Permit CITY OF TI G ELECTRICAL PERMIT
ti \'� • PERMIT #: ELC2001 -00621
�;1y� DEVELOPMENT SERVICES DATE ISSUED: 12/7/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112DA -00800
SITE ADDRESS: 15055 SW SEQUOIA PKWY 170
SUBDIVISION: PACIFIC CORP. CENTER ZONING: I -P
BLOCK: LOT : JURISDICTION: TIG
Protect Description: Installation of 1 branch circuit.
•
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: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BR NCH 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 TERRACE
PORTLAND, OR 97224 CLACKAMAS, OR 97015 -000
Phone: Phone: 503 - 698 -3417
Reg #: LIC 51539
SUP 2053S
ELE 3 -243C
FEES Required Inspections
Type By . Date Amount Receipt Ceiling Cover
PRMT CTR 12/7/01 $46.85 2720010000( Wall Cover
Elect'I Final
5PCT CTR 12/7/01 $3.75 2720010000(
Total $50.60
•
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1 -800- 332 -2344.
Permit Signature: Issued By: �q , ca
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: 1 ,-a? DATE:
LICENSE NO:
-) -
Call 639 -4175 by 7:00pm for an inspection the next business day
From: Charlynn J. Leifsen To: City of Tigard Date: 12/6 /2001 lime: 11:13:42 AM Page 1 of 1
10/19/2000 15:26 FAX 5036847297 a City of Tigard. 0002
e 1' 11/� r l�
'
IIectrical �"er�ai E I S
PIS
Detormeivod: ,► - 1-91 ranaitno t .)EJJj i - ail -
..b•- ':,_il. City of Tigard X001 Pr Expire dam:
ri a� E C - 0 )eer/appi.no_
Ciryo gard Address: 13125 SW Hall Blvd, OR Date B Recelpipo•:
Phone: (503) 639 -4171 Or Y� I
Pax: D�Fr (503) 598 -L960 �� ** O
a 1 TM R G hee Me m.: ea type:
use approval: B Da lf1a1(
O l & 2 rc®iiY dwelling or oecesssory Commertdal/indufrtrtal O Multi-family Q Tenant improvement
0 New construction 0 Addition/alteration/replacement O Other. p Partial
milt SiIL 1:\Mutt \1 N.TarV
Job address: I ` i ! B • :. no.: Suite no.: p 'rax •• : • tax loilaceount ao.:
Los: Block: Subdi Irian:
Project name: 1� — e.. t tet17.S . - ► Description and location of work on premises: / r /r '. •
Estimated date of c lc ' • Lion: •
Jab no:
17sk Max
Business name: , TOHANSEN RT. RC:TRTC. TN( Qty. (m) Total rm.hrrp
Address: I()Q4A S F VA T.T.FY VT K TFRRACF, r rrotLIrrebao pr Per
C ; CLACKAMAS Scam 2111 97015 aeriaai loin •
PhaMO 1Fax :03 - 69 ..2.411_5_ 1000 sq. ft. =Las 4
CCB no.: 5 1 9 i 'i q II Elec. bus: liw. no: 3 — 7 4 3 C
Bach additional too sq tt or ponton a. or
City/metro lic- no.: M F. T I () 00004896 r i ;1ed menly.nowneldIstaid a
2
' et BEM ta
Baarrofsesorad banns or modulo dwelling
51gnaaaa of fag electrician (required) Do= Sondm®d/orfeeder
Sup. cleat name ): • 5 .°.- ..._ $tldeesOt[ddem — Im1� %e 2
alttaaansa orne3aaOlea:
1 200 amps or less 2
Name (print): 201 amps co 400 amps 2
Mailing address: 40t amps to 60o a
City: 601 my. to 1000 amps 2
ty: [Stale: I ZIP: Over 1000 arena or voles . 2
Phone: ► Fax: 1E -mail: • _ 1lecmoeotonly I 1
Owncx installation: The installation in being made on property I own Temporary service, or fowlers -
which iu not intended for sale, lease. rent. or exchange according to '--° " wa•'•a°otiOra.°w rethatoBerm
ORS 447. 4,55, 479, 670, 701. 2ilo soya orlath 2
201 anips to 400
Owner's signature: _ Dote: - 401 am' snips 2
E \(:L \ L Lit . . ranebdrew • _now, . , --1-1 Z
Name: ev osaaaatos, per psalm
Address A Peon= boo t& ds lens w of
service or &ceder fro. math brooch domain a
city : 1 State: ► ZIP: B. roe for btwoth c roaita without putcivae
or cervices ` Ylo' : 2
Phone: Fax E mall cervices or !under &; lint atrmit i L
Sark oddidemal brunch earsvit
PLAN ILL IIt,\' t lvcac(... elfexctc :■11 rtlt)t :a.pll) 11 ige-Ol errleeerte resat • .
