Permit •
R ELECTRICAL PERMIT
CITY OF T I G A R D
PERMIT #: ELC2001 -00098
rAr DEVELOPMENT. SERVICES DATE ISSUED: 02/15/2001
ref II 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 113AB -00600
SITE ADDRESS: 16170 SW UPPER BOONES FERRYRD
SUBDIVISION: B,bNNO CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT : JURISDICTION: TIG
Project Description: New 200 amp service w/ 5 branch circuits no jb # supplied
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: 5 PER INSPECTION:
201 - 400 amp: 0 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 Wall Cover
PRMT CTR 02/15/2001 $113.55 2720010000( Elect'l Service
5PCT CTR 02/15/2001 $9.08 2720010000( Elect'l Final
Total $122.63 •
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 -1987.
PERMITTEE'S SIGNATURE f � � I I ISSUED BY: �.
—
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lea. -, or -nt.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: E- n- ' DATE:
LICENSE NO: O
Call 639 -4175 by 7:00pm for an inspection the next business day
FROM: JANET To: CITY OF TIGARD DATE: 2114/01 TIME: 8:59:18 AM PAGE 2 OF 2
tO7Th /2000 13:28 FAX 5038847297 City of Tigard �� 411002 LLCE0 -640 93
A Electrical PermitApplical n
Darereoeivod: Permit no.. E t e.:141 0 t r a(9 $
r 41. : " of ProjeeslappL am:
Ci y -�„d Addr 131.25 SW Hall Blvd, 'regard. 0 • • • • ■ • _ Dale baeid:. By: no.:
Phone: (500) 639 -4171
Fax: (,503) 598 -1960 Case file m: pay1type:
Land u88 approval:
1 YI'I, (Jr I'I:I:\I17
O 1 41.2 family dwelling or accessory • enlalPadosarlal 0 Mold -famiy 0 Tenant improvement II
0 New construction 0 Addition/aketailon/re>plaoment O Odor. O Partial
.I11It tit I1. 1: \1 Ill( 11 1 I 1(I\
Job address: lefElarlin .111! - u, Bid8. IIo.: Slam am: Tax mapltax lot/l000lmt no.: -
LoC Block: S,1' • vision:
Praia= name: To hn G af>k. inc.. I Description and location of wont on premises:
Fsamsmed aura of .. •
( I If U ION \p1'I I('\llll\ rl:r 1cFirnl ] 1
4 Job L frallmempaIRMIIIIIIMM _ . SPA
Add
te�: 1 f)Q4R RR VAi.T.FY VT Nff1 tsidtd+l of t' Ter
RIf SF,,R.E A CE lode eons doe cps
City: CLACKAMAS I Sw9R 1Z`• 9 7015 sarvteatr.dlr+et
P0 3- 698341 Pax503- 6981 -2. 6 woo �� � III
COI no.: 51 5 3 q .../ Elaa --bu . Iii" Ice: . 3-24 3 C thereof
C Ino�l O METRO 0000e1896 // y �, y
s1 t og eleetrk•IQn (required) DI �e 1 y/ l S a. tlm+sar reodo?»aysIIfne
S • • elect name • . , = e _ - s Licemorm> s 8srrisesarkedoo— Io tr9atiste,
I'lt OK 1C11 (111A1
200 lulus, 'L► =' ; ►
Name at): r ig-e_ A 4 L 201 • •- m401/am. — 1113111
• _ address t I _ ' - to a. . � "., S ' T� M�
• C —wr I ("9 . stakO z>F:
P6oue:1 J Fax: I E-mail: r °'•stm .
Owner insla116lion: The installation is bolas made on pmpany I own lbsepeney onto wailers -
which is net inlended for sale. lease. rent, or exchange according to Imallatha,Mmetine, enmbleaSom
ORS 447, 435, 479, 670, 701. 200 Rape caws
Den 201 tops m 400 otoQs
Owner's signatures
_ - — 4011o600 ,.
1M..1.\ Lilt - - s th - . _ .,. .
Name: "'OaPaP
A Pee for Womb dimeswhhpemobaseot
Address.: sandal orfoodar he. 666 breach caoolt •1 (D_ (p�
City: Stale. ZIP: 8. Pm forbraaeb cloaks Without pvlr:Iude
Phone: 1 1 1 1 1 1 1 1 1 1 1 E—ail: of Novae or • -• •• • ttaabrseosdema: 2
1'1.:1 \" Itl :\ II_ %% (1'100.a. fled, nll r11:41- ,1111.11)
0Sord000vur9751m -mein! O • faCi ' Bechpomp orlrrlikdmdtola ,
0 Services over 320ampa- tadosofl&2 08®tdolnjooc m Etch or oudlinlgbtarg
family dwellings 0 BoIlthagovw IMOD egaalofootfgorar 3i8rot i'M te a Ur energrlmnel.
O Symptom-600 vain method axes teddmllal mink one Weame atomdom,mrs®ulme
O Bmldtng overeat= auks. O lroedas.400 ems armom a
O Caw= toed over 99peasama O Mmafbaoa mom= s m Wpm* , . 1 , 1Caw= . .. • .. o overdo a�fmvdia to say lots Mona o Other I C I I
Pertopetoon Submit _sots of plum wide say of above. lorentganentee
Ile above are taut apptlmbie to temporary eootaeedee semen. Other
Not ail jva eie,e s accept ecedit cabb pkahe cal pai.,iral.. ra nm Notice: !L
v atham a Notice: permit epphot�oo Pbmnt fee .................._. $ / L3 •,
o visa o MasterCard expires ifs penult Is not oblsiaed' Plan treriew (et — 96) $
Credit card motor I wtthio 180 days otter It Des been State anseharge (8%) .... S q • •
Namtrof eaalalder to shoves on cretin rod accepted le complete. TOTAL $ /Z2.
Il
CanmaWCar dgoaane AMMI I — - ` ,� - - -� -�- - -�
•
. , zJP
1
CITY OF,TIGARD BUILDING INSPECTION DIVISION
MST
24- Hour4nspeition Line: 639 -417 Business Line: 6 -4171 _.
BUP
Date Requested Z BLD
Location O� / ' : , ite
� MEC
i•
Contact Person Ph PLM
Contractor j1)441-7‘) f-e � -/ cvy'7� 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
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 V
Smoke Dampers
Final V -
�- - - AIL •
Service •
Rough In
UG /Slab
Low Voltage
Fire Alarm
AS . ART FAIL
S _
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
Other Date . Inspector Ext
Final
PASS PART FAIL 'DO NOT REMOVE this inspection record from the job site.
11 - - CITY OF TIGARD BUILDING INSPECTION DIVISION
MST -
"- i
24- Hour- inspebtion Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 AM PM BLD
Location 1(0170 ad t1 &t-fi7 El Suite MEC
Contact Person 1 PLM
Contractor �J o5' c,�f ��_, Ph C4 C itf r-351/ 7 SWR
BUILDING Tenant/Owner ELC - "Me "" CJ' 0 � `
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: � E ) o
- � - ki c.- c C/2 SIT
Post & Beam
Ext Sheath /Shear er ( 1/A 5 )
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler '
Fire Alarm / -�—
Susp'd Ceiling . _ _ di
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
ELECTRICAL •
Service
Rough In
UG /Slab
Low Voltage
Fire arm
in
- ASS PAR
SITE
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
Other Date 7,0 ( I E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.