Permit ,
r �,_ `� ��� ®� TIGARD ELECTRICAL PERMIT
T ' PERMIT #: ELC2007 -00015 • W. 0 ° r, COMMUNITY DEVELOPMENT DATE ISSUED: 1/5/2007
GAR 1
, TI D; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
fe ` uutz, g PARCEL: 2S113AA -00100
SITE ADDRESS: 16350 SW 72ND AVE B4 ZONING: I -
SUBDIVISION: OREGON BUSINESS PARK I LOT : OOA JURISDICTION: TIG
Project Description: Power Telephone - TI
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: 19 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
[TAX] 8% State Surcharge 1/5/2007 $13.86 LIC 51539
[ELPRMT] ELC Permit 1/5/2007 $173.20 SUP 20535
Total $187.06 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
suspend or mo - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those ules are set fo h in • ■: 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain co ' o these rules or direct questions to OUNC at
503.2 6.6699 or1.800.'• 44.
Issue By: v �.. I_J__ Permittee Signature: s'���r' V�IV�
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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: / /_ .avu 2 / /!l'L - DATE: / 5 /
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LICENSE NO: cb 5
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.
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O • Permit No.: 7 —ir� /S
' SW Hall Blvd., Tigard, OR 9t '. " _ f a . w � e �/ ,
/o
Phone: 503.639.4171 Fat: 5031981960 1 pl OtbarPermit
Inspection Line: 503,639.4173 JAN 5 2 0 0 / -- ----. ` ; 1 . Date Reaay/Br. at See > 2 ter
Internet:: www.cltigardosas Notified/Method:
, Sapptammto! Information
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El New construction . illitioi✓alt/:iatiom/replacemeat Please check all that app
❑ Demolition ❑ Other. ❑Scnice over 225 amps, camm'1 ['Hazardous location
v - ❑ Se r vioo over 320 amps — rating ❑Buimng ova 10,000 sq. ft.,
' 1 - s �,, _r of 1- and 2.filmlly dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ['System over 600 volts nominal unite is one structure
❑ Multi-family ❑ Master builder o ver t hree a lai/ Feeders 400 ❑ Other, ❑Building ea amps or more
[Occupant load Dues ee persons ❑Manullsciured structures or
. . _ DEg<ess Pion P
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Job no.: rob site address: 16350 SW 72nd ❑Health- carethe;lity ❑Other:
Submit 2 sets of pions with any of the above.
City / State / ZIP: The above arc not applicable internparary construction service.
suite /bidg./apt. no.: Project name: Power ' • ►Telephone ' 41 : t -/: ;1 `' 6 1, i '
• .LA Deserloeka Q4• re s. Tatar
Cross street/directions to job site: New resldeadel single- or mattI- fnmlly dwelling unit
Includes attaehcd garage.
1,000 sq. R or less 145,15 4
Subdivision: . Lot no.: Ea add'1500 sq. 8. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
k: I � u F # _ Limited energy, non-residential 75.00 2
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.: „�'J.r . a� le as ,; sk5•:sl _xr. 4'6iE.t 1i2-i=h ,Z Z-it, r Bach mnlfcdxed Or modular
Tenant Improvement dwelling, sevioeend/or feada - 90.90 - 2
Semites or fader installation, attention, and/or reins-attest
200 amps or less 8030 2
i,n Is,.st .,e" �` . , �- 4 raY ,,' t-;-=.1.. f r - i' '.. i ' .. 1,, . ` . -,* ssw r � ' l ..x. ..1, 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeder installation, alteration, and/or
reloca
Phone: ( ) Fax: ( ) all°
Owner installation: This installation is being 0 amps s n 00 1
g made on property that 1 own which is not 201 1 amps to o 4 40 00 amps
intended for sale, lease, rent, or exchange, according to ORS 447, 449.670, and 701. 1003 0 2
0 2
—
401 amps to 600 amps 133.75 2
Owner signature: Date: Bunch circuits — new. alteration, or extension, per pastel
. k. .. , _ N ` ° y r # . ` ,e - ... Wit 4,. ",. t kul e ,r .,
P I , ' -• A Fee for branch circuits with
service or feeder the, each
Business name: Johansen Electric Inc. branch circuit 6,65 'lam— 2
Contact name: Charlynn Lenses 13. Foe for service a feed ///
without aevia a f eeder fee, r 46,85 l 6 ' 2
Address: 1094B SE Valley View Terr. each branch circuit
Each add'I branch circuit 1 ? 6.65 /4 2
City/State/ZIP: Clackamas, OR 9701S Miecellaaeoas (service or feeder not in_duded)
Pump or irrigation circle 53.40 2
Phone: (503) 698-3417 Fax: : ( 698-2486 Sign or outline lighting — 53.40 2
E- mail: jobanaenelect@msn.com Signal circuit(s) or limited-
I ;il . %: :44 ?n -4 4 r%, x. ;Y b il,: ;x ,,,, -1' ;::s..: -:, .0,;;4 ; =MY Panel. altantion. or
Business name: Johansen Electric Inc_ extension. Describe: Page 2 2
Address: 10948 SE Valley View Terr. Emir additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Clackamas, OR 97015 Investigation per hour (1 la min) 62.50
Phone: (503) 698 -3417 Fax: (503) 698 -2486 Industrial lent per hoar 73.75
CCB Lic.: 51539 Electrical Lic.• 3 -243 S S. . Lic.: 2053S Subtotal 1 .33O8 /13. 0
Suprv. Electrician signature, required: r'+! F may Phan review (25% Of permit fa)
Print Warne: State surcharge (g% of permit fee). 4 / 3. 84
`. � �/ . / D ate: 1 /5/06
TOTAL PERMIT 76
Authorized signature: /�� Tads watt epplkatioa egtres Us permit is sot obtained *fide 110
/, days after It bas ben emepsed as complete
Print nary / .: i,, Are 4.• Date: 1/5/06 /5/06 ' Fee methodology set by Tri•Coamty Building lttdmtry Service Bored
“ Number of inspections per permit allowed.
