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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00589 COMMUNITY DEVELOPMENT DATE ISSUED: 10/15/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA-00800 SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 ZONING: I -P SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG PROJECT: GEO ENGINEERS Project Description: 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: 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: 9 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCIFDR >= 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 HAPPY VALLEY, OR 97086 Phone: Contact #: PRI 503 - 698 - 3417 FAX 503 - 698 -2486 FEES Description Date Amount Reg #: ELE 3 -243C [ELPRMT] ELC Permit 10/15/2001 $106.70 LIC 51539 [TAX] 12% State Surchar 10/15/2001 $12.80 SUP 20535 Total $119.50 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. Y. ..tain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: L /�, Permittee Signature: ` + •-■ 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. • ' BECEW Electrical Permit Application OCR 1 5 2 nr , 0,10 1 1 -Flt I. t i s' I.'s Cit of Tigard Received d �t OF a R IB l� , ♦�. i ` 13125 SW }fall Blvd, Tigard, OR 9'j�ic plDy �: �, _ Phone: 503.639.4171 Fax: 503.59 1 � Other Permit: :: Ic 1 Inspection Line: 503.639.4 175 BUILDINGDIVI Date Reedy/By: QI See Page sfor Internet: www.ligard- or.gov Notified/Method: S u i � �• � y��_� y' A� • Supplemental tatorlsation 'r i;• { },: l 'I'', l' : i " L` rXr i l'iM {�� � ' :a . f1 Nw . f $ tilt 23 , 'k.s; _ - �a+asy ' 1 �, 1 1 h 4 r , ..t .i .e. 1 f ' ' L. 'I:� ilttuf2 . ) is t1l�, ' . ' . if i g . b . • • ; r" ❑ New construction ® Addition / alteration /replacement Please check all that apply (submit j sets of piano w (items checked below} ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over throe stories. ,t.; +} ; rtt on i� n fm s ere fart where the available fault current ❑ Marinas and boatyards. ' *', J ' - +h' „ .. s N it %. ,_% ! e '�iM �r 'l ltit � ' ' " llilt, it 4. I7 4 i_ ', L"'! t . • . qr. :: r.', 1 ..1: t:. III exceeds 10.000 a mps at 150 vole m ❑Floating buildings. El I- and 2- family dwelling ® Commerciallindustrial ❑ Accessory building amps r all o e r exceeds ons. ❑ co ldings . ❑ Multi Commercial-use agricultural for all other installations. buildings. ly ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or • i4 i � J y kr 1> O ■ En; i(n�amp4 t to �. q ❑ Frnerg y system. larger separately derived system, t ] 1 i� !i i s 'r " bli r. ri I d Ia l )' ! v ri 9 Q+ § '�3 uMv its�sirdd�i. mf •�n� 4 ui� !Yi,u+d4vlhu,d� m ��r ( .�. - it ❑ Addition n now motor load of ❑ "A", "E", „1.2...1.3. Job no.: Job site address: 15055 SW Sequoia 100HP or more. occupancy' ❑ Six or more residential write. ❑ Rocreational vesicle parks. City / StatelZIP: al Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bid gJaptno.: 140 I Projectname: Geo engineers ❑ Service or feeder 600 amps ormore. •f• i .t it ,0�. .:e.! �kn 7Qar ,i Q t y , ., 1' alit • 6 Cross street/directions to job site: Description Qty. Fee, Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft or less 145.15 4 Tex m / Ea add'I 500 sq. R. or portion 33.40 1 map/parcel pPlarcel m :� Limited energy, residential :'' ,I I. lL� lil i ` ' `�:wid l .li mm !` w 6d l(kiira uJfaglBLr j (with above sq. @.) 75.00 2 foti,�: : - Ivc l Limited energy, multi- family 75.00 2 Tenant Improvement residential (with above sq. a.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 J i I ' " .i' °. � '� I a .,. • ` , f �k r3 . P mpg �� ,� . .� 201 am s to 400 a 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or - relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner Installation: This installation is being made on property that 1 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 599 amps 133.75 2 Owner. signature: Dale: Branch circuits — new, alteration, or extension, per panel , sew, _ A. Fee for branch circuits with O p�„�,+� :-. S i n s I, n � t' r ii above service f ce or feeder fee, ee, 6.65 2 a i'�"' '` b each branch circuit Business name: Johansen Electric Inc. B. Fee for branch circuits Contact name: Charlynn Leuven witho service or feeder f 1 46.85 0 6 - 85 2 first branch circuit Address: 10948 SE Valley View Terrace Each add'l branch circuit 9 6.65 p • t7 5 2 Miscellaneous tservlce or feeder not included) City/ State/ZIP: Happy Valley, OR 97086 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (503) 698 -3417 I Fax:: (503) 698 -2486 Reconnect orgy 66.85 2 E -mail: jobansenelect@msn.com Pump or irrigation circle 53.40 2 1.10x; 7 ? t I ial =1 i u 3!Mai ll "' f Si o ou tline lighting .40 2 � ri S 8h 53 g Business name: Johansen Electric Inc. Signal circuit(s) or limited energy panel, alteration, or Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2 City/State/ZIP: Happy Valley, OR 97086 Each additional inspection over allowable is as of the above Phone: (503) 698 -3417 Fax: (503) 698 -2486 Per inspection 62.50 Investigation per hour(i hr min) 62.50 CCB. Lie.: 51539 I Electrical Lie.: 3 -243C I Suprv. Lie.: 2053S Industrial -lard . hour 73.75 Suprv. Electricians tore, required: , �! ',14 -, 1 : :,.f? �+,I'ri 17,P Ci3 Subtotal: rl.. ' . . Doan Subtotal: • • a Print name: Carl K. Johansen Date: 10/15/0B Plan review (25% of permit fee): State surcharge ( 2% of permit fee): 12.80 Authorized signature: TOTAL PERMIT FEE: 119.50 Print name: Charlynn J. Leifsen Date: 10/15/08 This permit applieadoa espies+ ifs permit is nor obestoed within Igo days after it has been accepted as complex l •lBuildingWem >its1E1C- PmruilApp.da OS/13A6 • Number of inspections allowed per permit L40.4615 T(1 7105/COMI W EB • T • d XIJJ 13C213Sell dH WdSE : T 8002 Si '400 . _ :4 CITY OF TIGARD BUILDING DIVISION PERMI EL '2008-0061i9 13125 SW Hall Blvd., Tigard, OR 97223 DATE I • I: 10/ 5/2008 Phone: (503) 639 -4171 h�.w C 1 Inspection Requests (24 Hrs.): (503) 639 -4175 W `__ . INSPECTION WORKSHEET FOR DATE: 12/23/2008 TIME: 7 :00AM PAGE: c, SITE ADDRESS: 15065 SW SEQUOIA PKWY 140 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: GEO ENGINEERS DESCRIPTION: TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503698.3417 Inspection Request Scheduled For: Date: 12/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 079197 -01 503. 969.5262 N Corrections/Comments/Instructions: • ASS ❑ PARTIAL APPROVAL El CANCEL El NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: i - 2 3- 2 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: L_I_C2008 005r39 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/161200B Phone: (503) 639 -4171 A ' ° " I NIt • Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/24/2008 TIME: 7:02AM PAGE: 6 SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: GEO ENGINEERS DESCRIPTION: TI. • OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 603- 698 -3417 Inspection Request Scheduled For: Date: 11/24/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 078443 -01 503 -969 -5262 N Corrections /Comments /Instructions: (O 411 ; frl u, cue Cr.. o v S-Q / L G ii ef ..-e, c' "ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1--ie-tx44 Date: 1 2-Y4 Phone #: (503) 718- 41 l CITY OF TIGARD BUILDING DIVISION PERMIT #: ELG20S18 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/15/2008 , Phone: (503) 639 -4171 iI ` ti Inspection Requests (24 Hrs.): (503) 639 -4175 F''! ... INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME: 7:01AM PAGE: 6 SITE ADDRESS: 15055 SW SEQUOIA PKWY 140 CLASS OF WORK: SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: GEO ENGINEERS DESCRIPTION: TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503- 6913 -3417 Inspection Request Scheduled For: Date: 10/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover (o77274-o1" 503.969.5262 N Corrections /Comments /Instructions: A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr-4 1 * Date: 10 g� Phone #: (503) 718- 14)____ A • 4 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008-00509 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/15/20118 Phone: (503) 639 -4171 V 1111 Inspection Requests (24 Hrs.): (503) 639 -4175 P__ INSPECTION WORKSHEET FOR DATE: 10/16/2008 TIME: 7 :01AIN PAGE: 14 SITE ADDRESS: CLASS OF WORK: 15055 SW SEQUOIA PKWY 140 SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE: PROJECT NAME: GEO ENGINEERS DESCRIPTION: 'I1 OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698 -3417 Inspection Request Scheduled For: Date 1 01161 2008 Pour Time: Code # Inspection Description / onfirrnr#. Contact # Message 125 Wall cover 076808 -01 503-969-5262 N Corrections /Comments /Instructions: PM 6 L.. w ALL 6 : ©1¥- 'fie COvEIi_ . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G~ ( Q Q Date: 1�I ( 61 ti Phone #: (503) 718- 2.'i" 6,