Permit CITY OF T'GAR® ELECTRICAL PERMIT
PERMIT #: ELC2002 -00032
'DEVELOPMENT SERVICES DATE ISSUED: 1/31/02
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DD -00200
SITE ADDRESS: 15862 SW 72ND AVE 200
SUBDIVISION: OREGON BUSINESS PARK III ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Installation of 200 amp /less service panel and 20 branch circuits.
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: 1 W /SERVICE OR FEEDER: 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 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 1/31/02 $213.30 2720020000( Wall Cover
Elect'1 Service
5PCT CTR 1/31/02 $17.06 2720020000( Elect'l Final
Total $230.36
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: J �� Issued 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: 16 0-1 ' DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO: 6 7J
Call 639 -4175 by 7:OOpm for an inspection the next business day
From: Charlynn J. Leifsen To: Fax#503- 598 -1960 Date: 1/30/2002 Time: 10:40:34 AM Page 2 of 2
■ 4102.9/2000 15:26 FAX 5036847297 City of Tigard 12002
A Electrical Per • '
�. �.. Datewaive& //3 /--O I . ' TI ,..
. - City of 'Tigard Projectiappl.eo Rape date:
City offisord Address: 13125 SW Hall Blvd, Ti NO J 11 ) 02 Date Issued: . Dy • r Reoetyt ao.:
Phone: (503) 639.4171
Fax: (503) 598 -1960 CITY' OF TIGARD cu" Payment type:
Land use approval: 811.11L1)11413 DIVISION
I I'1. t)1' ri .10111 -
0 1 & 2 frtmily dwelling or accessory 0 CommesdalAndusutal 0 Multi -family 0 Tent improvement
0 New construction 0 Additton/altetation/replacemrnt 0 Other_ 0 Partial
MID `1111'1:I11111%110N
Job address: '� - i.l.) 7P1' I I F fi Bldg. no.: Spite no.: Tax map/tax lot/sccount no.:
Lo(: Block: I Subdivision{• �S Jl. OT 7 0 /4 5
PrOjena namc: / 1jgi ggei4ei 4 Desmiption and location of work 0o paemtses:
E timaaad date of complc : • . . oak= •
(.ON 11111 11111 1I'1'111.'11u' FFF. SC LF.
Job my:
' - -- FIRMER!
Bttsiaessnam .7
e:nHANSRN �T,FCTRTC. INC
Nevriedtbadal- Made annalti-inurly was
A11111
ddress: 1 0g4A SF. V A(.T.FY,[L:Lil .!RA(`F disallowed*. lockoles annehed prase.
City: C L A C K AM A S State • • VP: 97015
e — • • : . Fax: • - . • ;,-.2.1E5. ... _ 11111.11.1111111/ 4
C® no.. • Elec. bus. lit.. nos _ . __—
Ciry/mettvlic.no.: METRO 00004896 Litni . , _`r 2
C. -ere• 1st. 1
Dine Sundae ondke feeder 2
Sup. elect name (print): s
idterslissoctelocatim
1'ttl1PPl21l 0%1 Nil It .t amps or las jrI 1 '1
None (print):
Mai . ' addstsa: 401 >f to 600 amps ME _ _ 2
Ci State: ZIP ,,
Phone: Fax: E-mail: 1
•
which is not intended for side. lease. rent, or exchange according to
200 or loss 2
____ - w, alta s,
pau 1I
A. FM f o r branch c i c a d a wiThpatsbaa s of
sundae or feeder fee, trash hsvnds eissan a 0. L05 i 2
1 • B. Eee for enact dtovin without putebw
Pb me
a: State: 5-1"1: of manioc orfendrr Gov brands tint bran abode
Bach additional bsacab circuit
1'L.AN lt :t% I Pleas cited,: 311 ihar :P1.111 hike apertknorbeacraol
2 Serino ow22S onpsconamcdal 0 RcsltAr4an(acility Bach pomp or Wigan= Girds 2
0 Service over 320 arnpsaadog of 14t2 0 Hassedoes location Earls sign or outline 1l einS 2
trinity churning, 0 Building over1l1D00 square fact Ann or SIPA curnit(a)ora limited ann Pmet
O System ova60• voila oamioal MOM residential uaia loose structure abandon, w mansion* 2
0 &sliding outran= aortas 0 Peedes,400autps •Datadotiote
0 Occupant load over 99 persons 0 ltmrafaa:oaed means or RV park
O sga>:•a/ei�81 0 Oaten. Pasta addtdasasl .. ever • 71, F • nay of the about:
Perlaepeatlots 1 1 l l
Submit _ sets of Edam with any of the above. lavesdgadcntoe
The above arena applicable to temporary co sirseda service. Odau r'
Nn 41 j ais6ct:o.• accept em0ia taO .pleas tea jucir o wore sae • Notice: This permit opplic�atioo Pcnint fee $ � WJ
O v isa O ( � 5 yr p ' 0 expires if a permit is not obtained' Pbtn review (at — 964 S
cant l . W whhln 180 days atter It has been Sblie charge (8%) $
2
4 ..t f ,.. , • ,.• , gad gad-- aooepted as complete. TOTAL... _..._ $
r Irm w • - •i : 7.30.,/0.
rltooum 440 -4613 C6RIOCC110
1
CITY OF TIGARiii 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested ` � AM PM BUP
Location l Sf$'� 2 - Suite 20 MEC
Contact Person 9t -0- Ph ( ) — Smog. PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC , - &3\ 00 0
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear '
Framing
Insulation fsS
Drywall Nailing
Firewall )1•04
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
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
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
F n E Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date 0 Inspector IV:e■c-efAefl Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL