Permit CITY OF TIGARD ELECTRICAL PERMIT
" • b PERMIT #: ELC2008 -00423
COMMUNITY DEVELOPMENT DATE ISSUED: 7/23/2008
41GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S113AC -00101
SITE ADDRESS: 16655 SW 72ND AVE 800 ZONING: I -P
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : 029 JURISDICTION: TIG
PROJECT: COPY TRONIX
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: SIGNAL/PANEL:
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 7/23/2008 $360.10 LIC 51539
[TAX] 12% State Surchar 7/23/2008 $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: ,P _.
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.
elp
Electrical Permit A 1M of•
Applicatio " a! =1 k"a ll ':re`fxt`rttst �t�' <a z i r
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. i City of Tigard 1 Received
* Date/13 : Permit No.: E(6 (9,00 g• - 0 b ` .A3
Plan Review
h " 13125 SW Hall Blvd., Tigard, OR 3 �� Phone: 503.639.4171 Fax 503.598.19b0 O dter Pennir . a , fa rJoB -od a Si
h „,, ,, „.-...9,,,,, t Insp t ction Line: 503.639.4175 �� f? �� D . ate,: • Jas See Page for
<^ �"+ Interne www.tigard- or.gov i 7►
' �, I 1 Supplemental Information
i t i ;,. ,:lt � w �,,ii��lil t
��yal1r.�,i€ ! I ,. ` ?± '' ts�1 t §t�tt t 7 ®®7�,,�����ryry,,rta� � to �j� >9 i ° 1 ' "ins r( ' kk *VA ,/� ii . ,. n
li F1.% �ib'is i i;:. iaat', t 4ti1...," mt . .I:' ,, i..:e t z �",,rk.' - -i: tii 0it b l lit Ii'Pis: 41,:.: ;r
New construction Z Ad dition/alte �. , 1p : - : cement apply ets of plans w /items chocked below):
❑ }� Please check all that y (submit = s
1
❑ DernOlitiOn ❑ Service or feeder 400 amps or more ❑ Building over three stories-
j,[f n ❑Other. where the available fault current ❑ Marinas and boatyards.
I kldi .t �': L t (.9, :° t N+ n n1 :' '3t(i' U t. � r t i I� » ifit I � rag i,Af (f exceeds 00 � at 150 volts or ds 10,0
-�° ;� r�� tai hoS .,_ :���tll �� ,.:. ❑ Floating baud,.
❑ 2. and 2 family dwelling ®COlnrllerciaUlndustrlal less to ground, or exceeds 14,000 ❑ Conmicrcial - use agricultural
❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75KVAor
r 'I;' � , f ' ° + 4 r ' 1, € ?1 .lLw /'' a t x : t a !PI : t I o I ! n[ t , : 111 , tfi:91A ❑ Emergency system. l arger separately derived system.
. ,:Ni tk aj ' fmak .�r t " " i -o +. a ❑ Addition ofnew motor load of ❑ "A° "6" "1-2" "I-3",
Job no.: Job site address: 16 6 5 5 SW 72nd 100HP or more. ou:upeacy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: ® Healt - care facilities. ❑ Supply voltage for more than
❑ Hanardous locations. 600 volts nominal.
Suitelbldgiapt. no.: 8 0 0 Project name: CTX ❑ Service or feeder 600 amps or more.
r l.r a •i +.xw+,n, l r a `t
Cross slreetidirections to job site:
L - 1!: ;Fli NIIII i- 9 'lrn lrytjE - .st
.
neurierwo Qty. Re. Total •
New residential single- or multi- family dwelling unit.
Includes attached garage_
Subdivision: I Lot no.: 1,000 sq. ft or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 see. ft. or portion 33.40 I
ai g i tlltt$ ' 1 nit a Limited energy, residential
t���` ���,,,,t.l�t� �}� �`�s�a� ]till �:I €ry gipr�Hlltt .Ill t,�:
❑t +'�} tl ril�r t.��l�il � �4M1�!!!'ia,r< .�v.l.l�rq'�fC'��il,ui�`?�I! �j��i�� (with above t9. 1) 75.00 2
Limited energy, mufti- family 75.00 2
Tenant Improvement residential (with above sq. fl.)
Services or feeders installation, alteration, and/or relocation
s , a, 200 amps or less 2, 80.30 160.180 2
r1 I I L 4sM"r 'i' 1,jj ;(l t t it Rr 1 f 1',T, e�lt 1 t s( aaamsrotasialrnr ! ; 201 amps to 400 amps • 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/Z[P: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less I 1 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 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
A. Fee for branch circuits with
r6;l> a j1 4 1 iii .'i =` `t` `( Rf� ' ?* i 11j k r 5�, : f4 1 M t ;M •• �. r 1 above service or feeder fee,
each branch circuit 6.65 i94 •�jo 2
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' I branch circuit 6.65 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) 698.3417 I Fax:: (503) 698 -2486 Reconnect only 66.85 2
E -m {{ ayff�il: joltanse msn.com Pump or irrigation circle 53.40 2
l.^r:'� .t �� _ } �la .,j� •Y �'r"`• -•v t i z 1 +, .
rt Ii
1 _ lL+ ny,ldli+ '' I- ; • ( 0 ,i1,1,,r;' Sign 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 -
Per inspection 62.50 1
Phone: (503) 6983417 Fax: (503) 698 -2486 Investigation per hour (1 hr min) 62.50
CCB Lic.: 51539 Electrical Lic.: 3 -243C Suprv. Lic.: 2053S Industrial plant per hour fqq�` t� •. - 3.75
('�, 1 ' y 1 /. - ^ t lgiI *.ter
Suprv. Electrician signature, required: A 3 .1.1". � .d :'t:�i.a t ,.� Subtotal , Or Q
Print nalne: Carl K. Johansen Date: 7 / 22 / 0 8 Plan review (25% of permit fee):
State surcharge (12% of permit fee): t f 3, Authorized signature: C TOTAL PERMIT FEE 9D3.31
Print name: Charlynn J. Leifsen Date: 7 / 2 2 / 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
I: BuildinglPzsmits 'ELC- Permi1App.doe 05/23/06 440.4615T(11/031COMMB3
I' Xdd 13Cd3Sd1 dH Wd0b :2 13002 22 InC
CITY OF TIGARD t -
BUILDING DIVISION PERMIT #: ELC2000.00423
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7123/21108
Phone: (503) 639 - 4171 Arsolatti I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/012000 TIME: 7 :OOAMM PAGE: 9
SITE ADDRESS: 16655 SW 72ND AVE 800 CLASS OF WORK:
SUBDIVISION: PACT RUST BUSINESS CENTER LOT #: 029 TYPE OF USE:
PROJECT NAME: COPYTRONIX
DESCRIPTION: 11
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-690-3
Inspection Request Scheduled For: Date: 9/8 /2006 Pour Time:
Code # Inspection Description - Confirm # Contact # Message
130 Ceiling cover 't 075214 -01 503 -969 -5262 N
Corrections /Comments /Instructions:
CG • i At
i 1
Y i, PASS n PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS
H FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` N b6 Date: `��� Phone #: (503) 718- I ig /7
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
EL C2008-00423 0t1413
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7123/2008 I
Phone: (503) 639 -4171 VC Inspection Requests (24 Hrs.): (503) 639 -4175 , __.. _
INSPECTION WORKSHEET FOR DATE: 8l18I2D08 TIME: d :00Ai1� PAGE: 13
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION:
16655 SW 72ND AVE 800
PACTRt.1ST BUSINESS CENTER LOT #: 029 TYPE OF USE:
PROJECT NAME: COPYTRONIX
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES,
PHONE #:
CONTRACTOR: JOIHANSEN ELECTRIC INC PHONE #: 503.698 -3417
Inspection Request Scheduled For: Date: : - Pour Time:
- 8,118/2008
Code # Inspection Description 'Confirm # Contact # Message
125 Wall r..over ( 07�i 2�3�? t12 503-969,5262 N
Corrections /Comments /Instructions: 1 \
W P (Z i s V Oi <6 ERVIA _racz,mq
b o Nal CIA c 1 4 11 c_
►_I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: 0 bib 1._e Date: 11.11).1 Phone #: (503) 718- -P1 b
1
CITY OFTIGARD
r- j ._
BUILDING DIVISION PERMIT #: El..C2008.00423
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7 /23/2000
Phone: (503) 639-4171 , 1 of
Inspection Requests (24 Hrs.): (503) 639 -4175 .4 "'I:I
INSPECTION WORKSHEET FOR DATE: 8/1/1008 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 16656 SW 72ND AVE 800 CLASS OF WORK:
SUBDIVISION: PAC TRUST BUSINESS CENTER LOT #: 029 TYPE OF USE:
PROJECT NAME: COPYTRONIX
DESCRIPTION: Ti
OWNER: PACIFIC REALIY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503- 698-3417
Inspection Request Scheduled For: Date B/1/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 073609 01 503 - 969.5262 N
Corrections /Comments /Instructions:
s
1Z PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G N W Le Date: 1 ) (A Phone #: (503) 718 - 1446
CITY TIGARD
BUILDING DIVISIO PERMIT #: ELC200B- 00423
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/2000
Phone: (503) 639- 4171�f(
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/12/2008 TIME: 7:OOAM PAGE: 12
SITE ADDRESS: 1665! SW 72ND AVE 800 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: 029 TYPE OF USE:
PROJECT NAME: COPYTRONIX
DESCRIPTION: TI
OWNER: PACIFIC REAL1Y ASSOCIATES, PHONE #:
CONTRACTOR: JOHAN :11 N ELECTRIC INC PHONE #: !.J03- 688 -3417
Inspection Request Scheduled For: Date: 9/12/2008 Pour Time:
Code # Inspection Description Confirm \ Contact # Message
199 Electrical flirt ,l 07M24 \ 603 N
Corrections /Comments /Instructions: �1
c PF..-Nib;t\J -_ pifmk[_ R-iriltsct) •
W t
1V\
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL 1 I CALL FOR INSPECTION [ 1 ADDITIONAL FEES ASSESSED
Inspector: CT'. N6Qc LI Date: , 9 , i V Phone #: (503) 718- 144