Permit CITY OF T'GARD ELECTRICAL PERMIT
PERMIT #: ELC2001 -00450
4I� Jt DEVEL Tigard, ICES DATE ISSUED: 9/10/01
(503) 639 -4171
PARCEL: 2S1 13AA -00500
SITE ADDRESS: 16112 SW 72ND AVE B -18
SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L
BLOCK: LOT : OOA JURISDICTION: TIG
Project Description: Install (2) services /feeders, alteration or relocate. 200 amp /less with (25) 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: 2 W /SERVICE OR FEEDER: 25 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 TERRACE
PORTLAND, OR 97224 CLACKAMAS, OR 97015 -000
Phone: Phone: 503 - 698 -3417
Reg #: LIC . 51539
SUP 2053S
ELE 3 -243C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 9/10/01 $326.85 2720010000( Wall Cover
Elect'I Service
5PCT CTR 9/10/01 $26.15 2720010000( Elect'I Final
Total $353.00
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
Permit Signature: � Issued By. i� ;
�1LL-
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: 0 .45 3
Call 639 -4175 by 7:OOpm for an inspection the next business day
From: Chartynn J. Leifsen To: City of Tigard Date: 9/7/2001 Time: 9:15:14 AM Page 1 of 1
vu v..I.
TIG�
Electrical Permit tion
/ -•t� • .�� �9V
Datoreoaivod: 1 � Pv.n:trrta.: 0� � �
. t�` fi„ City Of Project/VV tin_ Expire claw
City Address: 13125 SW.Ha11 Blvd, Timed. OR 97223
Phone: (500) 639 -4171
Date tanned: , fly: Receipt ire.
PI M: (503) 598 -1960 Case file no.: Payment type:
Land use approval: ,
•
11 1.1. l)1' I'1.1: 11IIT
0 1 & 2 family dwelling or accessory >ArCittomendellindusntal O Multi- fanlily 0 Tenant improvement
0 New constructing 0 Addition /aitolation/replacement 0 Other: 0 Pardal
.14111 Sr1 i l;\ rr114N1 t 1 ION
Job address: l/ rr�� a f Bldg. no.: • Suite no.: Tax •• :,. taut Lot/acoount no.:
Lot: Block: Subdi stag_ — -
Project name: • toll ' . di .S 1 Description and location of we ; oe promises:
Eadma>ard dam of • • .
(i►\a It'.t , IC)It •iI•I4I(:.\1'IC• r r.F_ sir trr71. - 1E
Job au Ira, 1 hlaet
• Business name: • • etc• ■ : t Demetrios • . e. T. • rue. — •
Address: 1 ncl4R SR VAT,T.RY VTF RRA('9: !er
City: CLACK A M A S State R 12 9 70 1 , _ , b �� p"a° •
-.12.,.3-11- PLIo 9 8 3 4 1 f Pax: - _ l . 4$G . • . A or has 4
CCH no.: 5 1 5 3 9 Elec. bus. lit.. no: -a _ i� admdonal 300 $q. K or po io,* thereof
tad • -..,. .e•i e
City/metro lie. um: V • • • • • • • ' 2
led • - . aoadddiat 2
�. S^ -e. '
. q /d I man decetw d hoar or nodular dwelling •
• ..' 13 I'• ee tmdro faodor 2
elect. mono • ): _ • • _ • - • --rm: • t , - - erfe den -io 4oBad1•e,
1.1tt1 1•G12T1' t)\1'1'1FIt tlmorceloesBoa
�• oriels • {�{) 2
Name (print): • •• to dap sin • 2
Mailing address: • m ' t amps' 2
' � a to 1000 assess 2
City:' ZIP: � 1000 amps or volts • 2
Phone: i[alt: I E-mail: ■' :.... -. ... 1
Owner installation: The installation is being made on **party 1 own ary>ler+>irsaorie•d.r.-
which 13 not intended for sale. lease. refit, or exchange according to aamaidiaa.ce•aloa.siosar
ORS 447, 433, 479. 670. 701. ' t • es lama 2
Owne'r's signature: Dees N.. • to .• 2
- --- NMI.. 600 , • 2
Nance: •.mlioe' perpanals
Address: r.• for Mooch simeirawithpaschupof 65 • Moe or feeder tee. pooh brown circuit I� l If ' 2
City: State: ZIP: - !be brunch elreaim without purchase
Phone: Fes.:
� If sondes orfeeder • - tfr•tbrooch d..,..... 2
E sr+-t addirt000• • .. d•••• -• .
