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Permit A 'CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2004 -00294 111(1. DEVELOPMENT SERVICES DATE ISSUED: 5/26/2004 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2 S 112 DA -01400 SITE ADDRESS: 06650 SW REDWOOD LN 290 SUBDIVISION: PP1996 -048 ZONING: I -P BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Service with 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: 20 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: Phone: 503 - 698 - 3417 Reg #: LIC 51539 SUP 2053S FEES ELE 3 -243C Description Date Amount Required Inspections [ELPRMT] ELC Permit 5/26/2004 $213.30 [TAX] 8% State Surcharge 5/26/2004 $17.06 Elect'I Service Rough -in Total $230.36 Elect'l Final This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1-800- 332 -2344. Issued By: 130 jApL A 43j: 1A/0 Permit Signature: 97i / A „ / 4 I OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: 0 6 BS Call 639 -4175 by 7:00pm for an inspection the next business day From: Charlynn J. Leifsen To: City of Tigard Date: 5/25/2004 Time: 2:09:30 PM Page 2 of 3 , . F'iliCL . ''' , r L Electrical Permit Apphc .... or R : Ew-atiea.• `' Date/ /a 0 :::-La.:? Pert :it 0 1 0y –Ode V � Plan /t pro 1 Sign City of Tigard � ‘ s P y � G Dote/By: Permit No.: )3125 SW Hall Blvd. � 6 %01k Platt Review Other • Tigard, Oregon 97223 � �J „ � Dom: Perttl %tNo.: - Et$ont :• r' 33 -t 39 -0'171 Fax 543 + 196 Post - Review Ltlrtd Ust G � (j'; •, ; ;a' ; {. Date/By: CascNo.: _____ Internet: WW\' CL Ligard 01'.L9 `�- Q : i J 1 Contact Ca :' .: r.. 3ee l'age.2 Eor.. � _ 2 #hour inspection Request: 503 -ti0�: 1 i�ame/Mothod: _ Supplzmental Information. �r r,- y. '�' -. .J.:. a: :., {,:{ :R:v' x -S Fs:. . " '�'I • - G:'r `''fix µ (-y ,�y N.:,:.i •t,.: .,.. :y.•a' A .',$... r,�y� �/:.r::�l•.. :' :iim :.ni:y.., r.,:e4.:, !{^:; : m . z) ,„ -- ,- r i iz' $tL 6 1:.'1' •'] - • ' Y u .F . ,:... , �r.. is _ � � ! y�� ... ... ..�...n: :. :.::: 't:.,. .4.. `..rriA ... .... �' �}. i1 , t {M1 �:�. {:', - ��i - PITr - ;,t.T1�A�: {1 :5 .:,u���,i:..',:�i:. ;: :.,:r :.. :. .,. :� ,.� � "� t��. i!� ra +•� �5 .� ;::,••.::'::, ': •":i.. �_ i. v... J.. x„ S= �. ti::..:.. .:,,7.�.n_3k- -- :a + ;�i�:::...,, :: "i�'`a' .. 1 . :'• - — New construction Demolition Iii Service over 225 amps- ' • • ■ 'ITeal th -cafe facility.. - - commercial ❑ Hazardous location 1 Addition/alteration/1 • lacement • Other: CI Service over 320 amps - rating of ❑ Buildingovcr. 10900s<lutrre feet, is ±:: H.;; { x': ;:a; °; .:0°. V . ` 133. C'>4>Gdit:Srat.:k::'..P• Fg¢Y ;' + ;, e & 2 family dwellings four or more residettlial !utroits in I & 2- Family dwelling © ConnnerciaWndustrial ©Syaler'' over 600 :mils nominal one st n:cw[c 0 Building over thr c' stories Feedan,400 amps' OT rnoet•• Accessory Building,. ❑ Multi-Family [] Occupant toad over 99 persons .one Manufactured structures or kY park Master Builder Other: tip s g plan Oth ,; :.. -_ --_- _ _ .. -E'( ` 41.0. ..E0g:1" , ^T� r t.? iftaVaGitltg r: ' ?: 4rs Submit tiers of plans with any of the. aY�ove. 0 L es �ighti .- �? •� » — ^ The above are: not applicab to teworary. service._ :x site addre s: 6650 SW R edwood A w'. ,:. t , A �,. r,:. , . :. ... :....: .. :,.. Job Ln. .�.._..., � , �h� � "� �...,,,... = .. : :' S r: 290 JB1dg. /Apt.' #: utnlyc of itispi coons per pern allowed • Pro''ect Name: Fairway Mortgage Description Qty f ee: (fa) TOW New residential-single or triultt- family per Cross street/Directions to job stile: dwelling unit. Includes attached Wage Service included: . : 1000 sq. ft MC less . 445.15 • .. 4 Each additional 500s.i. ft. o nionthereof • . • •' 33 :40 - . 0 -- - limited en , residential _ _ 75.11(1 — Lot /l-: s v Tax ma a .reel. �: Slil3dl.Vliiit)n . Lim itedene ,nonresidenial t - _ • - Each manufactured home or modular dwelling ' r . r r- �a:.,. .' +. a 0 II T f: r N sen•iecw idlerfeeder 90.50 • 2 �';`` ;• ,s� ";•� "`` ;'�- Services or feeders - Installation, • alteration' or relocation; 209 amps•or less • • 1 ' • 80.30 80.30 2 Tenant Improvement 201 arnps to 400 amps 106.85 i 2 • 401 amps to 600 amo 1 bo-b0 2 ' -t. �. ' • IW ' v' %' • ` ' - x :; R � •y L .maps to 1000 amps 240.50. 2 ,� ,•: _ � • ...�. _.. Over 1000 amps enrolls ._..W:... ..: ..454.6.5 2 Name: _ - . - 1 .Reconnect only (4.85 — 2 Address: . Temporary services or f ee d ers - installation, • • . . ' • _•• - -- --- ^� - -•_— -"'— � alteration, or relocation: a I City / State/Zip: - _ - ----1 200.inps 66 ;85 _- E — 4f0 P 161: ;G _ : Fax: _ 1z .3.75 2 ..: - . , ... ,'� u +' rr % . 11`pr° h ^ apps I'll ©ne �nl am or less nv amps �t�S � � l 401 to 6ou . r7 _w.. ", {� fl�Ynr k? : i �•g" ;: -: `-r r;( ''. . '' "e.SSa..!:R $"'t'l' ': `• ' ° ianeh clrettifs -new, alteration, or • Name: Johansen Electric Inc. epteeaslan {ter panel: .• A. Fee for braoch•c'trcuits with purchase of • Address; 10948 SE Valley View Terr. service or feeder fee each branch circuit b.65 2 City /State/Zip: Clackamas', OR 97015 B_ Fee for branch circu'ts without purclraaa ' • ' ' _ service or feeder fee, first branch circuit 46:85 2 Phone: (503) 698 -3417 ' Fax: (503) 698 -2486 latch additional branch Circuit 20 .6,65 133.00 2 - .. _ --- M S feeder t d ) - rliail: Johansenelect @aol.co ese_(,nrvititor cc gnu a 40 2 T mc" ^� r u5 4" - - 2`; 1 .•.•: ; { y .+�p .' • A:„.:7:;:':-::.; - _..... ......— 53 ••-.^ Each or trr , Yon circle _ y� ;r =' • .: f •' 'wekr ;�u. ,...'�. .. �.,,•.•:..w. "' Each si r -or outline li him. 53.40 2 J No: 8 Signal circuit(a)»o: a limited energy panel, alteration, Of extension Page 3 • '- ' r ness Name: Johansen Electric Inc. Description: ess: 10948 SE Valley View Tem. Each additional lets11ec1ion over the allowable in an of above: -- State /Zi.: Clackamas, OR 97015 j' i tion.perhom (ntin. I hour) 67.30 e: (503)_ 698-3417 Fax: (503) 698 - 2486 Investigation fce Other- k Lic. ti: 51539 Lic. #: 3 -243 r,�p�.. ` -- � , -�,���,. • _ ., p u; > , :: ; ' . {.�.,. ,l '.l't 1• N T ,:xu' -ti k � • -b 4 . :. - m 4 �.,.{' . .�- try kit � - Supervising electrician) ` �� ;:::: = ; : ;:. 3 .. ure retauired� Dian Review (25% of Fermis Fee):-.. $... Name: Carl K. Johansen Lic - : 2053S State Surcharge (8:/0 of Permit Tree 17.06 a r • TOTAL PERMIT PEri ....... $ 230.36 Authorized Notice: This ]tartnit.applicatton.cxplr.cs'i a prsudt is not obtained within + a �� { � te: 5/25/04 180 days after Ethos been accepted as complete. Signature: rL� t *Fee methodology set by'I'rl- County Building Industry Service Board. Charlyn ' Leifs n _ - - (Please printnurne) i:1?)sts\Perntil forms\ EloPermitApp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Llhe: •(503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST /�,., Received 7 ate Re u sted / AM PM BUP V Location (l fO v ,,� G Suite -T o MEC Contact Person BUP Ph ( )0 q , 371 7 PLM Contractor 2 Ph ( ) ./- SWR BUILDING Tenant/Owner z- / A-r„ ELC ,Z0'PV-ev,vil Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Mia Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Al2PR,glIa � P�/ 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 PAS T FAIL CTRIC Rough -In UG /Slab Low Voltage Fi • larm " ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL S ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line , ADA �p Approach/Sidewalk Date Z' — O Y Inspector ,1LL� ltr Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL