Permit 4 CITY OF TIGARD ELECTRICAL PERMIT
II
° PERMIT #: ELC2008 -00416
COMMUNITY DEVELOPMENT DATE ISSUED: 7/21/2008
TI GARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DD-00701
SITE ADDRESS: 15800 SW UPPER BOONES FERRY RD A -120 ZONING: I -P
SUBDIVISION: OREGON BUSINESS PARK II LOT : JURISDICTION: TIG
PROJECT: BRODERICK GALLERY
Project Description: (6) 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/ SVCI 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: 5 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 7/21/2008 $80.10 LIC 51539
[TAX] 12% State 7/21/2008 $9.61 SUP 2053S
Total $89.71 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 - ore than ;. days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r es are set forth in 0 • - • .2- 001 -0010 through OAR 952 -001 -0100. You may obtain codes of these rules or direct questions to OUNC at
503.2 • ..6699 or .800.33 34 ' .
Issu d By: i; CA -i Permittee Sign . -• - iIJ % �,
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:
- • ` - ACTOR INSTALLATION ONLY
i
SIGNATURE OF SUPR. ELEC'N: _,ice ,. i DATE:
/r
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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Electrical Permit Application11 I1l, g� pp�� ■p P , ,4, mir � , 11 f l<II l''�I I )g� ' l 1�'t'4 ```l t ( ' C +�1b s s (
Y OS./ CEIVE 6,4a . ,vt, fai laki M..I il' ii i'i4.? 4 y ;:44tc,4.111`" _.7:t.?Ak YK1; i.
'P City o f Tigard Received
L s7 g Date/13 : ar0 p 4 / Permit Nu : LPL // fi1�I,I / -
t7 ,r 13125 SW Hall Blvd., Tigard, OR 97223 plan Review
$::.,4 fC 1 Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
'g �' it Inspection Line: 503.639 4175 J U L 2 1 2008 pi : Date Ready/By: � B Spptee Page E l for formation
) 7 "f4 d'M b1i• Internet www.tigard-or.gov Notified/Method Sa emen 6t In
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❑ New construction ill Addition/al. • F,f R !!• ! soil) ' • Please check all that apply (submit j sets of plans w /items checked below):
❑ Service or feodcr 400 amps or more ❑ Building over three stauies.
❑ Demolition ❑ Other:
i , � , � where the available faith currrnt ❑Marinas and b arch.
li v , ,_,� i - :,° i ssl a !• r 1�1� !� al i r =11 Z t` ,;' g � i ', : 1 4� ,~ t} . exceeds 10,000 amps at 150 volts or ❑ Floating buildings
i l l : , ;
❑ 1 - and 2 - family dwelling ®CommerciaUindiisu ❑ ial rl leas to or exceeds 14,000 ❑ Commercial-use agricultural
Accessory building amps for r all ll o of ther installation& buildings.
❑ Multi - famil ❑ Master builder ❑ Other. ❑ Fire pump. ❑ Installation of 75KVAor
. 713 ' 0: i M dint aI 11 "1 , j8 V , r'i 11 •!° 1 t P y ef: ❑ Emccg=Dpy m. larger aeparat dC7lved ByaLCm.
1 , .:fit ;. 16 t tiaifyudfe'. as 1. - s:
r � 'i mi a, I s t �, .lo : � � L� ' ,.ti�:,� ❑ Addition of new Byatc motor load of ❑ "A" "E" "1 -2 " "1 -3"
Job no.: Job site address: 15800 SW Upper Boones 100HP or mare. occupaa`y.
❑ Six or more residential units. ❑ Recreational vehicle parka.
City /State/ZIP: I131 1•Icahh - care facilities. ❑ Supply voltage for mare than
❑ Haradous locations. 600 volts nominal.
Suitc/bldgJapt.no.: 120 I Project name: Broderick Galle ❑ Service or feeder 6 amps ormore q
i1 r 1 gq iljaa 1 'siili!t£i " , p0assl l,it'`§ Itl.t ' ,
Cross street/directions to job site: or r. "may t •
Description Ory. Fa. Total
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 1
HI M ��{{�,. ri , i i I „.tyr, m in, ,,,s 0 a ,,. ) Limited energy, residential 75.00 2
„, 1i: i -. )N. ,tl? ' r. r� . . .'1 iv a ii�t �j .: tti, (with above sq. ft. )
y Limited energy, multi - family 75.00 2
Tenant Improvement residential (with above sq. R.)
Services or feeders inataliation and/or relocation
I' l ,� � °pYlrlrn a �� i 41:-.:111.10:7",-.:":
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200 amps or less 80.30 2
u ErY,trl � II I° F� o t it ,1, v. 201 amps to 400 amps 106.85 2
Name: 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
relocation
•
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 on 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
Date
Branch circuits — new, alteration, or extension, per panel
Owner signature:
I tTt %�r ,. °' l ➢suui ttr uarrt t A. Fee for branch circuits with
Et4,!�i�:i •t H '.r. it Scis . •, , � ,(t� +ty ;d itiu6l : I . ri ' ! r!'ti 2t 1 above service or feeder fee,
each branch circuit 6, 2
Business name: Johansen Electric Inc. B. Fee for branch circuits
Contact name: Charlynn Leifsen without service or feeder fee 1 46 85 46 . 852
first branch circuit
Address: 10948 SE Valley View Terrace Each add'I branch circuit 5 6.65 33 . 25, 2
C' /State /Z1P: 19a Valle OR 97086 Miscellaneous (service or feeder not included)
rty Happy y+ Each manufactured or modular
90.90 2
Phone: (503) 698 -3417 Fax: : (503) 698 - 2486 dwelling service and/or feeder
Reconnect only 66.85 2
E -mail: johansenelect@man.com Pump or irrigation circle 1 53.40 2
liffallEMES 1 . ti ,, ' !1.i,rr i a Tar.v.4 - t', 1 P6r,`1 , ".- , x .41:t •riz 1 r ?. ga. Sign or outline lighting 1 53.40 2
Business name: Johansen Electric Inc. Signal circuit(s) or limited-
energy panel, alteration, or
Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2
City/State2lP: Happy Valley, OR 97086 Each additional inspection over allowable in eny_of the above
Per inspection 62.50
Phone: (503) 698-3417 I Fax: (503) 698 - 2486 Investigation per hour (1 hr min) 62.50
CCB Lic.: 51539 1 Electrical Lic.: 3 -243C l Suprv. Lic.: 2053S Industrial plant per hour 73.75
Suprv. Electrician signature, required: / f / Subtotal: = • • 1
� ': Plan review (25% of permit fee):
Print name: Carl K. Johansen / Date: 7 , 1 1 8
/// ��� State surcharge (12% of permit fee): 9 . 61
Authorized signature: TOTAL PERMIT FEE: 89 - 71
Print name: Charlynn J. Leifsen Date: 7/21/06 This permit application expires if a permit is not obtained within 180
days after it bas been accepted as complete.
• Number of inspections allowed per pem,it.
i. BLildngPerrnanELC•PermitApp.doc 05,23/06 440 - 46157(71 /05 /COMWFB
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CITY OF TIGARD k
• BUILDING DIVISION #:
FLC2008-05416
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 701/2008
Phone: (503) 639-4171
4 4:R
Inspection Requests (24 Hrs.): (503) 639-4175 V
INSPECTION WORKSHEET FOR DATE: 8/21/2008 TIME: 7 PAGE: 8
SITE ADDRESS: 1 SW UPPER BOONES FERRY RD A CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: F3RODERICK GALLERY
DESCRIPTION: (6) branch circuits for TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSFN ELECTRIC INc PHONE #: 503-69t3-3417
Inspection Request Scheduled For: Date: 8/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # • Message •
130 Coiling cover 074478-01 503-969-9256 N
1 4 El ri 0 41- C.tia .6: •
Corrections /Comments/ Instructions:
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L , c/c r. PASS r PARTIAL APPROVAL [ CANCEL fl NO ACCESS
AIL 7 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: I0 Date: t24 Phone #: (503) 718- A4_
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CITY OF TIGARD
BUILDING DIVISION PERMIT # :
ELC2008-00416
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7 121/20013
Phone: (503) 639-4171 ttk
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Inspection Requests (24 Hrs.): (503) 639-4175
' INSPECTION WORKSHEET FOR DATE: 8/18/2008 TIME: 7:00AIVI PAGE: 14
SITE ADDRESS: 15800 SIN UPPER BOONFS FERRY RD A CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: BRODERICK GALLERY
DESCRIPTION: .
(6) branch circuits for TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-34'17
Inspection Request Scheduled For: - Date : ----- -8118/2000 Pour Time:
Code # Inspection Description ----- CiYnfirm # Contact # Message
130 Ceiling corer 074292-01 \ 503-969-5262 N
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Corrections/Comments/Instructions: \
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—...„...........
El PASS
- A=:ARTIAL APPROVAL E CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector: G— • NG6 L Date: i° IA*1 Phone #: (503) 718- 1 - - L i 417
CITY OF TIGARD ,
BUILDING DIVISION • ,: .4, PERMIT #: ELC2011f3-00416
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/210000
Phone: (503) 639-4171 42 2,"" pi 'AIllt4
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
B/14/2008 7:00AM
SITE ADDRESS: FERRY RD CLASS OF WORK:
15600 SW UPPER BOONES t
SUBDIVISION: TYPE OF USE:
OREGON BIJSINESS PARK II
PROJECT NAME: BRODERICK GALLERY
DESCRIPTION: (6) branch circuits for TB.
OWNER: PHONE #:
PACIFIC REALTY ASSOCIATES,
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 50:?,
Inspection Request Scheduled For: Date: Bf4/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
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--- \
199 Electrical final (o74198-c2 503-969-5262 N
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Corrections/Comments/Instructions:
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7 PASS F PARTIAL APPROVAL
‘ ri NO ACCESS
0 FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 6 Ntla LE I t s I l i ' l b Phone #: (503) 718- 741"N
CITY OF TIGARD .
BUILDING DIVISION ‘ - . • Alk ' PERMIT #: ELC2008. 00416
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7121/2008
Phone: (503) 639-4171 „,21141retle.
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
8/12/2008 7:00AIVI 6
SITE ADDRESS: CLASS OF WORK:
15800 SW UPPER BOONES FERRY RD f\
SUBDIVISION: TYPE OF USE:
OREGON BUSINESS PARK II
PROJECT NAME: BRODERICK GALLERY
DESCRIPTION: (6) branch circuits for 1].
OWNER: PHONE #:
PACIFIC REALTY ASSOCIATES,
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-696-3417
Inspection Request Scheduled For: Date: Pour Time:
all MOW
Code # Inspection Description Confirm # Contact # Message
---- - -
--- ---
199 Electrical final / 07/107a 0f 503-969-5262 N
Corrections/Comments/Instructions:
M titt V■4\ik)1_,?, •S vivatol --___t) ___ /r...,
t1/40(i. ` - alt-vvCi, 1.1 rkl 4. fl
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PASS 0 PARTIAL APPROVAL n CANCEL n NO ACCESS
j c FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 6 • N k.----. Date: i t 'IV ert Phone #: (503) 718- imst)
CITY OF TIGARD 41'
" ki '
BUILDING DIVISION PERMIT #: ELC2008
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2000
Phone: (503) 639-4171 .4Irit
Inspection Requests (24 Hrs.): (503) 639-4175 ...,,,, --...
INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01Aivl PAGE: 43
SITE ADDRESS: 15800 SW UPPER BOONES FERRY RD A CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE:
PROJECT NAME: BRODERICK GALLERY
DESCRIPTION: (6) branch circuits for TI.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 50469H
Inspection Request Scheduled For: Date: 7/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
126 Wall over 07300301 603-969-6262 N
Corrections/Comments/Instructions:
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Nwo.... .
,.......
P ki•Ica .01
:15
------
S PARTIAL APPROVAL fl CANCEL fl NO ACCESS
0 FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C1 ---1 N6(;s -E 1 1/1- Phone #: (503) 718- 1.4
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