Permit ELECTRICAL PERMIT
4 " . CITY OF TIGARD PERMIT #: ELC2005 -00761
;� DEVELOPMENT SERVICES DATE ISSUED: 10/10/2005
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1 4. 1 DEVELOPMENT
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 112 DA -01400
SITE ADDRESS: 15350 SW SEQUOIA PKWY 140 ZONING: I -P
SUBDIVISION: PACIFIC CORPORATE CENTER LOT : 002 JURISDICTION: TIG
Project Description: (2) branch circuits.
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: 1 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 Phone: 503 - 698 -3417
FEES Reg #: LIC 51539
Description Date Amount SUP 2053S
ELE 3 -243C
[ELPRMT] ELC Permit 10/10/200: $53.50
[TAX] 8% State Surcharge 10/10/200: $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
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: .
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.
From: Charlynn Lelfsen 503 - 698 -2486 To: City of Tigard Date: 10/10/2005 Time: 8:29:28 AM Page 2 of 3
Ni iii
k Electrical Permit Ap l „li OIII ( i I ss 1: ( ) \ 1
City of Tigard r l�av°e I l
13125 SW HaII Blvd., Tigard. OR 97223 Da V /
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
s' +y' I 1>atdB
OCT Odle: Permit:
Inspection Line: 503.639.4175 1 0 2 I = -.. l j '__ , � �' tyate B � y ; ® See Page 2 for
Internet: www.citigard.or.us Notified/Metho Supplemental Information
:H. .... _Y . , , I l i '.' ,--'''''''),'•'!; } p . ,0:: ff . 1 : 4 ., . '
❑ New construction Please check all that I
II O er :
� I�1� ['Service 'ice over 225 y
a � ❑sery ice over 320 amps,
—Ming ❑ Buildng over 10,000 l
❑ Demolition sq. R,
' .' r N1- : "I ,
_ :. _ _ .- .,. _. ' r� : : �' ? : :. ` of 1 -and 2-family dwellings 4 or more new residential
❑ 1- and 2- family dwelling g Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑Master builder ❑Other:
j I q .111,-. 1 . . r r ;, r-',1•',".,..:',....'• Oct 811 load over 99 persons ❑Ntanufactwed structures DOccupant
_ _
E8� � 8 D RV
: ;/. r�u ._.., : � •� ' :1' ` ❑ 1 tm Tall park
Job no.: Job site address: 15350 SW Sequoia, 140 ❑Health -care facility 130ther
Submit � sets of plans with any of the above.
City/ State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: Common Sense Invest : , -- - • ; �
� ,
Fes Total ••
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. add'l 500 sq. it or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.: Limited energy non - residential 75.00 2
i '
M } 4 t
, _ .. 5 j :.. ;„....; „¢ , .?1, , r ''' c` Each manufactured or modular
TI dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
7 i 9 201 amps to 400 amps 106.85 2
1
!;:
1 '::+ .. ! z .::. 401 amps to 6l1 amps 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /StaWZIP: Reconnect only 66.85 _ 2
Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own 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 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
' r i x' 4 ( ', A. Fa for branch circuits with
service or fader fee, each 6.65 2
Business name: Johansen Electric Inc. branch circuit
B. Fee for branch circuits
Contact name: Charlyno Leifsen without service or feeder fee,
Address: 10948 SE Valley View Terr. each branch circuit 1 46.85 46.85 2
Each add branch circuit 1 6.65 _ 6.65 2
City /State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not included)
Phone: (503) 698 -3417 Fax: : (503) 698 -2486 Pump or irrigation circle 53.40 2
E-mail: ohanseaele Sign or outline lighting 53.40 2
ct@m sn.com Signal circuit(s) or limited-
,: ' r ,. :,i :J , f! " : .. ' . - r, ,,;, , :ig . . :;,:, . :!h, !+. :ig =cm panel, alteration, or
extension. Describe: Page 2 2
Business name: Johansen Electric Inc.
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) 698 -2486 Industrial plant . er hour 73.75
CCB Lic.: 51539 Electrical Li 3 -243 S , . Lie.: 2053S Subtotal 53.50
Suprv. Electrician signature, required: rre• / �� Plan review (25% of permit fee)
State surcharge (8% of permit fee) . 4.28
Mi,l / Date: 10/10/05
TOTAL PERMIT FEE 57.78
Authorized signature: i , /� This permit application expires if a permit is not obtained within 180
; , A Date: Fee methodology set b r •Coup accepted
Industry
speed as complete
y
Print name: �� � .: 10/ 10 /0 5 • y ty Building k serviee Mare
•• Number of inspections per pewit allowed
i3Buildies1PaadtAELGPenhApp .doe 12/03 440.4615T110r02/COM/WEB
Y OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00761
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639 -4171 4a, 1 � j �� l
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 74
SITE ADDRESS: 15350 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: (2) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698.3417
Inspection Request Scheduled For: Date: 10/11/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 017945 -01 503 - 969 -5262 N
Corrections /Commen s /Instructions:
L lb �V�
. - - - _ _ __ _ _ _ _ ....._ .... .... .... ..... ...... .... _______ .. .... _ __)
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL IV ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, / / 446.5.-___-"'
Inspector: , / , " Date. Phone #: (503) 718-214)1
CITY OF TIGARD
BUILDING DIVISION " • PERMIT #: ELC2005 -00761
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/26/2005 TIME: 7:07AM PAGE: 95
SITE ADDRESS: 15350 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: (2) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503- 624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 10/26/2005 Pour Time:
Code # Inspection Description Confirm Contact # Message
199 Electrical final 019337 -01 503 - 698-3417 N
Corrections /Comments /Instructions:
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kppa.Rsys►L
Ct4 i&6 r\C CMil, 26 rt,tr c, ALIZAZ F
ize c T' wt1f cE G-6 D
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DC 0.6 T C.E I\ (3 0
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� , l 66L� Date: I C124(0Y
Phone #: (503) 718 - 2tk4b
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00761
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10110/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 7:16AM PAGE: 65
SITE ADDRESS: 15350 SW SEQUOIA PKWY 140 CLASS OF WORK:
SUBDIVISION: PACIFIC CORPORATE CENTER LOT #: 002 TYPE OF USE:
PROJECT NAME: COMMON SENSE
DESCRIPTION: (2) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503. 624 -6300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417
Inspection Request Scheduled For: Date: 10/27/2005 Pour Time:
Code # nspection Des • ion on i • • Contact # Message
199 Electrical final 019522 -01 503. 704-1534 N
Cor - '. - - _ - -- - - - - - • ions:
0, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Nob Date: l �fia"� Phone #: (503) 718- Gr-L.1 ,
Inspector: 1111 ��.J