Permit ?/a Af P 1 4 ELECTRICAL PERMIT
OFT I A
PERMIT #: ELC2002 -00270
1 DEVELOPMENT SERVICES DATE ISSUED: 6/14/02
, II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 112 D D -00200
SITE ADDRESS: 15862 SW 72ND A 150
SUBDIVISION: OREGON BUSINES - ° - • ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of 12 branch circuits for TI. 7/24/02, adding (2) 200 amp services and (6) more branch
circuits. Job No. 7862
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: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 0
401 - 600 amp: EA ADD'L BRNCH CIRC: 17 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR >= 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 Rough -in
PRMT CTR 6/14/02 $120.00 2720020000( Rough -in
Elect'I Final
5PCT CTR 6/14/02 $9.60 2720020000( Elect'I Final
PRMT CTR 7/24/02 $200.50 2720020000(
(additional fees not listed here)
Total $346.14
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: Iss ed By: /�'/�
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:-Q- 9 e i J DATE:
LICENSE NO: >
Call 639 -4175 by 7:OOpm for an inspection the next business day
ifsen To: City o'f Tigard
Date: 7/16/2002 Time: 11:22:46 AM Page 2 of 2
00 15:26 FAX ii s0 B8>lfY97 City of Tigard f 002
•
Electrical PermitAppli�on
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:ii ') City of Ti � " ; ' Lo i, v >� ,a� � � a�a�o
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City Address: 13125 SW Hall Blvd, Tigmd, OR 97223
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Ph one: ( S0 3) 63 9 4171 By: Roo** tel.:
Fax: (503) 598-1960
JUL 1 2�?n 7 t� me : :
\ v Land use approval: (:6 i 'gip, i 1.,01-W.I./
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O 1 & 2 family dwelling or acceata y ommezc*alnndusubd O Multi-family Q Temmt improvement
O New wastructian 0 Addition/altoratian/raplaoement 0 Other: 0 Partial
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Job address: : r 1� tiP l 81dg. no.: Suite no.. i Tax ..... tax lot/account no.:
Lot: Block: Subdivision:
Descripdon and location i o „w • /'.ra ■ !*/ b1
Estimated data of catnplc .. • =Um. ItiR(/ j
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Job no: rj j ,T �/ �
Business name: ONANSEN �LF•CTRTC . INC - ” "' ' image pe Address: 1 n94fa SR V Ai.T•F. VTR. TRRRACF.
CICY: CLACKAMA States - ZIP: 97015 Sinvienhelniat
CCB no.: 51 5 9 Elea, bus. lit.. roc 3 — 4 3 C Inch addldon9 300 •• It or • . rdos chance ---
Limited .. - ► , akiattial --' 3
Cityhnetro Hc. oo.: METRO 00004896
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Owns installation: The installation is being made on property I own Temporal serdes• miming -
' whICh is not intended for sale, lease, rent, or exchange according to
ORS 447, 455, 479, 670, 701.
201 10400 2
Owner's signature: Data:
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The above are not applkable to temporary teeostraedoo mites. pate
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care ' V SCI J '.. , _ 11 1 1 i i �� �� �
expires if a permit Is not obtained' Plan =dew Cat — 96) $
.L within 18O days altar it has been Stabs an charge (896) _.. $ PIM
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