Permit C ITY OF TIGARD ELECTRICAL PERMIT
g PERMIT #: EL -00048
COMMUNITY DEVELOPMENT
DATE ISSUED: 1/22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 112 D D -00200
SITE ADDRESS: 15500 SW 72ND AVE 100 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
Project Description: Protection One - 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: 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: 29 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: 503 - 624 -6300 Contact #: PRI 503 - 698 -3417
FAX 503- 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 1/22/2007 $239.70 LIC 51539
[TAX] 8% State Surcharge 1/22/2007 $19.18 SUP 2053S
Total $258.88 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
suspende• • - o - an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those r es are set fort in OAR • - - 001 -0010 through OAR 952 -001 -0100. You may obtain copi - • • ese rules or direct • uestions to OUNC at
503.2..• .6699 or 1.800.3 l 4, /
/�/ _
Issue By: _ ' L /L P Si t � ature: II �,�I/ , i
OWNER INSTALLATION ONLY i
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR I TALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 31 / ' — _ 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 Application
City of Tigard
13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.639A171 Pars: 503. 'R EC
V
Inr�don Line: 503.639.4175 1� �� -�
inoema wtvw.ci tlganf.ons
❑ 1- and 2-finally dwelling ® ❑ Accessory building
❑ Moiti -iii, ❑ Master Wilda. ❑ Other:
rob site address: 15500 SW 72nd, 100
City/Stat&ZIP:
Suite/bldg/apt no.: 100 I proea acme: Protection One
Cross street/dimWons to job site:
Subdivision:
I hot n0.:
ax map/pared no.:
Tenant Improvement
Name:
Address:
City/State/ZIP:
Phi: (
)
Owner Instatlat1en: This installation is being made on property that 1 own which is oat
inteadod for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Owner signature Date~
Business namm dohauaea Mettle Inc.
Contact name: Cbarlynn Leaps
Address: 10948 SE Valley View Tear.
City/State/ZIP: Ciselutmas, OR 97015
Phase: (543) 6983417 I Fax: : (903) 648.2486
E-mail: bansenelectiSmsmeom
Business name: dohaosen Electric Inc.
Address: 1094S SE Valuer View Tarr.
City/State/ZIP: taaebamas, OR 97015
Phone: (503) 695 -3417 I Fax (503) 698-2486
PC . Lie.: 20535
CCB Lie.: 51539 I Electrical Lis:I /b
Supra►. Elehdrician signature, squired: LA
Print same: i l
Authorized signatura446
Print namC4 j1. /r / : ':,�
1 Dora 1/22/06
I Date: 1/22106
E d
I I I I I I .\ I •,
Permit Na.: f
"7,0
•
Otter Pam*:
•
■ Sal Pay 1lir
brominism
4404613r(10►n
��e ap that apply:
°Savioe over 225 amps, cannel Manedow location
°Service over 320 snipe - rating Maths over 10,000 sq. R.
of 1- and Mummy dwellings 4 or more new residential
OSyskm ova 600 volts nominal ado in one semen*
Mending over throe stories Cretds's, 400 amps or nom
❑Ocespant load aver 99 persons DMasubcpned atruelof 5 or
InEgoodIlighting am RV pat
j]11re
Submit j ads apes with any often above.
The above are not applicable to temporary construction Navbcs
carves_ OW. rim raw i .•
Nlew residential single- or mnitl.bm h dwelling emit
laclades attscbcd Ravage.
1,000 sq... or has 145.15
4
Limited asergy, residential
75.00
Ea. edd'I 500 sq. 8. or portion 33.40
1
Limbed ahoagyr, nen.,csidentlal j 75.00
2
Each nwmthauted or nor
dwelling, service and/or teoda 90.90
Services or *ceders tnstatados. eltenace, and/or rdoeadou
2
200 amps or leas
'0.30
601 gimps to 1.000 amps
i
240.60
201 amps to400coops
106.85
401 amps to 600 amps
160.60
Over 1,000 amps or volts
454.65
2
2
2
2
2
2
Reconnect only
66.85
Temporary retakes or feeders las1a8tdse, alteration, and/or
relocation
200 aims or less
66.85 1
100.30 2
133.75 2
201 amps to 400 amps
401 amps a 600 amps
Brash dramas - sew. alteratioa, or extension, per peed
A. Foe for branch eireuib with
savior or Redo the, each
branch eireodt
6.65 2
1
46.86
46.85
2
B. Fee for branch cheeks
without service or llnder lore,
each brunch circuit
Each rdd7 brand, circuit 29 6.65 192.8! 2
Mlfiedheeen (aerate or feeder settadsded)
Pomp or iffigadon eirde
53.40 2
Signal cheeks) or timbal-
anew - alteration. or
emenaiah. Desetibec
i
Pe®e 2
2
Sign or
53.40 2
Seth addpi®al faapectlao over allowable In aey of the above
Pot inepeadas 62.50
Industrial per hour 73.75
Snbtotl 239.70
bwcstigation per boar (1 k rain) 62.50
Man review (25% of permit the)
Star surcharge (8% of permit Re)
rout, maw FEE
19.18
258.88
Tab ramll meadow sash's era permit b eat abadeee wlt>tia 110
dqo after It bar Dell mewed ea eampwe
• Wee mm �b Bra3
aoao1a '.aabyTrtmty 'g ladway brake Board
••
Number of permit Wooed.
Xdd 13Cel3SH1 dH WIJ8E : B LOOZ 22 UeC
CITY OFTIGARD _
BUILDING DIVISION PERMIT #: ELC2007-00048
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/22/2007
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 • ° -_
INSPECTION WORKSHEET FOR DATE: 2/7/2007 TIME: 7 :01AM PAGE: 64
SITE ADDRESS: 15500 SW 72ND AVE 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PROTECTION ONE
DESCRIPTION: Protection One - TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #:. 503-598-3417
Inspection Request Scheduled For: Date: 2/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 043058 -01 503-209-3917 N
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 `k i V LE Date: 2 -''7' 0. 7 Phone #: (503) 718 - 7-44
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00048
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/22/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 F'IL
INSPECTION WORKSHEET FOR DATE: 219/2007 TIME: 7 :04AM PAGE: 16
SITE ADDRESS: 15500 SW 72ND AVE 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PROTECTION ONE
DESCRIPTION: Protection One - TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503.624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 21912007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043202 -02 503 -209 -3917 N
Corrections /Comments/ Instructions:
lgf PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Q ' 0 48 LE
Date: 2 1 Phone #: (503) 718 - 2-Ii46
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 001148
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/22/2007
Phone: (503) 639 - 4171
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 1/24/2007 TIME: 7:02AM PAGE: 6
SITE ADDRESS: 15500 SW 72ND AVE 100 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PROTECTION ONE
DESCRIPTION: Protection One - TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 524 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698.3417
Inspection Request Scheduled For: Date: 1/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 042468 -01 503- 698 -3417 N
Corrections /Comments /Instructions:
57Ei DM'\ , 310 --StO1
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 68 Date: Z-4141, Phone #: (503) 718-244)