Permit . TV OF TI G w R ® ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT D: ELC2007
DATE ISSUED: 9/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB-00600
SITE ADDRESS: 16160 SW UPPER BOONES FERRY RD BLD.0 ZONING: I -
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: EXELIXIS
Project Description: (3) branch circuits for 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: 2 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
IELPRMTI ELC Permit 9/27/2007 $60.15 LIC 51539
[FAX] 8% State Surcharge 9/27/2007 $4.81 SUP 2053S
Total $64.96 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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
suspende• • more ary180 da s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those les are set forth ins - - 9 • - 001 -0010 through OAR 952 -001 -0100. You may obtain copies o rules or direct questions to OUNC at
503. • 6.6699 or 1.800.33 . J
Iss -d By: ` ` � Permittee Sign,_ `
, 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:
RACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N:
i i�� 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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P �e ' ct• : Pe rmit Applic q ti'l , " ,
! 1 . ,, c - ; .l' , ,I 111( (:tl I Il I .1 11 rX \l 1+ + , " k '+I i t v
,� � pity of Tigard Received ' `
.1 ftAF,'Y. '" IL'j :fxy.. r. iMV N
. r , 13125 SW Hall Blvd„ Tigard, OR 9722
SEP 2 2007 ew 7 , . . . .. 4 / . PermitNo.: g �.c�oo 7 --e 7
k M m Phone: 501639.4171 Fax 50 9 1960 Dawn Other Permit;
si Inspection Line: 503.639.4175 i j U f 1 K JA [
Date Ready
/By: Iona Ed see e 2 for + I n t ernet: www.tigard-or.gov N otified/Me thod �� P
� 9 sir. ra la m r _
IJ Supplemental Information
�:, 1 ''1 �!!El
*�i� ,1 ' `fe �r �-� �iit f. -1�jv7 �'1 , `4 r -:'Pt _ al . � .
... r. 4. lil. Ih �... Elill rib.11 - i /1411 ,,.R'> 1 7 4614 1: I + 1 �.: ,t sw: .r!r+r,7�e r .t x•1:1 i E h3 'sqr '•ii-
0 6 >�'• +XM , " tree. e.:.. p5t' Y. y VU:,. �. 4Yr. �, � «m4�4 "S'�:.lY'rt'I�l°4 • . � ��' iiC l�f? 3 a�dlr" �hi.' �.:._ �f:: viiei: �ua.,..? ��IRfIF:��I
❑ New construction El Addition/alteration/replacement Please check all that apply (submit b nets of pleas w/itcros checked below).
❑ Service or feeder 400 amps or more ❑ Building over three atones.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards .
i p ,aar 7 t WII� +u ct sz! n XtsE.tl t t ;nmEmres ^�n ,s �j E e° g el exceeds 10,000 at 150 volts or El Floating buildings.
1W fl fit,,(:,+ yq�y t ��X'�,•. } ill y hkf \q E 0 q lit X 6:� I 1r qkl 11 i1 i � :§p r amps
` -' -:«Ei: �' till :�gy4E,. .p „ef s_._..E.6l JYlael�:._.n igi:...i ? I t� 1 E e. kts to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
amps for all other
❑ Multi - farm installations. buildings. ❑ Master builder ❑ Other Fire pump. 0 Installation of 73 KV A or
r a: + +1 ;tag; jam„ s err Wati , Fm gen
;i tt vp r IIISIti?, X 1 L u r n ut q t. q t E / h C i l g; 191(1 Ay , ❑ li cy tem. larger eeperetdy derived system.
wStrdikf sir.' et it ':?,E(„ti..6vh�t•LL3u41lbrsi�E� ids a;3,liFa6i�•� 4�`•�'� ❑Additionofnew 0 "A, E ",•'1_2• 1.3•
' 1 1 (o 0 5 , 0 U t ^ ,fi^
t,,., I' IOOHP or nett:.
Job no.: Job site address: � •J 1 / Y Cl� �J y.
❑Six or mo ss ruesidetttial Emits. ❑ Recreational vehicle parks.
City /State2IP: ❑ Health - care facilities. ❑ Supply voltage for more than
/� ❑ Hazardous locations. 600 vela nominal.
Suite/bldg./apt. no.: I Project name: C I XIS ❑ Service or feeder
q; t � I e X der 600 am or more
' ` I I RRRI. E JE i Mvr.+, 13'1..a �YlEllf:E�' DLI r:
Cross street/directions to job site: �7t �F � ' -' +
nesrzttnka OM W ., [ it Fee. ,i61. ,,w ^ :t..
