Permit •
CITY OF TIGARD ELECTRICAL PERMIT
III ° PERMIT #: ELC2008 -00389
° . COMMUNITY DEVELOPMENT DATE ISSUED: 7/8/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 105 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
PROJECT: ASSOCIATED BUILDING MATERIALS
Project Description: Electrical 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/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 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: Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 7/8/2008 $146.80 LIC 51539
[TAX] 12% State 7/8/2008 $17.61 SUP 20535
Total $164.41 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 l • - an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rules . e set fort = • R 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies • hese rules or direct questions to OUNC at
503.246.66 9 or 1.800.
Issued By IL . . ,� i ♦ Permittee Signall1W .... �/ ,
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:
Cg01-T- RACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: i - ,1 .t. _ , ( 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.
ir
Jul 08 2008 10 :25AM HP LASERJET FAX p.1
Electrical Permit Appli • , c 1 ; CEVEtJ
Fellt e rule_,. I :I: e ►.[,
City of Tigard rtrt ' Received ; 03 g Pamir xe.: 2
13125 SW Hall Blvd, Tigard, OR 972,�UL 0 8 '-U Plan Review
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Phone: 501639.4171 Fax 503.598.1960 Date/13 . Other Permit:
Inspection Line: 503.639.4175 CITY r TIGARL) Date mod
Internet: www.tigard- or.gov Notified/method -
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❑ New construction ® Addition/alteration/replacement Please check all that apply (subenit 1 seta of plans wine= checked below):
0 Service or feeder 400 amps or more ❑ Building over three storice.
❑ Demolition ❑ Other spy where the available fault current ❑ Marinas and boatyards.
`i LT: ,f'• irvi uniPl'w'' . n _ LT rt , r l t' exceeds 10.000 amps at 150 volts or ❑Floatingtuuidings-
❑ 1 - and 2 - family dwelling ®CommereiaUmdustri131 less to ground, or exceeds 14,000 ❑ Commercial -one agra,dtaral
❑Accessorybuil ding amps for all aberinstall:Mons. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KV A or
.aIliilei! i Rq : �, �! rirnwn �i i { 3i r tiFe?+a9�e t J r Emir mm arg eparatelyderived system.
! x it,; e� ! .,. !il'..:' . - t ° �?-! t•I +ty � ❑ Smcy I DT S
ll. T�:.t... a .ox ai�i; it I�rmiu�t ;��1,,,..6�;j_t• .�L�L1, �Yrl�t °, I � ❑Additiao of�w motor load of
Job no.: Job site address: 15350 SW Sequoia Pkwy 1001m o nee occupancy.
❑ Six ar mere residential „nits. ❑ Recreational vehicle parks.
City /State/ZIP: al Health -care facilities. ❑ Supply voltage for more than
Hazardous locations. 600 volts nominal.
Suite/bldg./apt. apt.no.: 105' I Project name: Associated Bldg Mat D Service ex feed= 600: ... ormore.
Cross street/directions to job site:
D ,: Wit!'' "°` " Fes
Mgt ` .,r ':. i > d';`
ncrlanoa otv. . Tafel
New residential single. or multi-family dwelling unit.
Imelades attached garage.
Subdivision: I L an. 1,000 sq. ft. or less 145.15 4
Tax map/parcel no.:
Ea. add'I 500 sq. ft or portion 33.40 1
, • - „ ;°;�"" l ,�„ a` � 51►4K m �; Limited energy, residential
: 1 r i':b:: _ , irr r c, x .
� ^• � }� ' 1:1�.•`t�mn:h �!}� 1' s � 't`� •�:�4� ,'�� t %.;:::- t� (with above sq. R.) 7500 2
Limited energy, multi- family 75.00 2
Tenant Improvement residential (with above sq. ft.)
Services or feeders Installation sad /or relocation
'.1.:11" ' sR W r a. +. �` a -'e 'p i 1 f . 200 amps or less ' 80.30 g. 0,' 2
17 14 ,..n�',rnMu.r u'ba6�u - MEIMEN �j•�'111 .,:" 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: ( ) I Fax: ( ) 200 amps or leas I 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for gale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 12
Owner signature: Date: Branch circuits - new, alteration, or extension, r panel
A. Fee for branch circuits with
1 '� -' S ?21 Br j '_. '.i;M I :I'• above service or feeder fee,
cr ^ ;,- .:� 6.65 2
each branch circuit
Business name: Johansen Electric Inc. B. Fee for branch circuits
Contact name: Charlynn Leifsen without service or feeder fee, 46.85 2
first branch circuit
Address: 10948 SE Valley View Terrace Each add'l branch circuit 10 6.65 (.9(0.5a 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Happy Valley, OR 97086 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: (503)698 I Fax: : (503) 698 -2486 Reconnect only 66.85 2
E -mail: johanseneleet@msn.com Pump or irrigation circle 53.40 2
at;_' ",a2..t.. ' , .m(s� t " r a' assislrs a It w 0 t, sign or outline lighting 53.40 2
Business name: Johansen Electric Inc. Signal circuit(s) or limited
energy parcel, alteration, or
Address: 10948 SE Valley View Terrace extension. Describe: Page 2 2
City/State/ZIP: Happy Valley, OR 97086 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 698 -3417 1 Fax: (503) 698 - 2486 Investigation per hour (I In mini 62.50
CCB Lie.: 51539 Electrical Lie.: 3-243C 1 Suprv. Lic.: 2053S Industrial 'lent per hour 73.75
'7 /li lt is t /, J 1, t :U " _ � @ ki ;�,: ..'a._ial.+il�3 .'.V. L '! :. ;
' i
Suprv. Electrician signature, required: / Subtotal: I to. jj
Print name: Carl K. Johansen 1 Date: 6/19/08 Plan review (25% of permit fee):
pp State surcharge (12% of permit fee): I .(4
Authorized signature: ( titJ /G, TOTAL PERMIT FEE: I (00
Print Bayne: Charlynn J. Leifsen I Date: 6/19/0 8 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
' Number of inspections allowed per permit. 4'
1:1BuildinatrermitsIELC Permienpp.dec 0512356 440a613T1I iron /COM/WEB / 6'f .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EI.G2008 -00389
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 718/2008
Phone: (503) 639 -4171 iit
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/20/2008 TIME 7:03AM PAGE 23
SITE ADDRESS:. 15350 SW SEQUOIA PKWY 105 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: ASSOCIATED BUILDING MATERIALS
DESCRIPTION: Electrical TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 5036993417
Inspection Request Scheduled For: Date: 7/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073292 -01 503-969 -5262 N
Corrections/Comments/Instructions:
‘AK .- tivt+id 6R.tvil 8423a-614at rs ti&o,vieitel
`p.3 a* 0.1tf1/44e0 `1 Pau 60014
w l� App (1%120 b
\ (\loW
AlAi
)(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: q ("Aug- Date: 7't'' 1 31 Phone #: (503) 718- vA.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00389
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/8/2008
I Phone: (503) 639 -4171 :Veit
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 7/21/2008 TIME: 7:01AM PAGE: 35
SITE ADDRESS: 15350 SW SEQUOIA PKWY '105 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: ASSOCIATED BUILDING MATERIALS
DESCRIPTION: Electrical TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698 - 3417
Inspection Request Scheduled For: Date: 7/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 072925-01 503-969-5262 N
Corrections/Comments/Instructions:
j t » ' `v s I ► c- it, .-rJ PAN ‘L
(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C-" Iv l�S Date: 111L 15 , Phone #: (503) 718- 1-11q6
CITY OF.TIGARD ' ,._
BUILDING DIVISION PERMIT #: ELC2008- 00389
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/8/2008
Phone: (503) 639 -4171 Itn
Inspection Requests (24 Hrs.): (503) 639 -4175 . I —
INSPECTION WORKSHEET FOR DATE: 7/9/2000 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 15350 SW SEQUOIA PKWY 105 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: ASSOCIATED BUILDING MATERIALS
DESCRIPTION: Electrical TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -698 -3417
Inspection Request Scheduled For: Date: 7/9/2008 Pour Time:
Code # Inspection Description Confirm Contact # Message
125 Wall cover 072382 -0 503 - 698 -3417 N .
Corrections /Comments /Instructions:
tI V lk '411 e a =;11 Akt`AA 6.17 L—,\IL il
VEIMEMEINIEll ciliMPI
' ` 11MAIIMMIIM N.
IAOTE .
N I , PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 N6a LC: Date: • R u U Phone #: (503) 718-14