Permit r
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00522
COMMUNITY DEVELOPMENT
DATE ISSUED: 7/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 DA -0140 0
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
PROJECT: COMMON SENSE
Project Description: TI - (40) branch circuits with service.
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: 1 W /SERVICE OR FEEDER: 40 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 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 7/27/2007 $346.30 LIC 51539
[TAX] 8% State Surcharge 7/27/2007 $27.70 SUP 2053S
Total $374.00 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 � �/ / i /� Permittee Signature: `-0 //
cam
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 Apoli c "" ` °
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City of Tigard JUL 2 6 ZUU / I.",-WA 92 ' ' __
13113 SW Hap Blvd., Tigard, OR 97223
Phone 503.639.4171 Fax 503398.1960 CM.' '.:: I:r, = > -' odurPermit: ';
Inspection Line: 503.639.4173 B .1):. Sea a far Interact www.cLtlgard.arus UI�l3hrL�' li _ °' VI Sea
❑ New construction IS Addition/alteration/replacement Please check nil that apply:
❑ Demolition 0 Other: low
— ova 10,000 watt,
Oa over amps, Comm
. ❑Service over 320 amps .
• of 1- and 2-family dwelling ❑ 4 � sew i
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building QSYstern over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other: �nildirrg over three marks DFceders, 400 maps or man
Ooeapmr load over 99
persons Okianuthebned sraemrm or
facility ❑ ah D aher 7obno.: lob sliteaddr� facility : 1535 ®SW Sequoia Pkwy Submit]. sets of plans with any of the Wawa
City/State/Z1P: The above me not applicable to temporary construction service.
Suite/bldg ✓ apt no.: 2, /f' Project name: Common Sense
Daaira sr. Taut ..
Cross street/directions to job site: New residential single- or multi-llmHy dwelling omit
Includes attached garage.
1,000 sq. ft. or lei 143.13 4
Subdivision: Lot no.: Es. add'I 500 sq. R. or portion 33.40 l
-
Tax map/paroel no.: Limited energy, residential 75.00 N 2
Limited energy, non-residential 75.00 2
Each manolletoted or modular
Tenant Ito • movement � service end/or feeder 90.90 2
Services or feeders taste Haden, alteration, a ad/ar relocation
' 200 amps or less 1 80.30 80.3 2
-
•: : Ol amps W 400 amps 106.85 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 45445 2
City/State/ZIP:
Reconnect only 66.85 2
Temporary services or feeder. Instigation, alteration, sad/or
Phone: ( ) Fax ( ) relocation
Owner Installation: This installation is made on 200 amps to or tat 00 l -
intended for sale, lease, rent, or ex e, =c ORS 4 y' that I own which is not 201 ear to 400 maps 10030 2
change, according ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Breath circuits— new, alteration, or eslearlus, per panel
A. Fee for branch circuits with
service or feeder foe, each 40 6.65 266 2 _
Business name: Johansen Electric the branch cheuit
B. Pee for ircuits
Contact name: Charlyan Leifsen without service or feeder fee, • 46.85 2
Address: 10948 SE Valley View Terr. each branch i<
Each WI branch circuit 6.65 2
City/State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not included)
Phone: (503) 6983417 Fax: : (503) 698-2486 Pump or irrigation art 1e • 53.40 2
Sign or outline lighting 53.40 2
E -mail: johaasene3eet@msn.com11 Signal err uit(s) or limited-
:- , : energy pmeL alteeation, or
Business name: Inc. Johansen Electric In ezanrioa. Describe: Page 2 2
Address: 10948 SE Valley View Terr. Each additional inspection over allowable in any oldie above
City/State/ZIP: Cleckarsas, OR 97015 Inv won 62.50
Investigation per hour (I lr oriel 62.50
Phone: (503)6983417 Fax: (503) 698 -2486 Industrial plant per hour 73.75
CCB Lie.: 51539 Electrical Li c.• 3 -243 . Lie.: 2053S
r ife % i /, =' s �r, - Subtotal 346.30
Sum. Electrician signature, required: / Plan review (25% of permit Oe)
State surcharge (8% or Plinth fee). 27.70
Print name: ` J �� 1 / /, Date: 7/25/07
. Tom PERMIT 374.00
Authorized signature:
' _ /. t pplica ton aspires If . peewit b ass obtained 'Mitts fen
f days after It has bees accepted as couplets
Print name:
. : /l'.:� . Date: 7/25/07 • Number F methodology per aliened. Industry Series Board
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00522
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2()0!
