Permit ., 51TY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00315
A �.i A . D EVELOPMENT SERVICES DATE ISSUED: 6/2/2006
° 'I — 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 113AB -00101
SITE ADDRESS: 16101 SW 72ND AVE BLD.A ZONING: IP
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: Connect new rooftop equipment
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: 2 W /SERVICE OR FEEDER: 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: Contact #: PRI 503 - 698 -3417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 - 243C
[ELPRMT] ELC Permit 6/2/2006 $160.60 LIC 51539
[TAX] 8% State Surcharge 6/2/2006 $12.85 SUP 20535
Total $173.45 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: "------- Perm ittee Signature: .... ait2 Zvi
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.
Jun 01 2006 4:02PM Johansen Electric Inc. 503 - 698 -2486 p.l
ctr'c ]P , no_ t_Aanlication
1( ;; 1., (..I\
City of Tigard
13125 SW Hdi Blvd., Tigard, OR ECEIV ED ■ is a.A Parma Na: �aL�o -' , 6
Plante: 503.639.4171 Fax 503.598.1
Inspection Line: 503.639.4175 JUN 2 200 :..,11 .L c a r
, °qi �� __.,, ii , - 61/ '/
InteInternet ww o d tigatd eu.as Nom: llurk ' See Page i eInternet
- - e �D/t�Arl Unmade.
❑ New construction is .,. `, -1 ,_ _. goo nag
❑ Demolition Flange dutch all that apply;
❑ Other: 08erviee over 225 amps, oornm'1 Dllarardous location
over amps - retiog 0Buildng over 10,000 sq. t1
❑ 1- and 2-family dwelling =' Commercial/industrial of 1- and 2- family dwellings 4 canard new ialdeapal
❑ Accessory building OSYstem over 600 volts nominal /mid in one °D and
❑ Multi - family ❑ Master builder ❑ Other ❑dins over three stories C7Fadas. 400 amps or rna
DOcctipeirt load over 99 persehns ❑1ltanuhatihrod atrracouea o
Job no.: nob aloe address: 16101 SW 72nd O t it D
City/State/MP: Submit 2 vats ad'pJaes with ray of= above
The above are not applicable to temporary construction wrriae.
Snitebldg./apt. no.: ROOF Project name: Qualcomm
Cross street/directions to job site: °"'tPa'° Qtr. p.. Toed
New I ode or wahld�ib' dwelling milt.
garage.
1,000 sq. R or less 145.15 4
Subdivision: Lot no.: Ea. add'I S00 sq. it or portion 33.40
t
Tax map/parcel no.:
Limited energy, reMidmtid 75.00 2
Limited energy. non-residential 75.00 2
Each manukchned or modular
Connect new roofto • equipment (byline& service and/or feeder 90.90 2
Services or feeders installation, degraders, and/or relocation
200 snaps or 160 less 2 80 30 160.60 2
201
amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
Adds: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
City/State/ZIP: •
Recce only 66.85 , 2 Tempo Phone ( ) Fax: relocation serwlea or teeden installation, Mention. and/or
( )
Owner installation: This installation is being made on property that I own which is not 201 to less 66.85 1
intended fbr sale, tee, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 30
OwmOwner 401 amps to 600 mope 133 .75 2 2 signature: • Date: Brands circuits- new, alteration, err eahaalon, per paorl
A. Fee fbr branch circuits with
Business name Johansen Electric lac. service or finds fee, each 6.63 2
brand/ Clrartt
Contact name: Charlynn Lenten B. Fee for branch circuits
without aerviee or Rader fen
Address: 18948 SE Valley View Terr. each branch circuit a► 2
City/State/ZIP: Clackamas, OR 97015 Each add'1 branch circuit 6.65 2
blIsceWaeote (service or feeder not included)
Phone: (503) 698-3417 Fax:: (503) 6984486 Pump or irrigation circle 53.40 2
E-mail: johansendeet®msn.eom
Sip or outline 'Wales tigg 53.40 2
Sigrid e:ireuio(s) or limited-
=my Deadt Manion. ion. or
Business name: Johansen E1ee rk Inc. Die Page 2 2
Address: 10948 SE Valley View Terr. Rea additional Inspect= over allowable in
any of the above
City/StaWZIP: Cladiamas, OR 97015 Per inspection 62.50
Investigation per harm hr mid 62.50
Phone: (503) 698,1417 Fax: (500) 498 -2486 Unsaid hour 73.75
CC13 Uc.: 51539 : - ' .. . Lis: 20538
Supurv. Electrician signature, required: �i!� I % ri* s� Su 160.60
Plea review (E596 of permit Ro)
Print name: J , / / r / Date: 6/1/06 State ca% ofpermit fee). 12.85
Authorized signature: OTAL mow FEE 173.45
��: , '- ice 'ibis Permit applicsdon aspires if a
� days �ah sot oh�ed�° Vie
Print name: accepted a e plate
/J.',:= Hate 6/1/06 /06 • Fin maboa olo� bi rr4c000+r reamer savtee coast
i• r12/03 a 4404elsrthorraloahmwea a• o f lnepeot i eris p tee erpee mitatlowed.
CITY OF TIGARD --..
BUILDING DIVISION PERMIT #: ELC200ti -00315
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: X002006
Phone: (503) 639 -4171 I m � j � , � s l l l l •Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/2012006 TIME: 7:01AM PAGE: 63
SITE ADDRESS: 16101 SW 72ND AVE BLD.A CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: PACTRUST
DESCRIPTION: Connect new rooftop equipment
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698.3417
Inspection Request Scheduled For: Date: 6/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031956 - 01 503 969 Y
Corrections /Comments/ Instructions:
•..-/)/\)
*PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N (ye w Date: 6 2,6 Phone #: (503) 718- 21.1 •