Permit C I TY OF-TIGARD ELECTRICAL PERMIT
a PERMIT #: ELC2002 -00266
r, DEVELOPMENT SERVICES DATE ISSUED: 6/13/02
" '�� I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112DD -00200
SITE ADDRESS: 15500 SW 72ND AVE 200
SUBDIVISION: OREGON BUSINESS PARK III ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Addition of 10 branch circuits for commercial TI. Job No. 7858.
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: 9 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 TERRACE
PORTLAND, OR 97224 CLACKAMAS, OR 97015 -000
Phone: Phone: 503 - 698 -3417
Reg #: LIC 51539
SUP 2053S
ELE 3 -243C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 6/13/02 $106.70 2720020000( Wall Cover
Elect'I Final
5PCT CTR 6/13/02 $8.54 2720020000(
Total $115.24
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Permit Signature: 4I n"i, e 67 _ 7 f0 Issued By: Li(/
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 639 -4175 by 7:OOpm for an inspection the next business day
From: Charlynn J. Leifsen To: City of Tigard Date: 6/10/2002 Time: 11:18:50 AM Page 2 of 2
10A1 16:26 FAX 5036847297 . City of Tigard 1002
•
4 i k IIect icalPermitApp, , cs on
N ° v - Datereeaived: Posed Ao.:a1C� ,- 00 Z ,
..� .�_ City of � a�_���,Cj � > .ao. $> ate:
City o'Trgand Address: 13121 SW 1ia11 B1vt,'15grrti, OR 9 Dam laical: Br I Reedville.: :
.
Piscine: (503) 639 -4171 ', '\. ? Y
�,\ s " c are f ee so.:
Fax: �503) 598-1960 ,� \�
01 A J Payment type
use approval: ,, 1 C s
1 119 01' 1'I'it\I IT
O 1 & 2 family dwelling or accessary - . ., .. a1 O !Auld-family Q Teat improvement
O Ncw oonsouctirm 0 Addition/alteration/replacement 0 Otter_ 0 Partial
.11.IIt SI L 1, 11111.\I k 1 I(I\
Job address: 1 r .51.4.5174-49 Bldg. no.: Suite no.: CC Tax map/tax lot/aocount no.:
Lot: !Block 1 Sobdtvl don:
• • ea name: Desctipdon and location of woric on , •„ '
Esdmatted date of c • • ., ,: • ; . . lion:
( /Olt'PI'Ill:‘lltl\ III' SC 11E1)111:
Job no: IIIRITINE111
Business name: ,
lOHANSFI,ET,ECTR7C, INC New tedoe.da1 -dig1.ar 14snely
Address: 1 o 4 R S P V kr. T. F Y VT/. TJ,,R R A C E d
City: CLACKAMAS S • • X 97015
• g —.•: g _ • , - 1000 •.R sr less 4
CCA Do.: • . •
•,. lie. Each ■ to lons] 500 Pl. h or pardon Oi.r pf _ _ _
Leveed .a. ma.idantlaL _ _ _ 2
City/rnetrolic.no.: METRO 00004896
......, aea�aah.t MIMr 2
C 4".e.: ' (1 /IO f Ot ltsoh momntsl hams or modular der flag
St,. .. or ,SrT ' 7'sl ^��*TI''r�r ,_n Dote saMmmtdforfooda trmh 2
�!1�11 . �,, fft 7"i1�1Ti7r , t - t iab7s1•� &stole: amrooks ImAaatG'
Mar
I • in t' l l2T 1 O1% NI-It 200 amps or less 2
Name 201 • .. rn400ate•. 2
Mai address: 601 a1 .. ... IMIIIIIIIMMOINEIMO
City: State: ZIP: Qvor 1000 mops armee • 2
Phone: Fax: E-mail: keooaoea 1
Owner installation: The installation is being made on popetty 1 own Tm17 makes or balm -
which is not intended for sale, lease. rent, or exchange according to irdOdios,aldrdtas,
ORS 447, 455, 479, 670.701. 200 amp orlon 2
201 amps 2
Owna'a sigtahne: Date: 401 to 600 me00 imps 2
1. 1.1..\LLI{
a►esaaarioa wpb
Name:
A. Fee for brume dry wit in:obeseof
Address: survive or 6eodet fun slob Womb d uli 2
City: State: ZIP-. B. Fee for broochdecoie embedmelts*
Phone: E-mail: or service orfoodd • • teat brooch denote � 111111
f � 2
til♦
1•L.-1 \' IRE N'1I. t a•Ic3:c cheat. ell iiI:d :,p■lt) !dim ¢ardsesefni rooeladeded):
O Service over 221 ampt-m mm srcial 0 Htolit anhaliy Both pomp or inianioo c are'J& 2
O Service over320aropsaadogof1322 0 Basordeins loeataem Es& si oraudits lighting 2
fanny &w cling, O gaming av lame quire feet SignaldreuI (s)or alinaload enemy panel,
O Symms over 600 votes mound more essideatial min in ass mWasrc • dread• • or caraodone 2
0 Ha0dtragovw uwh smdra 0 Peeaers.400 mops or nom •
O Occupant Loth ova 99 pavans O Mom sonerod moms or RV pant
Ilyacb sce ad b ooz,oHlMabom
0 Egrosatltanangpgsa 0 Omer. Ptrhmapeadon t 1 I 1
Submit _ sets again with nay of the above. lavatdgattrm4s
The above me not oppliasi le to temporary eosstaar lea smirk . taw r ,i
_ Nodose Tlds permit application Pal foe $ 104,9: ICI
"':'` — _ — expires do pastas isnotobtained' Plan review (at — 96) S
wtthle 180 days alter It has been Slate nucharge (896) . -. S
rt • • _ - _ accepted as complete. TOTAL .. ,..._ $ 115 2
T �
/r ' .404ee, (aeaic"oaO
i
1
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested D /1 AM PM BUP
Location �U U �� 2-O n MEC
Contact Person 04 -A -t Ph ( ) l f ,-3 4 7 l 7 PLM
Contractor )/ ,4?i7h� Ph ( ) SWR
BUILDING Tenant/Owner ELC — 4 4
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler Cei( Fire Alarm Susp'd Ceiling / <,
L Roof
Other:
Final
PASS PART FAIL
PLUMBING L . ,4
Post & Beam
Under Slab
Rough -In
Water Service — -
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Servi
ough -I
c ab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
1TE5 Please call for reinspection RE: 1=I Unable to inspect — no access
Fire Supply Line
ADA J � r/ ( r `.„ Ext
Approach/Sidewalk Date •�JnQ / (� � - - -
Inspector
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGti RD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
�7 / BUP
Received Date Requested / ` 6 AM BUP
Location 1 . 00 7,1 4 , suite j PM d MEC
te
Contact Person �1J�- Ph ( ) / 0 4 ( 5 3 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC a - a G
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT N,r
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation .o� Cayi,11 P/
Drywall Nailing
Firewall !_ E`r V M Q ()3 73 9-- 34 ��
Fire Sprinkler Y � "
Fire Alarm (TO
Susp'd Ceiling
Roof )& '
Other:
rOf< <
Final
PASS PART FAIL
PLUMBING r , N
Post & Beam ` J
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
ina ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
S Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 0-2 Inspector -� t .• Ext 1 )
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL