Permit CITY Y OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC200239
• COMMUNITY DEVELOPMENT DATE ISSUED 4/16/2007 7 -0
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DA -00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
PROJECT: SPEC SPACE
Project Description: Tenant Improvement
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: 19 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 4/16/2007 $173.20 LIC 51539
[TAX] 8% State Surcharge 4/16/2007 $13.86 SUP 2053S
Total $187.06 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: 92 Permittee Signature: al
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.
r<'- i t
Electrical Permit A •I I E D 1 r 11 < (1 F i I i I I.., I,\ l,
City of Tigaid ; .' ,"+ No.: ,moo 7 - 00 x 39
13125 SW Hall Blvd., Tigard, OR 97223 Han RgVIITV
Phone: 503.639.4171 Fax: 503.598.1960 APR 12 200 D 1t fa007- ooRe
inspection Line: 503.639.4175 . Ll '1 I .. Date Ready/By: Jan ■ Page 7 for
Internet www.cl.tfgard.or.ua CITY OF TIGPV- ' ... - Netifiedafedlot
Supplemental Informanoa •
•
❑ New construed
omstnmedon ®Addition/ altaadon/rcQ lacement Please cluck all that apply:
OService over
❑ Demolition ❑ Other: amps, rdous location
22S oont ®'1 p Haza
'a — over l
. r over amps rating [Mulleins 000 sq_ R,
.,� .c,' .. , ; . ; of 1 and 2 - tUrrthly ellirtgs dw 4 or more new residential • ❑ 1 - and 2 - family dwelling ® Commercial/industrial 0 Accessory building DSystem over 600 volts nominal mitt in one structure
❑ Multi family ❑Master builder ❑ Other ['Building over three stories ()Feeders, 400 snips or more
. - . persons d structures or
�•...... .._ _ ...:• - . ... , , .. , ; , ,
` . ._. ;4 . . . . • ['Otis'
.....:.. owe
_ .....:: ;::•,: ;!.:.• :• pBBnas/liBhtieB Owl RV park
Job no.: Job site address: 15115 SW Sequioa, 110 ['Health a facility
Submit,/ sets of plans with any of the above.
City /State/ZIP: The above are not applicable to tanparary construction service.
Suite/bldgJapt. no.: 110 Project name: Spec space PCC231 ate aipdoa rd Total
Cross street/directions to job site: New residential single- or multi -Lally dwelling unit.
Includes attached garage.
1,000 sq. It. or less 145.15 4
Subdivision: Lot no.: Ea. add'l SOO sq. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential . 75.00 2
•. .... .. 75.00 2
' Becb taeufecnaed err modular
Tenant Improvement dwelling, service and/or feeder 90.90 - 2
Services or feeders Installation, alteradon, aad/or reloeadbn
200 amps or less 80.30 2
} .: ,. <. ' r �• ; ;, � to scamps 106 BS 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 instaUatlon, alteration, and/or
Phone: ( ) Fax ( ) relocation
200 amps or less I 66.85 1 1
Owner Installation: This installation Is being made on property that I own which is not 201 amps to 400 amps 100.30 1 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 fee, each
Business name: Johansen Electric inc. branch circuit 6b5 2
B. Fee for branch circuits
Contact name: Charlynn Ldben wrdarrui service or feeder
Address: 10948 SE Valley View Tarr. each branch circuit 1 4683 46.85 2
Each edd'l branch circuit 1H 6.65 126.3f. 2
City/StateZIP: Clackamas, OR 97015 MIseeilaaeous (service or feeder not included)
Phone: (503) 698.3417 Fax: : (503) 698-2486 > or irrigation circle "53.40 2
Sign E - mail: johansoneleeta sn.com Signal c lighting 33.40 2
0 ,,..:"-<:.t:' .,
Business name: Johansen Electric Inc.
aneaiion. Describe; Page 2 2
Address: 10948 SE Valley View Tem. Each additional Inspection over allowable in aayot the above
Per iatpectioe 62.50
City/State/ZIP: Clackamas, OR 97015 Investigation per hour (1 hr rain) 6250
Phone: (503) 6983417 Fax: (503) 698 - 2486 Industrial •rant . hour 73.73
CCB Lic.: 51539 Electrical Lk.. 3 -243 S S. . Lic.: 20535 Subtotal 173.20
73.20
Suprv. Electrician signature, r fJ i� ' soh► •
Sup gnature, required: Plan review (25% of permit fee)
Print name: Dale: 4/11/07 State surcharge (8%ofpemsit fee). 13,86
r . i : / . '. / � TOTAL PERMIT FEE 187.06
Authorized signature: ,. /5 ■ eatl AMIIIIIIMIIIIIIEIIIIIII lute permit appaoa espies if a permit b net obtained hrithla 180
days after it has bees accepted is complete
Print name:
_ ; i s / zT Date: 4/11/07 • Fee methodology Bet by Tri•Comty Building raduBSy Service Board
•• Member of inspections per permit snowed.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/16/2007
Phone: (503) 639-4171 F�
Inspection Requests (24 Hrs.): (503) 639 -4175 "IL.
INSPECTION WORKSHEET FOR DATE: 6/29/2007 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Tenant Improvement
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698-3417
Inspection Request Scheduled For: Date: 6/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 051012 -01 503-969-5262 N
"tf_ H
Corrections /Comments /Instructions: — --
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N06 L.E Date: 6 .251` n Phone #: (503) 718 - 1/0
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/16/2007
Phone: (503) 639 -4171 / �a
Inspection Requests (24 Hrs.): (503) 639 -4175 . "'I �..
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 20
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Tenant Improvement
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503- 698 -3417
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 049720 -01 503-698-3417 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL Li CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ry v Date: 6 . b7 �
Phone #: (503) 718- '
CITY OF TIGARD
BUILDING PERMIT #: ELC2007 -00239
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/16/2007
Phone: (503) 639 -4171 l
Inspection Requests (24 Hrs.): (503) 639 -4175 .J. I _,,
INSPECTION WORKSHEET FOR DATE: 5/24/2007 TIME: 7:00AM PAGE: 26
SITE ADDRESS: 15115 SW SEQUOIA PKWY 110 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SPEC SPACE
DESCRIPTION: Tenant Improvement
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -693 -3417
Inspection Request Scheduled For: Date: 5/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 049002 -01 503 -969 -5262 N
Corrections /Comments /Instructions:
'PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�I�(� � --� 1�
Inspector: �� v `� v�J Date: � Phone #: (503) 718- �'�"� D