Permit CITY OF TIGARD
ELECTRICAL PERMIT
ji �` ° DATE PERMIT ISSUED: 5/4 #: ELC2007 - 00310
ill
°' COMMUNITY DEVELOPMENT
/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 13AA -01000
SITE ADDRESS: 16566 SW 72ND AVE B9 ZONING: I -L
SUBDIVISION: OREGON BUSINESS PARK I LOT : OOC JURISDICTION: TIG
PROJECT: SERVICE MASTER OF TIGARD
Project Description: TI with (10) 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: 9 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 5/4/2007 $106.70 LIC 51539
[TAX] 8% State Surcharge 5/4/2007 $8.54 SUP 2053S
Total $115.24 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: // . i/ ./ /_ 1 // Permittee Signature: s ieL PP II C/110
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.
t ' . 1 _ a C cal Permit At. L . ,� e ` 1 ' s � . ,..c, 1 ( i I . i l l l l i I. I'. I 4 i\ I 1
City of Tigard "" gx s � A b� tzeerind e
13125 SW Hall Blvd.. ., Tigard. OR 9 . �� " ` •�` " tb • • ��
Phone: 503.639.4171 Fax 503.598.1960 � Other Permit:
inspection Line: 503.639.4175 { ;r-1 L 201,.:!.".t- .1.1-. Dave d: • KIM la se wleta:m.uoa
lutenist www.d.agard_or.ue de. dad
See Page 2 br
g�
❑ New construction ® � ,`alt 7 �� Please all that apply
❑ Demolition rL °savice +os over amps, osaam'1 pAeaaMous location
Service over 320 amps — Ming DBwldng over 10,000 s4 R.
of 1- and 2-badly dwellings 4 or more new residential
0 1- and 2 - f a m i l y dwelling ® Commercial/indusbial p Accessory building ['System over 600 was momim , units In one atrucaue
❑ Multi-farm ❑ Mesta builder 0 Other Di g over three stories O Feedera, 400 =Ps or maw
; over persons Maav6seemed strncmuw or
O Egpkn RV s�
Job no.: Job site address: lieahh-care fedHty pother • 1 Submit." sets of plans with any of the above.
City/State/ZIP: The above ere not applicable to temporary oonstructien service.
Suite/bldg./apt. no.: Project name: Service Master of Tigard
owiwomo Q4• Tea Tod
Cross street/directions to job site: Kew reddened slagla or multi- >bratly dwelling unit
Includes attached garage.
1,000 sea A. or less 145.15 4
Subdivision: Lot no.: Ea odd') 500 sq. A. or portion 33.40 _ 1
Limited energy, residential - 75.00 2
energy, map/parcel no.: : Limited e», non- residential 75.00 2
. .
Ea& mundhchsed or modular
Tenant Ire • rOVernent dwoui� savice and/or Rem 90.90 2
Serving or feeders hratalladoa, alteration, and/or relocatioa
200 amps or lass 80.30 2
01 emepa to 400 corps
106.85 2
401 amid to 600 160.60 2
Name: :... �
601 amps to 1.000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Remained only 66.85 2
City /State/ZIP: Temporary services or feeders lottallua,alteration, and/er
Phone: ( ) Fax: ( ) relocailon
Owner Installation: This installation is be made on property 200 to 0 0.30 1 or less
intended for sale, lease feet, or cart � p �' that 1 own which is not � 201 craps to 400 carpe 100.30 2
exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Breach dreads — new, attendee, or eseeaian, per paid
A. Fee for brands circuits wWM
service or finder fee, each
Business name: Johansen Electric Ise. branch circuit 6.65 2
B. Fee for brands circuits
Contact name: Charlyna Lelben without service or !bode- 1i 1 4685 46.85 2
Addrem: 10948 SE Valley View Terr.
each branch circuit
Each add'1 branch circuit y 6.65 59.85 2
City/State/ZIP: Clackamas, OR 97015 Mbee1 *eoaa (service or feeder ant included)
Phone: (503) 6983417 Fax: : ( 500) 698 - 2486 • p or irrigation circle 5340 2
Sip or outline lighting 53.40 2
E-mail: jobanseneleett man.eom SI eireuit(s) or limited-
,.: eerergy or
extension. Describe: Page
Business name; Johansen Ele ctrle Inc. 2 2
Address: 10948 SE Valley View Terr. Each additional tnapeetios over alloenbk In any of the above
Pa inspection 62.50
City/State/ZIP: Clackamas, OR 97015 Investigation per hoar (1 bat min) 6230
Phone: (503)698-3417 Fax: ( 503) 6962486 Industrial plant per how 73.73
CCB Lic.: 51539 Electrical Li . 3.243 . Lk: 2053S Subtotal 106.70
Suprv. Electrician signal required: r �, • it sr� Plan review (1396 oiPpermit too)
State (8%ofpermit fee)- 8.54
Print name: g' J /� ! r / D ate: 5/3/07 IIIIIIIII.gll , TOTAL PERMIT FEE 1 15.24
Authorized eigAeAnec i . ' _ / ! r. 7ltta parade applicstloe expires tfa moth b sot 'Woof wirbis 100
Print name: / m i . 2 5/3/07 • • rte memaaaiosy e a r complete vice Board
•• lumber of imp:dims per permit snowed
imeileieePemdoWerndkApp.doe 1203 «I04813206l02 COMMEn
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CITY OF TIGARD
B
A .
UILDING DIVISION PERMIT #: ELC2007 -00310
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ss!+rill
INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7:04AM PAGE: 41
SITE ADDRESS: 16566 SW 72ND AVE B9 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOC TYPE OF USE:
PROJECT NAME: SERVICE MASTER OF TIGARD
DESCRIPTION: TI with (10) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES. PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698.3417
Inspection Request Scheduled For: Date: 6/20/2007 Pour Time:
Code # tion Description C-onfirrn -# Contact # Message
199 Electrical final 050562 -02 503 -209 -3917 N
Corrections /Comments /Instructions:
No Vs tArGYL R_3 acci3
Pt 1' PLiis -
Kaw , 1 0.3 00 l�
o FMS SSO
`I4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
jj: FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C N 4 4 Date: 6• IA • 01 Phone #: (503) 718- 214
,
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2007-00310
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4 /7007
Phone: (503) 639-4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 �:_..
INSPECTION WORKSHEET FOR DATE: 6/13/2007 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 16566 SW 72ND AVE B9 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOC TYPE OF USE:
PROJECT NAME: SERVICE MASTER OF TIGARD
DESCRIPTION: Ti with (10) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 6983417
Inspection Request Scheduled For: Date: 6/13/2007 Pour Time:
Code # Inspection Description Confirm Contact # Message
130 Ceiling cover 050149-01 503-209-3917 N
Corrections /Comments/ Instructions:
CLa ss' pLL q 1 301. 1 5
NI 02 (�� ?Sti. UN S 6 `f $1'[ 1r\) 1 C , L
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1v Date: t i t 6 Phone #: (503) 718- 1ALVO
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00310
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/4 /2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 42
SITE ADDRESS: 16566 SW 72ND AVE B9 CLASS OF WORK:
SUBDIVISION: OREGON BUSINESS PARK I LOT #: OOC TYPE OF USE:
PROJECT NAME: SERVICE MASTER OF TIGARD
DESCRIPTION: TI with (10) branch circuits.
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #:
CONTRACTOR: JOHANSE.N ELECTRIC INC PHONE #: 503-698 -3417
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 049701 -01 503- 969 -5262 N
Corrections /Comments/ Instructions:
?Ns■s t
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v • : .I*16 Date: `- 6- Phone #: (503) 718- 2,11111-