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Permit CITY ELECTRICAL PERMIT TIGARD GA R D PERMIT #: ELC2002 -00033 DEVELOPMENT SERVICES DATE ISSUED: 2/4/02 Ilia; 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 25101 AD -03200 SITE ADDRESS: 12909 SW 68TH PKWY 400 SUBDIVISION: TIGARD OFFICE BUILDING ZONING: MUE BLOCK: LOT : JURISDICTION: TIG Proiect Description: Install 125amp service /feeder and 8 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: 8 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 CHRISTENSON ELECTRIC INC 15350 SW SEQUOIA PKWY #300 -WMI 111 SW COLUMBIA PORTLAND, OR 97224 STE 480 PORTLAND, OR 97201 Phone: Phone: 241 -4812 Reg #: LIC 458 SUP 3289S ELE 26 -34C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 2/4/02 $133.50 2720020000( Elect'I Final 5PCT CTR 2/4/02 $10.68 2720020000( Total $144.18 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 -6699 or 1 -800- 332 -2344. Permit Signature: Issued By: a 4 / / 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: (1)1 01 -Q DATE: LICENSE NO: Cali 639 -4175 by 7:OOpm for an inspection the next business day Sent by: CHRISTENSON ELECTRIC 5032056721; 01/31/02 8 : 07PM;JetFax _#803; Page 1/1 7 ` _ -. A - Electrical Permit Application Pateraceived: ' 0 ;2 - Peal* no.: aj -ono 3 a ,� •I City of Tigard Project/appl.no.: Expire date: CisyofTigard Address: 13125 SW Hall Blvd O,0 E ® Date B �j Phone: (503) 639 -4171 Y Reeip tno.: Fax: (503) 598 -1960 FEB - 1 2002 Case file no,: Payment type_ Land use approval: O 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement 0 New construction 0 Addition /alteration/replacement 0 Other 0 Partial Job address: 12909 SW 68TH PARKWAY (T) Bldg. no.: Suite no.:400 Tax map /tax lot /account no.: Lot: Block: Subdivision: Project name:NW EVALUATIONS Description and location of work on premises: 125A PANEL (8) CIRCUITS Estimated date of completion/inspection: SUESTIONS ?CONTAC MARK WALSH 503 720 - 0766 . i. O NI,lt :l( : l:c)lt;\l.'1I.l('AT1ON , ,. T . . ,...FIL S(lil;11411...- .. , Job no: 64 -26128 Fee Max Business nam Description Qty. (ea.) Total no. ins e:CHRISTENSON ELECTRIC, INC. New residential - single or maid-family per Address: 111 SW COLUMBIA, SUITE 480 dovaiueutlit.indadaatmd,od City: PORTLAND [State: OR I ZI:97201 -5886 Sc Phone503 241481.2 1 Fax503241051$E -mail: 1000 sq. ft_ orless 4 458 c. bus, lie. no: 26 -34 C Each additional 500 sq. ft, or portion thereof CC13 no.. , Limitedenergy, 2 City /metro ' o.: 5 46 Limited energy, non- residential 2 Each mmtufactured home or nodular dwelling Signat of supervisin ec required) Data/31/02 Service and/or feeder , 2 Sup. elect. name Orin* BRIAN CHRISTOPHER Licernseno: 8735 Sen1cesor feeders— installation' alteration orreloeatiop: 200 amps orlesa 125A 1 80.30 2 Name (print): 201 amps to 400 amps 2 _ Mailing address: 401 amps w 600 crops R 2 601 amps to 1000 amps 2 City: I state: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: E -mail: Roconnectonly 1 ~ Owner installation: The installation is being made on property I own Temporary services or feeders - IastaUation ' aiteradon ' orrelocation: which is not intended for sale, lease, rent, or exchange according to ��� 2 ORS 447, 455, 479, 670, 701_ 201 amps to 400 amps 2 Owner's signature: Date: 401 to600 . ... 