Permit •
~�. CITY OF TIGARD r ELECTRICAL PERMIT
° v COMMUNITY DEVELOPMENT PERMIT : ELC2008
DATE ISSUED: 9/29/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DD-01600
SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
PROJECT: SIRIUS COMPUTER
Project Description: 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: SIGNAUPANEL:
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: 11 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 9/29/2008 $120.00 LIC 51539
[TAX] 12% State Surchar 9/29/2008 $14.40 SUP 2053S
Total $134.40 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: % ' Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,
E\-)\
Electrical Permit Applie
i ���� 1111: (1r r1( l; (,I : (,.I.„
City of Tigard ��\ 6 Received 7
� ++ Date/13 : /!iI1 lfI ► _�
13125 SW Hall Blvd., Tigard, OR 972V60 Date/11 L P t; ` 4 Plan Review
• Phone: 503.639.4171 Fax: 503.598. Other Permit:
d .1 �v
i Inspection Line 503.69 75 �� 0� `leNCI ` Dau Read
Interne : is
t: www.tigprd r N N oti �I���►l
tt l l ri t A i' i e7 f,•. Z ,` . , ',^ ;;' �sr , Y;!' T IE S5 :{,$:. 1 ,rn�i�d"'W tllf,� i._ ,t"J
f ' • i ,il �L � ► i ti ms e' Li Please amok all that apply (submit 1 sets of plans whiten checked below):
El New construction ®Additi0 a ¢rati 0 Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marrs ad boatyards.
w'Ij 1} t � a , a A i: a;r pu r +s.6 ^, ,: ' i •..' .,::," `'� � exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
u , . . ., I. i • . ..:➢tiRU.' f a l l* - ii �1 ,ar1.. '' :: 4 . -. i • 1 .... ; �t . less ro ground, «cxcecda 14,000 ❑ Commercial-use agricultural
[] l- and 2- family dwelling ® CorttmerciaVendustrial ❑ Accessory building amps for all other installations. buildings. of 7s KVA or
ID Multi-family ❑ Master builder ❑ Other: 0 Fire
❑ Emergency system. larger separately system.
� � •ltlrti ti;s� t
}�y y ? �{,3t'+'�" - tT.-` ,l�'r{�l5 °Q'II,, r ,e '� � ;r q ' 1 , j t ' r'' Addirim drew molar load of ❑'•A °. "E", 1.2 ". "1 -3
''r tr O1L tiii�i�F •1-.-+;pci'ifetiLicri �'�l�,s`t'a'lliula i�'c�'M1fed, :s i ❑
IOOFIP or mom. occupancy. Job no.: Job site address: 15 57 5 SW Sequoia ❑ six or more mesidadial units. ❑ Recreational vehicle pa`ta8.
® Health -care facrlides ❑ Supply voltage for more than
City /$tatelLlP: ❑ Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: 180 l Project name: Sirius Computer ❑ Service or feeder 600 amps or mom. d � �,
io( , - 7 rl �Rlltl llfl�
Cross street/directions to job site: poutpi a, oo. re. total •
New residential tingle- or multi - famiy dwelling unit
Includes attached garage. -_
I Lot no.: 1,000 sq. ft or less 145.15 4
Subdivision Ea. add'! 500 sq. ft. or portion 33.40 1
Tax no.: �� { r 6 Limited energy, residential 75.00 2
of stars ^i.Fa�: O:rm urs! n' is m u '. k`Sl all a: - 3,1,p,' (with above s.4. ft.) .
a ,;: $st °',�:mt�t i° Limited energy, multi - family 75.00 2
Tenant Improvement residential (with above u. A)
Services or feeders iastallalion and /or relocation
u , 200 amps or less
8030 m 2 i
1 . (s 4i�7i!��r�h u ts a V ! is : .A f - _ ' I ' i . .. , klFEll , •- 201 amps to 400 amps - 106.85 2
• . it Jt�iryllm,+MiM i g , Er,iir'ttl e t : Yaid it fl '
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 •
• Temporary services or feeders installation, alteration, and/or
City /State/ZIP: relocation
Phone: ( ) I 100
Fax: ( ) 200 amps or less 1`
201 amps to 400 It j 2 1
0 amps
Owner installation: This installation is being made on property that I own which is not 401 amps to 40 amps 13375 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. - Branch circuits - new, alterati or extension, panel
Owner signature: Date: A. Fee for branch circuits with
.1s. rP. rn . 7 y s.. � l,f� 1 �y�rg 'y',' N °' ?I i above service or feeder fee' 2
i,,irl :v>WIL�YP:{ �t:t,.dLv. - 6.b5
each service a or f circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
without service or feeder fee 1 46.85 6.85 2
Contact name: Charlynn Leifsen first branch circuit .
