Permit * t P& &JTl b FOR 4 b455 61211 0� 7 ELECTRICAL PERMIT
AIR PV CI
OF TIGARD PERMIT #: ELC2001 -00367
DEVELOPMENT SERVICES DATE ISSUED: 7/26/01
--- 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
PARCEL: 2S 101 AD -03200
SITE ADDRESS: 12909 SW 68TH PKWY 400
SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE
BLOCK: LOT : JURISDICTION: TIG
Project Description: Tenant Improvement
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: 1 W /SERVICE OR FEEDER: 80 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 TERRACE
PORTLAND, OR 97224 CLACKAMAS, OR 97015 -000
Phone: Phone: 503 - 698 -3417
Reg #: LIC 51539
SUP 2053S
ELE 3 -243C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 7/19/01 $612.30 2720010000( Wall Cover
Underground Cover
PLCK CTR 7/26/01 $153.07 2720010000( Elect'I Final
5PCT CTR 7/19/01 $48.98 2720010000(
Total $814.35
This Permit is issued subject to the regulations contained in the Tigani 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 - : • • e Oregon Utility Notification Center. Those
rules are set forth in OAR 952 -00 010 through OAR 952 - 001 -0080. You may obtain pies of these rul - or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344. "—
Permit Signature: ued By:
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 639 -4175 by 7:OOpm for an inspection the next business day
CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00367
ll DEVELOPMENT SERVICES DATE ISSUED: 7/26/01
�� 13125 SW Hall Blvd.. Tiaard, OR 97223 (503) 639 -4171 PARCEL: 2S112DA -00800
SITE ADDRESS: 15115 SW SEQUOIA PKWY 200
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Tenant Improvement
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: 1 W /SERVICE OR FEEDER: 80 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 TERRACE
PORTLAND, OR 97224 CLACKAMAS, OR 97015 -000
Phone: Phone: 503 - 698 -3417
Reg #: LIC 51539
SUP 2053S
ELE 3 -243C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 7/19/01 $612.30 2720010000( Wall Cover
Underground Cover
PLCK CTR 7/26/01 $153.07 2720010000( Elect'l Final
5PCT CTR 7/19/01 $48.98 2720010000(
Total $814.35
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Permit Signature: - Issued By: A M
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 639 -4175 by 7:00pm for an inspection the next business day
10/19/2000 15:26 FAX 5036847297 City of Tigard f�j002 4 i 5 iipiii/ .•..
Electrical Permit Application
Daterecoivod: - 7 -19 —D ( Permit no.: act / 1V)% 7
, Lj ` ..:1 CityCityOJle 'Tigard • Project/appl. no Expire date: A
Address: 13124 SW Hall Blvd, OR 97223 n
d
City of Tigard + Date Issued: By: I Rtccipene.:
Phone: (503) 639-4171
Fax: (503) 598 -1960 Case rue no.: Payment type:
Land use approval:
N
'1l l'I: OF I'11tNIIT
0
CI 1 & 2 family dwelling or accessory perCammerciallndusntal 0 Multi- fimuiy CI Tenant improvement
O New construction O Addition /alteration/replacement ❑ Other: ❑ Partial
Job address: ] t ( W latvi dA 1D►, 1,1�� 1 1 S,}• 2nr) Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Lot: Block: sion" : ` Project name: £(Q 1rfl I Description and location of work on premises:
Estimated date of complc - • eclion: •
Job no: Fir Max
Business name: JOHANSEN _ELECTRIC, T te Qty. (`a) Total no's
Address: 10g 4R SF. VAT.T,FY V LF.R T�',RRACF dsiel jo per •
City: C L A C K A M A S ' 1 9 0 R ZIP: 97015 9e.imiac1nitak
0 3 — 6 9 8 3 41 1 Fax:5 0 3 6 9 —_248_6__ 1000 sq. h or less 4
Bach addidonal 500 sq. h or potion thereof
CCBno. : 51539 i - n°: 3 -243C
C l ' ry / m e t r o lic. no.: M F T R 0 00004896 Limited a y, nova- aaidenlial 2
fie- 6 ' ' - 1 , I A 101 Bach matmfacmred hams or modular dwelling
Si_ , of . - . . electrician -. lied Dam Service m 2
Sup. elem. name (print): • e - s - e License 1113: g
alteration or relocation:
I'ROPFIITI.OWNI-R 2oo amps or leu I 80 2
Name (print): 201 amps m 400 amps 2
1vlailirtg address: 401 amps to 6011 drupe 2
601 amp w 1 000 ampi 2
Ciry: I State: I ZIP: Over 1000=p-90T volts • 2
~
Phone: IFax: E-mail: I Reconnect only 1
Owner installation: The installation is being made on Property I own Tetapot•ryserrkesorfeeders-
which is not intended for sale, lease, rent, or exchange according to aemOmioo,alteridiae,orreload=
ORS 447, 455, 479, 670, 701. 200 or km 2
201 amps to 400 amps 2
°velar's signature: Date: 401 to 600 am s 2
Brandt dr snits - new, .Meredeu,
cm meanie. p•rpaant
Name' A. Fee for branch circuits with purchase of /
Address: service or feeder fee, each brans dreeit $O 1{� p J 31, a
City: _ 'State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, Wm brasrch circuit 2
Phone: Fan E Each additional t
nal bnmah circuit:
I I
I'L.AN' 1ZLsit %%' 11'Iea:c Check : th u MO) Mlse.(SerrIceerfeedaaot :
O Service over amps wmmanael ❑ Healih- carefaalty Bach pump or irrigation circle 2
O Service over 320amps-rating of l&2 O Hazardous location Each sign or oudineligtuing 2
family dwellings 13 B ovm wimp agoaiefeat fair or Signal dreuit (s)oralimited energy panel,
O System over 600 volts nominal more residential units in ones(rucuue allocation, or oconsion 2
O Building over duce mica 0 Feeders, 400 amps or note sIksaipdon:
Occupant load are 99 persons 0 Mmutecaned structaa or RV pale Ends additluml hawed= over the idiomatic In any ortlre shore:
Eareganigtubl8pian O Other. Per lnepealon 1 I I I
Submit 1 s ets of plans with any of the above. lnvestlgadnnfde
The above are not applicable to temporary commuellaw seltvle . Other
Not .11 jOrisditliOrn accept credit ,vat. pause can jurhasee.n tor ®
,®r inrmmatim,. Notice: This permit application Permit fee $ b t 'i •
O Mesa O hdastzrerud expires if, permit is not obtained' Pisa review (at fa. %) $ / 3 3 0 7
Ih
Credit card number: / / wtthin 180 days after It has been State surcharge (8%) S i1
Expires accepted as complete. TOTAL $ _ ' b
Nine -of cardholder as showy on credit card
Cardholder aiyaLre Amount 440.4615 (600000M)
a
cam /� : 5 1
d 1.4,„oti ,
`=' iiTY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST'
BUP
Date Requested � AM PM BLD
Location / �--gG [o c b n` Suite 1 / 6 7) MEC
Contact Person �'Jl Ph 3 ql7 PLM
Contractor \J b k 4 Sr) v i Ph SWR
BUILDING Tenant/Owner ELC 7 Z9 7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: / �(
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
• Gas Line
Smoke Dampers
Final
T FAIL
(. )11
LECTRIC L
Service
Roug in
UG /Slab
Low Voltage -
ftvAllarm
in
PASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. P a City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: ] Unable to inspect - no access
ADA / � /
Approach /Sidewalk Date `� ` Inspector 4 EXt
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MsT
24- Hour`Tnspection Line: 639 -4175 Business Line: 639 -417.1
BUP
Date Requested l — 7 L AM PM BLD
Location 1 �9 C) 9 1 j' �9��.' uite 4- 746 - 6 MEC
Contact Person �► , Ph 4s4= PLM
Contractor Ph 94, 9 901 CP a__SWR
BUILDING Tenant/Owner ELC 00 3 (, 7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing ( ■S
Fire wall v / Q Y ` C o I Fire Sprinkle k_
Fire Alarm / l7 6Y
Susp'd Ceiling � / � y c�/
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Servi -
ugh l _
• ab
Low Voltage 62
Fire Alarm
all PART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date _ Inspector 4 �� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
i
CITY ►TIGARD BUILDING INSPECTION DIVISION -
MST- s;
*Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,
BUP
Date Requested '7— ` AM PM BLD
Location / � �i gu Suite / MEC
Contact Person ��c p Ph e . PLM
Contractor Ph SWR /�
BUILDING Tenant/Owner ELC jai ' G(/3 7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
P ost _ L` SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ( ve2
Misc:
Final
- PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
. g
UG Slab
Low Voltage
Fire Alarm
ASS PART FAIL
SITE
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date f —ef ` Inspector JL �� xt
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
I\
CITY OR TIGARD BUILDING INSPECTION DIVISION
c"l Inspection Line: 639 -4175 Business Line: 639 -4171 ;<, MST I .
BUP
Date Requested AM PM BLD
Location f a-9 0 6 Suite 1- 7/.6 MEC
Person . Ph
Contact e _ . _ _ � _ _ .., 3 4/ 7 PLM
Contractor j i. i i Y Ph SWR
BUILDING Tenant/Owner ELC / 00,3 7
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation /
Drywall Nailing r Cl / Liic G / Ce, ve Y
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL C / �--- /
PLUMBING [/ Tl� l /,QY --
Post & Beam
Under Slab
Top Out
Water Service Y � Sanitary Sewer 4 , , e 0
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service '
UG /Sl n n
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date F-3 Inspector _►_ Ext
/ ti ! �
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
IT`si OF TIGARD BUILDING INSPECTION DIVISION r`
NJ
-eiveaLIP Inspection Line: 639 -4175 Business Line: 639 -4171 T
BUP
Date Requested - 7 - 3 1 r' AM PM BLD
Location f �-- it) 9 6 5 `- 14 U— Suite MEC
Contact Person l Ph (o
wl — Sa 7 PLM
Contractor � .Ir)11a 14 e C Ph SWR
BUILDING Tenant/Owner gripe i Pc. / 4y ELC / OU 3(0
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain _ SGN
Crawl Drain Inspection Notes: /
Slab e14/i4n / )-o eN4PI2 SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall —y--/ / //
Fire Sprinkler / lij / rd r —
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab / ,/ / /
Top Out LI I `L J C G �
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers • ,
Final
PASS PART FAIL
ELECTRICAL
Service
Ftaugh �,
ab tiJ
Low Voltage
Fire Alarm
F'
PASS PART FAIL
Backfill/Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay. at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA /�
Approach /Sidewalk Date 3 / - v ( Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.