l'L .N Bich 11,A t 1•l.:ncc cltcctc :,Ill ih:.t 5'0.1.111 ya sat
0 Service over•22J me eial 0 RosidYS9Nfacilily R pump or Inigarfon Miele 2
O Serrano ovv320 amps- rnrlog of IR2 0 H®rdtitu leen: oa w sign or outline : 2
famly dwellings 0Rofl/ntl rc.
over 1000 equateot four or E . dicuat(a) Or a Mole' energy panel,
0 System over 600 volts mnunal mote realdm•lal units inane sWtwie •• cm, orocraodem• 2
0 Reedbrg ovarrhresa nadn 0 Peettio. 400 amps or more • _
0 Occupant load aver 99 persons 0 Mama /noosed sauaoaes or RY pan: ` adelLdi eat etio crepe the allows in may or tIr allover
0 Sermehistatng plea 0 Odic � r-a
°^ ITT' 1
Submit _ sail airplane with any alike above. Q. !!',t. . .n>bo
'Clue above ere root applicable to terporary oostaH radon saivIce. OM - f_55
no. Al jam a.ceele _ •• t o.8. 030.0 GM i lea r .»r w . . don. Noliec: Ills per ' t application Permit sec $ L L#
a Ken rancreard 1 expires if a Is not obtained' Plan review On 96) $
- • • card • •.. - . �2000b4A. I.. f / 0 Df 3 �L� .vttbla 1so days ultas been State eareharge ( %) _. S : !fir
. . ^ : ' • ' ! amepted as nom . TOTAL S � 5
i a: .e ea on= - , s, 3
" `II° a`m'p• � ,
-- -) 40.46 L7 (entormal
1
.
. I
t a Tilt
.i '; : .. �
`�` :ta
p : ' 4: � :.io t ;. r . : i •
•
.G ii
•
.I
t •
•
.
:vI
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /0 - 7-co AM PM BLD
Location Z � 11 uite MEC
Contact Person _ / ' 1 _ �'J - /I. Ph c f 3 3 / PLM
0
Contractor °" t Ph SWR
BUILDING Tenant/Owner ELC c9406/ c
Retaining Wall ELR
Footing Access:
Foundation FPS / C
Ftg Drain p
Crawl Drain Inspection Notes:
[:::)i S Slab J a' 1 SGN SI i
Post & Beam I
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall %t & I /� C / /z f� (.J.
Fire Sprinkler �—/ O/ d
Fire Alarm
Susp'd Ceiling .- L... _A . AA _ 1 • ..- A _ . IJ1 "_/,!..!‘
Roof / .4 (/) 1) r� (.nz -7p
Misc: ✓L L ('Cc I �
Final
PASS PART FAIL i- C ( - ! (, '
PLUMBING K CCU) /?,h t Tfi7�z /g — e (c fro n yi - t
Post & Beam ✓
Under Slab (Dvj 1
Top Out V •
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In �
Gas Line —_ __ — '�*
Smoke Dampers iv
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage pAss
Fire Alarm r1 1' q.- // `/_ c)yl S 47
tp PART �>r COC)P ks-p,i-,;*s
/
..
Backfill/Grading
Sanitary Sewer,
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Other Approach/Sidewalk /3/-264/ p �/
Other Date Ins ect / n y � Ext
Final �/ �
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.