Permit olhft, -
CITY OF TIGARD ELECTRICAL PERMIT
!PI ..° PERMIT #: ELC2007 -00746
COMMUNITY DEVELOPMENT DATE ISSUED: 11/6/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 112DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
PROJECT: MANAGEMENT GROUP
Project Description: Power for tenant expansion.
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: 7 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 11/6/2007 $93.40 LIC 51539
[TAX] 8% State Surcharge 11/6/2007 $7.47 SUP 2053S
Total $100.87 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: Permittee Signature: ‘Iyi C 4�.,
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
► RECEWE
Electrical Permit Application NOV — 6 /J(,( l i , i i ( t 1 I I ( i 1 , 0 lr.l ,
City of Tigard Tv OF CL �� W 7 t e® � p� an Ravi - y 7 ''� r 7 13125 SW Hall Blvd., Tigard, OR 9722�� pl Phone: 503.639.4171 Fax: 503.598 fll lf± O�SIOl i pig
M 11
- Other pemut:
��
Inspection Line: 503.639.4175 Dal171�1LLUU 1IMMl7 per, Ready/By: S p , 1
Internet: www.tigard • Notified/Method S ma ibrhifermation
1 n� }� � ��A� �'- tlirws +..n,�a'D�h"�t' I �j y �'� t � raj
fiiiMnf � v rk '�`.�/'!�m tMO� M L. 'ti ll. ..i I IYdIL't M ' I NME ' �!� IE5•
❑ New construction ® Addition / alteration /replacement Please check all that tpply (submit 1 sets of plans wfcteme chocked below)
o ❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition 0 urrent ID !• t I 1 ti Ter i� t in mm , 5cwo Y lt, a i where the available fault c Marinas and boatyards.
IF` l ai 1.t.11e'rz,_. II l '�)u iza a cr uel ta1 ma i exceeds 10.000 maps at 130 volts or ❑ Floating buildings.
❑ 1- and 2- family dwelling ®CommercitrLmdustrial 0 Accessory building less m ground, or succeeds 14,000 ❑ Cararaea
❑ Multi-family ❑ Master builder (arse agriculaanl
amps u all other installations. ln stdiaga.
Other ❑ Fire pump. ❑ Installation of 13 KYA or
gk,r �, 0 , ,, g gsga iV ia e u uttrp , , � , • ❑ Addition of motor load of separately derived system.
�t +�2 t r ! �. � ❑ Emergency system. larger
:�: � • t iaY ti cj.ai.'.w(.',u! �.',� - a r.�.t� j v> �' • S°'i;, ItfN.u'1 '6 ".���i y
Job no.. Job site address. 1 a SIA) 30 ovnla 100 ermore. occupancy.
❑
❑ or Six or more residential units. Recreational vehicle parks.
City/State/ZIP: ❑ Health -are facilities. ❑ Supply voltage for more than
n � CI Ha�deas locations, 600 volts nominal. Suite/bldg. /apt. no.: t~1JV Project name: , ` / I. /, I vice or fader 600 err more,
:i.
t/directions to b j /� ❑ Ser t ;'1i i' : w" Yr , •t� t , ttlr L • � r� ,. 4 4q�
Cross stree jo site: ,La.vi_ u s.i �,a'r,l 1 :. :(asWl t iA1it
amnipdon Z �� Of. FM. Told •
New residential single -or multi- family dwelling unit.
Includes attached garage.
Subdivision; I Lot no.: 1,000 sq. ft. or less 145.15 4
Tax m / Ea. add'l 500 sq. R. or portion 33.40 1
�( map /parcel no.:
9'rILlfa c " y �'" Y � Limited energy, residential
f�1�,�� It t •. i4 1 'R :'w' ;;�Q� Y,,�� f'! 1T� ! tis 6 I� 15 t,. ! i r?P 75 -00 2
I I .... 9 larA LigF .,,�ko- .: rm(ic�' 14.: 1 u INia i I:. �y'd;l& •r.al�l • r (with above tq. ft)
Q L r `,�, ,,,� L energy, multi - family 75.00 2
L
�1 ei L T bfil n residential (with above sq- ft.)
Services or feeders installation, alteration, and/or relocation
�As9 �, ��, ,,��,a,�� a , - :����ur�� S m 200 amps or less 80.30 2
1
—. ' '�*r 7.,17. J � � i `3 ''l'Til' ule,(r l ip+ � _ �t 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 t 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax:
( ) 200 amps or less 66.85 l
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1 I 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
Branch circuits - new, alteration, or e
Owner signature: Date: x tension, per panel
a,,,,_10:,-,,
, tr t g,,} a ur r r� v y x I:�,� y r.� t�(g��+ e uu ur A. Fee for branch circuits with
l i 1311th �'u:,�2,!k,` `w L. 14 1' lr" K y ' u� • - ,, i
51 �1l]L r54 t. ,, . �,.a = 1 above service or feeder fee, 6.65 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
Contact name: Charlynn Leifsen widow service or feeder fee,
first branch circuit I 411.1C 2
Address: 10948 SE Valley View Terr. Each add'I branch circuit 1 6.65 4 („ SS_ 2
Miscellaneous (service or feeder not included)
City / State/ZIP: Clackamas, OR 97086 Each manufactured or modular 90.90 2
Phone: (503) 698 -3417 I Fax: : (583) 698 -2486 dwelling, service and/or feeder
Reconnect only 66.85 _ 2
E -mail: johansenelect®msn.com Pump or irrigation circle 53.40 2
'` :" �-4 ELTERAIL W.I * ��;i .UM1.' Z�"�1}°1 �:� __ ' r ! ? �' fail 2 - Sign or mane lighting 53.40 2
Business name: Johansen Electric Inc, Signal circuits) 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 auy of the above
648 -3419 Per inspection 62.50
Phone: (503)
l Fax: (503) 698 -2486 Investigation per hour (t hr ran) 6250
CCB Lie.: 51539 I Electrical Lic.: 3 -243C 1 Suprv. Lic.: 2053S Industrial plant , hour 73.75
: t f, n1t :Y,Rtagfiiiiii'n il'5r t 7211 _ ....� �!: ;--�} i i.S ',.
Suprv. Electrician signature, r ' � ; / / / k .: i Subtotal: -
_ subtotal: q 3 S/o
Print name: Carl Johansen / Date: / I itd/67 Plan reviett+(25% ofpermit fee):
L t State surch arge (8% of pemdt fee): , y7 Authorized signature: P "` TOTAL PERMIT FEE: MO • S7
Print name: Charlynn Leifsen u� Date: / This s permit application over ifs permit is not obtained within 180
�/�7 days after It has been accepted as campkte.
t: lBnitdinglPemiblBLC- PemdtAyp.dce 03/25/G6 • Number of inspections allowed per permit.
440-4615 T(ll /eS /COM/ W E e
1 ' d XIJ3 13C213S131 dH WU I S :6 L002 90 Ao}
CITY OF TIGARD
• BUILDING DIVISION PERMIT #: ELC2007-00746
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/6/2007
Phone: (503) 639-4171 q , ?rl
Inspection Requests (24 Hrs.): (503) 639 -4175 .t `'I
INSPECTION WORKSHEET FOR DATE: 12/14/200 TIME: 7 :01AM PAGE: 34
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: Power for tenant expansion.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698 -3417
I
Inspection Request Scheduled For: Date: 12/14/2007 Pour Time:
Code # Inspection Description - • ' • Contact # Message
199 Electrical final 061548 -01 503 704 -1534 N
Corrections /Comments /Instructions:
I IA 0 QacztM.il 611 ei1 &
(C.
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , N d l Date: \ 2- fl . (y) Phone #: (503) 718-1-44-4
CITY OF TIGARD
BUILDING DIVISION .. PERMIT #: ELC2007 -00746
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/6/2007
Phone: (503) 639 -4171 �ma o.Iq Fy -
Inspection Requests (24 Hrs.): (503) 639 -4175 -- `'I �..
INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7 :00AM PAGE: 23
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: V42 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: Power for tenant expansion.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-69(3 -3417
Inspection Request Scheduled For: Date: 12/7/2007 Pour Time:
Code # Inspection Description C # Contact # Message
130 Coiling cover 061065 -01 503 -969 -5262 N
Corrections /Comments /Instructions:
rzw Ni \V '`t 1 s`TI c
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G1 N 08 Date: 12' 1'01 Phone #: (503) 718- Zt 'I I°
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00746
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 I /E/ 2007
Phone: (503) 639 -4171 '� +
Inspection Requests (24 Hrs.): (503) 639 -4175 .� ` :_..
INSPECTION WORKSHEET FOR DATE: 11/21/2007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 16350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: Power for tenant 4.xpansion.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOIIANSEN ELECTRIC INC PHONE #: 503695 - 3417
Inspection Request Scheduled For: • Date: 11/21/2007 Pour Time:
Code # Inspection Description C. • •• Contact # Message
126 Wall cover 060107 -01 503-969 -6262 N
Corrections /Comments /Instructions:
%PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G • UV kse Date: 1,1I 7, e Phone #: (503) 718 - �-�
I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC20f17-00746
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /1/612007
Phone: (503) 639 -4171 V F
Inspection Requests (24 Hrs.): (503) 639 -4175 IL
INSPECTION WORKSHEET FOR DATE: 11/7/2007 TIME: 7 :00A1uf PAGE: 27
SITE ADDRESS: 15350 SW SEQUOIA PKWY 200 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: MANAGEMENT GROUP
DESCRIPTION: Power for tenant expansion.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698
Inspection Request Scheduled For: Date: 11/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 059179 -01 503-969-5262 N
Corrections/Comments/Instructions:
P rfP $ E1 VOtwerictiV o la*. 1
y A)'itovw•, 6F- 3 IN ►zA3
6 /KIS `o .mil
Mbilli6NKL i SP ka ►0
❑ PASS PARTIAL APPROV ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL SPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' V (se3 LE
_ Date: LtI 1101 Phone #: (503) 718 7-1 10