Teal •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 I
•
: s l 1 w; ,,, ���^ tu}�i Lialited energy, residential
°lipl� ['FI F' !' l ,1 Itr t , I E+mv.+at IrEtp, ,xa. 4 f�tG2Y37 T' .,
,`vim ! 4, {� t i aul r C of , rR'. '+ t t Lc, 75.00
i I a�'.s2_ i - +.. tla0i3���(i OT4>�anai. '� ' � � (wl�a aQ. R�1
Limited energy, multi-family 75.00 2
residential (with above sq. 6.)
Services or feeders installatio , alteration, and/or relocatioa
h o q, , E,oay ������ t t`s 200 amps or less 80.30 2
1 'rt 01 ' �E1e�r R l�l h]iffl.�' 'j1 L LI ° XMtt(, g q; i 201 amps to 400 arnps 106.85 2
1x7.. Y,,;i.u�3X:b +4Er"u., -'11'u`
Name: • (XQ u [�^� 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
I relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 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
Owner signature: Date: Branch drealts - new, alteration, or extension, per panel
�T _ A. Fee for branch circuits with
.:L';' y 1 � ���i :??Ei : + �� , �t 4V, i�u��i r P � �yi, "'al{'i,�ll}� "'rr'r.d +S L�Lr�)uaur ucur+tE�.E 1 ''
.. �I'i 4.�S .a11m,r 4w.:r„allE ti 1'lift![r tU> Berg iiih '`;�a ZZ. . !'.;.neat ! a :1 E ;�t; above serv or feeder fee, 6.65 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits / /
Contact name: Charlynn Leifsen
without service or feeder fee, 4 46.85 cv , S`J 2
first branch circuit
Address: 10948 SE Valley View Terr. Each add'I branch circuit ), _ - 6.65 / g , sv__ 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Clackamas, OR 97086 Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: (503) 698 -3417 Fax: : (503) 698 -2486 Reconnect only 66.85 2
E-mail: jobansenelect@msn.com
Pump or irrigation circle 53.40 2
H
>a l(i i' ti>ti(r!iRAKR, 5 tiF an ryu"�� I lli1,: ISEE +tyt Signor outline lighting 53.40 2
Business name: Johansen Electric Inc. Signal circuil(s) 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 Iaspectioa over allowable in envofthe above
Phone: (503) 698,3417 Fax: inspection 62.50
Fax: (503) 698 -2486 Investigation per hour (1 hr min) 62.50
CCB Lic.: 51539 I Electrical Lic.: 3 -243C I Suprv. Lic.: 2053S industrial -last . rhour 73.75
Suprv. Electrician signature, required: it Subtotal: / Q. l 5
Print name: Carl Johansen ate: D Plan review (25% of permitfoe):
Authorized signature: C KIAAJ,A. PA State surcharge (8s% of perntit.fee): 6/, . (
TOTAL PERMIT FEE: 9S
Print name: Charlynn Leifsen Date' This permit application expires if a permit is not obtained within Igo
qji.i ( 6� days after It has ham accepted as complete.
• Number of iespectiens allowed per permit.
L1Build +ngPernia\ELC- PernotAppdoc 03/23/06 470.461ST(1l/DS /COM/WEa
i ' d X1Jd 13C213Sd1 dH WdL I c 2I L002 92 daS
CITY OF TIGARD
BUILDING DIVISION M PERMIT #: EI..C2007.00674
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9070007
007
Phone: (503) 639- 4171�� I'
Inspection Requests (24 Hrs.): (503) 639 -4175 -�i r'��
INSPECTION WORKSHEET FOR DATE: 10/r TIME: 7:01Am PAGE: 52
" 1 6160 "
SITE ADDRESS: 16160 SW UPPER BOONES FERRY RD F3LD.0 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: E:.XP :LIXI
DESCRIPTION: (3) branch circuits for TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSFN ELECTRIC INC PHONE #: 1.03688 -3417
Inspection Request Scheduled For: Date: 10/5/2007 Pour Time:
Code # • _ - on Description ' onfirm Contact # Message
130 Ceiling cover 057013-01 3- 969 -5262 N
Corrre � is L .
tibns /Comments. nstruction • :
N DN) Cg iL
\\\%\
.X,PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
7 FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 04 Date: a c�I S1O'1 Phone #: (503) 718- 1--4 ^0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00674
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �' '''I
INSPECTION WORKSHEET FOR DATE: 9/28/2007 TIME: 7:00AM PAGE: 74
? ? Icispy
SITE ADDRESS: 16160 SW UPPER BOONES FERRY RD 13LD.0 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: ELIXIS
DESCRIPTION: (3) branch circuits for TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: g.03.698.3417
Inspection Request Scheduled For: Date: 9/28/2007 Pour Time:
Code # Inspection Description # . Contact # Message
125 Wail cover 056518-01 503 -698 -3417 N
503.7o 1 3q
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: • t ESig 1 Date: ql Col Phone #: (503) 718-