2 . ENGIN14u11 lirsincb drafts-new, alteration. or extension per panel: 8 6.65 53.20 Namc: A Pee for branch circuits with purchase of Address: service or feeder fee. each branch circuit 2 City: -- 1 State: • rte: B. Fee for branch circuits without purchase of serv or feeder fee. First branch circuit: 2 Phone: Fax: E -mail: Each additional branch circuit 1'1.. i\ Ili :VICIV (Please check all Mal appl)) M1sc .(Servleeorfeedernotiochuted): O Service ova 225 amps-commercial O Heahh -care facility Each pinup of irrigation circle 2 O Service ova 320 amps rating of 1&2 O Hazardous location E.uh Sign or outline lighting 2 familydwcUings Q Building over 10.000 square feet four or Signaleireuit(s) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or extension' 2 O Building ova three stories 0 Feeders, 400 amps or more sDescaption: 0 Occupant toad over 99 persons ❑ Manufactured structures or RV parts Each Additional Inspection over the allowable t any of the above: O E ress/ligbWigplan Q Other Per inspection 1 1 1 Submit _ sets of plans with any of the above. Investigation fee _. The above are not Applicable to temporary construction service. Other Na s, pl ail jurisdictions accept credit cards, can jurisdc6m for mac ioxrn f ation. Notice: This permit application Permit fee $ 133.50 0 visa 0 MasrorCard expires if a permit is not obtained Plan review (at %) $ Gedlt card t .maer --467a7— within 180 days after it has been State surcharge (8%) .... $ 10.68 / accepted as complete, TOTA $ ]j,, 44 _ 1 R de Nu of wreatotda n shown an credit card TRUST ACCOUNT DEDUCT' $ Cardholder aigusuae Amount 440-4615 (6100rCOM1 OCT.2000 +FEES ON BACK OF FORM CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested — /C AM P M BUP Location 1. a- D , 6 ,/' f /K Suite d MEC Contact Person t}')a/L.,€ Ph ( ) '7a- 6- ®7166 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner N ems!_ ELC , 6O.:?\ 60 033 Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: -r /� J , ,.a....E..0 Post & Beam C– 7`� Shear Anchors I p Ext Sheath/Shear `� i R�1 Int Sheath/Shear /°/,'„F Framing Insulation -� ''\ Drywall Nailing l =' , ,, :. \ ■ l : ' g N. N , 0 ■ 1 `� Firewall f V Fire Sprinkler 1./.44 Fire Alarm Susp'd Ceiling 1 c Roof S' qiN6 l \ S a ; \vis c k ]]] Final PASS PART FAIL '` t� • , Ai PLUMBING 1" we _ Atts - a '- • Ai 4 'A 1 k ■ i —T Post & Beam }- � Under Slab �� l -�- l C v. 11 \ 4 i 1 p � R IN � Rough -In S � Water Service s L_ t 1 l 41 1 • 11 Sanitary Sewer , , S tv ) ) V A il i Aibl rk. 4 , 4 v V Rain Drains 1 Catch Basin / Manhole ANI)OX ‘1,0 ml ry Storm Drain Shower Pan Other: ,, nn Final (-\- \ L \k -i3 \A 1 ( .1 u ll 0 I'\-Q )O irC\ c k'l '+\ C, ikl‘‘\1 PASS PART FAIL MECHANICAL C\ - 11),1 c )1`li _ iRt Post & Beam Rough -In II nn _ Gas Line D� c ) g ' � 11 / / '� 1i ' TN�\__((4p 10 m' J ra)• �,IQ► � S r Smoke Dampers Final �© 1 V 1 ►"c1 >. N lX \ IN '-' ,Iv' C' • v PASS PART FAIL ERICAL a •�.5-' 02 INVAn`atL LL Nth 1 1 o LO N ►m fD stA vi -Y►m� c ma eu(�- Servi Rough -In Co tt \f lrl wl\i /04 - V U) A4 k?Pa4�D (>a- 0Kull. 3'o Yet UG/Slab 3 ���4.L ` �= �S .owl x Low Voltage - 011 - . '0 10 th>�'Q.11� N ‘S Q h jicrS M GO--. t Tr IT N �S o 1 h 11' Fi Alarm U Q N fa (,.Rr�is • 41 O • P ►�.� 1vc 1%1 WW SS \iI • S („in . 4 1 ( 1 *.L PSS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE 0 Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line , ADA Approach/Sidewalk Date � -5 ' O ' Inspect , P . - �1 Ext Other: Final DO NOT REMOVE this inspection record from the b site. PASS PART FAIL