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Permit ( CITY OF TIGARD I ELECTRICAL PERMIT PERMIT #: ELC2008 -00412 COMMUNITY DEVELOPMENT DATE ISSUED: 7/18/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 113AB -01201 SITE ADDRESS: 16260 SW UPPER BOONES FERRY RD BLDG E ZONING: I - SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG PROJECT: CONSUMER CELLULAR Project Description: 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: 2 W /SERVICE OR FEEDER: 30 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 7/18/2008 $360.10 LIC 51539 [TAX] 12% State Surchar 7/18/2008 $43.21 SUP 20535 Total $403.31 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: ��e____,p/C6npyv 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. -~ . Li Electrical Permit Application ,�E $' 13 ,•0,,„....,.: 1 NI.. ()\l 1 ' City of Tigard i 1 Received �7 J . 11, _ e Date/By. / Permit No.. _ 1 ` . i . a 13125 S W Hall Blvd , Tigard, OR 97223 �OQD plan Review Phone. 503.639 4171 Fax 503 598 1969 _ .„ :1 [nspecUOnLme. 503.6394175 JU`" DateB � Other Pernut -.../. �� }o �� •: Internet: www.tlg ^ .O� edit a y: �rT� aid or.gov .t9 N Date OtiRec ethod �•� (1 �, } � i ., ,. y t „ 14, y ► ►•• Liles Suppkm page2 t for Inf ormation . 4° 3 �gy'. �'��. i . `�. 1�� � t` } 7 � �+� y "•1�IIR�j!g�r . S y r .;7t 1: �'r�;i'' j� l �� a i ,� r.,�• _ i , p .., i j } w5�q' '¢;1 �.� 4 , .o, "Y. ?;` Ti ; 1 .1t 1 , � 1 '. "'44.11 ltl I�'ll�.. tk:i. .0 �� �. ' I,et t r, : �1, 4 # ( SI {���rd "I.�``11 •y j ,,-:...', . �., ��t x � �h t rd re ; � ".. .4a ; 4�'i'sfir � t f ❑ New construction ® Addition/alte t. i i 1- p acemenl Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition Service or feeder 400 amps or more ❑ Building over three stories. ❑Other: ',y , • fault current ❑ Hermes and boatyards ' - 1 1rat;'1! ^k1<it :t(1.Y�,1,�'iw1l k i , �.I ; v 1 t?�''tfi Il 'll ° n rff. IP6.', iilt:sr:'.t` }l� the �. (i 'e • •�i .�� t':ai,, t��,� ,J.�ti ;. �'� "7r. ,; •,.11;�� {t..�:i• exceeds 10.000 amps at 150 volts or ❑Floating buildings ❑ 1 - and 2 - family dwelling ® Commercial/rr►dustrial less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ Accessory building amps bar all other installations. buildings ❑ Multi-family ❑ Y ❑ Master builder Other: Fire pump ❑ Installation of 75 KVA or i Milt: rc i 5 „` g w a i azn Emergen cysysta larger separately deny system. 4 1 16'� vi .WI^? 1 1 , 1i i6 l., .l li' �ti i 1t '' ❑ m ❑ anger Pate )' eds em. •'�`�` � .. _ Im�. -4•s.t ' �.,(F�'Y :4�E�•,.. � ❑ Addiean of aew m omr load of °A", "E ^, ••l.2 ^, , •t_3 , • Job no.: I Job site address: umo t) 5 I ') (? l (X f fl n t or mo a rest occupancy, `t ►i r r v� ( r ftJt J► �w ❑Six or more residential units ❑ Recreational Ando parks. City/State/Z IP: ghealth- carefoctlities. ❑ Supply voltage for morethan 600 volts nominal. Suite/bldg./apt. no.: I Project n ❑ H o r doos l ocations t name: t A Th IA Utila ❑ Service or feeder 600 amps or more Cross skeev'directions to job site: :•` I = '? , x;11'1: tL 1 7 - `°: :i .i.' " 'ie "it . "1; 'fi:,l °1.:•: ! :c l,4+jt awnpt on Qtv. 4 1 ; Total • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no,: 1,000 sq. R or less 145.15 4 Tax map /parcel no.: Ea. add'l 500 sq. it or portion 33.40 1 W .,,, r, l! r,11 lit`, • �1 �. _, y ., t,fi, : Limited energy, residential ' .:,i; 1t' 11R T,� = +` 1: ;F * Ft ; l t', �'' w ° ! ( ' �� - �l: "ic ; fi h• it_iiF: r,.l.,�� l';�ar.,; �.,�, with abovo R R ) 75 00 2 Limited energy, multi- family 75.00 2 Tenant Improvement residential (with above sq. fl.) Services or feeders installatlo alteration, and/or relocation 200 amps or less 2.- i 80.30 NO fr . 2 )! • tilt€1_- '; t t l4ia i HN i4 t:1(; {:s r9' " iii ,5I11;,"^ . ' 201 amps to 400 em . • 6` „l. I•' -' Ps Ps 106.85 _ 2 Name: 401 amps to 600 amps 160.60 2 Address: 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or I relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 1 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: _Date: Branch circuits - new, alteration, or extension, per panel ;. c ;,' ry _ 1 A. Fee for branch circuits with .:, I;:I. t -(' , a 1 i' Ii s4' r -i els et t: ara :I =' "'?" § above service or feeder fee. s O 6.65 lY9. 