4
Phone: (503) 639 -4171 , ° Pi, I II
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AM PAGE: 22
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - (40) branch circuits with service.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final (O5953B\ 503.9635262 N
Corrections /Comments /Instructions: -
" c. 7 a.. C-1J6C n u r4ba(Z. 6Viti N'CL1 Mt
9
U tAlal 01 . 5 et tt Vt r 6
IKI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 4e) Date: ti I 3 e) Phone #: (503) 718- Z'f Ii
1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00522 I
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2(1A7
Phone: (503) 639 -4171 b�
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 11/712007 TIME: 7 : 00AM PAGE: 26
SITE ADDRESS: 15 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - (40) branch circuits with service.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.696.3417
Inspection Request Scheduled For: Date: 11/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 059179.02 503-969-5262 N
Corrections /Comments/ Instructions:
et- ') VoC c .1 f3ATIa -J FA 3M 0
: A La - 5 -2_
APP Ro 6.6`• '. hie cam, l_itr S ; 4
etAii ititt 4 17 v.k) (sPF-i- Aw.: _
❑ PASS APARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Iv Gb L.. Date: W 101 Phone #: (503) 718 -
CITY OF TIGARD
. BUILDING DIVISION . PERMIT #: ELC2007 -00522
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 7/27/2007
Phone: (503) 639-4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175 .J' "I I ..
INSPECTION WORKSHEET FOR DATE: 10/4/20A7 TIME: 7:02AM PAGE: 53
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - (40) branch circuits with service.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -698 -3417
Inspection Request Scheduled For: Date: 1014/2007 Pour Time:
Code # Inspection Description Conf' Contact # Message
130 Coiling cover 056947 -01 503. 969.5262 Y
Corrections/Comments/Instructions: N
J 4h N
i=.16,5- -- V
0 a - IA.le1 i_43w v6 P ct act a 1
________
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' N 0?) e Date: I (4 tY1 . Phone #: (503) 718-7-4410
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00522
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2007
Phone: (503) 639 -4171 '' � Ao I �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/18/2007 TIME: 7 :00AM PAGE: 32
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - (40) branch circuits with service.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698 -3417
Inspection Request Scheduled For: Date: 9/18/2007 Pour Time:
Code # Inspection Description • I # Contact # Message
130 Ceiling cover 155877 - -01 503-969-5262 N
Corrections /Comments /Instructions:
14(k &b 1■05 dta
❑ PASS KPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G 64 Lti Date: i ll 1 $I Gq Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION , . . PERMIT #: ELC2007 -00522
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2007
Phone: (503) 639 -4171 • i il�
Inspection Requests (24 Hrs.): (503) 639 -4175 = �
INSPECTION WORKSHEET FOR DATE: 8/28/2007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: ' 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - (40) branch circuits with service.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -698 -3417
Inspection Request Scheduled For: Date: 8/28/2007 Pour Time:
Code # Inspection Description • ' Contact # Message
130 Ceiling cover lib 054744 -01 503 - 698-3417 •-• Y
Corrections /Comments /Instructions:
A"+Q E ph, Lay, \ - 15' G.W•\\b
❑ PAS' 'PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ow ± 0: k " - : 1 ❑ ADDITIONAL FEES ASSESSED
Inspector: 6— ' 0(%(... Date: IS62 Z1 Phone #: (503) 718- 1,14%
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007 -00b22
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:01AM PAGE: 22
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - (40) branch circuits with service.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 6983417
Inspection Request Scheduled For: Date: 8/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 054470-01 503 - 698-3417 N
Corrections/Comments/Instructions:
�L. iko.D t6 i n1 cr►`4 a .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G Y NV81 Date: 7 ' *1 Phone #: (503) 718- 1-00
CITY OF TIGARD
BUILDING DIVISION A . PERMIT #: ELC2007 -00522
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/27/2007
Phone: (503) 639 -4171 v I�j
Inspection Requests (24 Hrs.): (503) 639 -4175 /4 F:_..
INSPECTION WORKSHEET FOR DATE: t3117/2007 TIME: 7:01AM PAGE: 9
SITE ADDRESS: 15350 SW SEQUOIA PKWY 250 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: TI - (40) branch circuits with service.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503698 - 3417
Inspection Request Scheduled For: Date: 8/17/2007 Pour Time:
Code # Inspection Description on it Contact # Message
125 Wall cover 054249 -01 5039635822 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CY • 1 bV Date: 1I i ` 0 Phone #: (503) 718- ti