Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00359
r, DEVELOPMENT SERVICES DATE ISSUED: 6/30/2006
J II 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S113AA -00400
SITE ADDRESS: 16290 SW 72ND AVE B2 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT : 018 JURISDICTION: TIG
Project Description: (1) 200 amp service, (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: SIGNAUPANEL:
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: 4 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 10948 SE VALLEY VIEW TERR
PORTLAND, OR 97224 CLACKAMAS, OR 97015 -000
Phone: 503 - 624 - 6300 Contact #: PRI 503 - 698 - 417
FAX 503 - 698 -2486
FEES
Description Date Amount Reg #: ELE 3 -243C
[ELPRMT] ELC Permit 6/30/2006 $106.90 LIC 51539
[TAX] 8% State Surcharge 6/30/2006 $8.55 SUP 2053S
Total $115.45 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: L LC Permittee Signature: S� Q c )1\
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 29 2006 12:30PM Johansen Electric Inc. 503 -698 -2486 p.1
_
•
Meciric Applicat /J(� 1 , ,,: ,,,- I . I (, , , , , ,, , N .
' 1 7 � 5 SW Hall Blvd., °• 7 d, OR \J L� V IS D - ` Waltz. k Ye 'vt1 L Farah No.: (�-, .�1t! i — ®D55
Plan Review /
Phone: 503.639.4171 Fez: 503.598.1960J 2 9 2006 -Da"' OrberParreit
Inspection Line:
Internet 503.639 4175 � ' ! ! ' . Date Reai By: rurlr SI pye 3 for
us CITY OF TIGA - I (r 1 Bee
�fvemem.11ableratla
❑ New construction ∎ • Addma✓at tion/mplacement Please cheek all the apply:
1:1 Oemolltiaa p Other: [Servta over 225 amps, comm'I location
.,. . . .; ,.. ..... - � - , e�- rating Buildngover 10.000aq.8.,
of 1 • tr imly dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial/indust ial ❑ Accessory building ['System over 600 votes naninal maim in one structure
0 Muld - fatni 0 Master builder ❑ Other: ['Building over three dories ❑Feeders. 400 amps or more
. . _ p ersons Ai<anut�ed ea SIMOe or
... :..::... . . :... lead ova 99
l it Plan RV path Job no.: Job site address: 16290 SW 72nd
Submit,/ sets of plans with any ofthe above.
City/StateIZlP: The above are not applicable to temporary etpostruction service.
Suit ltddglapt. no
Q W . ......... T.d �
nmyuoe ..
Cross street/directions to job sire: r • .■ ; IS New residential dagle- or mullI- miy dwd ing mtait.
Includes attached garage.
e_? = - • 1 • 1,000 sq. ft. or less 145.15 4
Subdivision: , no Ea, edd'I 500 sq. ft. or piston 33.40 t
Tax mlap/pareel no.: Limited energy, residential 75.00 2
Limited energy, non-residential 75.00 2
Each aannthmmd or modular
Tenant improvement
dwelling, service and/or - 2
Services or feeders bmhllation, alteration, aadlor relocation
200 amps or less 1 80.30 - 80.30 2
2
_ 401 s0 6 00
- .. em? 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 on ly 66.85 2
City/State,IZIP Tenspontry services or feeders installation, alteration, antler
relocation
Phone: ( ) Fax ( ) 200 amps or leas 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease. rent, or exchange, according to ORS 447, 44+9, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or es tendon, per peed
A. Fee for branch circuits with
service or taeda tae, each
Business name: Johansen Electric Inc . breach wit AS 6.65 26.60 2
B. Fee for branch circuits
Contact name: Cbarlynn Leiters without service or feeder Am, • 4885 2
Address: 10948 SE Valley View Tarr. cub branch circuit
Each addl breach circuit 6.65 2
City/StatcfZlP: Clackamas, OR 97015 Mlacellaaeeas (service or feeder not included)
Phone: (503) 6983417 Fax:: (503) 698-2486 Pump or irrigation circle 53.40 2
Siege or outline lighting 53.40 2
E-mail: . • oseneleetemsn.eom Signal circuits) or limited-
energy panel. atoastion, �
admi
Business name: Johansen Electric inc. 1� fie: gage 2 2
n
Address: 10948 SE Valley View Terr. Each additional Inspection over allowable is are, the above
Per inspection 62.50
City/Stale/ZIP: Clackamas, OR 97015
Investigation per h orn (1 tr ®o) 62.50
Phone: (503) 698.3417 Fax: (503) 698 -2486 Industrial lent per hoar 73.75
CCB Lic.: 51539 • S . Lic.: 20535 Subtotal 106.90
Supra. Electrician signature, required: ro . jr. �-�- Plan review 5% of t2 permit fro)
6/29/06 state (8% 8.55
. 1 _ / , T ryI A1, l'1t3tM1iI FEB 115.45
. i , . , , This permit appdeadmzian e • permit in not obdlieadi lilted. lee
Print name: Ai /, • Q / % ,.. .�- � 6/ 29/06 • Fen mathndolo8y e by T County Building Industry Movies Bawd
" Number of inspections pa permit allowed.
L .too 171.3 440661ST(i002X06&WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00359
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2006
Phone: (503) 639 -4171 4
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/5/2006 TIME: 7:00AM PAGE: 213
SITE ADDRESS: 16290 SW 72ND AVE B2 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: 018 TYPE OF USE:
PROJECT NAME: EXPRESS BUSINESS
DESCRIPTION: (1) 200 amp service, (4) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503 - 6246300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698.3417
Inspection Request Scheduled For: Date: 7/5/2006 Pour Time:
•: - # Inspection Description Confirm # Contact # Message
199 Electrical final 032654 -02 503 -969 -5263 N
Corrections /Comments/ Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' tkot{r Date: 911 CI'D Phone #: (503) 718- 1L L •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200&.00359
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2006
Phone: (503) 639 -4171 :VI i
Inspection Requests (24 Hrs.): (503) 639 -4175 r:_..
INSPECTION WORKSHEET FOR DATE: 7/3/2006 TIME: 7:03AM PAGE: 25
SITE ADDRESS: 16290 SW 72ND AVE B2 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK 1 LOT #: 018 TYPE OF USE:
PROJECT NAME: EXPRESS BUSINESS
DESCRIPTION: (1) 200 amp service, (4) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-624.6300
CONTRACTOR: JOHN ELECTRIC INC PHONE #: 503-6913.3417
Inspection Request Scheduled For: Date: 7/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 032600-01 503 - 704 -1534 Y
Corrections /Comments/ Instructions: LA - 709 13 3 y
C -Eywov : yWE' P'r i rJ J 1 Gr. 5 i w) � i F CA N N
0
T . 1M .3
:.`ia.. a ..._. (.) hc I - 2_,.ca , 4.14
4) L& • WO 0 4 6%)ci pkgc1,. •
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
g FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G Nod t`. Date:1 ;ink) Phone #: (503) 718 - 21-449.