Permit I
CITY OF TIGARD ELECTRICAL PERMIT
" PERMIT #: ELC2007 -00439
: COMMUNITY DEVELOPMENT
D ATE ISSUED: 6/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB-01201
SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG E ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT: JURISDICTION: TIG
PROJECT: CALYPTE
Project Description: TI - install (24) 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: I 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: 23 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 6/27/2007 $199.80 LIC 51539
[TAX] 8% State Surcharge 6/27/2007 $15.98 SUP 20535
Total $215.78 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 UNC at 503.246.6699 or 1.800.332.2344.
Issued = ' ,, ' / Permittee Signature: 0; #figiCa--4dr)
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.
ectrical Permit Application , i i s (,I 1 1( 1 I .1 ()NI 1
City of Tigard �� to ,t l� ECG 6 • y
�� Received . Pen No.:
13125 S W Hall Blvd., Tigard, OR 9 .- I
Phone: 503.639.4171 Fax 503.5'. ..
Inspection Line: 503.639A175 - 61 I - : ..L .- • ∎ j .. oats Ready/Br . dy/BY 0 See Page 2 6r
Internet www.citigard.ar.us ` N Y �vte NottfledIMahad
n a Supphmtallsfarautiaa
❑ New construction IN Addi :l oa/replaeeme[tt Please check all that apply:
❑ Demolition ❑ OthePt J ' OSesvlae over 225 amps. eanm'I ['Hazardous location
10,000
— er aq.
['Service over amps g ov
of 1 -and 2- family dvtellite f}I 4 or more new residential
❑ 1- and 2 - family dwelling ® Commercial/mdusttial ❑ Accessory building ['System over 600 volts nominal units in one snuctu e
❑ Mold- family ❑ Master builder [] Other: DBuiiding over three stories ❑Feeders, 400 amps or more
[Occupant load over 99 persons ['Manufactured streaatres or
RV park - . � gtras lll g hti ng p
Job no.: Job site address: 16290 SW Upper Boones ['Health -care facility DOther
Submit.' sets of plans with any of the above.
City /StamdZIP: The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project dame: Calypte ndatp<ra >ee.
Cross street/directions to job site: New residential single- or molti- imlly dwelling unit
Includes attached garage.
1,000 sq. H. or less 145.15 4
Subdivision: lot no.: Ea. add'I S00 sq. IL or portion 33.40 1
Tax map/parcd no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
Each maoufhcmced or modular
Tenant Ire• rovement
dwelling, savic and/or feeder 90.90 2
Services or feeders instMladon, alteration, and/or relocation
200 amps or less 80.30 2
-. 201 amps to amps 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps , 240.60 2
Addiess: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.85 I
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, react, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 mops 133 2
Owner signature: Date: Branch circuits — new, alteration, or entenslon, per panel
- A Fee for branch circuits with
service at feeder tee each 6.65 2
Business name: Johansen Electric Inc. branch circuit
B. Fee for branch chants
Contact name: Charlyou Leifsen
without UMW or flxder five, 1 . 4635 46.85 2
each branch a branch i t
Address: 10948 SE Valley View Terr. Let `
Each add') bran cf 6 152.9. 2
City /State /ZIP: Clackamas, OR 97015 Miseellaaeasa (service or feeder not ieduded)
Phone: (503) 698-3417 Fax: : (503) 698 -2486 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail: jobanaeneket@mss.com Signal cireuit(s) or limited -
-„ - Describe: Page 2 2
Business name: Johansen Electric Ina
Address: 10948 SE Valley View Tarr. Each additional inspection over allowable in any of the above
Per inspection 6250
City /StateZIP: Clackamas, OR 97015 Investigation per hour (1 hr min) 62.50
Phone: (503) 698.3417 Fax: (503) 698 -2486 Industrial ply Par hour 73.75
CCB Lie.: 51539 Electrical Lis; 3 -243 S . • . Lic.: 2053S Subtotal -24e:65 /nib
Suprv. Electrician signature;, required: r �� r r^ ' >�>! Plan review (25% of permit fee)
.' 6127/07 Stabs surcharge (8% of permit fee)- 444-3- /5 -9'
Paint name: 1 _ / , / TOTAL PERMIT FEE 2eftst 24.78
Authorized signature: i. , - / / T This permit t a tl boa aeer _ mit i not obtained within 180
�� l
days after
Print name: % ; ,: ie Date: 6/27/07 • Fee ammedatogy set by TriL�mry Budding iedushy Service Board
Number of inapemona per permit allowed.
i 003 440- 4615Te1WOVCOWw113
i ' d Xdd 13C2I3S1i1 dH WUZE :O i L002 LZ unC
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00'139
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2007
Phone: (503) 639 -4171 • � �
Inspection Requests (24 Hrs.): (503) 639-4175 „_ °'I I..
INSPECTION WORKSHEET FOR DATE: 7/31/2007 TIME: 7:07AM PAGE: 30
SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CALYPTE.
