Permit CITY O F TI GA ELECTRICAL PERMIT
PERMIT #: ELC2006 -00277
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{Y Y DEVELOPMENT SERVICES DATE ISSUED: 5/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2 S 113AB -00101
SITE ADDRESS: 16101 SW 72ND AVE BLDG A -150 ZONING: IP
SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG
Project Description: (4) 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: 3 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 5/17/2006 $66.80 LIC 51539
[TAX] 8% State Surcharge 5/17/2006 $5.34 SUP 2053S
Total $72.14 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: — 777,0 j j', Permittee Signature: _� �� �\� At
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.
Ma' 17 2006 10:05RM Johansen Electric Inc. r�s uT 503- 698 -2486 p.3
Electrical PCll'illlt ArDn1oCa>tio � � [.. �r, ,& r .'�, ,� I (, k 1 , t l i ( ,, � . i (, ,1 \ ), c•-• t ' ' L
City of Tigard 4 Rewind
13125 SW Hall Blvd., Tigard, OR 97223 0 / 7 0 Pain L ('.�, +� rr/ d �c'�!1
Phone: 503.639.4171 Fax 503.598.1960 ‘ 'l \ • 1 ai y Other pmt
inspection Line: 503639.4175 iro,� a 1,1_ :11 ` ;, - Date Ready/BY: suds 01 See Page 2 for
Internet. www cr.tigard.ar us . S \4 Notified/Method: 5 - � � 1 y ual leformatioo
-w � x _ i ce.
3 � `� t G � ' C `t �3 1� T N' d r&t, ` r 2 t n i� �zSAr H ��'j A ` '' , . 1 ' 4" .. ?v� '474,-
"4' 14- g ^ .',
❑ New construction I Additi •, - . ` . on/replacanent Please check all dm apply:
Service over 225
C3 Demolition ❑Other 0 GPs. comm'1 ❑Harerdous location
v ti ; , s ['Service over 320 amps - rating ['amides over 10,000 sq. ft.,
of 1 -and 2- 111rnily dwellings 4 or 1130te new residential
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
ID laGllti- family El Master builder ❑ Other: ['Building ['Feeders, over three storFeeders, 400 amps or mote
[ w , K n 000cupant bad over 99 persons ❑Manufactured struarues or
a(/ t 'pip Y yr ' P , , 4. ,a ... ['Egress/lighting plan RV part
lob no.: Job site address: 16101 SW 72nd, 150 ❑Health-care facility Dollar:
Submit ,1 sets of City/State/ZIP: The above are �plans with any to of the above
app temporary oomtntaion service-.
Suite/bldg/apt no.: 150 Project name: Qualcomm, 1st floor ' '
Destratios ". QV. Fan Total Cross street/directions to job she: New reaidenlial single- or multi -gunny dwelling mit.
iaelodea attached garage.
