Permit tqp CITY OF TIGARD ELECTRICAL PERMIT
A �
CITY Ill 1`(
PERMIT #: ELC2008 -00165
' A COMMUNITY DEVELOPMENT
DATE ISSUED: 3/24/2008
TtGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AB-00600
SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD BLD.0 ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
PROJECT: EXELIXIS INC
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: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 2 • W /SERVICE OR FEEDER: 10 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 HAPPY VALLEY, OR 97086
Phone: 503 - 624 -6300 Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: I3I..E 3 -243C
1I1.PRMTI ELC Permit 3/24/2008 $227.10 LIC 51539
ITAX I 12% State Surchar 3/24/2008 $27.25 SUP 2053S
Total $254.35 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: Grj �rGt7c/)j
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.
Electrical Permit App9icati 1 CEIV E ' 4.- �t 1 „:„:„.„,..,,,,,,„,,.,...,,,,..,,,<,.,,.
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1 4 rw Y � W .IY� Will e Lq kL t'. ti ti, J. - 1. ..w k s� ¢ T' :x � L,.. :w Received
N - ,:p, ' C i of Ti an d t 22j f 13125 SW Hall Blvd., Tigard, OR 97223 Plan Reviewer d ' Phone: 503.639.4171 Fax: 503.598.1"4—'1A AR 2 12008 Date /13 : Other Permit:
kxrk, r inspection Lite: 503.639.4175 Date Ready /ay: runs:
lt •° � rn }c Internet: www.ti and -or ov . Notified/Method: W 1 U
, y , j en t» L,1 .. I ❑ Service heck alI that apply (submit
or `
h ' t lyd! t. cTM .,-t � 9 "£” ! 11 II ¢ It'6r [r , , ? 11 ! c t. I'� �r,Tklt9f pgri i p!a (�
VI', 1,..,: i �mtdu- _ .: IUWlrfaulW�r°Ikia :sill' 1< �.'iil i;u r'. . �
El New construction ®Addition/al • +' • 7 � � a eement Please cbeelc alt mat submit acre of plans wine= checked below):
ore ❑ Building aver three Stories.
❑ Demolition ❑ Other. wbere the available fault current ❑ Marinas and boatyards.
, l tS f n- t 5ab t' i}f ' e d . i t 1 `
t 0 volts w ❑ buildings.
Floating buildi
i t ' r 4 ' 1 :�ei
ttiri::., - ..aa'1siiA -4[ i " l l t exceeds 10,000 amps at 150 volt ❑ oating midi Commercial-use agricultural
less to g or exceeds
❑ 1- and 2- family dwelling ® Commerciab'industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pwnp. ❑ Installation of 75 KVA or
- vn ig ri �JJ.�wsirlli�$F t',i use • r,' ri[ , r Ftnergrncy saeas. larger separately derived system.
, ❑
,,gg i
11.. T 1 { ':vii 136.. sidil .p., x.i i r- It
' a �ti'i.1i .i`nl � � .t,.>x.�:dl,biiamleia!mr _ruEs idaf5,trtatai t< '..1� ,� ' � + tl { � �' `;' ''i ❑Addition of no tenter load of ❑ `•A ". "E" "1 -2" ..I.3..,
Job no.: Job site address: 16160 SW Upper Boones IOOHPormore. occupy!'
❑ Six or more residential units. ['Recreational vehicle parka.
City /State/ZI P: ❑ Health - tare facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: Exel 1x16 Eisen/ice or feeder 600 amps or more.
zl 't ". I: a) •:' ,.s °t ilFE I ft:r
Cross street/directions to job site: Des OD rte. Total •
New residential single- or multi- family dwelling unit
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. A. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: �. Limited energy, residential 75.00 2
E .. ,.ihl It l 'i , gt t IE' ,iL: t' 1Y !r.� he,,,, ` `eitNt ( with above sq. t)
... 1"ti `,e,s � i 1611
Limited energy, multi-family 75 00 2
Tenant Improvement residential (with above sq. il.) _
Services or feeders instedlation,atteration, and /or relocation
200 amps or less 2 3030 160 , 02
- !f'aW'51?. n t,,l�uj'C °1,t,,}� t .. c '. 13 r 1.. a!a .1, amp5 to 400 am Ps (06.85
p! i imia� l 201 2
il�slx,,d,a 1is'r ucAii.sv i s ,
Name: _401 amps to 600 amps 160.60 2
11 �,
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary
r oe services or feeders installation, alteration, and /or
Phone: ( ) I Fax: ( ) 200 amps or less 66.35 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 am 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
Branch circ alts - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with '
�� �I E Ear �'«! i;l 1` � r 19 'ts:• „ tugae yi,:
5�tt`tiJl°a Y it..l . u �a r atu3 s 1 rty,t i , e t ! t , above service or feeder fee, 10 6.65 66.5 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
without service or feeder fee. q6 85 2
Contact name: Charlynn Leifsen first branch circuit ,
Address: 10948 SE Valley View Terrace Each add'I branch circuit 6.65 _ 2
Miscellaneous (service or feeder not included)
City/State.2IP: Happy Valley. OR 97086 Each manufactured or modular 9419° I 2
dwelling, service and/or feeder
Phone: (503) 698 -3417 I Fax: : (503) 698 -2486 Reconnect only , 66.85 2
E -mail: jubemseneleet @mae.com Pump or irrigation circle 53.40 2
i ^i r ,si �r!°' "'miz "�sta Pt • It.'? l t ; i`."` a . ' ,' Si or outline lighting 53.40 2
�,`1i.r�ftr+tLi4k�;:,L.l� iaw:6 �. tai
Signal circuit(s) or limited-
Business name: Johansen Electric Inc, energy panel, alteration, or
Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2
City/StateJZIP: Happy Valley, OR 97086 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 6984417 Fax: (503) 698 -2486 Investigation per hour (1 hr min) 62.50
CCB Lic.: 51539 I Electrical Lic.: 3 - 243C Suprv. Lic.: 2053S Industrial plant per hour 73.75
Suprv. Electrician signature, required: (.,'/ k ./ Subtotal • e
Plan review (25% of permit fee):
Print name: Cori K. Johansen Date: 3 21 0 8 State surcharge (12% of permit fee): 27.25
Authorized signature ' A t 4 l� TOTAL PERMIT FEE: 254.35
/ Date: 3 / 21 / 0 8 This permit application expires if a permit is not obtained within 180
Print name: Cbalynn J. Lei days after it has been accepted as complete.
• Number of inspections allowed per permit.
I: 1nutldiag \PenniIstELC- PermitApp.doc 05/23/06 440 - 4615T(1105/COM/YEB
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: Et.C2000 041155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/24/2009
Phone: (503) 639- 4171 ,1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/15/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 16160 ` W UPPER BOONES FERRYRD BLD.0 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EXELIXI s' INC
DESCRIPTION: TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-690 -3417
Inspection Request Scheduled For: Date: 5115/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 069941 -01 503969 -5263 N
Corrections /Comments/ Instructions:
P P, N c $ LA as pi a-^A
s 16tek c trei, .(A)
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IL 1 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: �' bg Date: 611$161 Phone #: (503) 718 - L4 0
CITY OF TIGARD
-
BUILDING DIVISION PERMIT #: ELC200B.00165
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3124 /2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 50/2008 TIME: 7:OOAM PAGE: 25
SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD BLD.0 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: EXELIXIS INC
DESCRIPTION: TI.
OWNER: PACIFIC REALLY ASSOCIATES, PHONE #: 503. 6246300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 5036903 -3417
Inspection Request Scheduled For: Date: 512/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 069259-.01 503 - 969-5262 N
Corrections /Comments/ Instructions:
® AN a.. 604 L(- NO
TAi N) Cs(• ittk t V. 3 •
Y Atql• 6 rc. Pcoold a 2 -1 �
ci s rh J41 Qic talc itosD Ara . 22,3
1 PASS (l PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
R FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v 1!v L Date: 61 �'f '1 Phone #: (503) 718 - 131t
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: EL_C2003 0016
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 312412008 I
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 °'�! I
INSPECTION WORKSHEET FOR DATE: 3/27/2008 TIME: 7:03AM PAGE: 24
SITE ADDRESS: 16160 SW UPPER Bt:)ONES FERRYRD BL.D.0 CLASS OF WORK: I
SUBDIVISION: PACIRUST BUSINISS CENTER LOT #: TYPE OF USE: I
PROJECT NAME: EXU.IXIS INC I
DESCRIPTION: TI.
OWNER: PACIFIC REALTY A SSOCIATES, PHONE #: 503-6246300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503. 698.3417
Inspection Request Scheduled For: Date: 3/27/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
116 Electrical service 067431 -01 503-699-6263 N
Corrections /Comments/ Instructions:
A PASS n PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
✓ ✓ ✓ ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �. % Date: 3. 21 ' ti Phone #: (503) 718 - Z•ittit