O Service over 215 amPs•oo®utratial O Beoldi- catorscility Bach pump or irrigation circle 2
Q Scoriae over 320 amps -cmng or ldt2 O li®rddos loemdoa Earth sign orouilimligbdog 2
family dwellings O Building over 10.000 memo heat fewor Staid tareth(s)or a ltrdeed eairgY P.m!.
0 System over 600 volts nominal no tetldealial ordain one atrucurre ' alicradogpr=amnion* 2
0 Building over Wm =Au Q 1Peedcs. 400 tarps or rmro
0 Ourupeot load over 99 peaams O Mr�caaed /runners or RV per • . _ .. .
Zts
O Sgua Q Odom'
°a°' °Oaar i � owirmee atlonra7rlo b nay orVr abort:
Pet as 1 1 I 1
Submit sets orphan with nay of the above. laver see
The above are sot applicable to temporary arami 'oafaa Merles. Pinar
, ' T _ - - - Node= Tlrit pee.eorit applicadiao RT =l fee 3 - • `v'
explrea if a peraubt L riot oblalaed• F review (at _ 9(a) S
• .._' ,� L _ :m S -• — — accepted wltbba 180 days it has ben S arge (s9ti) -.. -S 3. 7 I
eaG�r J- — s _ ,/ ° 6t) i .COQ
rl�+ -r
•
44O -46L5 C)
1
rs _. -_ ._..._ - - '' }. q e' 'ii:, A; I; Ilia:, '.Jtt''i1 •j < ... .�._' _ _ ...... .
4 �. y r .. F ;•. :av1 r 1 >I 1 p , P f N .. ' . } '� , s a ; ! . r ,. t S. jj tlih ,•r , .� L106 ? - •a. ,1'.14: ' ,.y ; ; If f '' .
. " �y . :I
1 L �.j 11 I o s , .. . (rl , .i; i rap / ,,, : , .. . „ :1 •. 1 � g� .1 . 1rI $, F , 34i I t ; ,•.,1{ 1 : Akli'^ 1 rr LJ {• 'A .: .. 1,
„ `': f q r -i ” a'i .I : j' E )4 E( 1 q. 1 , i 1 d',: e� ;� 1 {'j j 9 t i!s ' +. I i
r i� .'S • .,, i, � h`t v � c a „ •I! 1 �: !•�,1 I e .�f r ,c 1 • i l " k' .i • '� : k: • _ " .c� I i .; � 1 , f, � l � ,� •�,. f i� 4 t : , r k�ff � ti = " � ' 1 ' �:� 1 ; ii ; r , �i:1'• t ; �',�;• I 1....- .< < , � . : . , :4? , F .1: K : i. ,t - . t 1 3I ^ r ;;M1, a• f : , � ` , ,' 1 0 •. „Y it 'i 1 p k I :11 4 i � • , E5 • T t' J ' ' .1' ' +ii san jA I ' I - :I i7 , 'T• y ; ii ) f o il ' i pit li ta ^ '.lt{ 1 1 .i .d' .t” .k• .e '} - 1 : , • k 7 . �, + n,�g " l y .: ` rr�,l :1 -� U jF,re° �� .�� ;t . a °�, t .��, r e i'r. :flii ' I. '6.I ` : ° . 1 S!:� ,; ; • y il:r i . ; " I i ii t ' o � 1. d I li • i :.1 1 ' �I 11 i f li :b. ' i A• i ;l 1 .� 4 11 ; • 1'•�( ,'�,, S5 ter. : f . ii; q r . ' T :` I I•, F a' ,Lr' ;i t 8',, c d1 � _ T . ' i ff t 1 :1 . ^ i ilq. (,t 1 .id t •F gg. 3 ' 1 :.f: ., 1i;' t, t. ". ( ^ : � , '5• : 1 ;. # �7e; V' � ; ' I" 2 i +. ;il "' 33 i � .ti a+I � I. V it � C; tiFE 1. t :ti,jt 'm i l �sL 'I�`�k.i }:}� - , I < 1 , } j� [, I!
' ' f i x i1; i. ; V I i rt . :4 ' 1 . i > j g I 1 i , it eA II tl ll :4 1 .4, ; �s {,.. . 1 2 . <:A ,, F . l • - ii i . � '1 A:..s ,' . y ' h i,. 1 ;)� ,Ai'' �.I 1 'el �' I�I li '1 -ci �i `} � i .� 1. . f {ti ' r. r.as;`: , ' i ', I S : � " .( 5t' 11:::, ' • r : i 'L ` t L { 1 - • a'� . • ' . r ; j' : . ? : f ¢ { ' l }i { .itr' 1 1 :!;,- { i ` ! 6l� ,, 1
�' 1� * + p,Ca ' T,�y,,, l l. e < v . • h t. ` i ;," iJ ns � t., ,'�: I. f p '1 1 �� '3 0`x f,irk�s` � ,.l�i {p i � 1 1 1 -,,) � f f C � + ; i ,� ,3 1 i r1 i'
;Y: - i 4 `. L'; !�'1' Lj' 1 Y, i'. __ I :. • i .I ! , ,,t: - tt� '�r�i 1 -$ i :1 't — h 'L'e : . ;1i� ' . I ; I' 6: ty ' ' � : ; S #• h _, f •' f
• -, .t;, i i' ; , . y , t. 4 , 1 !°' 1 f y ie' .,, q , e _. • _,' y •i. . I � l',.'4 :y'/ y' ,-�� f t „ _ 151' 1 ;� �.• t l''
e I� c� ��,tl [ �, F' { I t115 . . ' �i'� 9 i e c f "6 ( . ! y . 11,.. l i " r • ( t.1 II . . ,I ' . t `j , !1 . l ' 11 ' ) , c1 LI 1 n # r , Mi tre . l 7 11' il v4 'i : 'i: . I ! I : : :1 ' .yti • :e 9. . Y,, i it i .iris=.•/;' 1 : , ' '' 1 �1 `' ^' •L '1, i l'i'r't y l ) ^ s't I +.r s• 1'ii /P Fier, ir iri 1 . -td l ii. l: ' � ,I:r r,,'. . s :. t ,iris;: � ,r' ,.I, V?. :: 'f";'[: t�- I'-a! �!11 .�.,I `r (,!I � e� °' it f..: �� t...1 ` {� , i,1�. h f i i' ^ °� }.• cE . . .f , �, t� . "s }:• t., r ^ i. i t ; i.. D ,1 1 if ; = h � ' rt • ` I i, n . .,1 1 e.: l I i r. I ` r ! ' 1 3 , . 1, 1 , l i i i.i; �,. .< ;, i ;' t . ' . � ';';f:: : s; 1, . ¢; +1 r i� I"1 . r_:'1 II,' �t 11 till c n ,11 r 1 � ..� : . 4 1 1 . + F t A;� (,ii!` ;,t1c •':� : 1 , i 1 ! ".r 1 1� t " . i ? ,