4 2 Business name: Johansen Electric Inc. each branch circuit B. Fee for branch circuits Contact name: Charlyan Leifsea without service or feeder fee, 46.85 2 first branch circuit Address: 10948 SE Valley View Terrace Each add'! branch circuit 6.65 2 City/State/ZIP: Happy Miscellaneous (service or feeder not included) tY ppy Valley, OR 97086 Each manufactured or modular Phone: (503) 698 -3417 I Fax: : (503) 698 -2486 90.90 2 dwelling, service and/or feeder Reconnect only 66.85 2 E -mail: johansenelect @man.com Pump or irrigation circle 53.40 2 iii ii 1b. tIlI.Y.tie *i,I11 fitail;) 1, d't'oIi ", • a.1 'i;.H;IE,::,: iii'�I ��,,,.,: �,C� ; Si or outline lighting 53 40 2 Business name: Johansen Electric Inc. Signal circuit(s) or limited- energy panel, 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 3417 Per inspection 62.50 Phone: (503) 698 ,3417 Fax: (503) 698 -2486 Investigation per r hour (1 br min) 62.50 CCB Lie.: 51539 I Electrical Lie.: 3 -243C I Suprv. Lic.: 2053S Industrial plant .er hour 73 75 Suprv. Electrician signature, required: L , c?'Y' 43i� "' a iii �:p 9 ,C, t! flu '.;L otal. , (meirsi R I = � t!�/ Subtotal. f� , (D _ Print name: Carl K. Johansen ate: • Plan review (25% of permit fee) State surcharge (12% of permit fee): 43.24 D! Authorized signature: TOTAL PERMIT PER: 4/03 . Print name: Charlynn J. Leifsen I Date: 7 /17 /08 This permit application expires if a permit is sot obtained within ISO days after it has been accepted as complete. • Number of inspections allowed per pernut. I 1 BmldisglPermusBL.C•PermnApp dec 05/23/116 440.4615T( I 1 /05 /COM/WE3 I • d XEld 13C?I3Sd1 dH WdOS : E BOO2 L T I nC CITY OF TIGARD BUILDING DIVISION A 4 . PERMIT #: ELC2008- 00412 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/200B Phone: (503) 639 -4171 �i� Inspection Requests (24 Hrs.): (503) 639 -4175 . ' °_. INSPECTION WORKSHEET FOR DATE: 9/9/200B TIME: 7:00AM PAGE: 7 SITE ADDRESS: 16260 SW UPPER F300NES FERRY RD BLDG E CLASS OF WORK: SUBDIVISION: PACTRU SF BUSINESS CENTER LOT #: TYPE OF USE: e PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: TI. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-?A17 Inspection Request Scheduled For: Date: 9/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 075266 -01 503 -969 -5262 N ' 2 93q Corrections /Comments/ Instructions: ?- ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: a l —1. d Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION A •..,,, PERMIT #: I.I_C20013 00412 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1B/200E3 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 s.. "L INSPECTION WORKSHEET FOR DATE: 8/28/2008 ' TIME: 7:00AM PAGE: 16 SITE ADDRESS: 16260 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: Tl. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 698 - 3417 Inspection Request Scheduled For: Date: 8/28 /2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover ( 07/1602.01 503-969-5262 N \` Corrections /Comments /Instructions: -,,_ __ - • c g A w PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N6, Le" Date: ' 1.. D ° 1 Phone #: (503) 718- vTglb . , . CITY OF TIGARD • BUILDING DIVISION PERMIT #: EL C2008-00412 °008 OtJ12 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7 /1812008 Phone: (503) 639 -4171 '� Inspection Requests (24 Hrs.): (503) 639 -4175 s- °_... INSPECTION WORKSHEET FOR DATE 8114/2008 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 16260 SW UPPER F3OONES FERRY RD BLDG E CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: Ti. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503.690::4417 Inspection Request Scheduled For: Date 8/14/2008 Pour Time: Code # Inspection Description Confirm-# Contact # Message 125 Wall cover .074' 198 -01 503-969.5262 N Corrections /Comments /Instructions: IR& PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G- Date: i I Phone #: (503) 718- 01401 CITY OF TIGARD BUILDING DIVISION PERMIT #• ELC200t3 00412 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/18/2008 Phone: (503) 639 -4171 . IC I Inspection Requests (24 Hrs.): (503) 639 -4175 °`__.. INSPECTION WORKSHEET FOR DATE: 7/25/2008 TIME: 7:00AM PAGE: 8 SITE ADDRESS: 16260 SW UPPER BOONES FERRY RD BLDG E CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONSUMER CELLULAR DESCRIPTION: TI . OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC. PHONE #: 503698 -3117 Inspection Request Scheduled For: Date: 7/25/2008 Pour Time: Code # Inspection Description Confirm# Contact # Message 195 Misc. inspection 073230 -01 503. 704 -15311 \ `r Corrections /Comments /Instructions: C-Pik L Th PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL — CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G`. N tF Le' Date: ' v e Phone #: (503) 718- D ►o)