Permit CITY OF TIGARD ELECTRICAL PERMIT
is COMMUNITY DEVELOPMENT Permit #: ELC2013 -00416
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/24/2013
Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15115 SW SEQUOIA PKWY
Project: Lobby Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: (3) branch circuits for lighting upgrade in lobby.
Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES LP
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
3 crt Branch Circuits wo /Purchase 07/24/2013 $71.02
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/24/2013 $8.52
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $79.54
Required Items and Reports (Conditions)
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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 952- 01 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: OA/ / % / re1 "
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.
Electrical Permit Applicatio t'.D foli ()IAA( t: I sr: oNI.\
City of Tigard JUL _ 2 rtcccivca
• 13125 Sw Hull Blvd., Tigard, (m 972
2013 Does , / (,:m" , 1'emeltNo..� .. i �3 - lb
a Plums: 503,639,4171 Fax: 503.5 Olhor Peril:
I (, ;t i I Inspeetioe Line: 503.639.4175 OF TIGA Dote Ready/Hy liNal ® S Pone 2 tar
pptmrent al lntommttnn
li urtf -or. uv Notified/Method: Su
Internet: Www
l; 6
. � $SON Notified/Method:
['New construction E Addition /altcration/replacomcnt Please check all that apply (submit 2 acts of plans w/itcma checked below):
Cl Service or feeder 400 amps or more ['Building over three stories.
❑ Demolition ❑ Other: %here the available fault current ❑ Marinas and boatyards.
, , :., :i ; !,:::.. ,, ` CA'FEC,ORY . OF CCNai*OerIOIQ. - exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
Into to ground, or exceeds 14.000 ❑ Commercial -use agricultural
❑ I - and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family 0 Master builder ❑ Other: ❑ Firo pump. ❑ Installation of 75 KVA or • 4 SP,C$' I{ �I FARM+l 1 4 5. 0s•' • i 4 ' L• A T' K m ' Emergency
dded o cn new m
system. larger separately derived system.
— ❑ Addison of new motor load of ❑ "A" "E" 1 -2" "1 -3"
Job tto.: Job site address' 15115 sw S e ctuo i a mon• occupancy.
❑ Six x or m moom residential units. ❑ itc rwtli, +nnl vghiulu park e,
nifty /State /ZIP; ❑ I'Iwdlha are faejlilias, ❑Supply voltage for more than
.610,
0 I tnxeninux luwdiotta, lino volts nominal.
Suite/bldg. /apt. no.: Project n ame: pct 2 3 l obb y ❑ .Service or feeder 600 nmps or more.
- '
;.';' 1 '1x 'SCR. 130.4;: ':
Cross street /directions to job silo n, rdptt 1 I 'rr, n n Le 1 TotToils! _ I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: - Imo sq. ft. or loss 160.34 4
I-:a. e141 500 Nil. (1. or portion 33.92 I
Tax map/parcel nn„ Limited enorgy. residential
'r tOtOC. JPTIOIv t r' WORK' • . ', r (with above %q, It) 75.00 2
Limited energy, multi - family 75.I0t 2
remodel in lobby, replace lights iusidential (with above 9. ft.)
.■—.---_ Services or feeders installation, alteration, and/or relocation _
200 nmps or leev 100,70 2
1',�.1p�t� ..,',. ;
r+ OWW'�1:E, "' i ": i ` ' .•:',::, ; "; (� ?. . ,;' , :. ^'. 201 nmps to 400 snips 133.56 2
401 nmpx l0 600 ripe 200.4 2
Name: - -
60t amps l0 1,000 amps 301.04 2
Address: Over 1,000 snips or volts 552.26 2
City /State /ZIP' ' Temporary services or feeders Installation, alteration, and /or
relocation
Phone; ( ) Fax: ( ) 200 amps or loss 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54 ^ 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - new, alteration, ur extension, per panel _
Owner signature: „ T ____ Date: A. Fee for branch circuits with
' : ' ' ....wM x srce o feeder fee, Ap3'CfiCANT .: Q'.CO1VTik4.PE)tSON' <::' ul+vq evi fd f
' :. 7.42 2
.
each branch circuit
Business name:
B Fee for blench circuits without
Johansen Electric service or feeder fce,first l 36.18 56. pc 2
Contactnatnc; Charlynn Leifsen branch cjrouit
Each add 'I branch circuit 2. 7.42 /y.,51_ 2
Address: 10948 SE Valley View Terr Miscellaneous (service or feeder not included)
City/Stato/ZIP: Happy Valley, OR 9 7 0 8 6 larch manufactured or modular fi7 04 2
Ppy y dwelling, servjw mid /or feeder
Phone: (503) 698 - 3417 1r'ax::(503) 698 -2486 Kgamneul 67.84 2
Pump or irrigation circle 67.84 2
E -mail: -
Sign or outline lighting 67.84 2
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`'. , ''. CONTRA C TOR
ti - 9i1(,tel cin:uil(s) Or Ilrrliltl(I•grlgrgy
Business name; Johansen Electric panel, alteration, or extension. Page 2 _ 2
Each additional inspection over allowable in any of the above
Address: 10948 SE Valley View Terr Additional inspection (1hrmin) 66.25/hr
Ci /Blatt /ZIP: Investigation (I hr min) 66.25/ hr
b Happy Valley, OR 9 7 0 8 6 - Industrial plant (1 hr min) 78.18 / hr
Phone: (503) 698-3417 I Fax: (503) 698 -2486 I,t 51tetirh,s rut Wt,iuh 90.00Itt'
specifonlly listed (Si hr min)
CCB Lie.; 51539 I Electrical Lie.: 3 -243C I Suprv. Lie.: 2 0 5 3S : •8kre7rluc.>Ji;: ft> :_FE14.,. ',..., :;' :'- .:
Subtotal: .11.02
Suprv. Electrician signature, required: review (25% of permit fee):
Print name: Date: /13 S tate surcharge (12% of permit fee
Carl J ansen 7/22/13 e ( > st
t./
To i'Fi4 yff FER: 79s'
Authorized signature: 'Ibis permit application expires If a permit Is not obtained within 180
days idler It has been accepted as complete.
Print name: Charlynn Le if en Date: 7/22/13 • Number of ors
puGjtuu allowed par permit.
I:g tuiidingV4rmitsU !L(:- YermitApp,dee 07ry1/1U 440.461 CT(I I NSICOMAVED
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2 /T 'a9Vd 98t7869E0S 98172869E0S IOaga 1sasNVHOr NV 175:0T CT02•22'Tnr
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15115 SW SEQUOIA PKWY, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
2013-11-19 00:00:00
ELC2013-00416
PASS - No C of O
Violation Summary:
Inspector Contractor