Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: E 14/200 -ooaoa
COMMUNITY DEVELOPMENT
DATE ISSUED: 6/14/2007
TIGARD 13125 SW HaII •Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA-00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIC
PROJECT: PAC STAR
Project Description: TI - (30) branch circuits. Work actually being done in suite 130, but suites 100 & 130 are being combined by Pac
Star.
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: 29 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 6/14/2007 $239.70 LIC 51539
[TAX] 8% State Surcharge 6/14/2007 $19.18 SUP 20535
Total $258.88 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: i // Permittee Signature: Sit_ l, 6,4A
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.
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City orr;a RECEIV A ._.]tr.:zar•
13125 SW Hail Blvd. Tigard, OR 97223
Phony 503.639.4171 Far 503.598.1960 JUN 1 4 . , • . Other Paint L a�' r_�s �;� •
Inspection Liner 503439.4175 -.L 4 1 e _ •
mate 'ay:
Internet www.d.tigard.or.us OF TIG Nottfiedadethmt
❑ New construction . Addition/alterationheplacanent Please chock all that apply:
['Service over 22S antps, comm 011anadous ,
❑ Demolition a
❑ Other:
,,.. . OServloe over 320 amps - rating OBuilehng overlo o oa Arosq. it..
of 1- and 2 -BsnWy dwellings 4 or mom now residential
❑ 1- and 2- family dwelling ® Commercial industrial ❑ Accessory building DSystcai over 600 volts nominal units in one structure
❑ Multi-family ❑ Master builder ❑Outer. °wag over three stories OFe rims, 400 amps or more
Mew= load over 99 persons Manufactured structures or
OEB l� RV park
Job no.: Job site add 15055 SW Se uOla, 130 OHealth -care facility ElOther.
Submit •_ sets of plans wits any ethos above.
City/State/ ZIP: The above are not applicable to temporary construction service.
Suitelbldgiapt. no.: 130 Project name: PacStar
Description '
Qv. vet Teti
Cross street/directions to job site: New residential single- or milt!- family dwelling unit.
la/ludas attached garage.
1,000 sq. R or fens 145.15 4
Subdivision: Lot no Ea add' I S00 sq. ft. or portion 33.40 1
Tax map/parcel 11C.: Limited energy, resided 73.00 1 2
Limited energy, non-residential 75.00 2
': l3aeh »anufecbued nr modular
Tenant improvement dwelling, service and/or fooder 90.90 2
Services or feeders installadon, alters on, and/or relocation
200 amps or less - 80.30 - 2
. ...
:, .. amps m alums 106.85 2
40 l amps to 600 aaaps 160.60 2
Name:
601 amps to 1.000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Reeomloct only - 66.85 2
Temporary services or feeders inatWadoa, Mend" and/or
Phone: ( ) Fax: ( ) relocation
Owner installation: This installation is being made on property that I own which a not ' 20011 an to 66.85 1
amps 100.30 1 1 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 traps 133.75 2
Owner signature.: Date: Drench circuits - new, alterstlo., or =tension, ter panel
A. Pee for Wench circuits with
service or feeder fee, each t
Business name Johansen Electric Ire. branch circuit
6.65 2
B. Pee for branch circuits
Contact name: Charlyna Lathan without service or feeder lee.
