Permit _ C9TY OF T9(�AR ELECTRICAL PERMIT
IN
s �
.i; 4. COMMUNITY DEVELOPMENT PERMIT #: ELC2006 00705
,, ,tPi DATE ISSUED: 12/12/2006
!TIGAR
, ** . A ,a ; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB
SITE ADDRESS: 16101 SW 72ND AVE BLDG A - 120 ZONING: IP
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: QUALCOMM. (1) 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 /FUR >= 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 12/12/200( $106.70 LIC 51539
[TAX] 8% State Surcharge 12/12/200( . $8.54 SUP 2053S
Total $115.24 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 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: _� Permittee Signature: p r t t
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.
E lectrical Permit A - w 1111 1 f.. X L, ;1.- -1,kiM , ±. 3, , f rrya { tom i ' ''
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• 'r �1- f 3 �a { I ( 1, x ,. ' , 7 1 1 1 it 1 (1 \ I 1 ' u •' k a
City o Tigard t` � 1 1 l f e ' x i Yilc t = > . -' � P � � a
Dabs . 13125 SW Hall Blvd., Tigard, O 99TT� � ® g 20 06 - �. ' pct tom. '_ 10. 0 0 70 `�
Phone: 503.639.4171 Fax 503.591J1�0 � ; D Other permit
Inspection Liam 503.639.4175 -
Internet www d dgard or ns OI , -TIG a , , , 1 J ' . t of f r , ST See lea a hr
$ION supplemental Ialermotioa
‘ 4, 4 7f � i {` 1c 9,. - : , , 9 -`. r -:a 7 'i - e ::.,n r . _ i , ° " 1 Ze • 1:1 New construction ® Add{tion/alteration/replacement Please check all that apply: Ili . :
❑ Demolitron El Other: ❑Seavioe over 225 amps, control ❑Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. f.,
r ? , , �* . �. �, . � �. �. � � � A , i _ . „ P �"' ' . o! 1 -and 2- family dwellings 4 or mare new residential •
El 1- and 2- fmnily dwelling C CammerciaVindustrial ❑ Accessory building ❑
1- over 600 volts nominal units in one structure
❑Building ova three stories ❑Feeders, 400 amps or more
CI Marti- family ❑ Mesta builder ❑ Other.
00ccuparn load ova 99 pawns ❑Manufactured structures or
.,. r a ' ,a.: �14- k;X 1 e s 1 %�1 s `i ' e .. .,'� t . ' ClElgessniliatin8 Plan RV Perk
Job no.: Job site address: 16101 SW 72nd ❑Hea>tb-care wit' ❑Olha:
Submit X sets of plans with any of the above -
City/State/ZIP: 71se above are as
applicable to tezaporary construction service.
Suite/bldgiapt no.: > 0 Project nerve Qualcomm ? �� .y^ * L,- A i f =ti'" v
� ''x 4 '' • ` ` 'Y
Description Qtr. Per. Toed "
Cross street/directions to job site: New residential single - or muld family dwelling rmit.
Includes attacked garage.
I,000 sq. R or less 145.15 4
Subdivision: Lot no.: Ea. edd'I 500 sq. R. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
�. ,�++� x , Limited energy, non - residential 75.00 2
'"t.� e ., : X , z <_ _ r,x x: rti _ r 4c`! ^c Ykl m e E 1w1 s ? y f 2 ;tle. Each manunicWred or modular
Tenant Improvement dwelling, service and/or feeder 90.90 2
Service or feeders installation, alteration, nod/or relocotio
200 amps or less 80.30 2
i ,r .,. ^ ',' " x. `'t .` - N " , i , . i • F .,'" 'L _ :...„. b * 0. ,- s„. ,,i, 20l amps to 400 amps 106.85 2
401 an to 600 amps 160.60 2
Name:
601 amps to 1,000 amps 240.60 2
Address: Ova 1,000 amps or volts 454.65 2
City/SteReIZIP: ROcon only 66.85 2
Temporary eerviees or feeders installation, eftertiden, ond/or
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
1 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature. Date: Broach dreaits- new, alteration, or extension. per panel
1:40':„..., ' Sy r lire`" ' . - it w A sh c
'", �'L�.n'= ?,�t .�'� :: :{1F ��.#��'�U' . k � 1 �?`�''r'!�� r te'` . = �a :.. s x- �s� tFee w i far ce or bra feede cir fauits , with
each
Business name: Johansen Electrle Inc. branch circuit 6.65 2
B. Fee for brunch circuits
Contact name: Charlyan Lelften without svvice or feeder ibe,
each branch circuit 1 46.85 46.85 2
Address: 10948 SE Valley View Titre. Eat adtrl branch circuit 9 6.65 59.85 2
City /State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not Inducted)
Phone: (503)698 -3417 Fax: : (503)698-2486 Pump or inn circle 53.40 2
E -mail: Johansenelertmsn.com Sign a praline lighting r limited- 53.40 2
... ., -: _ , ..'u 511;!: � dl. ra ! 1f+m X 1 ,n ; ;,.. .� 1 �{ $igtlal Ci ne alto. °1'
_,. or
i.,r�ltte.;-�4,,n _�� .:r ��..?� ;_ enagyPanel.alte:ation , or
Business name: Johansen Electric In
Page2 2
Address: 10948 SE Valley View Tarr. Each addidoaal inspection over allowable in any of the above
Per inspection 62.50
City / State/ZIP: Clackamas, OR 97015 Investigation pa bow (1 hr min) 62.50
Phone: (503) 6933417 Fax: (503) 698 -2486 InduMaI pleat per hour 73.75
CCB Lic.: 51539 Electrical Ldc. 3 -243 S •rv. Lk.: 2053S Subtotal 1 06.70
Suprv. Electricians I�' //r •' ii, �r�>ii r . .,.
