Permit r . CITY OF TIGARD ' ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: ELC2007-00748
DATE ISSUED: 11/7/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 DA -00300
SITE ADDRESS: 15230 SW SEQUOIA PKWY 100 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
PROJECT: A COMMON THREAD
Project Description: 6 branch circuits for 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: 5 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 11/7/2007 $80.10 LIC 51539
[TAX] 8% State Surcharge 11/7/2007 $6.41 SUP 2053S
Total $86.51 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: X Permittee Signature: dj7 ca.1944 c ,c�v+�
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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Electrical Permit A s, .. °' : -
City of Tigard � 0 j L 01 2001 Received �J
J 7 Dal= :. / 7 / 1 Pemrit r I , 1 -Od lci
13125 SW Hall Blvd. Tigard, O 23 Plat, Review
' Phone: 503.639.4171 F ;,5D359 �J) 18(, i . iv r D Other Permit:
i , t - , Inspection Line: 503.f 7 T Date Ready/By: fa See Page 2 for
Internet w
ww tigard dP v Zs 11\ , Iv i ., Nonfied/Method: Supplements Information
,rs • - 3 b li + I : ry i r' I N ,,. i � . ,,,. t ,�eq lc'-. .. -1:11.4 R L1 '
.
I 4 !i� , ,;1'r � �lle.a f�aE � „ � al ". a 4.. al. ..'C' 7._�. . � 'I: � i e .: .. 'r ' �. ,F.�_ 7
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit a sets of plans w/itcros checked below):
❑ Demolition ❑ Service or feeder 400 amps or more D Building over three stories.
❑ Other:
where the available fault current 0 Mari= and boatyards. �q, ,,,,� --llTn• 4 L •'7R Mtl ""°`�'
ta #.:t * r L 4 ', f . � I •Y•Jfr I 71 -fH ard3.
,., l , a"i- a AA, ., _.,0 ilas r r Y ' t i nl i} � tul l l - ;„ exceeds ground, et s 14,000 voltsor ❑ boil
�. l�leit.u�,�e.�'N r., .x -. � . i (1 �P �8 d��
® Commercial/industrial less to ground, or exceeds 14,000 O Cos roes l -use agricultural
❑ l - and 2- family dwelling
❑ Accessory building ships fin all other installations,
❑ Multi -family ❑ Master builder ❑ Other. ['Fireplug). ❑ In.stalletion of 75 KVA or
u'„I. toning i 73;�9tgr- , rM c !li f. ❑Em 2
., N i r w ani' l J t t i i _ �Y `ew m otor load of
Job no.: Job site address ❑ larger separately derived system. r
SCE niu x �'' r tnlnit3 ols .l,e ee r � _ i� °r ❑ Addition of raw motor "A °, •E ", "1 - "1.3",
. /52 , 100HP or more. occupancy.
� "^' S"�1 p�Q MO ❑Sa ormoroleaidogialunits ❑ Recreational vehicle packs.
City/State/ZIP: /� ❑ Health -care facilities. 0 Supply voltage for more than
D Hazardous locations. 600 volts nominal
SuiteJb Idg. /apt. no.: /00 Project name: Oh in � ht) Y? (..L ! I� ad 0 Service or feeder 600 amps as more
Cross street/directions to job site: t ''' - ` L ry 1101 .lt•!�•' r a ` ` w .�.�'
neserlolon Om the. Tot ry• ,1 "'•_,
tal •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot oo : 1,000 sq. ft. or less 145.15 ' 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40
,,yy�,, 4 x s juawR7 � y ,�c , . n. �, ,r
� Limited energy, residential
lfs� 1� -,I�'fi . .IH a5'.�t """ of 4 i.. li r1' 7e;,,.rlif 7$.00 2
_.nn,il - lll ' i l 1.. . I �. As _ q.: -- .Y 'I' (with above sq. ft - )
Limited energy, multi- family 75.00 2
Teel l aA' 7't (on i z rlN ten 4./ �Yt residential (with above sq. ft) ,
ff Services or feeders installation, alteration, and/or relocation
�. •a u,ra,vps �„y e{'� � grs i -er 1
200 amps or less 80.30 2
. 1,:17 ;: AIt • . WI l`P' -�' .'. 1 bA,.:' `fit 201 amps to 400 snips 106.85 2
Name: 401 amps to 600 amps 160.60 2
Address:
601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders installation, alteration. andfor
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 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 599 amps 133.75 ` 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
1 g i �i T it r i nlii 1 ' ~ ' "IR ;, ; .i lk`-; 11 ; ', A. above ice or feeder fee,
_ d . =,lw �, 1 a b o ve service or feeder fix, 6.65 2
Business name: Johansen Electric Inc. each branch circuit
B. Fee for branch circuits
Contact name: Charlyna Leifsen without service or feeder fee, ' p
first branch circuit 46'85 I 2
Address: 10948 SE Valley View Terr. Each add'f branch circuit 6.65 2 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Clackamas, OR 97086 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (503) 698-3417 I Fax: : (503) 698 -2486 Reconnect only 66.85 2 '
E-mail: johanseneleM@msn-com Pump or irrigation circle 53.40 2
t;. , t. I ' , ! 1 ., a . ,u. H i iii
+r 13 ` li �i_ t'a,.t.,�?:,fi, �".rc r t -. 'i9 t E •ts sRiR; A • : Sign or outline lighting 53.40 2
Business name: Johansen Electric Inc. Signal circuit(s) or limited -
energy panel, alteration, or
_Address: 10948 SE Valley View Terr, extension. Describe: Page 2 2
,
City /State/ZIP: Clackamas, OR 97086 Each additional Inspection over allowable in anyof the above
Phone: (503) 698-3417 Per inspection 62.50
Fax: (503) 698 -2486 Investigation per hour (1 hr min) 62.50
CCB Lie,: 51539 I Electrical Lie.: 3 - 243C I Suprv. Lic.: 2053S Industrial plant per hour 73.75
Suprv. Electrician signature, required: ` ` ` �-'„ . � S - ' r `• 0'
�— I �/ Subtotal: e0,10
Print name: Carl Johansen C.�/�G I� Plan review (25% of pemtit fee):
a Ps 0''l
] State surcharge (69'0 of permit fee): rp - tit Authorized signature: 1 1 � TOTAL PERMIT FEE: 61
Print name: Chariynn Leifsen Data: This permit application expires if a permits not obtained within 180
( I talt) days after it has been accepted as complete.
• Member of inspections allowed per permit.
1 : 18 Wldina1PermitaLC- PermitApp.doc 0912366 4404615T(L UMS/COMIWETS
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI_C2007- 0;')7'16
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007
Phone: (503) 639 -4171 Ovidie110,I
Inspection Requests (24 Hrs.): (503) 639 -4175 °__..
INSPECTION WORKSHEET FOR DATE: 12/17/2007 TIME: 7 :01AM PAGE: 33
SITE ADDRESS: 15230 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: A COMMON THREAD
DESCRIPTION: 6 branch circuits for TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 690 - 3417
Inspection Request Scheduled For: Date: 12/17/2007 Pour Time:
Code # Inspection Description / Confirm # Contact # Message
199 Electrical final 061639 -01 503 -209 -3917 N
Corrections /Comments /Instructions:
CO
PASS ❑ PARTIAL APPROVAL
El [II NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G—, K (P LC Date: 1 t- t' • n Phone #: (503) 718 -1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E( 02007 00748
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/7/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/3/2007 TIME: 7:O0AM PAGE: 34
SITE ADDRESS: 16230 SW SEQUOIA PKWY 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: A COMMON THREAD
DESCRIPTION: 6 branch circuits for TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 696 - 3'117
Inspection Request Scheduled For: Date: 12/3/ 2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message,
130 Coiling cover 0/63639 -01 603-209-3917 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspecfo: G 1 Iv V d l.G Date:' 1213IQ Phone #: (503) 718- 2-9
J
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00748
13125 SW Hall "Blvd., Tigard, OR 97223 DATE ISSUED: 1'11712007
Phone: (503) 639- 4171 iu R e
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/15/20Q7 TIME: 7:01AM PAGE: 27
SITE ADDRESS: 155230 SW SEQUOIA PKWY 100 • CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: A COMMON THREAD
DESCRIPTION: S branch circuits for TI,
' OWNER: PACIFIC REALM' ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 603. 690
Inspection Request Scheduled For: Date: 11/15/2007 Pour Time:
Code # Inspection Description - • # Contact # • Message
125 Wall over 059726 -01 503 - 969-5262 N
Corrections /Comments / Instructions:
•
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL, FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N L Date: % 0 Phone #: (503) 718- Ailt