Address: 10948 8B Valley View Terra each brands circuit 1 46.85 2
Each add'] branch circuit 29 6.65 192.8f 2
City/State/ZIP: Clackamas, OR 97015 Mlaeellaneoua (service or feeder sot included)
Phone: (503) 696.3417 Fax: : (503) 698 -2486 1 or irrigation circle . 2
E-mail: Johansen aa.eom Signor outline lighting 53.40 2
Signal dmcuh(s) or limited -
Business name: Johansen Electric i 1. alteaboa, or
Inc. eiaensiion. Describe: Page 2 2
Address 109488E Valley View Terra Each additional Inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Clackamas, OR 97015 won per hour U hr min) 62.50
Phone: (503)698-3417 Fax (503) 698 -3486 Industrial . has 73.75
CCB Lie.: 51539 Electrical Lic.• 3-243 S . Lic.: 20535
Suprv. Electrician signature , required: rr i ^' Plan review (25%ofpetmlt )fee 239.70
Print name: �' ., 4/ / . /
Data: 6/14/07
Stye surcharge (8% of pelmet fee). 19.1 B
TOTAL PERMIT' FEE 5$.88
Authorized signature: A t. ,, /� This muds spitb al= expires ifs permit is not obtaied vials 190
Pont name' / era after It has been accepted a complete
/' - /, �,+! Date. 6/14/07 • � Fes uctkodol og set by Ili-County Buildin Industry Service Dowd
[dumber at inspection pa Fruit allowed
i:laui 1791 44O.461S11j14e7l0®pw®
I'd Xdd 13rd3S131 dH Wd6S :B GOO2 II unr
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00404
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/3/2007 TIME: 7:03AM PAGE: 41
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PAC STAR
DESCRIPTION: TI . (30) branch circuits. Work actually being done in suite 130, but suites 100 & 130 are being
combined by Pac Star.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503- 6983417
Inspection Request Scheduled For: Date: 8/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 053367 -01 503209.0395 N
Corrections /Comments/ Instructions:
�► �� %NC_ L . - 1 . ALL
•
a ; tJ L t ®; pi. s Alb . LI
* ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G' N6161.-*"'
vQ Date: 1'3' 01 Phone #: (503) 718- 24 •
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00404
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' W F'� � �
INSPECTION WORKSHEET FOR DATE: 8/1 /2007 TIME: 7:03AM PAGE: 26
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PAC STAR
DESCRIPTION: TI - (30) branch circuits. Work actually being done in suite 130, but suites 100 & 130 are being
combined by Pac Star.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503- 698 -3411
Inspection Request Scheduled For: Date: 8/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
0
195 Misc. inspection 05319 01 503 -209 -0395 \ Y
Corrections/Comments/Instructions:
A0 . 1 s $ 01. tojl 1 N 40e ANG
c)yp N °
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Z� OW Date: i I °1 Phone #: (503) 718- -
CITY OF TIGARD . ,
BUILDING DIVISION PERMIT #: ELC2007 -00404
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "f �..
INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7:03AM PAGE: 59
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PAC STAR
DESCRIPTION: TI - (30) branch circuits. Work actually being done in suite 130, but suites 100 & 130 are being
combined by Pac Star.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503- 698 -3417
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 052126-01 503 - 698-3417 Y
Corrections /Comments /Instructions: MtK� ' 'D°t 03Q(S
CI �av IDe nip �acs)0 A a L f EO A L
I
w 004, 1cz, a� `17o co v i ,...:, 01
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 IS Date: 111 07 Phone #: (503) 718 Zggb'
•
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2007 -00404
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6114/2007
Phone: (503) 639 -4171 - w ' rG
Inspection Requests (24 Hrs.): (503) 639 -4175 I L
INSPECTION WORKSHEET FOR DATE: 7/13/2007 TIME: 7:00AM PAGE: 47
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PAC STAR
DESCRIPTION: TI - (30) branch circuits. Work actually being done an suite 130, but suites 100 & 130 are being
combined by Pac Star.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 6983417
Inspection Request Scheduled For: Date: 7/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 051930 -01 503. 209 -0396 N
Corrections /Comments /Instructions:
G ej L-/ •6 (0 v / fill 7 - Oar ," / T .7
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
/FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G -Kfil Date: 1 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00404
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &14/2007
Phone: (503) 639 -4171 1!
Inspection Requests (24 Hrs.): (503) 639 -4175 1.L.
INSPECTION WORKSHEET FOR DATE: 7/10/2007 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PAC STAR
DESCRIPTION: TI - (30) branch circuits. Work actually being done in suite 130, but suites 100 & 130 are being
combined by Pac Star.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -69 9-3417
Inspection Request Scheduled For: Date: 7/10/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 051733 -01 503.209-0395 N
Corrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1" 0e Date: 1 i o Phone #: (503) 718- 1-4/4t0.
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2007 -00404
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/14 /2007
Phone: (503) 639 -4171 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 `'f I..
1 INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 22
SITE ADDRESS: 15055 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PAC STAR
DESCRIPTION: TI - (30) branch circuits. Work actually being done in suite 130, but suites 100 & 130 are being
combined by Pac Star.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503. 698 -3417
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 051138.01 503- 209 -0395 N
Corrections /Comments /Instructions:
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 3 ' N 4Y6 Date: 6. "1-%a t� Phone #: (503) 718 - - -A`��