Permit iri .___,
At, CITY OF TI!GARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00278
��i�,i DEVELOPMENT SERVICES DATE ISSUED: 5/17/2006
A- -...L. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S1 13AB -00101
SITE ADDRESS: 16101 SW 72ND AVE BLDG A -200 ZONING: IP
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: (1) 200 amp service, (2) 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: SIGNALJPANEL:
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: 2 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 CLACKAMAS, OR 97015 -000
Phone: Contact #: PRI 503 - 698 - 3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 - 243C
[ELPRMT] ELC Permit 5/17/2006 $93.60 L[C 51539
[TAX] 8% State Surcharge 5/17/2006 $7.49 SUP 20535
Total $101.09 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: j rp, Permittee Signature: p 0 , p ��
OWNER INSTALLATION ONLY J
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.
May 17 2008 10:05RM Johansen Electric Inc. 503 -898 -2486 p.l
4 Electrical
T v
City of Tigard . - /7 &( '7 Permit No. :cG (..CnZad6 "(year
13125 SW Hail Blvd, Tigard, OR 97223 , ; r E , Ptra ,
Phone: 503.639.4171 Faa: 503.998.1960 ' - ' D�yB Other Permit
Inspection Line: 503.639.4175 ., ,,l3 - . Date R /By
(rennet wwnrci.tigardar.uts I ,p TIGh.a NatlHed d: r ! 8
C' ` ti �F ,
❑ New construction ® Addition/akeration/replacemcnt Please check all that ripply: .
❑ Demotion ❑ Other: DSevicc over225 arms, cannel °Hazardous /oration
• ;.. ['Service over 320 amps _ rating QBuilQog over 10.000K. R,
of 1- and 2- Asmily dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building OSystem over 600voila nominal roles is ant straeoue
❑ Multi- ■ : . , • ❑ Nester builder ❑ Other: ❑Building over three stories OFeedem. 400 amps or more
❑Occupant load ova 99 persons CIManufastraed structures err
DEBreadlighting Plan RV part
Job no.: Job sib, address: 16101 SW 72nd, 200 p A a &silk
Submit 2. sets of plans with any °lithe above.
City / State / ZIP: The above arc not applicable to lemposry construction service.
Suite/bldgJapt. no.: 200 Project name: Qualcomm, 2nd floor ne•dtseee Qa fibs rem
Cross street/directions to job site: New resideadal single- or malt(- family dweWog mil
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax miplpareel no.: Limited may. 73.00 2
Limited energy, rton•residordial 75.00 2
Bads manufheumed or motto*
Tenant Improvement service id1or 90.90 2
Services or feeders installation, alteration, and/or adoration
200 amps or less 1 80.30 - 80.30 2
amps to 400 amps 106.65 2
401 to 600
aosps amps 160.60 2
Name: 601 amps m 1,000 amps 240.60 2 1
Address: Over 1,000 amps or volts 454.65 2
City/StatrJZiP: Temporary Reconne t only 66.65 2 ,
o services or feeders 1es , alteration, atndfor
Phone: ( ) Fax: ( ) 200 amps or less 66.65 1
Owner installation: This installation is being made on property that 1 own which is not 201 snips m 400 amps 100.30 2
intended Ex sale, l ease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 600 amps 133.75 2
Owner signature: Data Branch circuits - new, alteration, or extension, per panel
A Fee for branch circuits with
service or !boater foes each
Business name: Johansen Electric Inc. branch circuit 2 6.65 13.3(j 2
8. Fee for branch circuits I
Contact name: Charbmo LeIf ea without ser vice or feeder fee. 46.85 2
each branch circuit
Addsesm 10948 SE Valley View Tarr. 6.65 2
City/Sale/VP: Clackamas, OR 97015 Miscellaneous (savior or feeder not tadaded)
Phone: (303) 6984417 Fax:: (503) 698 - 2486 Panne or irrigation circle • 33.40 2
Sign or outline E -mail: ohnaseaaleet®mso.eom fl
1 circuit(s) or limited-
energy bond, aeration, err
Business name: Johansen Electric Inc. xtpxiaioa. Deambe: Page 2 2
a
Address: 10948 SE Valley View Telr. Each addldooal !weeder' over allowable to and of the above
Per inspection 625D
City/State/ZIP: Clackamas, OR 97015 investigation per hoar (1 br onto) 62.50
Phone: (303) 6983417 Fax: (503) 698-2486 Industrial (art per hour 73.75
CCB Lic.: 51539 Electrical Lie.. 3 -243 ... . Lia: 2053S
r.ro, rte � 93.60
Suprv. Electrician signature required: / Plan review (25%ofpamitfro)
State surcharge (gat ofpamit fte) • 7,49
Print name: it Date: 5/17/06 TOTAL PERMIT tI BE
101.09
Authorized signature: / � permit apptleatlm s:piree ifa remit le nos obtained 'Adds 160
1 � r . days 'Bar it has been accepted a eompiees
Prhn name: / �: � /,t; Date: 5/17/06 : . set! per Tat-County Building l y Service Beard permit allowed
klloildInie■PeratkaWLOPermhAppdco 1200 440.4e1S7110021COWWH5
CITY OF TIGARD ;----
BUILDING DIVISION PERMIT #: ELC2006-00278
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/17/ ?.006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 11.
INSPECTION WORKSHEET FOR DATE: 715!2006 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 16101 SW 72N0 AVE BLDG A - 200 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: QUALCOM
DESCRIPTION: (1) 200 amp service, (2) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 690.3417
Inspection Request Scheduled For: Date: 7/512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 EIec1.rical final 032654 -01 503. 9635263 N
Corrections /Comments/ Instructions:
/V
►�. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 'v "'e L ► Date: 7 Qb Phone #: (503) 718 -t'f
CITY OF TIGARD ` "
BUILDING DIVISION PERMIT 011.1.0ats002:7S
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 611
Phone: (503) 639 -4171 me, h ilhI
Inspection Requests (24 Hrs.): (503) 639 -4175 ` :_
INSPECTION WORKSHEET FOR DATE: b_2. 6L TIME: PAGE:
SITE ADDRESS:ILIOt S W 726 (/') 6 I Va CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: (2tl.N (qt„c.,►M
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4 '2.0 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Ram _, t■1 etJ Fib
W
WO s /Comments /Instructions:
"PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 v 08 -,t Date: 6 ' 2-' d Phone #: (503) 718- tot".