Permit CITY OF T ELECTRICAL PERMIT
PERMIT #: ELC2001 -00228
DEVELOPMENT SERVICES DATE ISSUED: 05/03/2001
" '�" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S113AA-00400
SITE ADDRESS: 16290 SW 72ND AVE B -02
SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L
BLOCK: LOT : 018 JURISDICTION: TIG
Project Description: Installation of (10) 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: 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 Wall Cover
5PCT CTR 05/03/2001 $8.54 2720010000( Elect'I Final
PRMT CTR 05/03/2001 $106.70 2720010000(
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: . / / / / Issued By: a /
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: ( /I / 1.� �� DATE:
LICENSE NO: ,LLD
CaII 639 -4175 by 7:OOpm for an inspection the next business day
From: Ch iynn J. Leifsen 503 -698 -2486 To: City of Tigard Date: 5/3/2001 Time: 10:07:40 AM Page 2 of 2
1.
• 10/19/2000 15 :28 FAX 5038847297 City of Tigard fa1002
IIectrical Permit Application
DeWreoeivod: '�l.Jl � - /� = oo
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City of Tigard Project/ova. m. 1111 ,
City afTigord Address: 131.25 SW Hall Blvd, 'Tigard, OR 97223 Darts tanned: By Rtxx !pt co.:
Phone: (503) 639 -4171
Fax: (5O3) 598 -1960 Camille no.: Payment type:
Land use approval:
1 % I . (11'' 1•t-t: ■1 IT
0 1 6t 2 family dwelling or accessory ss teatimnsurcialtindutadal 0 Multi-family
0 New construction 0 Addition/alteration/replacement 0 Othtsr_ 0 Pfd improvement
Job address: Q A) Bldg. no.: Suite no.: Tax /tax lot/account no.: .:
Lot: Block: Subdivision:
map
/tax
Prqiect sumac: . 1 Description and location of work OD mambas:
Estimated date of a le eeties; •
Job nu: Mic him
Business aat ue :JOHANS F•N__EI,F,CTRIC. INC B qty. _ (m) Taal no- >w,
Adtlteaa: 1 0 9 4 8 s F VA T. i. R V T F T F. R R A r F. _ Newmann:dal la
CitY; C L A C K A M A S State Zip` 9 7 01 5 > !oddballs mom. MOS0 3— fi 9 8 3 41 i fax :59 3— 6 9 -4� 10 N . h o:lett 4
CCB no.: 5 1 5 3 9 j Blue. bus. lb.. no: 3 2 4 3 C
Un ha te semdonal sou sq. h or portion ammo:
+ shed aom s
sy, rl 2
City /mc120 ltc • no.: METRO 00004R96 �. ,� Limited energy, aooyesddendal a
Q ' U S /2W tn
( Boob atnfaesored Desoto*: modular doodling
5lgnmon or so tag rleutrldao (required) DDt/�e Ssvfoeso t/or eeedta 2
alto. romto li000scno: 8esvlsaorfmdete— isAaYattaq "'
taltaadm or releortl *s:
200 amps or last 2
Name (print): 201 _.2 to 400 amps 2
ltaafll,l: address: 40 t v 600 11•••11 2
Clry: Std: ZIP: Out a li s 1 Ova: L000 or votts . 2
Phone: 1 Pax: 1 E-mail: noly 1
Owner installation: Ilse insea)lation is being made on property I own
: 1111, 1111.
width is not intended for sale, lease. rent, or exchange according to
ORS 447, 455. 479. 670. 701. 200 saps erica 2
201 amps 10400 ansos 2
Owner's ei adore: Dula:
2
Is -mfr, Hesrlatass
Name: ovontoorkm perpegsp
A. Pee for brtmah donna with pmr>amoer
Address: arnica ar feeder fee, mob Manch coeds 1 1
City : States: ZU: B. Fee rorbnnMeirou :m without pursham
or Waite or reader foe, tine branch dsonte p 1 6� 6s 2
Phone: Fax 8m-m7: Enda additional Th c sale 1 Y. •44 .(i'a
MOO fBerrlsorinadersern alttedk
O Swim oven 225 amps- oo®mmdal 0 Rsoldscass hti,itr 6arapasop or tafRadea circle 2
0 Sander over 320 aropatatlog of I &2 O 8_ard*ts Location Each donor audlm l gbdas 2
family dfrelflngs 0 Banta. ovQ 10.000 agnate f*etfparor Signal drvdt(s) or a l,m,lyd energy panel,
0 Spasm over 600 volemamiaal mom teakkuntal unitsinonostructure dtusdogoresreostms. 2
0 Boadbts overdoes' acAcs 0 feeders, 400 soma or mote a does: - -
0 occupant toad over 99 poisons 0 Nauntctux d ingrates or RV pelt Each it o ores* shorans
r
0 aanlahtmed th
an 0 Other Pe:
Submit _ nets of es w ith Pe: 1 L 1 I
pies any addle above. Iavos see
The above are sot appgea1Se to temporary o6a cruedoe sea'aIet - other
not Al jmi.dicua. o accssa a e.St cards pima. can Jur:ea.:4m Cm score Inforaken. Notion: This pots& applio lion P16�1 fee 3 /O/ • 7
0 Vila 0 sdoamresrd expires if a permit is not obtained' Plan review (ac 96) S
cads oval _umber. L . within 180 days after It bas been State acct serge (896) S
Nrm
ras co odhW ow er as shwa oar credit card accepted as complete. Torres, $ / 5.2
S
` catdbmaer slo.400 w.aaum
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:CITY OF TIGARD BUILDING INSPECTION DIVISION
. - 24 - HBur Inspection Line: 639 -4175 Business Line: 639 -4171 MST = :
BUP
Date Requested S. 7 AM PM BLD
Location /0 2-fa w 7 2,1 " 1/' /A ✓c Suite g' z- MEC
Contact Person Ph 7 /-5 3 y PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC o /-0 a Z Zf
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm /
Susp'd Ceiling W49 L e9 � ! 1 ---1 / Q / S cs-_
Roof .J
Misc:
Final
• PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
-'ECTRTCA�..
Service Cei✓.c,_
Rough In
UG /Slab
Low Voltage
Fire Alarm
V ASS PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach/Sidewalk Date 6 7 -0 / Inspector Q j�'N Q�� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
3, (GP
•
- CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
- 14 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�) BUP
Date Requested S—(d AM PM BLD
Location /G Z y0 , )w 7 L -2-r/ Suite /3 MEC
Contact Person Ph f( 3 `r PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC .. -
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler /' �
Fire Alarm 6/ e J Y/ C q 1 � 6 ` t� /
Susp'd Ceiling Cq ` �� / � �
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
LECTRICA
Service Cf./ /. c.01.,
Rough In
UG /Slab
Low Voltage
Fire Alarm .
j'
PASS PART FAIL
IT
Backfill/Grading
Sanitary Sewer
Storm Drain [ 1 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ 1 Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA L _
Approach /Sidewalk Date L Il R 0 / Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
/3/
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location jG 19a - 7 At //ti 2 Suite MEC
Contact Person Ph 6 '( / PLM
Contractor —� �r Ph SWR
1 c1 J -
BUILDING Tenant/Owner FU T ELC 1 — GV 2 Zj-
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
E RICA
[.
Rough In
UG /Slab
Low Voltage
Fire Alarm
5F
ASS ' PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA / - 1 Approach /Sidewalk Date C� 0 (--6 / Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.