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Permit CITY OF TIGARD ELECTRICAL PERMIT 514 PERMIT #: ELC2008 - 00006 ° COMMUNITY DEVELOPMENT DATE ISSUED: 1/3/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB -01201 SITE ADDRESS: 16575 SW 72ND AVE BLDG F ZONING: I - SUBDIVISION: PACTRUST BUSINESS CENTER LOT : JURISDICTION: TIG PROJECT: SPEC SPACE Project Description: TI - (2) services and (15) 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: SIGNALJPANEL: MANF HM/ SVCI FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 2 W /SERVICE OR FEEDER: 15 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 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 IELPRMT] ELC Permit 1/3/2008 $260.35 LIC 51539 ITAXI 8% State Surcharge 1/3/2008 $31.24 SUP 2053S Total $291.59 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 OA - 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/ �� _Li Pe Sig ., , _ // �_ 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: r: • NTRACTOR INSTALLATION ONLY 1 SIGNATURE OF SUPR. ELEC' �JIIIWiriarWi 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. � Electrical Permit Appli cation C { L • l : 4 I r 1 1 t 1.1 . is ■ Ps.i City of Tigard J A � N p 0 ?OM B°d dg /{ Permit Not: X00 13125 Phone: 03.39 1 171 T F�503.598.196CW p 1 ®r 1 naraus g; �a Wit: Inspection Line 503.639.4175 Q (� win ReadyBy :© , I, Internet. www.tigard . I • "� ® t�J} ` 1 ' 1� ' 1 ����® t Notified/Method. 'n 1L11 1ireli .lq!iTe'I�s31/ a iW`.:it1S+.�' 'I• � F' "11 � l IIIIAYfih }' j �{`�' 1 R11.. f � �'[j�a�tf�� ,: I =1n i :1 y ! i ii 1 } �l 1 $y rr t if MS'l �'i} S v31 � llK.t�'ifl��rl!��1: 1lY. F ..Y..IaaSnf'YR��{a.::l�:.f :�l.� �.�- ilf.J63r12E ❑ New construction ® Addition/alteration/replacement Please died as that apply (submit 1 lets of plans v./items checked below): El Demolition ❑ Service or feeder 400 amps or more ❑ Building over dune stories. ❑ Other: where the available fault ctarent ❑ Marinas sad boatyardt- ( " %';'1 iNirllt •7yl(y14M{Eg4.i49 �1) IKrtyyfnep •ac. w JI , yy > _, t r' r a • c ••..c ` i �, n ` exceeds 10,000 amps at 150 volts or ❑ Floating buildings. l ..1t rx..��,�,1` 3 � .: wyiat u x: it ds.re�; a. s;:n.t laNf ` t% ,r ' :. lets to ground, or exceeds 14,000 ❑ Commercial-use agricultural ❑ I- end 2- family dwelling ® CommerciaUindustrial ❑ Accessory building amps for all other installations. 'alibiing,. ❑ Multi - family ❑ Master builder ❑ Other. ❑ Fan pump. ❑ Installation of 75 KVA or ��{{� tT(� rte c inns ao ► r:.i rs n.nf his W 'vet t a „ rt ltY c 1 , ❑ Fmer s larger separately duived system. Tr ins i »ti?, . . ��IaA .��l.d:i ><ik+kn:isai c i,:°.l`a aE,>11, df.ai Lei lbli8ltt..! l l 1 Add; uonof newm otorload of '1_2• ••1 -3" s -7,. 100HP or more. v> n Job no.: Job site address: !J ( � u J ❑ six ot more residential units. ❑ Recreatio vehicle parrs. City /State/Z IP: �1 , ; / / / I ❑ Health -care &edifies. 0 Supply voltage for more than no.: I Project name: t/' i 1 f Q Shell ❑ Service or feeder 60 . l 600 volts nominal. Suite/bldg./apt ❑ Smvice or feeder 600 s or more. . . ..e.,,l�pam :lam n . r• n Cross sheet/directions mjob site: ' - • ';113 t .i+5.1 :�: ?,_ 7th" :?i� t. rot: - ill Pao Mr. Fee. Taal • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1.000 sq. A. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: I? if t. Ihrn r rt . r r �,� ur , �asf . e � q ,nl � t { , !,' „ t Limited energy, residential b''liair _! siNINZI134 rl,m?:;..-....:+.,,i; ��sn. ' iZili ."��:eJlil+ i1�'131NelSa (with above sac. ft) 75.00 2 Limited energy, multi- family nai. Ten� f mprov enf residential (with above tq. ft.) _ 75.00 2 _ Services or feeders imtallatlo lteration, and/or relocation 200 amps or less 80.30 1/„D, (rD 2 . Al erailli t ` :r ,+llnwsiurl "sf;;l t �.• :fd'tr torI'4':.ar':ak s. +ti 1»rlfr t f a' 1 r l X 1 i ,'; amiss 10 am Ps ._ . - :'d ll .f i4 " ..i;ra:` . e 202 P 400 l� 106.85 2 Name: 1 F Pa cr 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Adds` Over 1,000 amps or volts 454.65 2 City/State.Z]P: Temporary services or feeders imtallation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps t0 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ,p y��E02:2: �� g � A. Fee for branch circuits with ` [E I7 M .L :9fr.,tMIIINEI l 131 i ;r.f I �'r� x' 1? c w Manx (r .0 �' ;79idls�,lf6:uot� ^.etc I tlil,. #'7�,"1?ttltln��i above service or feeder fee, Fee branch branch circuit 6.65 q q .15' 2 Business name: Johansen Electric Inc. B. Fee for branch cvcuits Contact name: Charlynn Leifsen without serve or feeder fee, 4685 2 first branch circuit Address: 10948 SE Valley View Terr. Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not Included) City/State/ZIP: Clackamas, OR 97086 Each manufactured or !nodular dwelling, service and/or feeder 90.90 2 Phone: (503) 698 -3417 I Fax: : (503) 698 -2486 Reconnect only 66.85 2 E -mail: johansenelect(gmsn.com Pump or irrigation circle 53.40 2 _.+ Idiall r' hilt J 1 '1 {I hilt rbak ce 'T. t a I 1g l Sign at outline lighting 53.40 2 Business name: Johansen Electric Inc. Signal circuigs) or limited - energy panel, alteration, or Address: 10948 SE Valley View Terr. extension. Describe: Page 2 2 City/State/ZIP: Clackamas, OR 97086 Each additional inspection over allowable In any of the above Phone: (503) 6983417 I Fax: (503) 698 -2486 Per inspection 62.50 Investigation per hour (1 hr nor) 62.50 CCB Lic.: 51539 1 Electra 3-243C I Suprv. Lic.: 2053S Industrial �� ant • r hots 73.75 I .. Alf6�:ff;'$t tf �i i�;i i ir !l : .'-'.,4:.5.x. :i '_4,; j �� i:z , 7 , ";- 'f '!.' a Suprv. Electrician signature, req Subtotal : �,/] . 95'" 13/041c Plan review (254b of permit fee): Print name: Carl Johansen Date: State surcharge (1 fee): 3/ • 24 Authorized signature: ak_a_,..... ----- TOTAL PERMIT FEE: zei b l Th permit application expires if a permit is not obtained wi 1 Print name: Charlynn Leifsen Date: , I3Jd 8 days after it has bee. accepted as complete • Number of inspections allowed per permit is 1auad tng\Prmin\E1.C- PmmitApp.doe 05/23106 140 IAA/MIMES 1 ' d XEld 13C213SE11 dH WU T 2 :6 8002 co Ue( CITY OF TIGARD O BUILDING DIVISION PERMIT #: E1.C2008- 00006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2008 Phone: (503) 639 -4171 :e Inspection Requests (24 Hrs.): (503) 639- 4175il INSPECTION WORKSHEET FOR DATE: 5/12/2008 TIME: 7:01AM PAGE: 1'1 SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONVERGINT TECHNOI DESCRIPTION: TI - (2) services and (15) branch circuits. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417 Inspection Request Scheduled For: Date: 5/12/2008 Pour Time: Code # Inspection Description Confirm- # Contact # Message 199 Electrical final 069736 -01 503- 969-5262 Y CPA Corrections /Comments /Instructions: , _ N ° Ors) S � � e PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr I c8 Date: 511 IO1 Phone #: (503) 718 - CITY OF TIGARD _ , BUILDING DIVISION PERMIT #: ELC20O 8-00006 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2008 Phone: (503) 639 -4171 �f1l Inspection Requests (24 Hrs.): (503) 639 -4175 ...' INSPECTION WORKSHEET FOR DATE: 4/25/2008 TIME: 7:01A1v1 PAGE: 4 SITE ADDRESS: 16575 SW 7 2ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINE SS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONVERGINT TECHNOLOGIES DESCRIPTION: TI - (2) servic :es and (15) branch circuits. . OWNER: PACIFIC REALTY ASSOCIATES. PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698.3417 Inspection Request Scheduled For: Date: 4/25/2008 Pour Time: Code # Inspection Description /Confir • Contact # Message 130 Ceiling cover 06892602 503 - 969.5262 N Corrections /Comments /Instructions: • 3 k1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CT—r N6e) Date: AI O Phone #: (503) 718- 2-q 1`v CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008- 00006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11312008 Phone: (503) 639-4171 411 1 Inspection Requests (24 Hrs.): (503) 639 -4175 :-!4+Lj INSPECTION WORKSHEET FOR DATE: 4110/2008 TIME: 7:02AM PAGE: 24 SITE ADDRESS: 16576 SW 72ND AVE F3LDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONVERC3INT TECHNOLOGIES DESCRIPTION: TI - (2) .s ervices and (15) branch circuits. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOIIANSEN ELECTRIC INC PHONE #: 503-698-3417 Inspection Request Scheduled For: Date: 4/10/2008 Pour Time: Code # Inspection Description (C- onfirm # Contact # Message 125 Wall cover 068171 -02 503 -969 -5262 N j Corrections /Comments/ Instructions: P R-OV v Z a e .,a_4..-1., er. v_Acac. P AS El PARTIAL APPROVAL 111 CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �s Nse L.- Date: lit 0 A Phone #: (503) 718 - iliik CITY OF TIGARD ,:_ BUILDING DIVISION PERMIT #: ELC20O8.00006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2008 Phone: (503) 639-4171 Asyof �' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:OOAM PAGE: 11 SITE ADDRESS: 16575 SW 72ND AVE_ BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: CONVERGINT TECHNOLOGIES DESCRIPTION: TI - (2) services arid (15) branch circuits. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503-698-3417 Inspection Request Scheduled For: Date: 3/18/2008 Pour Time: Code # Inspection Description , onfirrn- #., Contact # Message 195 Mi :.:c. inspection 366881 -02 503- 704 -1534 Y Corrections /Comments /Instructions: _ XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED o Inspector: G -1, 0 (61...- Date: J ' NA Phone #: (503) 718- Z CITY OF TIGARD BUILDING DIVISION PERMIT #: EI-C2008- 00006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2008 Phone: (503) 639 -4171 1 1: 1 1 Inspection Requests (24 Hrs.): (503) 639 -4175 F__.. INSPECTION WORKSHEET FOR DATE: 1/18/2008 TIME: 7:02AM PAGE: 15 SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SPFC SPACE DESCRIPTION: TI - (2) services and (15) branch circuits. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503 - 698 -3117 Inspection Request Scheduled For: Date: 1/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 063530 -01 503969 -5262 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr N66 1-G Date: t' 01 Phone #: (503) 718- 1,114k CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008.00006 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �,l- "__.. INSPECTION WORKSHEET FOR DATE: 1/17/2008 TIME: 7 :00AM PAGE: 33 SITE ADDRESS: 16575 SW 72ND AVE BLDG F CLASS OF WORK: SUBDIVISION: PACTRUST BUSINESS CENTER LOT #: TYPE OF USE: PROJECT NAME: SPEC SPACE DESCRIPTION: TI - (2) services and (15) branch circuits. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 503690- 3417 Inspection Request Scheduled For: Date: 1/17/2008 Pour Time: Code # Inspection Description Confirm #\ Contact # Message 125 Wall cover 063423-01 503-969 -5262 N Corrections /Comments /Instructions: �k A ( Roo M 6 . wAL s M. To CAltsW. ❑ PASS y PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � Y '' vQ Date: - I • U Phone #: (503) 718-114