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Permit
C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00861 ' DEVELOPMENT SERVICES DATE ISSUED: 11/2/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AA -00600 SITE ADDRESS: 16126 SW 72ND AVE B1 ZONING: I -L SUBDIVISION: OREGON BUSINESS PARK I LOT : OOB JURISDICTION: TIG Project Description: TI 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: 20 PER INSPECTION: 201 - 400 amp: 1st WIO 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: 503 - 624 -6300 Phone: 503 - 698 -3417 FEES Reg #: LIC 51539 SUP 2053S Description Date Amount ELE 3 -243C [ELPRMT] ELC Permit 11/2/2005 $213.30 [TAX] 8% State Surcharge 11/2/2005 $17.06 REQUIRED ITEMS AND REPORTS Total $230.36 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-QUNC at 503 - 246 -669 • • r 1-81i 33 / Issued B • / _ 1 ` ��� _ Permittee Signatur 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 INSTAjLATION ONLY SIGNATURE OF SUPR. ELEC'N: ■1 1rOffrld 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. From: Charlynn Leifsen 503 - 698 -2486 To: Cjy of Tigard Date: 11/1/2005 Time: 3:44:06 PM Page 2 of 3 Electrical 1 A lication in I ()12 () I: I: I ( 1 I ' t i \ I.1 City of Tigard El\i Pemdt No.: � Received fd» ► E n view Phone: 503.639.4171 Fax: 0 `. .1960 '' '-, I Date/g : Other Permit: Inspection Line: 503.639.4175 1 VAS 4 - L .J_ �' www.citigard.or.us �1 ' No ified/Me od: S See Pane I for Internet: 1xo % `/ Supplemental Information t , ' '_ ' 1t fi )T t) ',A.,,,,,..!..' 1 I. 7 :,r s i..n r,l��t s '� vl rn '1' ; . i ?z�; _ � .. ± ��,, tl ? l z.., �' ' t ..: n,.l ,.:a- dtls ❑ New construction •■ .i, • • ri . ton /replacement Please check all that apply: ❑ Demolition % Other ['Service over 225 amps, comm'I ['Hazardous location ['Service over 320 amps - rating ❑Build over 10,000 ft., 1 ? N f P -. :• r 1 , k y 1+ _ . .. ' t� � 'PV 7 e - 1{ [ r 7 _ 1:_ r ..>i . ::. :. ..< � .__:. t .s ....E 1 ' ,,.... :,4,, %" s_`?" ifii; ": of 1- and 2-family dwellings 4 or more new residential ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi-family ❑Master builder ID Other: ['Building over three stories ❑Feeders, 400 amps or more e t s „r , , Occupant load over 99 persons ['Manufactured structures or 3 1� 11 ..i:. ,�'! F i .� , , P a : ,. a _ _ +z W ',, .� :, 1. f , 1 ; , gress/l 8h g _ . re>., . :,!= +3„l,� ._ �. A.� �+ :i ? .� .�• .�.'._... , . .. �`, r•.x; ❑E t tin Plan RV park Job no.: Job site address: 16126 SW 72nd ❑Health -care facility ['Other: Submit "sets of plans with any of the above. City/State/ ZIP: The above are not applicable to temporary construction service. t -uT Suite/bldg. /apt. no.: zo Project name: 8 l: d__ . ♦� -. " .r _...,: �,.. .., ....'. b T > :,c a 4 I.: Demriprbe Qq. tee. Tad .. Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. R or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no Limited energy, residential 75.00 2 L s Limited energy, non - residential 75.00 2 • a ^,ti ry .ra i s.. > 1 {111.'; e- � � ..hvg :: , ' p i l l ; I I I�� #A', :f.'c. ,..� .d..,", y,esu :... .... ".:.x :i{r).. G:..,R ..,i'- ter,.._; :A.r2,.n.'.. 1 ._....._:-..:. >. Each manufactured or modular i I dwelling, service and/or feeder 90.90 _ 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 1 80.30 80.30 2 t " 1 J1'' 1 ' ` r r< (s ;,! i, x ) n 1 lu ., y c z i 201 amps to 400 amps 106.85 2 .. __.1i. , .. i. t , :, .. ),. :.. :.. ^ , h, : , , .ix . art. .,_,, , ':,'_r ' - 401 amps to 600 amps 160.60 2 ' a 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 installation, alteration, and /or relocation Phone: ( ' Fax: ( ) 200 amps or Tess 66.85 1 • Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 1 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps I 133.75 2 Owner signature: r Date: Branch circuits - new, alteration, or extension, per panel '*i + : i'' : F r t' "'' ''' gq fit i --- arim ' A. FCC for branch circuits with _._ ...._. _.. .. .rs _ .... '.., eir:V ,:s$, :, . a,..a6 . t e-,, , . ._ .,. . : , service or feeder fee, each Business name: Johansen Electric Inc. branch circuit 20 6.65 133 2 B. Fee for branch circuits Contact name: Charlynn Leifsen without service or feeder fee, each branch circuit 46.85 2 Address: 10948 SE Valley View Terr. Each add'I branch circuit 6.65 2 City/State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (503) 698 -3417 Fax: : (503) 698 -2486 Sign or outline lighting 53.40 2 E -mail: jobansenelect@a msn.com Signal circuit(s) or limited- j T', ? l fi m . F X pF . h :_..