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Permit CITY OF TIGARD ELECTRICAL PERMIT / COMMUNITY DEVELOPMENT Permit #: ELC2011 -00480 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/26/2011 Parcel: 2S112DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN 210 Project: NuScale Subdivision: 1996 -048 PARTITION PLAT Lot: 2 . Project Description: (2) branch circuits for TI Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES 10948 SE VALLEY VIEW TERR ATTN: N PIVEN HAPPY VALLEY, OR 97086 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 624 -6300 HONE: 503 - 698 -3417 FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 08/26/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 08/26/2011 $7.63 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in ac n ith approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. AT TION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 010 through OAR 95 0 You may obtain a copy of the rules or direct questions to OUNC • 2.1987 or 1.800.332.2344. . Iss ed By: Permittee Sign., !" 4• v'— r 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' _�..,! u d— Date: a ar LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. • RECEIVED Electrical Permit Applicat 2 6 2011 FOR mi. c r 1. sr O I.\ Cl g of Tigard Received Date /B ; 0 G A6 1 1 Perini} Nu.: E�k -et) 80 / 13125 SW Hall Blvd•,'figu ra' t TIGARD otlwr p n it: • Phone: 503,639,4171. F 3 -� � UPpZO� /- AD l i I t It t , r Inspection Line[ 503,6391L • DIVISION Luria: .. 8cc Paget for Internet: www.tignrd- ur.gov Supplemental Information p New construction ® Addition /alteration/replacement Please check all that apply (submit 2 sets of p n x whin.% chocked below), ❑ Service or feeder 400 amps or more ID Building over three stories. ©.OemOlition El Other: where the available fault current ID Marinas and boatyards. � exceeds 10,000 amps at 150 volts or l Floating buildings, C u . fJF CiD. . f7 '.I�iI3 , c - - � � loss to ground, or exceeds 14,000 ❑ Commercial-use ngriculmrel ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all otherinstallatiuns, buildings, rcpu mp. ❑ Installation or 75 KVA or Multi : rustily ❑ Master builder Other }m ym one system. 8 separately • : L Z + r ; 4:0'..0..0,.,.. . QJ "i('X U111T .ail!f�Y iI;11iM�"'�"ItTf1)<1T [� n� �$nn anew motor load of CI ..A, larger F ar� tel derived 3 kt a IUUHi' or morn. occupancy, Job no.: L Job site address: 6 6 5 0 SW Redwood Ln a Six or more residential units. Li Roumanian vehicle parka. City/State/ZIP: ❑ Health -care facilities, © Supply voltage for more than y ❑ Hazardous locations. 600 volts nominal. Suite/bldg./apt. no. Pro Project name: 0 Service or Ibcdcr 6 00 a . or rr 210 , j N uSCal e . 0 Cross street/directions to job site: nexrripllon 1 Qtr. L Fro. l Total 1 • New residential single or multi - family dwelling unit. Includes attached garage. Subdivision: i Lot no.: 1,000 aq, ft. or 1018 1685 4 En. add'I 500 so, ft. or portion W 33.92 1 Tax map /parcel no.; Limited energy, residential )7 „ „TPTTgN iii (with above sq. 11,) 75.00 2 Limited energy, multi - family 75.00 2 Expansion _ residential (with above sq, ft) . Services or feeders inatollnlion, altera and /or relocation 200 amps or leas 100,70 2 1 ; :4,4 (1 1 R't'X; 6W:rettlt 411 A , .; 201 rnps t 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Nattic, 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Crf /StalE /zlh: 'Temporary services or feeders installat10n, alteration, and/or y relocation Phone: ( ) I Fax; ( ) 200 amps is- less 50.36 I 201 amps to400 amps 125,06 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 108.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, Branch circuits — new, alteration, or extension, per pan Owner signature; Date: A. Pee for branch Circuits Will ;_r - e }tout acrvice or fccdcr fun, • ,' , ��A;IE�iICA:rlgi' . * : : •'. ,. = ' ' eachbiruichcircuit 7,42 2 Businessnumo: Johansen Electric B. Pee for branch circuits without service or fncdnr fee, first 1 sea 56 - 18 2 Conteotnamo: Charlynn Leitsen branch cireuit Each add'! branch circuit 1 7.42 7 . 42 2 Address: 10948 SE Valley View Ter'x' Mlacelinneona service or fecdr not included) Each manufactured or Modular 67.84 2 City /Slate /'ZIP: Happy valley, OR 97086 dwollin_ service and/or feeder Phone: (5 0 3) 698 Fax:: (503) 698 Reconnect only 67.84 2 Pump er irrigation eircic 67.84 2 E-mail S ilyt or outline lighting 67.84 2 Signal ciwuit(s) or limited- nrcrgy Business name: Johansen Electric rAnel, Each a a dditi ton, or extension, Page 2 2 - Each dditional inspection over allowable In any of the above Address: 10948 SE Valley View Tarr Additionalinspection(1hrmin) 66.25/hr investigation (1 hr min) 66.25/ hr City /State /ZiP: Happ Valley, OR 97086 - pt' y r In plant (I hr inn)) 78.18/ hr Phone; (503) 698-3417 Fax; (503) 698-2486 Inspections for which no fee ix 9000/ hr specifically listed (i hr mitt) COB Ti c, : 51539 'Electrical Lie.: 3 - 2 4 3 0 I Suprv, Lie.: 20535 l i ;rt'Rte d 'B t. ?., S . : subtotal 6 ii tu Suprv. Electrician signature, required: Cferd k Plan review (2330 of permit fee): Print name : Carl 7'�h nsen Date; 8/25/ 11 State surcharge (12% or pennit feet' 7,63 y Tom', 1412MIT FEE; 71. 3 Authorized signature; 'f ids permit appllcatltin expires if a perrtdt Is not obtained vrlthin 1130 days after It has been wooed as complete. Print name: Chir 1yon Le s en Date: 8/26/11 C Number o f inspw:liims allowed per permit. I\ Buitdina \Ycrmira \flu.C- PormitApp.doo 07/01/10 440- 40)5T(11 /05/C.OM/WLU Z IT - E0vd 98VZ869£0S 98VZ869C0S 'Darla IsTESNVHOP l 8V:60 TTOZ -9Z -boy