Permit `CITY OF TIGARD ELECTRICAL PERMIT
Li PERMIT #: ELC2006 - 00648
COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2006
T I GA RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S112DD -01600
SITE ADDRESS: 15575 SW SEQUOIA PKWY 160 ZONING: I -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
Project Description: Electrical TI - (10) branch circuits
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: 9 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 11/13/2001 $106.70 LIC 51539
[TAX] 8% State Surcharge 11/13/2001 $8.54 SUP 2053S
Total $115.24 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 f ore than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r s are set forth in • • R 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies s • hese rules or direct questions to OUNC at
503.2 .6699 or 1.8013 r / -
Issue By: k _ ` /J� _i Permittee Sig ature: ihi f , y '." _ _ '
~� 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: (• _ ' ..1,5.1, it w�_ DATE:
LICENSE NO: - � 1S�
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.
, ElecticsilLPermit Applica '�.
C i t y of Tigard � J ..t . V t � i 4 1 t ; r ) i i i 1 I `,1 c / \ I
25 SW Hall Blvd., T J
igerd, OR 97223 ' ..
Photo 503.639.4171 Fax: 503.5981960 �r t ry� (� Plan Review d ��
131
Inspection Line: 503.639.4175 ! U V 1 c� L(0 i u _. �_L Other Permit:
Internet: www.aliganter.us us Noti (G,' I up ppl 1 mlbrnauoe
❑ N ew
New construction on ® Add alteration/ replacement Please read: that apply: t
❑ Other. ❑Service over 225 amps, corneal ['Hazardous location
Service ever 320 rating Ogw'ldng ova of I- and 2-fa resi 2-tonally dwellings 4 or more new •sd e
❑ 1- and 2-family dwell
rlal
Y ing ®Commercial/ industrial ❑ Accessory building OSystem over 600 volts nominal Hairs Mont 'tincture
❑ Multi- family ❑ Master builder 0 Other; ❑Buuding over three stories ❑Fades. 400
aotps as more '
00xupant load over 99 persons ❑ Bqured or
e lan Job no.: Job site address: 15575 SW Sequoia, 160 ❑ 11��ng park
❑FIeahh•eare fhcWry ❑other:
Cit /gip Submit!, sets of plans with any of the above.
The above are not applicable to temporary c ustarucgon service.
Suite/bldgJapt. no.: 160 ( Project name: PetroCard
Cross street/directions to job site: Dsoiptlioi syn. rd Tom ••
New residential single-or mould - family dwelling unit.
Includes attaebed garage.
1,000 sq. R or less 145.15 4
-
Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or patios 33.40 1
• Tax map/parcel no.: Limited energy, residential . 75.00
.. energy. noa -seer demiel Op • • ' Each marutthcaoed or modular
Tenant Improvement dwelling, service and/or feeder - 90.90 2
Services or feeders Installation, alteration. and/or relocation
200 gams or less 110.30 i.: ,, • ,. :.::. .. . :: ..::.�: • . . 201 amps tD 400 amps
2
106.85 2
Name: 401 amps to 600 amp 160.60 2
Address 601 amps to 1,000 amps 240.60 2
Over 1.000 craps or volts 454.65 2
City /StatelLlp: Reconnect only 66.85 2
_ Temporary services or feeders lnatallatlon, alteration, and/or
Phone: ( )
I Fax: ( ) relocation
Owner Installation: This installation is bey made on 200 amps or less 66.85 1
intended for sale, lease, rent, or 8 property that [ own which is not 201 amps to 400 craps 31
exchange, according to ORS 447, 449, 670, and 701. 2
Owt1er � �' �Braoeh a to 600 amps 133 0 2
, sew, 'Iteration, or es:eosinn. per panel
. • . . circuits —
`' "' • A. Fee for branch circuits with
Business name: Johansen Electric Inc, service or feeder fee, each
branch circuit 6.65 2
Contact tame: Charlynn Lethal B. Fee for branch circuits
without service or feeder fee,
Address: 10948 SE Valley View Tern. each branch circuit 1 46.83 46.85 2
City/State/ZIP: Clackamas, OR 97015 each WWI branch circuit 9 6.65 59.85 2
Miscellaneous (service or Rader not included)
Phone: (503) 698.3417 l Fast:: (503) 698 -2486 pip or irrigatioD circle , • 53.40 2
E -mail: johansenelcet1 men.enm
Signal or outline lighting 40 2
igaal ciretdt(a) or limited-
1 p el r on, or
Business name: Johansen Electric Inc. 0 °i page 2 2
Address: 10948 SE Valley View Terr. Each additional inspection over allowable in any of the above
City/State/ZIP: Clackamas, OR 97015 Per inspection 62.50
Investigation per hour (1 br ado) 6250
Phone: (303) 698.3417 , Fax: (503) 698 -2486 Industrial plant per hour 73.75
MI IRIIIIIIIIMIIMIIIIIIIIIIIIIIEIII
CCB Lic.: 51539 f Electrical Lic ' 3 -243 I S rv. Lie.: 2053S
subtotal
Suprv. Electrician signature, required: � k 106.70
�,, Plan review (25% of permit fee)
�`
Print name: e f// • I Date: Staee surcharge (8%ofpermit Rae).
11/13/Ofi 8.54
Authorized signature:` �j�_ TOTAL PERMIT FEE 115.24
7 T6fe permit eati t appll aspires Ida perish la not obtained within 110
Print nettle: days alter k leer bees accepted a complete _ z , � Date: 11/13/06 • Poe uotbodoloay set by 7'ri -Geary Building Industry service Head
os 12,w of iaspeotfoaa pee paint allowed
440.461snraeDn M,wea
•
X43 13CN3SH1 dH WIJibS : B 9002 E T "oN
T ' d
CITY OF TIGARD ,
e
BUILDING DIVISION PERMIT #: ELC2006 0Of,46
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639 -4171 Ar aIlll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7:04AM PAGE: 16
SITE ADDRESS: 15575 SW SEQUOIA PKWY 160 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PETROCARD
DESCRIPTION: Electrical TI - (10) branch circuits
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.698.3417
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040389 -03 503 - 969-5262 N
Corrections /Comments /Instructions:
NI b_ \J c) (�N` o..I
\; CY
%LIZ:Loob . 002'l3 test) - OKL A4 L ,
Y I, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Y v`+ 6,3 Date: 1k 2 0 Phone #: (503) 718- ZIWQ '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -d064
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/13/20t16
Phone: (503) 639 -4171 /r q � r ,
Inspection Requests (24 Hrs.): (503) 639 -4175 I L_
INSPECTION WORKSHEET FOR DATE: 11/17/2006 TIME: 7 :01AM PAGE: 24
SITE ADDRESS: 15676 SW SEQUOIA PKWY 160 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PETROCARD
DESCRIPTION: Electrical TI - (10) branch circuits
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 11/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall rover 039969 -01 503-704-1534 N
Corrections /Comments /Instructions:
-S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: lif —1 7 -66 Phone #: (503) 718-
CITY OF TIGARD 7
A •
BUILDING DIVISION PERMIT #: ELC2006 -00648
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2006
Phone: (503) 639- 4171�l+�
Inspection Requests (24 Hrs.): (503) 639 -4175 F il
INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7:00AIVI PAGE: 31
SITE ADDRESS: 15575 SW SEQUOIA PKWY 160 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PETROCARD
DESCRIPTION: Electrical TI - (10) branch circuits
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698 -3417
Inspection Request Scheduled For: Date: 11/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 039875 -01 503 -704 -1534 N
Corrections /Comments/ Instructions:
( t )—V-Q--‘ , 12-Ci p i---1` czr Ao ; n p e 0A
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
lg FAIL .ZkG LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / — 4 ` 0 6 Phone #: (503) 718-