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BUILDING DIVISION PERMIT #: BC2007-0015
13125SVV Hall 8|vd.. Tigard, OR07223 DATE ISSUED: 1/5/2007
Phone: (503) 639-4171
Inspection Requests �4Hmj:(5O3)63O~4175 �N� /���,
INSPECTION WORKSHEET FOR DATE: 21912007 TIME: 7:O4Ak4 PAGE: 17
SITE ADDRESS: YG3SOSVV72ND AVE @ - 4 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK | LOT#: O0A TYPE OF USE: !
PROJECT NAME: POWER TELEPHONE
DESCRIPTION: Per Telephone - 11 �
OWNER: PACIFIC READY ASSOCIATES, PHONE #: `
CONTRACTOR: JVMANSEN ELECTRIC INC PHONE #: 503-898.3417 '
Inspection Request Scheduled For: Date: 2/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043202-01 503-209-3917 N '
Corrections/Comments/Instructions:
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�� PASS �� PARTIAL -- CANCEL NO ACCESS
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7 FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED •
G- »I 63 " *JA ~ el 11 4
Inspector:
CITY ��8�~�� ������N��������
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BUILDING DIVISION PERMIT #: ELC2O07'00015
13126SVV Hall Blvd.. Tigard, OR07223 . ' DATE ISSUED: 1/5J2007
Phone: (503) 639-4171 Akit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1C3112007 TIME: 7:02AM PAGE: 53
SITE ADDRESS: 1G36OSVV72N0 AVE B4 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK LOT #: 0OA TYPE OF USE:
PROJECT NAME: POWER TELEPHONE
DESCRIPTION: Power Telephone - '7|
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503'898'5417
Inspection Request Scheduled For: Date: 1/31/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall clover 042711'01 603-989-5262 N
Corrections/Comments/Instructions:
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��PASS ri PARTIAL APPROVAL ri CANCEL ri NO ACCESS
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ri FAIL ri CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
�- 1 01 Inspector: �� '" �� ����v�� Date: ^ -10- �� J Phone #: (503) 718-42-44>
CITY OF ��mm w m��m� mn�����m�� ^_
BUILDING DIVISION PERMIT #: [I„C2007-00015
13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 102007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (603) 630'4175
INSPECTION WORKSHEET FOR DATE: 1/31/2007 TIME: 7:02AhX PAGE: 27
SITE ADDRESS: 16350 SW 72ND AVE 3 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK LOT #: DDA TYPE OF USE:
PROJECT NAME: POWER TELEPHONE
DESCRIPTION: Power Telephone 'T|
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JC)HANSEN ELECTRIC INC PHONE #: 6O3-690-3417
lnspection Request Scheduled For: Date: 113112007 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 042749'01 503-969-5263 N �
Corrections/Comments/Instructions:
.
•
A PASS n PARTIAL APPROVAL ri CANCEL NO ACCESS
FAIL 1 | CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
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Inspector: `u «�^������ Date: `/ w"/U � Phone #: (503) / � ` ' '
CITY OF TIGARD
BUILDING DIVISION PERMIT #1LCZOO1.60O
13125 SW Hall Blvd., Tigard, OR 97223 ISSUED:
Phone: (503) 639 -4171 &o r�i
Inspection Requests (24 Hrs.): (503) 639 -4175 ; 1
INSPECTION WORKSHEET FOR DATE: 1 - 1p .pi TIME: PAGE:
SITE ADDRESS: WW) S t ' 1 Z '4 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: 1 I
OWNER: • PHONE #:
CONTRACTOR'1* 0Vkco S PHONE #:
Inspection Request Scheduled For: Date: 1 - 30 • 4n Pour Time:
Code # Inspection Description Confirm # Contact # Message
, 2,5 Wes. C.,o \J L, ON f- Le .
Corrections /Comments /Instructions:
X PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �`N2- N 10O Date: `ilk 91 Phone #: (503) 718- ID