f SI y l i'� / t e I •'.,. 1' i, ' 1 ! t 1 '!' f i ,.1s, 1 ! { fF + 7 } hs I .:.,^ . t . i r }�
•a' .t1 $ 't•i . - ,1 1, r %I -i1 r I i i:i.i f . ; `. . 4 e .�; : 1 i d : f 1 'l '� ''' "�SI i fi r ' , ' , :i?- d'14 y - tl €€ 1 ,ll "r L .y4 t [t ✓. -.f
't _ ilcroe: :i + .1 ?� - ,Lib ry I l ;1 ' '� iti; r.d.• . 1 �� i .� -• 'i 1 7 , F 1 � t �' 1 - d ; ,.:i ..I �.; # 1' � ' t.•.i`��e; ;fit'• :d l "� ?%
( tL, 1 '' ' 1 •fI " ) • 'I. tilt ii t1 ' 34 q : j tj; I .. I ' r , t l , ;, ait - • , 1 : 11 . $ : s ,,r nt 1 4 - f• f, t
`1' , ..• .,, :, :I r,ll.t� 1,1 1 . d A u I t � ,; l; 11,4,1 (.Y . . 1% , . 1 1 � ( �.1 } j . - i re , ' It : i 1 0 1�1 : . [ . . :ti" r L -'' i ,
�'j,. y .. 1f;;(�{ of . -il , '� �i`�, •.rf! i1; � _tE;.I. i °i "` [ ,;1 i i i 11 � 1� lPi� i . .{l t �� . t � F: 1. •� 3�I. :r• - { i � " , I 1 1 � � :� -'l e: ?s ft t '. s;., 1 y t " ;11,1 ir I 'd x 1 s: 1 � 11Fi �, t. i i }: J . i •. e t ' � , r -' ;ti ' N i i ; j } j : #i+ r,� e 6 1 I ,. i 5 t 1 11 [ I t ' h iii :1 l : , } ; j ': k i i+. is . ' e � � '� �'�^� fl, �� ; " t v 1 ,IL 1. !• i 1 t t f ' �• tI v ; i � fi�Zia s � M a e �"r - r";, r �1 � �� i . � , �'{ 3a i1 �• r ' ' i , � i . 1 1 1! i i r, " I , . 1 l I , . I ` ' 11 1 I i � 1 ! ' . ,. j 1 0 0 I$ • i, n i 1 . � ,� it (` ' 1 ,) • s 4 i i 7 ^ a� ' y s ilil 4 , t _ l ,1 l • I IA ,. ; .' - i 1. 441 ; , f` i a '1<r,. I t,
. t`, i•�a l•i' - F`. i i .Jr 1. I ,:X k y ` " ` . - '1 is.!: Y :'I ^f f.d + � ll c� i8 '. ! I 4 it : tie .id .tYjv;tt. I'= �.5'� : 7 ��, r11 c1:�' '�' ' ..e �k .ec J "` }t� M , : yr, t. ' �
CITY OF TIGARD BUILDING. INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested "/ 7 AM PM BLD
Location I S 0 S g,u _ 7 J - MEC
Contact Person Ph 6 9 g 3 w 7 PLM
Contractor Tpz? /fCthej Ph SWR
BUILDING Tenant/Owner at `, A A— — - ELC o / 4
Retaining Wall ELR
Footing
Foundation Access: FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing ��f Q /7 / €7,AcAij C /--
Firewall
Sprinkler
/
Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam /
Under Slab /
Top Out
Water Service
Sanitary ry Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough le
Gas s Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Ore.
PART FAIL
S
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 4.2 — � D Inspector oYc / �c. Ext
Final (/
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.