1,000 sq. R or less 145.15 4
Subdivision: Lot no Ea add 'I 500 sq. ft. or portion 33.40 - 1
Tax map/parcel no.:
Limited 8Y• residential 75.00 2
X �,`''`ft x ' _ a Pd € 4 ssy '';i.''',- , '''-'4 kt i; - $) "1"3. r . � - ' _ energy, norrlesidart,al 75.00 2
tt ,. I -
.� Each manufactured or modular
Tenant I rn • rovement ding, a and/or feeder 90.90 - . 2
Services or feeders installation, alteration, ond/or relocation
200 amps or less 80.30 2
41 11 t 1� r µ 201 amps tO 400 amps 106.85 2
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 feeders installatton, alteration, and/or
Phone: ( ) Fax ( ) rdoaatbn
Owner installation: This installation is being ade on 200 to less 66.85 1
g property that [own which is not 201 to 400 amps 100.30 2
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: Branch eireuib - new, alterotoo, or e:teasiom, per panel
�s�° � " , .wr '"t� "�,5 �� � „� � . � ?) � : � , ' A Foe for branch circuits with
isl , -s a � te. "-v , ' • ' 1:, h„ M. ,,, +� . 7 , .'S S " , - ' ° - . x• ' service or header fee, each
Business name: Johansen Electric Inc. branch circuit 6.65 2
8. Fee for branch clzeuits
Contact name: Charlynn Leilken without service or feeder fee, 1 46,85 46.85 2
Address: 10948 SE Valley View Tarr. astir branch circuit
Bath ad1'I branch circuit 3 6.65 19.95 2
City/State/ZIP: Clackansaa, OE 97015 Miscellaneous (service or feeder not included)
Phone: (503) 698 Fast:: (503) 698 E or irrigation circle 33.40 2
Sign or outline lighting 53.40 2
E -mail: johanaeneleet@msn.com Signal circuit(s) orliimited-
`; 4 ` „ I Y n- ri' ,'- Lei r. ' J k^ar ? _ :+. ^'-k ', `... r f'; • - r t, { , ener®/ pa alteration, or
Busing name: Johansen Electric Inc: f B 1 Oa' nel, � Page 2 2
Address 10948 SE Volley View Terr. Each addidooal inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Clackamas, OB 97015 Investigation per hour (1 Iv min) 62.50
Phone: (503) 698 -3417 Fax: (503) 698 - 2486
industrial plan hour �a+ y 73 75
r i.;: T .,A l''' -r' is - 4'7"i'z 'isa.!c14T,.Z * '4 '.∎? a' FI 4+4%.7- '
CCB Lic.: 51539 Electrical L 3 - 243 S . Lic.: 20533
Subtotal 66.80
Su Electrician an" .4/0' i% ■ �s
prv. signature, required: �, Plan review (25% of permit fm)
State surcharge (834 ofpmit fee). 5.34
�� /, f/ . 3 Date: 5/17/06 er 72.14
Authorized signature:
TAL FERMI FEE
tom• ! ': . / TUs per application empires ifs permit to not obtained *din 180
_ ' Date: days y it has Building 1 complete
sl
Print name: Se
- % .:-.. /, ♦ �A. ' . D 5! � 7/06 • methodology ws1Y 8w'Iding IndoarY Semi= Hoard
•• Number of iuepectims per permit allowed.
OnsUbufTerauec - PermWmpdac Th03 44e461ST( rob /Cd.WW88
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200G -00217
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2006
Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/26/2006 TIME: 7:05AM PAGE: 26
SITE ADDRESS: 1(I01 SW '12ND AVE BLDG A -150 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: (MALCOM
DESCRIPTION: (4) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698.3111
Inspection Request Scheduled For: Date: 6/26/2006 Pour Time:
Inspection Description Confirm # Contact # Message
199 Electrical final 032356 -02 503 -320 -8601 Y
S`S"tU
Corrections /Comments /Instructions:
3 0 oiN't @ CZ `►
okw Lc. 7,064 • Doti
con‘ Tee
TA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 4\f 3 ' ; L1 Date: 4 ✓2-.A - v 6 Phone #: (503) 718 - 7196
CITY OF TIGARD ..
BUILDING DIVISION 0., F PERMIT #: ELC2006� 00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2006
Phone: (503) 639 -4171 �1/ I1,
Inspection Requests (24 Hrs.): (503) 639 -4175 u � ,�� __..
INSPECTION WORKSHEET FOR DATE: 6/212006 TIME: 7:08AM PAGE: 28
SITE ADDRESS: 16101 SW 72ND AVE BLDG A -150 CLASS OF WORK:
SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE:
PROJECT NAME: QUALCOM
DESCRIPTION: (4) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-69B-3417
Inspection Request Scheduled For: Date: 6/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Wall cover 031012 -01 503- 704 -1534 N
Corrections/Comments/Instructions:
LC PEILAAIT SCL 2A0.6 ■ Oe■ ti
c 'a (43 a 11 ' 12
Id, PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-