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158113 SW Upper L-oones Ferry Rd
i�� �� ��V��D _! ELECTRICAL PERMIT
PEF'MIT#: ELC2002-00519
DEVELOPMENT SERVICES DATE ISSUED: 10/4/02
13125 SW Hall Blvd., Ticlard, OR 97233 (503) 639-4171 PARCEL: 25112DD-00701
SITE ADDRESS: 15816 SW UPPER BOONES FERRYRD
SUBDIVISION: OM—BON BUS. PARK II ZONING: I-P
BLOCK: LOT : JURISDICTION: TIG
Pro:^ct Description: Tenant improvement, modification of(1)200 amp service and (4)branch circuits.
Job No. 7962
RESIDENTIAL_ONIT TEMP_SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS. 0 - 200 amp: "UMP/IRRIGATION:
EACH ADD'/- 500SF: 201 - 400 imp: SIGN/OJT LINE I_TG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL_ (10):
SERVICE/FEEDER BRANCH CIRCUITS
__ ADD'L INSPECTION",
0 2.00 amp: 1 W/SERVICP OR FEEDER: 4 PER INSPECTION-
201 - 400 amp: 1st WIO SRVC OR FDR: PER HOUR.
401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 arrrp: PLAN REVIEW SECTION
1000+ amplvolt: _ >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect on�r: SVC/FDR >=225 AMPS: —._ CLASS AREAISPEC 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 #: LLE 3-243C
FEES Requi,ed Inspections
Description Date Amount �Elect'l Service
1:'I 11RNI I'J F:LC fermi( 10/4/02 $106.90 Rough-in
Elect') Final
I I I'RMT1 ELCPermit 10/4/02 $0.00
1 A Y I R";,Slate 7'ax 10/4/02 $8.55
(additional fees not listed here)
Total $115.45
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes and all other applicabiP 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 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 rrr y obtain ropies of the;a rules or direct questions to OUNC at(503)2.46.6699 or
1-800-332.234._,_--
Issued
-800.332.2344.,--Issued By:\.. 7t—" �-�-( Permit Signature: vc'�O�
.
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 '�i�i�>//�` _ DATE:__--
LICENSE NO: —_ �- .� - ----- --- --
Call 639-4175 by 7:00pm for nn inspection the next business day
From.Charlynn J.Lelfsen To.City of Tigard Date 9/3012002 Time:3.57:00 PM Page 2 of 2
Flectnkal Per,mitApplicatiot>ti
Daae received:
City of Tigard Plojoct/lappt. Expire date:
City of ngard Address: 13125 SW hall 15W.Tigard,OR 97223 Date issued: By; lteoeipt m .
Phone; (503) 639-4171
Fax: (503) 599-1964 Case file no. Payment hft10
Land use e0provdi: ---
O I &2 family dwelling or accessory ACommercial/induatnal ❑Multi-family O Tenant improvement
O New construction 3 Additionlulteration/replacerrlent C.1 tither _tel Fr dial
Bldg.nu Suer n.r (ax ntap/tax I-WH(colfllt nu
11-b address: -- i-- - - -
nt: Block: Subdivision:
i•roJect nsma: Description and location of work on premist:a:_�'�
Estimated dale of cum letlon/inspection:
� Msa
JeOno: _ __ Urrutptto. (Is,) TCW 11141311110110
Business name: h�r,E�.n�lR(-1 Yi -� Ne„rt�ic.ad-i M..r.rn r..a,Per
Addrcto: _ Qerealq saM.lae YrMsdLcSdpnar.
City: State ZIP +�,���:
I AM s4 n.or less
Phone: y C] Fax ZN _mail'jj —
naah additional SOD q R or porton theses
CCB no Glx.bus.lic.no:� Z� Limited warmy. residential 2
/m t-19
limited mealy, non4esideitial 7
Fink m.tmfactued home or modeler dwelling
5hofm� electriefan sired) _ pale 'i�•l Floe sW- feeder _ --- _
License nn. Nsrslcesorhadea•a-IaahWtlaa,
Sup slat name IRanq' alwaatisaornNntltar M1
2W amps of leas �__ V
201 amp to 100 +_ 2
Name(print) t I r I - ant amps to 6M amps -1
Meiling address: riot amps!)tam amp% Z
-- — ----�S-tate 71 2
P Owe IOIMI amps or volts ---
t'ih 1 � - _--- -
Phone: Fax TF-mail. Reconnect
Temporary services or feeierr-
Uwner in'ttallation: The instullatirm is being made on property I own IasallrtMa niteraMsa,orrdsnfka:
which is not intended for sale,Jesse,rent,or exchange according to 200 amps lir test 2
URS 447,455,479,670, 701. 201 am to 400 amps -^ 2
Owner's ei lure
hate. 4nl a AM amps 2
erancY ctrtdla-Sew,tlrnrtna,
or rarcarNa par panel:
Name' -_,.. A Fee,fm hrawh circuin set,purchaw of
—
Addreta: cervi«or reeds res.each branch circuli
StstC: ZIP: 0. Fee for branch circuib airi.art Wrchase
CI of seavie:e lir feeder fee,First breach circuit: 2
Phone: Fox E-mail: Fiioh addi�eail lxarrch oirctdr
Rose.ldanleaatfaa/ar"IkeNAedh
Hub poem a on circle _ 2
U%wvi+n raver ?75 Worm nnmrn,al U lieahh.•Are facility Each rigs M outline 11 tlo--- 2
0 Series aver 1211 rep-wma ill 1a'2 O"armlous loutk,n
steady dwelliots U nuilding nun 10M)square IM film'r Signal ciresil(s)lir a limited ati panel,
U Sy"M a'Q MMI volh n,an,nal maer residential rale Ui roe sirtrcaue alteration, tf eatmsino*
U tb,ilditg over nose ttmr+ U Predrta.4W amt„a mat: oDewrtptioh
U llrrttpeol bad over"pmu/ms U Manufschaw sauc aces of RV part Fath ialdhMaal laslsaad -over the allowable beair ar Ne sNer'-
U Etiomsiligliing plan 0 other _._ - Per it+pechon
Sabah alis el Paan"with may of flee abovetnvesh�ahna foe ---..