Each add'1 branch circuit 1 _ 6.65 3 • 15 2
- Address: 10948 SE Valley View Terrace Miscellaneous (service or feeder not included) __
City/State/ZIP: Happy Valley, OR 97086 Each manufactured or modular ' ' 90.40 2
dwelling, service and/or feeder
Phone: (503) 698 -3417 I Fax:: (503) 698 -2486 Reconnect only 66.85 2
E-mail: ohansenelec mo msn.co
Pump or irrigation circle 53.40 2
li111S 1 f�dl I :o m .�E, „
t= ' I a !1 ` r ,!7 ;' 'i Sign ar outline lighting 53.40 2
'w" - "' " Signal circuit(s) or limited -
Business name: Johansen Electric Inc. energy panel, alteration, or
extensions. Describe Page 2 2
Address: 10948 SE Valley View Terrace
City /State/ZIP: Happy Valley, OR 97086 _ Each additional inspection over allowable in an of the above ,
_ per inspection 62.50
Phone: (503) 695.1417 Fax: (503) 698 -2486 Investigation par hour (1 hr min) 62.50 -
CCB Lie.: 51539 I Electrical Lic.: 3-243C Suprv. 20535 Itldtstrial •lant per bouz s t 73.75
4 I lm _ (!{! !lice °- : "`" - 1710.7 '-'17u: , t , �+ r'
Suprv. Electrician signature, required k� J - Subtotal:
Plan review (25% of permit fee):
Print name: Carl K. Johansen }Date: 9 / 2 6 / 0 B State surcharge (12%ofpermit fee): - - . '/ WO
Authorized signature: 0.A._.........----...,_________ - TOTAL PERMIT FEE: . 6 O 1 3y IC)
This permit application aspires Ha permit la not o nod within 180
Print name: Charlynn J. Leifsen I Date: 9/26/08 days ahem It has bas accepted as complete.
• Number of inspection allowed per pent.
1 :'Buildingwemuts \II.0 -r rmitApp.doc 05/13/06 440.46151(11/0/COM/WEB
T 'd X43 13C213Sd1 dH Wd9b:2 8002 92 daS
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FL C2008
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/29/2008
Phone: (503) 639 -4171 �ej,� A�i��
Inspection Requests (24 Hrs.): (503) 639 -4175 1
INSPECTION WORKSHEET FOR DATE: 10/23/2008 TIME: 7; 00AM PAGE: 7
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: uBDl 15575 SW SEQUOIA PKWY 180 UBDI NAME: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PRS
DESCRIPTION: TI .
OWNER PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR JOHANSEN ELECTRIC INC PHONE #: 503 -698 -3417
Inspection Request Scheduled For: Date: 10/23/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 0 7718° 01 \ 5 03 9 6935262 N
Corrections /Comments /Instructions:
rlc C■At c &L.S _ o/\) 1 '`'1
/V\
►1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
NI ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: IV 6A ( Date: ID) 23( Phone #: (503) 718- 1)1L
■
CITY F A ••• W
C ® TIG RD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Et "G20U6 00,7
Phone: (503) 639 -4171 h l /?
Inspection Requests (24 Hrs.): (503) 639 -4175 °__..
INSPECTION WORKSHEET FOR DATE: .10/2/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SIRIIJS COMPUTER
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 10!2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 076216 -01 503 - 9695262 N
Corrections/Comments/Instructions:
J
N EZ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C 1\%e5 Ll% Date: 1 I( % Phone #: (503) 718- 2- 4)
CITY OF TIGARD w W
BUILDING DIVISION PERMIT #: ELG008 007
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W29/2000
Phone: (503) 639 -4171 4 , � 1 A i r
Inspection Requests (24 Hrs.): (503) 639 -4175 ......" IIL.
INSPECTION WORKSHEET FOR DATE: 10/13/2008 TIME: 7:00AM PAGE: 34
SITE ADDRESS: 15575 SW SEQUOIA PKWY 180 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: SIRIUS COMPUTER
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.698 -3417
Inspection Request Scheduled For: Date: 10/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 076577 -01 503 - 969.5262 N
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (L Date: ) 6 - 1 3 - PPhone #: (503) 718-