DESCRIPTION: TI - install (24) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698 -3117
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time:
Code # Inspection Description _ • Contact # Message
125 Wall cover 053079 -01 503969 -5262 N
Corrections /Comments /Instructions: .
t 4e 1 \I V i Ol.-AT . 1 (MI
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 J 4 8 LE'
Date: 11 1 a) Phone #: (503) 718- Villio
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00439
13125 SW Hall Blvd., Tigard, OR 97223 <+ DATE ISSUED: 6/27/2007
Phone: (503) 639 -4171 r' I� I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/13/2007 TIME: 7:0'1AM PAGE: 29
SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CALYPTE
DESCRIPTION: TI - install (24) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.698.3417
Inspection Request Scheduled For: Date: 8/13/2007 Pour Time:
Code # Inspection Description Ca • # Contact # Message
130 Ceiling cover + 3849.1 503.9695263 N
Corrections /Comments /Instructions:
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COW RISS S 1 toi 11 . W
�❑ PASS ❑ PARTIAL APPROVAL El CANCEL l] NO ACCESS
N� FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT N 158 Date: ail 31n Phone #: (503) 718 -2'
CITY OF TIGARD ,� i■
BUILDING DIVISION PERMIT #: ELC2007- 00e139
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/ 1007
Phone: (503) 639 -4171 j
Inspection Requests (24 Hrs.): (503) 639 -4175 ��' Ire('
INSPECTION WORKSHEET FOR DATE: 8/14/2007 TIME: 7:00AM PAGE: 56
SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CALYPTE
DESCRIPTION: TI - install (24) branch circuits. 8/13/2007 ADD (1) 200amp service.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698 - 3417
Inspection Request Scheduled For: Date: 8/14/2007 Pour Time:
Code # Inspection Description firm.# Contact # Message
130 Ceiling cover 053929 -01 503969 -5263 N
Corrections /Comments /Instructions: �'
Rac : o vi kei m wiLystil it 1\1612 asifk. Fes,
5Gnu1ai j T. ilia voI ' ! NiTA c 0 vt.)1b ETC .
S-o 0 e t - i P w ; Q N I? a i ea , T o v e x '
• `
CAtL1
PASS APARTIAL APPROVAL ❑ CANCEL NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G N®() ' • Date: '4 14 of Phone #: (503) 718- 1 -1\
t
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CITY OF TIGARD
,;
BUILDING DIVISION PERMIT #: ELC2007 -00439
13125 SW Hall Blvd., Tigard, OR 97223 A:., DATE ISSUED: 6/27/2007
Phone: (503) 639 -4171 5 1 1 1
Inspection Requests (24 Hrs.): (503) 639-4175 6 1 ..
INSPECTION WORKSHEET FOR DATE: 8/24/2007 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG - E • • CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CALYPTE -
DESCRIPTION: TI - install (24) branch circuits. 8/1312007 ADD (1) 200arnp service.
OWNER: PACIFIC REALTY ASSOCIATES, `- _ PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC - - PHONE #: 503.60E -3417
Inspection Request Scheduled For: Date: 8/24/2007 - Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 054620-01 530-704-1534 N
Corrections /Comments /Instructions:
SS I I PARTIAL APPROVAL 1111 CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: - 2-S-1- Phone #: (503) 718-
. CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00439
13125 SW Hall Blvd., Tigard, OR 97223 , A 1 DATE ISSUED: 6/27/2007
Phone: (503) 639 -4171 • ICI.
Inspection Requests (24 Hrs.): (503) 639 -4175 �' ''_,..
INSPECTION WORKSHEET FOR DATE: 9/6/2007 TIME: 7.00AM PAGE: c
- SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CALYPTE
DESCRIPTION: TI - install (24) branch circuits. 8/13/2007 ADD (1) 200arnp service.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
JOHANSEN ELECTRIC INC 503- 698• -3417
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 9612007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
• 199 Electrical final 055227 -01 503 - 704 -1534 N
Corrections/Comments/Instructions:
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i
I I PASS ❑ PARTIAL APPROVAL *CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION _ ■ P I IONAL FEES ASSESSED
Inspector: N 66 Date: e ll 4 I oi Phone #: (503) 718- 2.1t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00439
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/27/2007
. AlSo
' Phone: (503) 639 -4171
Ad
Inspection Requests (24 Hrs.): (503) 639-4175 !�i
INSPECTION WORKSHEET FOR DATE: 9/7/2007 TIME: 7 :00AM PAGE: 26
SITE ADDRESS: 16290 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: CALYPTE
DESCRIPTION: TI - install (24) branch circuits. 8/13/2007 ADD (1) 200amp service.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.6138 -•3417
Inspection Request Scheduled For: Date: 9/7/2007 Pour Time:
Code # Inspection Description - en irm : Contact # Message
199 Electrical final 055328-01 503. 969-5263 Y
Corrections /Comments /Instructions: t\ C Ni
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C
0
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a
)PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G^4 N f3Qug Date: Cif 1(01 Phone #: (503) 718- 2-/ •
1