- T ; C 1 C A! !1 y { l T uy � f i - f a r . p � a � r , . y r. s !� t, alteration, or ' , .zi . 1., t :„ ri ffs :: t 1._ i.,l.i �t� •„ , . ,,, :, , , • ?� ��.. . T'f� !... ,.,, ..4 .... :.�.,!� ,..� .,I 1*f; .-, energy Panel' extension. Describe: Page 2 2 Business name: Johansen Electric Inc. Address: 10948 SE Valley View Terr. Each additional inspection over allowable in any of the above Per inspection 62.50 City/State/ZIP: Clackamas, OR 97015 - investigation per hour (t hr min) 62.50 Phone: (503) 698 -3417 Fax: (503) 698 -2486 Industrial plant per hour 73.75 s .. 'siY.1 d f ,L,71 x._' ,.i.): :2: !o. {T ' 1: r� k -: CCB Lic.: 51539 Electrical Lic 3 -243 S .tv. Lic.: 2053S Subtotal 213.30 �> #r l/, W i s - r - 1/ Suprv. Electrician signature, required: / Plan review (25 °k of permit fee) igi mmi Date: 11 / 1 /05 State surcharge (8% of permit fee) . 17.06 �� �` 5 r TOTAL PERMIT FEE 230.36 / . Authorized signature: , ,. ... / This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete Date: 11/1/05 • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. is\ Building \Pamitt\ELC- Perml.App.doc 17/03 440- 161ST(lWWD2/C0M/WEB CITY OF TIGARD BUILDING DIVISION _ PERMIT #: ELC200& -00 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//2/2005 Phone: (503) 639 -4171a�����ill Inspection Reques (24 Hrs.): (503) 639-4175,1 - INSPECTION WORKSHEET FOR DATE: 1/30/2006 TIME: 7 PAGE: 20 N N. SITE ADDRESS: 16126 Slid 7'SVD AVE B1 CLASS OF WORK: SUBDIVISION: OREGON BUS ESS PARK I LOT #: 0013 TYPE OF USE: PROJECT NAME: CONNECT-AIR DESCRIPTION: TI OWNER: PACIFIC REALTY ASS 'oCIATES, PHONE #: W3.624 - 6300 CONTRACTOR: JOHANSEN ELECTRIC I i, PHONE #: 503-698-3417 Inspection Request Scheduled For: Date: 1/30/2006 Pour Time: Code # I ns • ec ' • Description Infirm # Contact # Message 199 Electrical final 02.. '!"4 -01 503.969 -5262 N Correcti• - omments /Instructions: e PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1 36 64 Phone #: (503) 718- Zgqi____ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006•0% I 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 11/2/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/2712006 ,, TIME: 7 :00AM PAGE: 5 SITE ADDRESS: 16126 SW 72ND AVE B1 CLASS OF WORK: SUBDIVISION: ORFGON BUSINESS PARK I LOT #: 00B TYPE OF USE: PROJECT NAME: CONNECT -AIR DESCRIPTION: TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503.6246300 CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 60:3- 69F3-3417 Inspection Request Scheduled For: Da : 1/27/2006 Pour Time: Code # Inspection Description on irm Contact # Message 199 Elec:txical final 026894 503 - 7041634 N Corrections /Comments / Instructions: D c. 6- tC PS vim SAC �CZ - Np4 . . . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1\1618 Inspector: Date: 1 27 0-6 Phone #: (503) 718 - 2-1114)‘' CITY OF TIGARD BUILDING DIVISION PERMIT #: El C2006.00&; i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2006; Phone: (503) 639 -4171 :z r, Requests (24 Hrs.): (503) 639 -4175 F 'I �.. INSPECTION WORKSHEET FOR DATE: 1/25/2006 TIME: 7:03AM PAGE: 13 SITE ADDRESS: 16126 SW 72ND AVE B1 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOB TYPE OF USE: PROJECT NAME: CONNECT -AIR DESCRIPTION: TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 6 03.624 -6300 CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698 -3f117 Inspection Request Scheduled For: Date: 1/25/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 193 Electrical final 025712 -03 503 -69B X17 N Corrections /Comments /Instructions: Q CZo v v) 10 - TRAAJ5F6ct. ►��cL S IQ ©w Z_41 OK) b f Ci-a o z G`6k _ sva-cu=3 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr Ni 68 Date: 12-616-4 Phone #: (503) 718- L 'b6 CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2005_00861 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2J2oO¢; Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 „„ `'I I.. INSPECTION WORKSHEET FOR DATE: 1/17/700 TIME: g: 36AM PAGE: 7 SITE ADDRESS: 16126 SW 72ND AVE B1 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOP3 TYPE OF USE: PROJECT NAME: CONNECT -AIR DESCRIPTION: I OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 -624 -6300 CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 5n-698-3417 Inspection Request Scheduled For: Date: 1/16/2006 Pour Time: - Code # • = -- r **li•.: cription Confirm # Contact # Message 130 Ceiling cover 025033 -02 503-698 -3417 N Corrections /C. 1 ents /Instruction • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS �❑ FAIL ❑ CAL FOR INSPEC ON ❑ ADDITIONAL FEES ASSESSED Inspector: /� �� / Date: fI 1 0 4 Phone #: (503) 718- lig • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2O05-0t11 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12J30/2005 TIME: 6: 59AM PAGE: i23 SITE ADDRESS: 16126 SW 72ND AVE_ B1 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK 1 LOT #: 0013 TYPE OF USE: PROJECT NAME: CONNECT - AIR DESCRIPTION: TI OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 621 - 6300 CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417 Inspection Request Scheduled For: Date: 12/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Eigarg •.. - 0241227 -01 503. 704.1534 N 1 Corrections /Comments / Instructions: • Ar ti PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 12. . ® Phone #: (503) 718- CITY OF TIGARD - BUILDING DIVISION • PERMIT #: L LC2005.000sl 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2/2()0;; Phone: (503) 639 -4171 dAyi��ii Inspection Requests (24 Hrs.): (503) 639 -4175 —AA' ' :_.. INSPECTION WORKSHEET FOR DATE: 121213/2005 TIME: 7 : 02AM PAGE: 37 SITE ADDRESS: 16126 SW 72ND AVE B1 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: 00L3 TYPE OF USE: PROJECT NAME: CONNECT -AIR . DESCRIPTION: TI OWNER: PACIFIC REALM` ASSOCIATES, PHONE #: 503 - 624 - 6300 . CONTRACTOR: JOFIANSEN ELECTRIC INC PHONE #: 503.690 Inspection Request Scheduled For: Date: 121213/2005 Pour Time: Code # . n Description . Confirm # Contact # Message 125 IMO 024086-01 503-698-3417 N ;t? Corrections/Comments/Instructions: (� VF C.- w # �3 VIA Jo coo v • P 4 I \ DASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS [7 FAIL ❑ CAL FOR INSPECT • N ❑ ADDITIONAL FEES ASSESSED Inspector: . �' Date: 1 /13/ 36---- O dv Phone #: (503) 718- • . a '° . . s CITY OF TIGARD BUILDING DIVISION - PERMIT #:E1.4 Z�.� 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12L.�� °0� Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: I'-,C` – TIME: fl PAGE: SITE ADDRESS:1 b t V S 12. g l CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: cog s gyp►% (L - DESCRIPTION: "f 1) OWNER: PHONE #: CONTRACTOR:ZtAW S' ' PHONE #: Inspection Request Scheduled For: Date: 12._ \q - � Pour Time: Code # Inspection Description Confirm # Contact # Message 11.6" C & ei i 01.4 Corrections /Comments /Instructions: 0 k c x.nen. w4 LL o N ti ea/ W eflE V(us)141' b9 - `"'■ oN ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 14 .151) Date: 1/06 Phone #: (503) 718 - 2.94t ,, CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00861 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/2!2005 Phone: (503) 639 -4171a Inspection Requests (24 Hrs.): (503) 639 -4175 "'I� INSPECTION WORKSHEET FOR DATE: 12/19/2005 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 16126 SW 72ND AVE B1 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOB TYPE OF USE: PROJECT NAME: CONNECT - AIR DESCRIPTION: II OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624 -6300 CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698'3417 Inspection Request Scheduled For: Date: 12J19/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 12 : •vet 023707 -01 503 - 698-3417 N gq t:4_, ' �ho1 46 orrections /Com - . _ stru�c bye* ?A cm tku t0G`rA 614 iil oK -k x PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 V LF- Date: 12 ' I cl7 Phone #: (503) 718 - 2.44.