylighting p RV park
Job no.: Job site address: (46145 J W c_) P /) Q! f , ❑H�ltt facility ❑other
j J Submit sets of plans with any of the above.
City/StatrnIP: Ti j „ .,,,1 02 q ' 7 Z 2.3 pk &Li fe go The above are not applicable too temporary construction service.
SuitelbldgJapt no.: ' �� .1 I Project name:
l �.
oeserlvdeo Q4 rem 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
Tex map/parcel no.: Limited energy, residential . 75.00 2
Limited energy, non - residential 75.00 2
. Each manufactured or modular I
dwelling, service and/or feeder 90.90 2
Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30 2
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
Recormect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
I Fax: ( ) relocation
Phone: ( ) 200 amps or less 66.85 I 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
. A Fee for branch circuits with
service or feeder each
Business name: Johansen Electric Inc ri
bde circuit fee, 6.65 2
B. Fee for branch circuits
Contact name: Charlynn Leifsen without service or feeder foe, i.
each breach circuit 46.85 2
Address: 10948 SE Valley View Terr.
Each add branch circuit j 6.65 2
City/State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not (minded)
Phone: (503) 698 -3417 t Fax: : (503) 698 -2486 pump or Irrigation circle . 53.40 ' 2
Sip or outline lighting 53.40 2
E-mail: Johanseneleet@msn.eom Signal circuit(s) or limited-
energy tut. akeration, or
extension. Deachbe: Page 2 2
Business name: Johansen Electric Inc.
Address: 10948 SE Valley View Tarr. Each additional inspection over allowable In any of the above
Pa inapaxion 6230
City /State/Z1P: Clackamas, OR 97015 Investigation per hour (I br min) 62.50
Phone: (503) 698 -3417 I Fax: (503) 698 -2486 1ndLLntial pleat per hour 73.75
CCB Lie.: 51539 l Electrical Lic.• 3 -243 f ) G
I S rv. Lie.: 2053S Subtotal , l5
X Suprv. Electrician signature, required: Plan review (25% of permit fee) ` —
Print name: . ar/ S Date: ? - 9 — V 5 _ State aeu charge (8% ofpexmit fax)
TOTAL PER11flT FEE $ � ` � �i
Authorized signature:�lj , - This permit appneaton tapirs u s permit L set ebteleed wields 190
Print neme:t».l /v D ate: g.. � � a 1 , �g y set by Tri alter [t her ount y Builds d as ispy S e
rvice Bo
;' Pt to etbodolt+g Count Burldieeg industry Board
Number of inspections per permit allowed.
is doe mean 440a61sT(e0oricae AVER
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00575
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1W2005
Phone: (503) 639-4171 4 0$101 I
Inspection Requests (24 Hrs.): (503) 639 -4175 _..
INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7 :03AM PAGE: 90
SITE ADDRESS: 14945 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: STERLING COMMUNICATIONS
DESCRIPTION: (3) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698.3417
Inspection Request Scheduled For: Date: 9/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
19 ` Electrical final 015725 -01 503-704 -1534 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ! J� Date: 7'/5 "":5 Phone #: (503) 718 -