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Permit • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00306 DEVELOPMENT SERVICES DATE ISSUED: 5/31/2006 j j 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S113AB -01201 SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 -16535 ZONING: I -L SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG Project Description: Emergency service work. 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: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: 1 >=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 5/31/2006 $454.65 LIC 51539 [ELPLCK] ELC PIn Rev 5/31/2006 $113.66 SUP 2053S [TAX] 8% State Surcharge 5/31/2006 $36.37 REQUIRED ITEMS AND REPORTS Total $604.68 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: &AL/L Permittee Signature: 60\ pa. r tej 4 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. May 30 2006 1:32PM Johansen E1ec/ric Inc. 503 - 698 -2486 p. l_ - j ° 1 Permit A !i 6--r .10, City of Tigard — 13125 SW Hall BM, Tigard, OR 97223 106 1 �1� i , : d __verOD300 Phone 503.639.4171 Fax 503.598.1960 inspection Line: 503.639.4175 , � ' ' , 1' 1 Omer Panda !Mann www.eLtigard sass "tr., _ v - . 1 ? Date d d brie I In Sae Pape 1 ter ❑ New eondtucoion1 :4', Ri . , � , , , r Please check all that apply, ❑ Demolition ❑ Other: ❑Service ova 225 amps, comm'I ❑FHerardaus location ['Service we 320 amps — rating ['Bulking over 10,000 sq. it 600 volts no nti! dwell' Commercial/industrial - d dvre 4 or more new residential 01- end 2-fa mil mg ® g of 1 2 - fmmly ]lam ❑ Multi -femil ❑ !4cces.9ory building ❑sY�m ove nominal m in one stow= Master builder ❑ Other. D_�g over three stories DF or mon ❑Egiea glt Plan persons pet mr�rres a Alob no.: Job site address: 16505 SW 72nd 0- Smithy ❑ City/State/21P: sabntic s, seta of plans with taw af the above. /A/ b00 The above are not applicable to temporary construction service Project same: Suite/bldg./apt no.: Safeco Cross street/directions to job site: °sot° QV. F. Tall New r identW single- or mdtl- tlssily dwell*/ trait. Includes attached garage. 1,000 sq. it. a less 145.15 4 Subdivision: L o t n o . : Ea. add'1500 sq. ft. or portion 33.40 1 i Tax snap/parcel no.: : Limited energy, residential 75.00 2 Limited enemy, non modular 75.00 2 Service work .4,, _ Swwell and/or feeder 90.90 1 2 - Services or feeders testallaton, Marsden, and/or rdoealio a 200 amps or less 80.30 2 201 amps to 400 apps 106.85 � 2 Narita 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240,60 ; . Over 1,000 amps or volts 1 454.65 54.651,- 2 City/State/ZIP: Recmeeeq only 66.85 '. , ‘. 2 Phone: ( ) Fax T� services or faders lastsflatloy alteration, and/or • ( ) 200 amps or less Owner Installation: This installation is being made on propaty that I own which is not 6685 1 intended for sae, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 t m 400 amps t 00�0 2 Owner signature: 401 amps to 600 amps 133.75 2 Date: Branch dreads - new, alteration, or extension, per panel A. Fee for branch circuits with Business names Johanna Eledrlc Inc. service or Rader Dm, each brea chain 6.65 2 Contact name: Charlynn Leithen 8. Foe for trench circuits without savioe or feeder fee, A I [ ddress: 10948 SE Valley View Terr. each brmeb cirwg 46 65 2 5 2 City/State/ZIP: CMekatoas, OR 97015 Each add'1 branch circuit 6.6 Mealtime= (awoke or feeder not (stated) Phone: (503) 698.3411 Fax:: (803) 698 -2486 Pump a irrigation circle 53 40 2 E-mail: johansemeleet®man,eom Sign a outline lighting 5 3 . 40 2 Signal cirasit(s) or limited- ' energy panel, alterffiir" or Business name: hansen Electric Inc. extend= Desaiba Page 2 e: Address: 10948 SE Valley View Terr. Each additional inspection over allowame in any of the shove Per inspection City/State/ZIP: Cladtamu, OR 97015 ._1 62 Investigation per hour (1 Ic min) 62.50 Phone: (503) 698.3417 Fax: (503) 698-2486 Industrial . lent per hour 73.75 CCB Lic, : 51539 Electrical Li .• 3-243 , • rv. Lie.: 20538 Suprv. Electrician signature, required: re ilr. ' inn s 4 54.65 Plen review (25% of permit fte) //3• Goo Print name: i J % % / / Date: 5/29/06 State surcharge (S% aperient/be). 36.37 Authozized signature: • TOTAL PERF T FEE - ,- i r41 me permit sppiivaae aspires a ■ permit to ea ab dheed nada 100 Print name: days aft h has bass accepted se esmplet, / , : / A i % A = . Date: 5/29106 • Foe methodology eat by TrI-C mty Balding hmdurby Saviee •• Nnmbaaf mspeoficesPet Famitatlowad i � : em UM (O CITY OF TIGARD -. BUILDING DIVISION PERMIT #: ELC2006 -00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/31/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ' `'I J.. INSPECTION WORKSHEET FOR DATE: 10/20/2006 TIME: 7 :01AM PAGE: 62 SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505.16535 CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SAFECO DESCRIPTION: Emergency service work OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 -698 -3417 Inspection Request Scheduled For: Date: 10/2012006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 038572 -01 503- 888.0214 Y Corrections /Comments /Instructions: (Y) • ,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' 1v w Date: 1 ° 61 0 _ Phone #: (503) 718 - CITY OF TIGARD ,• _y ;�,.. BUILDING DIVISION PERMIT #: ELC200(..-00306 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3112006 Phone: (503) 639- 4171u Inspection Requests (24 Hrs.): (503) 639 -4175 - "_ _.. INSPECTION WORKSHEET FOR DATE: 6/212006 TIME: 7:08AM PAGE: 17 SITE ADDRESS: 16505 SW 72ND AVE BLDG F 16505 -16535 CLASS OF WORK: SUBDIVISION: PACTRtJST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SAFECO DESCRIPTION: Emergency service work. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698.3417 Inspection Request Scheduled For: Date: 6/212006 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 031005 -01 503-969-5262 N Corrections /Comments /Instructions: A1-L s J c f Vrvv 1 61ckL 13>r mAY■ii C. cac'T l 6s' 1 - 1 %© \I Tukw S FOL t v i� uJ w• LL C 3 - 6 G ucl r i ` 6. 5- 36 c . ❑ PASS AARTIAL APPROVAL ❑ CANCEL El NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v ' ` V L Date: 6 - 2 - Phone #: (503) 718- 2 �� CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: • ; PAGE: SITE ADDRESS: ±..' :... CLASS OF WORK: SUBDIVISION: . LOT #: TYPE OF USE: PROJECT NAME: .. DESCRIPTION: . OWNER: PHONE #: CONTRACTOR: • - a PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments / Instructions: ❑ PASS ❑ PARTIAL APPROVAL J CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: / tSe V‘ Date: 14 - NO Phone #: (503) 718 -