- - Other
Ile sites we tMl g!/t� � + 'a: This permit application Permit fee ... . ... ......a....
Ne to tespetr'ar7 s ,aatnst't nen +
Nm sli Ila,+-onllaa seep ara4it Cads•plwr 1 dkno Plan review(at �►) $
---
u vita reemm`.dernrw,rt expires if a permit is riot l.Mained
wlhin 180 days ager it has been TOTAL
surcharge
iN TOTAL....... ....S
r1CA K L accepted as complete.
•r �ttart-utvrc Amount 40-4615 Isi11a't'UMI
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175 MST ,-- —--- ---
INSPECTION DIVISION Business Line: (503) 539-4171 BLIP
Received - Date Requested __�U� - AM _FM BUP ------ -
' �
Location _ . _ MEC
5 �''`
Contact Person Ph( ) "20 `�-1 -` - PLM
SWR --
Contractor� hs�h s�� ��£�' is __ Ph( ) — -_- --.----
BUILDING TenanUOwner ELC 'OLS t
Footing ELC
Foundation Access: ELR - -_
Ftg Drain
Crawl Drain SIT _
Slab Inspection Notes:
Post&Beam ----- —�
Shear Anchors _
Ext Sheath/Shear ----
Int Sheath/Shear
Framing
Insulation __--_----
Drywall Nailing
Firewall --
Fire Sprinkler —`--
Fire Alarm _ —_ —_---- -----
Susp'd Ceiling --
Roof -- ---
Other:-_-__-- ----
Final
PASS PART" FAIL � _--
pLUMBINf1 — --- —
Post&Beam
Under Slab -- -- -- — -- -
Rough-In
Water Service ---
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain -- — - - ----
Shower Pan -- --
Other ---- ----- - -- ----
Final
PASS PART FAIL
MECH_ANICA_L_ -
Post& Beam
Rough-In ---- ----- —
Gas Line —
Smoke Dampers — ----- -----
Final
PASS PART FAIL_ --- - ` ----------------
f U&R I CCAL
Service - —
Rough-In --------- -- ----— -- -- --_ — - --------- _
UG/Stab _—
Low Voltage ---- -- --------- --------.—_ _--
Fire Alarm
rinal Reinspection fee of$ required before next inspection. Pay at City Hall, 131?5 SW Hafl Blvd.
PART FAILE F] Please call for reinspprtion RE:_____---_ C] tlnable to insp(,ct-no access
Fire Supply Line
ADA Ext--
Approach/Sidewalk Date "
Other: _
Final 00 NOT REMOVE this inspection record from the join site,
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
BUP
Received _. _- ____ Date Requested �U 7 AM PM _— FiUP
Location —_Suite '', MEQ
Contact Person __ _. --"_ Ph( _) _w �s� — PI-M
Contractor ___— —_ _. Ph( ) _ SWR —
BUILDING _ TenanJOwner —___ ELC g
Footing ELC
Foundation Access:
Fig Drain ELR -
Crawl Drain
-T-
Slab Inspection Notes: .� inz
SIT
Post 8 Beam _
Shear Anchors
Ext Sheath/Shear - - --
Int Sheath/Shear
Framing —
Insulation _
Drywall Nailing
Firewall ,
Fire Sprinkler -L�-`---•-- -
Fire Alarm
Susp'd Ceiling - --
Root
Other: ----- - --
Final -
PASS PAF.r FAIL
PLU_MBIN(3 _ __ -._ - ._. ------- ----------- - ------ --
Post& Beam
Under Slab --------- -- --------- -
Rough-In
Water Service ----- -- ---- -- --- -- _-
Sanitary Sewer
Rain Drains -- - -- -f - --
Catch Basin/Manhole
Storm Drain - --- ---- ------ --- -- �� - --—-
Shower Pan
Other: -- ----- - _ ---. _
-------------
Final Ij
PASS _PART FAIL - ------ ---- -
MECHANICAL_ ----------_._-.__ ---- - -
Post R Beam
Rough-In --
Gas Line
Smoke Dampers --- - ---- - -- - ..
Final
PASS PART FAIL --_- ------ --- - - -
ELECTRICAL
ery C
Rough-In
UG/Slab
Low Voltage -- ---------- --- -—
Fire Alarm
RUAL., Retnspeaffon fee of arequired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
L4FAS',@ PART FAIL
-- Please call for reinspection RE:_ _-__- _—_ Unable to inspect-no access
am F
Fire Supply Line
ADA Inspector - --- -
Approach/Sidewalk
Other: .-___-
Finsl DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL