Permit ?RI. CITY OF TIGARD ELECTRICAL PERMIT
/114
° COMMUNITY DEVELOPMENT DATE ISSUED: PERMIT #: 3/13/2008 ELC2008 -00142
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA-00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : t JURISDICTION: TIG
PROJECT: R .
Project Description: TI.
RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 30 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 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 3/12/2008 $279.80 LIC 51539
j AX j 12% State Surchar 3/12/2008 $33.58 SUP 2053S
i
Total $313.38 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: �, v � `� Permittee Signature: . A/ ,- d
J
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.
veo
� R
t Electrical Permit Aa
Q i clu ( )i l l< I. I , ,,I c ,\ i.l
City of Tigard A �� 111th Received
13125 SW Hall Blvd., Tigard, OA`147J23 U M — I-0_ 0 Plan Review
Phone: 503.639.4171 Fax: 503.598. l : Other Permit:
u , Inspection Line: 503.639.4175 ...AN 1‘,„ i 9 / Date/13 . Date Ready/By: Surat See Page 7 for
Internet. www tigard -or.gov C ( � p 1 Notified/Method: emeatal Iafhrmatton
,,�. Id �y�l�l
�iy ,D t F ��� dnuF,;.`:•I ! ,��, e.� 1 { L 5 �,� a i ,err Yi cs.ats^r.c
.ii '.ANiy FM I ya3; <a , "' TEST ` 41044 3 1� } 1.' i 5c M lie s 'II'.Tj' 1'
C�,LtiI I:::...aada..�aa,,.n ai�il�i _..,f�,�,u,i�..,.., .., � . lb.....sr I;,kI�L.r.m:l'fe.,,_,Y� .1' i � +..,._...k.11a'�L!:1�c+:iel�..e
❑ New construction ®Addition /alteration/replacement Please check all that apply (submit isms of pleas whnems checked below):
0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 Other
where the available fault current ❑ Marinas and boatyards.
gr ��,a'n6 e "t'�C t - T a F t7^^ * rw p r_ : 1pxceeds 10,000 buildings.
S T "l{uiAm . l's+wui ri tu.c : a uW i q � " u vt sr ''1 iii it o' m " exceeds
w ground, or exceeds 14,000 w ❑ "wiling ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑ Other. ❑ Piro pump. 1:1 In Installation of 75 KV A or
r „� en nui , ,r ea z - sr r ! : Fn Emergency
! , lk , .
::: . , t osig , , ! ..' f ii l r i , t , , r , e t aK y , l i g s. . 1 .1 �sr B Y nen m "A", separately ", derived eystan.
s t I _ cl.La �tlrnw. u. ts�r i,,ivr.�ilt(ianNh'i:..�•i�,.at: � �1 Iill!S16iSdEHIr:Q:^ ❑ Addition of oew moms load of ❑ "A ", "E", "1 -Z ", "1 -3 ",
Job no.: lob site address: 15115 SW Sequoia 200HP er ne m. occupancy.
❑ Six or more residential rests. ❑ Recreational vehicle puke.
City/State/Z.IP: Ifffilitigiafik ❑ Health -care facr7rees. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bidg ✓apt. no.: 100 I Project name: Cambridge Integrated ❑ Servrceor feeder 600 or mare.
Cross street/directions to job site:
Description Q t,. per Tod •
New residential single- or multi- family dwelling Gait
Includes attached garage.
