Permit CITY OF TIGARD ELECTRICAL PERMIT
a
2 - COMMUNITY DEVELOPMENT Permit #: ELC2013 00159
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/12/2013
Parcel: 2S112DD01600
Jurisdiction: Tigard
Site address: 15495 SW SEQUOIA PKWY 130
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER Lot: 4
Project Description: (8) branch circuits and (2) 200 amps or less for TI
Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES
10948 SE VALLEY VIEW TERR ATTN: N PIVEN
HAPPY VALLEY, OR 97086 15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 698 -3417 PHONE:
FAX: 503 - 698 -2486
FEES
Quantity Description Date Amount
2 ea Services or Feeders - 200 03/12/2013 $201.40
Specifics: amps or less
8 crt Branch Circuits w /Purchase 03/12/2013 $59.36
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 03/12/2013 $31.29
Electrical
Type of Const:
Occupancy Grp:
Total $292.05
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 5 00 o
1 -0 0. You may obtain
/a a copy of the rules or direct questions to OUNC by calling 503.232.1987
or 1:800.332.2344. � /► I
Issued By: ♦ \ /�C( Permittee Signature: DA' / t l ° �/ 6 f r f o
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
1
MEWED
Electrical Permit Apolication MAR 1 2 2013 1-(11: Milt 1-' 1 Sr ()NIA
_,,-
City of Tigard Received i a Penn!' No.. .
ngizE •
Date/13 , /...e f 3 ... e s
IN.-- 13125 SW Hal Bl vd., Tigard. oit 9 9 a0( (*TIGARD Plan Review
none: 503.639,4171 Fax: 5O3.5 9 1 7 O& BUIL T .,,r 1 no! Da- : • Other Pormil: A /:16,)/3 - ,, 0 46. ,
[ [ ,
, \ :, 1 , Inspection Line: 503,639,4175 BUILumu vi v laiON nate Ready/Sy. la See Page 2 for
Internet: www.ligard-040V Notified/Method: EMI Supplemental Information
4 , •, t ik i, , , , , ,: "Ai**** - 10f.,.•,:.;..'".:14.I.,:.',:',:i'Irr: , ....' , ,* , ...•.;46 , 4g 'l . ..., - . .`i.," 5 , , ,N. 4 . ..':1":" ; 7 , '" . ...i.,"''..',•,c , ''.,::;',':.:.''.'.1'.*/" . r''''''''',(Attl,:* 177 - yogyv . : 7 - 7•?..:' - '..:,b...;‘,'. ..s?...1:,il'.'0'.,",'„7,
Please check all that apply (submit 2 sots of plans wham; chocked helow) .
1:1 New construction El AdditiOnlitheratiOn/rephieement
0 Service or feeder 400 amps or more 0 Building over three ;Mlles.
El MMOlitiOn ID Other: where the available Stull mount CI Marinas and boatyards.
g!,,Attifitt4fr,,idlii$Witiftiit exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 1- and 2-family dwelling t11 Commercial/industrial EI Accessory building amps for alt other installations. buildin
1:1 Multi-family 0 Master builder El Other: 0 Fire pump, 0 Installation of 75 KVA or
r '41,14 ,7 .4.;00k. i... [2 EalergencY system' large stmeately derived system,
;.1'..0kg7;:',F,`? ;I .. 4 , ,, „''..,. . ,.. ,. . ,; ..., . 1:1Addition of new motor load of D "A", "Er, "1 "1
10011P or more. ocoupancry.
Job no.: Job site address; 1 a A o c SW m
,,,.. -, -7 ..., .., v. .ecru.o fa, 130 Eisbe or mum residential units. URamilimalvishielerartm
City/State/ZIP; LI licatth-eare facilities. El Supply voltage for more than
ID Hazardous locations, 600 volt; nominal.
Suite/bldg./apt. no,: 13 0 I Project name: pcc225-130 spec 0 Sorvico or (rata 600 imps or more.
., .... :,.p.,...,/ ..-::■!.:...":',tr:". ' " ::.
Cross street/directions to job site; Descripilon ' l Yee. Total •
Now residential single- or multi-family dwelling unit,
Includes attached garage. —
Subdivision; I Lot no.: 1,000 sq. ft. or less 168.54 4
13,a, ad4 sq. ft. or porSon 33.92 I
Tax map/parcel no.: - Limited energy. residential
.. . •• .. . I • A
' .'1 75.00 2
, :'.'.' ,. ,:,::::',.i 4 ..iA":: . ; ,) 2: •1 :: : .'.'.' , , , '::•: . ,....■'''....; , :'. , :,:: . '" , .k:,..;i1' i ., . i; :. sTitt,W.;,....000 (with above so. B.) .
'''' Li mittx1 anaw, mu Itiefamily
75.00 2
spec space improvement residential (with above sq. ft) ...,
Services or feeders installation and/or relocation
200 amps or less 2: 100.70 A. VO 2
i7i;' ,1 '4'07': .6 ; r 7 " , Oirift* -...V... ig i' • ' A iktief ;'ir.:....i' 201 amp; to 406 (Tips 133.56 J 2
. ■-,
401 amps to 600 amps 200.34 I 2
Name;
601 amps to 1,000 amps 301.04 L 2
Address: Over 1,000 amps or volts 552.26 2
• Temporary services or feeders iilitallation, alteration, and/or
City/State/ZIP: relocation
- -
Phone: ( ) Fax: ( ) 200 amps or less 59,36 1
201 amps to 400 amps t 125.08 1 - 2
Owner Installation: This installation is being made on property that I own which is not
intended for Sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature; Date; A. Fee for brunch circuits with
—.
. : : above serviceor feeder Ica 742 2
Fen for lima' oiroviis without
Business name. Johansen Electric B. serviee or feeder fce, first 56.18 2
Ommammm Charlynn Leifsen branch circuit
- -
Each add'I branch circuit 7.42 2
Address: 10 94 8 SE Valley View Terr kiscollancons (service ur feeder not included)
-
Fech manufactured to modular
City/Steam': Happy Valley, OR 97086 dwelling, serviee and/in:feeder 67.84 2
Phone: ( 503) 698-3417 I Fax; : (503) 698-2486 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: '
, , Sign or outline lighting 67.84 2
. ,
;;;;;;.•;..?4,,T.„Nl:',::"M,'.i*,M.,ily''..;,■i;Ski;q41$44Relltiltf .j:.‘f3,7_'.',-N,..:',.'''.'J.7,':;X::'::.1''aft,4::.:.:1,' Signal circult(s) er limiled•ontIISY
panel, alteration, or extension. . . Poste 2
Business name: Johansen El ectri c
. Each additional inspection over allowable In any of the above 2
Address: 10948 SE valley View Terr Additional inspection (1 hr min) 66.25/ hr
Investigation (1 hr min) 66.25/ hr . .
City/State/Z1P; Happy Valley, OR 97086 ,
. Industrial plant (I hr min) 78.18/hr
Phone: (503) 698-3417 IFax:(503) 698-2486 in vcctions for which no fec is
90.00/ hr
, . column listed % hr min
CCB Lio.: 51539 I Electrical Lic.: 3 - 243C I SUprv. Lie.: 2 053S :7"i');;".:V:5..YeC
Suprv. Electrician Signature, required: arid it fe.t.ceui.42 .
Pim review (25% of pei - i -I
Print name; Carl ,o.hanaen /Date: 3 / 12 /13 State surcharge (12% of perMit _5(.241
l'afAl. PERMIT FEE: 2..92, i f) S
Authorized signature /
./ ' This Froth applkarionexplres ifs pemdi Is not argebied within 1110
Print name: Charlynn Leif sen [Date: 3112 / Number o days after it has been accepted es complete.
• f inspections allowed per permit.
1:11.1u0dingWermite5lSW-Penni1App.doe 07/141/10 440-4615711/05/COMMEB
9 / E ' aatid 9886909 98VZ869C09 iparla NaSNVH02 WV 00:TT ETOZ'ZT•aulAl
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15495 SW SEQUOIA PKWY 130, TIGARD, OR,
97224
Commercial - Electrical
199 Electrical final
04/10/2013 00:00
ELC2013-00159
PASS - No C of O
Violation Summary:
Inspector Contractor