Permit -CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10073
s�i�'� DEVELOPMENT SERVICES DATE ISSUED: 3/24/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S113AB - 01201
SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 -16535 ZONING: I -L
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: (1) branch circuit.
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: 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 4/5/2006 $46.85 LIC 51539
[TAX] 8% State Surcharge 4/5/2006 $3.75 SUP 20535
Total $50.60 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 se o ■AR • 2- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of thes rules or direct questions to OUNC at
503 - 246- 6; -80►.:
Issued . `/ 4 Permittee Signatu • !l' !v•
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 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.
Mar 24 2006 1:50PM Johansen Electric Inc. 503 - 698 -2486 p.2
F y et ber ' e • D " -- -.
I Ill•:''Fi If I I t 1 . \I \
City 33 I Tigard
i 81v d, OR 972 3 A i / 1.0 I� wit Na: ;i . - 10073
Phone: 503.639.4171 Fax 503, .11968 2000 woNBr Permit:
p
lnspoctioo Line: 503.639.4175 .:!..41- _ r Date Ready/Br B Bee rage 2 for
Internet www.ci.tigud.or.us . S R® NoHNed/Methed: /a. I liapptementsl blameable
❑ New construction ►_I Addition/ Please ohs& dl that apply:
❑ Danolition [] Other . D8ervice over us amps, comm'l DHazardous location
0� mover 320
fly ddw Oil m g over residential
❑ 1 - and 2- family dwelling ® Commercial/industrial Ss of in new rash
❑ Accessory budding ❑sY a� over 600 volts nominal units in one structure
❑ Multi - family El Master builder 13 Ober ❑ fnB truer tluee stories ❑F a, 400 amps or mete
Ooctapaart load over 99 persona DMaewSasrcd
structures or
e Plan - RV park
lob no.: lob site address: 16505 SW 72nd O snit' Meier
Submit a sea of plans with any of the above.
City / State/ ZIP: The above are oat applicable to troupes :my construction service.
Suite ibldg. /apt no.: Project na r eo
°seer Qty‘ Ilea Tad '
Cross street/directions to job sits New residential or add-family dwel eg unit.
Nn
1,000 sq. ft. or less 145.15 4
_
Subdivision: Lot no.: E. WW1 500 sq. 8. or portion 33.40 1
Tax map /paled no.: Limited energy, residential 75.00 2
Limited energy, non-residential 75.00 2
Eadh n ued or mower
TI &Mitre, service and/or Rader 90.90 , 2
Services or feeders installation, alteratloa, and/or relocation
200 amps or less 80.30 - 2
amps to 400 amps 106.85 2
401 saps so' 600 amps 160.60 2
loam _ ; l I 601 amps to 1,000 amps 240.60 2
_ w 1 , ' _ ` Over 1,000 amps or volt 434.65 ' 2
Reconnect only 66.85 2
C Z - J to • t'1 ` 7 9' 4 Temporary services or finders iastlalton, siterado , and/or
rdoeethm
1..,, • ( Q 0 Fax: ( ) 200 amps or leas 66.85 1
Owner installation: This insta is being made on properly that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or mintage, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 ' 2
Owner signature: Date: Braneb circuits - new, alteration, or attendee, paid
A. Fee for branch cirarifs with -
service or feeder tie, each 6.65 2
Business agape: Johansen Electric In branch circuit
B. Fee fbr branch divides
Contact narne: Cbarlyan Leifsea wlrhwar service or feeder tie. 46.85 46.85 2
Address: 10948 SE Valley View Tear. a brands circuit
Each midi brunch circuit 6.65 2
City/State/ZIP: Clackamas, OR 97015 hilmellaneous (service or tinder not included)
Phone: (503) 698-3417 Fare : (503) 695 - 2486 Pa ra or irrigation circle 53 2 1
E -mail: jobaaseade�an.atm �aer °x°0 lighting 53.40 2
Signal oirmiit(s) or limited-
energy panel, alteration, or
Business mane: Johanson l�Me Ina
extrados. Desaslre. Page 2 2
Address: 10948 9E Valley View Tesrr. Each additional inspection over allowabk in and of the above
Per inspection 6230
City /StatelZ1P: Claeitasa, OR 97015 Investigation per hour (t hr min) 62.50 .
ea
Phone: (583) 898-3411 Fax (503) 698.2486 1ndtatada tart incur 73.75
CCB Lic.: 51539 Electrical Lk • 3-243 S S. , . Lic.: 20535
Electrician r dr, '`' �-�
S °� 46.85
Suprv. signature, required: , Plan review (25% of permit the)
Print naura �, /! ! / . / - Date: 3/24/06 arose ( of permit 188). 3.75
Authorized si r TOTAL PLRMiI tip 50.60
gDatnre: � . This permit a/pliesdoo =pins if a permit!. act obtaisea widths 180
�����`� alp o other lthm bens accepted as mmpiete
Print name: - :. /i1d Date: 3/24 • Foe methodolog ant by 76 -County Heildiaa radmny Service Board
•• Number of inspections per permit snowed
sABISktioeurdste.C14stokApgadoc ILas 440.461srpa0WCOMIWD
CITY OF TIGARD
BUILDING DIVISION PERMIT #: , OOfr /
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 a�''
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I-.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /475--o6 7;243 Ave, CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: �' L
OWNER: epei-v--e PHONE #:5703 7v4 _! 5 �T
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection escription Confirm # Contact # Message
Corrections /Comments/ Instructions:
CC.
"
` PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
G iV1
Inspector: liVISt L Date: 3 2) ek Phone #: (503) 718- 20
,i