Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00381
„Al 11 DEVELOPMENT SERVICES DATE ISSUED: 7/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112AD
SITE ADDRESS: 07007 SW CARDINAL LN 145 ZONING: 1 -
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : JURISDICTION: TIG
Project Description: (6) branch circuits, charger receptacle.
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: 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 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 7/12/2006 $80.10 LIC 51539
[TAX] 8% State Surcharge 7/12/2006 $6.41 SUP 2053S
Total $86.51 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: L �Q
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.
Jul . 11 2006 3:13PM Johansen Electric Inc. 503 -698 -2486 p.1
lectricai Permit AoDlica �' (� EI �/ „,,,..01114 (I .., ()\1)
City of Tigard • - ' - .
13125 SW Hall Blvd., Tigard, OR 97223 JUL 1 1 2 - Permit No.: , D 1 /
Phone: 503.639.4171 Fax: 503.598.1960 P an Review
y: Other Permit
Inspection Line: 503.639.4176 BUILDING OF TI 1� '� Dane Reedy/By: runs: . age 3 for
Internet www.ci (�8 P
www.citigarcLor.us D VISI is ►. NotiBed/Al - I' () I supplemental hdermauoa
['New construction El Addition/alteration/replacement Please check all that apply:
❑ Demolition 0 Other: ❑Service over 225 amps, comm'I ❑Hazardous location
' Service over 30 amps s - rating Bunting ova 10,000 q.
of - an d 2-family dwellings 4 or more new n '
❑ 1- and 2 - family dwelling ® Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi family ❑ Master builder • ❑ Other:
['Building aver throe stories ['Feeders, 400 amps or more
Occupant load over 99 persons ❑Mannthaured shuctures or
❑Egrees/lighting plan RV park
Job no.: lob site address: 7007 SW Cardinal Ln, 145 [Wealth-care facility ['Other:
Submit j sets of plans with any of the above.
City/State/ ZIP: The above are not applicable to temporary construction service.
Suite/bldgJapt. no.: 145 Project name: Prudential
Cross street/directions to job site: New residential single- or multi-family dwelling unit,
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: . Lot no.: Ea. WI 500 sq. R or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
•
. Each manufact uetf or modular
Charger receptacle dwelling, service and/or fender 90.90 _ , 2
Services or feeders installation, alteration, and/or relocation
• 200 amps or less 80.30 2
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
Reconnect only 66.85 2
City/Stale/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: relocation
( ) Face: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps m 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
:
A. Fee for branch circuits with
service or feeder fee, each
Business name: Johansen Electric Inc. branch circuit 6,65 2
Contact name: Charlyan Leases without Fee for branch circuits .
wfthorrt service or feeder Pee, 46.85 46.85 2
Address: 10948 SE Valley View Tarr, eech.branchcitctrrit
Each add'i branch circuit 5 6.65 33.25 _ 2
City/State/ZIiP: Clackamas, OR 97015 1Niseelkneaua (service or feeder not included)
Phone: (503) 6983417 Fax: : (503) 698 - 2486 or • irrigation circle 53.40 2
E-mail: jehaaseneleet®man.com Signor outline lighting 53.40 2
Signal circuit(a) ce limited -
4 r
.... ...:, . i ane+BY psi. altetatio o .
Business name: Johansen Electric Inc.
extension. Descraia Page 2 2
. Address: 10948 SE Valley View Terr. Each additional Inspection over allowable in any of the above
•
Per inspection 62.50
City /State/ZIP: Clackamas, OR 97015 Investigation per hour (1 hr min) 62.50
•
Phone: (503) 698 -3417 Fax: (503) 6982486 lnduetriat pleat per hour 73.75
CCB Lic.: 51539 Electrical Lie.' 3 -243 , • Lie.: 2053S Subtotal 80.10
Suprv. Electrician signature, required: `.- � Plan review 25% of
( permit foe)
Print name: Data: 7/11/D6 State surcharge (8% of permit fee). 6.41
'' f l r TOTAL PERMIT FEE 86.51
Authorized signature: . /� This emit. dose. iris Ira
l ,', . gal. permit P permit is not ohte7aed within ISO
Print name: days after it has bee. accepted as complete
_ ._ , / / ,w_ Date: 7/11/06 • Pao methodology set by Tri-County Building Industry Service Board
iVeiidiogtPamiu1ELC-Paaiuppaoc 12103 a/wstST(ram/COMME et NumherorinspeoNeasperpermital lowed.
CITY OF TIGARD .
BUILDING DIVISION ,, ._ . PERMIT #: ELC2006-00381
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1212006
Phone: (503) 639-4171 *NM lit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/1/2006 k TIME: 7:02AM PAGE: 70
SITE ADDRESS: 07007 SW CARDINAL LN 145 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PRUDENTIAL NW
DESCRIPTION: (6) branch circuits, charger receptacle.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624-6300
CONTRACTOR: JOHANSEN ELECTRIC INC \ MA( 0 0141 t PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 8/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 034127-02 503-969-5263 Y
Corrections/Comments/Instructions: /1 A
1 E \) (S'‘ I N) \\- (u• 4 cri";,s_i
-...
PASS 7 PARTIAL APPROVAL 0 CANCEL r] NO ACCESS
7 FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: \i 66t. Date: 1 6 6 Phone #: (503) 718- 2-14416
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00301
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2006
i
Phone: (503) 639-4171 /”A
44 p
Inspection Requests (24 Hrs.): (503) 639-4175 _.111- J.
INSPECTION WORKSHEET FOR DATE: 8/1/2006 TIME: 7:02AM PAGE: 71
SITE ADDRESS: 07007 SW CARDINAL LN 145 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PRUDENTIAL NW
DESCRIPTION: (6) branch circuits, charger receptacle.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624-6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 8/1/7006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 034127-01 503-969-5263
Corrections/Comments/Instructions:
PASS PARTIAL APPROVAL 111 CANCEL NO ACCESS
I I FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: 1 \16 Date: 1 8 i a Phone #: (503) 718- 2.41110
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: ELC2006-00301
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/12/2006
Phone: (503) 639-4171 M
Inspection Requests (24 Hrs.): (503) 639-4175 ,,4_1J- -.....
INSPECTION WORKSHEET FOR DATE: 7/25/2006 TIME: 7:04A1VI PAGE: 2
SITE ADDRESS: 07007 SW CARDINAL LN 145 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: TYPE OF USE:
PROJECT NAME: PRUDENTIAL NW
DESCRIPTION: (5) branch circuits, charger receptacle.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624-6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # - • ilact ' Message
130 Ceiling cover 033682-01 503-698-3417 N
Corrections/Comments/Instructions:
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7 PASS fl PARTIAL APPROVAL fl CANCEL -- _........— .
CALL FO1Nt$N. pi ADDITIONAL FEES ASSESSED
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Inspector: "..-... 1\16Bure' Date: ‘..) 2-4510‘ Phone #: (503) 718- 2.44"
. - •
CITY OF TIGARD _
BUILDING DIVISION PERMIT #:2006 1438'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 1
INSPECTION WORKSHEET FOR DATE: n V ( A l TIME: PAGE:
SITE ADDRESS:1®CY1 S LA C44 CLASS OF WORK:
SUBDIVISION: Su‘Is `v 5' LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: 6A • ‘3
OWNER: CA - c1s L. 0...%44:31/4t PHONE #:
CONTRACTORT-Z(M{k�r5 1E � PHONE #:4
Inspection Request Scheduled For: Date: fl I "k Pour Time:
Code # Inspection Description Confirm # Contact # Message
Wst■L‘.. Go v�-- 04'31 ° CSI
C. - s /Comments /Instructions:
•
�$ PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: !v S ttf Date: l I 0 Phone #: (503) 718-