signature, required: Plan review (25%ofpermit fee)
Print name: i Date: 1 2/8/06 State surcharge (8'X0 ofperarit fee) • 8.54
J/` / /)• _ TOTAL PERMIT FEE 115.24
Authorized signature: ` / 'lids permit application expires Ifs permit le set obtained within 180
days alter tt has been aoeepted as complete
Print name:. / ; _ i. / Aplj!AP:MFIIIIIIII Date: 12/8/06 • Fee methodology set by Tri- Comity Building Industry Service Board
•• Number of inspections per pandit allowed
iAliktilefinsiennitApp.doe 12102 440.461ST(10/02/COMWE&
1 ' d Xd3 131'2139E11 dH WdLS : E 9002 BO 3aG
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2006-00705
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211217006
Phone: (503) 639-4171 Vtilk`
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/912007 TIME: 7:04Alvl PAGE: 15
SITE ADDRESS: '1610'1 SIN 72ND AVE 3L.E A CLASS OF WORK: '
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OUALCOMM
DESCRIPTION: OUALCOMM. (1) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698
Inspection Request Scheduled For: Date: 219/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
190 Electrical final 043202-03 503-965-5262
Corrections/Comments/Instructions:
•
‘1 1 PARTIAL APPROVAL 7 CANCEL NO ACCESS
I 1 FAIL 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G k 1-1E Date: 2-1 – QT Phone #: (503) 718- 1,4 t
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC.2006 -00705
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1:/1212005
Phone: (503) 639 -4171 AA,
Inspection Requests (24 Hrs.): (503) 639 -4175 �' °'f
INSPECTION WORKSHEET FOR DATE: 216/2007 TIME: 7 :O2AM PAGE: 15
SITE ADDRESS: 16101 SW 72ND AVE BLDG A - 120 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: . TYPE OF USE:
PROJECT NAME: OUALCOMM
DESCRIPTION: OUALCOMM. (1) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
•
CONTRACTOR: JOHANSEN ELECTRIC INC. PHONE #: 5B-5913-3417
Inspection Request Scheduled For: Date: 2/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 043021 -01 503. 704 -1534 N
Corrections /Comments /Instructions:
0 U-I.aL1P bto (0ca,ci -e c ,' rl-
I /et O 14 (
e ,,, 0 0 ofce L( e- > 1 o ('a4-0 pc_ik-wii--- . le( lo.l
PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: `�V■■__■4_ Date: -2 6 - 0 Phone #: (503) 718-
. . .
CITY ��N~��� ������N��������
OF m m����o^��
BUILDING DIVISION `'-^ PERMIT #: EL{2006'00705
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 12112/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 a�0W�"��.
INSPECTION WORKSHEET FOR DATE: 1/252007 TIME: 7:O5AM PAGE: 8
SITE ADDRESS: 1G1Q1EVV72ND AVE BLDG A CLASS OF WORK:
SUBDIVISION: PACFRQST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: [}UALC0K4&1
DESCRIPTION: QUAUC0AAk8. (1) branch circuits.
OWNER: PACIFIC REALTY ASSOC1ATES. PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-898-3417 .
Inspection Request Scheduled For: Date: 1/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 043648-01 503-849-9152 N
Corrections/Comments/Instructions:
- NO / ..,/ \
/
/
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_ 5 Ti PARTIAL APPROVAL 0 CANCEL 1 1 NO ACCESS
~ ,'
uL ^|L LL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
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Inspector: q ^ 0 6 e L . . ------- [}ate: Iii C i O Phone #: (503) 718- 2496-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL.C200&00705
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 131120006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/1912006 TIME: 7:00MA PAGE:
SITE ADDRESS: 16101 SW 72ND AVE BLDG A CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: OUALCOMM
DESCRIPTION: OUALCOMM. (1) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES', PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC
PHONE #: 503-6913.3417
Inspection Request Scheduled For: Date: 12119/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
126 Wall c:over 041237-01 503-969-6262
Corrections/Comments/Instructions:
firr
Ct 1
) n PARTIAL APPROVAL n CANCEL NO ACCESS
IL W fl ADDITIONAL FEES ASSESSED
Inspector: bk---)/1 Date: Phone #: (503) 718-