Subdivision: I Lot no.: _1,000 sq. 6. or less 145.15 4
Tax map /parcel no.: Ea add'! 500 sq. ft or portion 33.40 1
1 �� ,- tprs4 a rr�n;an , l
v�"r - n ,�- -= Limited energy, residential
E y�l R _ _ ' 7?71 - el t"GU s ill�i� �f;7 1 e ft-) 75.00
13111?lka'I „ L',. 1 ! . ! i =i ��Ss i r r r�ja (with abov en,. 2
i�f Limited energy, multi- family
75.00 2
Tenant Improvement residential (wide above sq. s3)
Services or feeders insta latioG and/or relocation
80.30 80 -
! �„�,,,,�,,,, „k �vw �� ., , 200 amps or less 2
I "R! + g ult '�{ . r J q rs�uI tQaN 1-W - 201 to 400
.illiii . -, ,Dui,.•.u,. at. -._ . i i 16kr.... ',it',!L^ s„= ,.t . • I . anips amps 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 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, tent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 I
Owner signature: Date: Branch clreuks- New, alteration. or extension, per panel
F , t� ,'y �.`tl%�w�I°K,a,r --.•. � in a IP�°r- .�� ,:,�,HY : ti
A. Fee for branch circuits with
If iffilSI,~..i�i2l,lna.” •-.„ � iJ M
each branch circuit
,Mali lt "�1�«i' i' rril . 4i -'; ` 1 above service or feeder fee,
30 Co 199.32
Business name: Johansen Electric Inc. B. Fee for branch circuits
Contact name: Charlynn Leifsen wrrlm service or feeder fee, 46.85 2
first branch circuit
Address: 10948 SE Valley View Terrace Each add'! branch circuit 6.65 1 2
Miseellaneoua (service or feeder net included)
City/State/ZIP: Happy Valley, OR 97086 Each manufactured or modular 2
503 698-3417 dwelling, service and/or feeder
Phone:
(503) I Fax: (503) 698 -2486 Reconnect only 66.85 2
E -mail: johanseneleet@msn.com Ptmp or irrigation circle 53.40 2
s `.iii .fliOli i ,. E 6 a;' b ° : l i"l . 1 r' 1C' Si outline lighting 53.40 2
Business name: Johansen Electric Inc Signal circuit(s) or limited -
energy patrol, 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 In an • of the above
Phone: (503) 698 Per inspection 62.50
Fax: (503) 698 -2486 Investigation per hour (1 hr mm) 62.50
CCB Lic.: 51539 I Electrical Lic.: 3 -243C I Suprv. Lk.: 2053S industrial plant • - hour 73.75
, ,
Suprv. Electrician ,R a i-; ,• i x , .._ . . -... 1. _,.. 1
pry ctrician signature, required a W.�.zct :>T' i r l t ° ,
°-.1'%.. i Subtotal e
Print name: Carl K. Johansen Date: 3111/ 08 Plan review (25% of permit fee):
State surcharge (12% of permit fee): 33.58
Authorized signature: ( ft , y,• TOTAL PERMIT FEE: 313.38
Print name: Charlynn J. Leifsa:n j I Date: 3/11/08 TMa permit application expires if a permit is not obtained witidn 180
days after it has been accepted as complete.
Number of inspections allowed per permit
1: 1Bui lanarPermitiEC.C- Perodrpip.doe 0512306 440-461ST(11/05/COM/WES
I'd Xdd 13C213Sd1 dH WdLS: T 8002 I T JeW
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2003 011542
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1312008
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/11/2008 TIME: 7:01AM PAGE: 7
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -69B -3417
Inspection Request Scheduled For: Date: 4/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
198 Electrical final 068262 -01 503-969-5262 N
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G- . Y V L Date: 1 4 L ( G ek Phone #: (503) 718- 20
CITY OF TIGARD
BUILDING DIVISION Amor PERMIT #: ELC2008 -00142
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2008
Phone: (503) 639 -4171 4 )1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/1/2008 TIME: 7:01AM PAGE: 18
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 603
Inspection Request Scheduled For: Date: 4/1/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 067654 -01 503704 -1534 N
Corrections /Comments/ Instructions:
OQ13 - u % 4 Lou.) VOCil l INTRA \W
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 08 L Date: '1' `• Phone #: (503) 718- J-`ilit
CITY OF TIGARD ,.
BUILDING DIVISION PERMIT #: ELC2008-00142
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2008
Phone: (503) 639 - 4171..11 �t
Inspection Requests (24 Hrs.): (503) 639 -4175 � AJ "'I i..
INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 15115 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: CAMBRIDGE INTEGRATED SERVICES
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOIHANSEN ELECTRIC INC . PHONE #: 503
Inspection Request Scheduled For: Date: 3/18 /2008 Pour Time:
Code # Inspection Description ((ciri \ Contact # Message
125 WaI cover 066088 -01 503- 704 -1534 N
Corrections /Comments /Instructions: N,
--
E -ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N66 Date: 3 -I It; Phone #: (503) 718- 21%