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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00622 Date Issued: 11/03/2011 ARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 2S112DA00700 Jurisdiction: TIGARD Site address: 7000 SW REDWOOD LN Project: Northwest Engineering Service Inc Subdivision: PACIFIC CORPORATE CENTER Lot: 3 Project Description: Electrical for TI. Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES 10948 SE VALLEY VIEW TERR ATTN N PIVEN HAPPY VALLEY, OR 97086 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE 503- 624 -6300 HONE 503 - 698 -3417 FAX 503 - 698 -2486 FEES Quantity Description Date Amount 20 crt Branch Circuits wo /Purchase 11/03/2011 $197.16 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/03/2011 $23.66 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $220 82 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 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 the 180 days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090 You may obtain . •• • •e r • . -ct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issued By: �_�� �- Permittee Signature: 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' Date: 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 Application mu oh rli eF. i sir. ()Nix City of Tigard NOV 0 3 2011 Permit No.' pi 7 %• 13125 SW Hall liivd.,'1'igard, OR 97223 _ `" Phone: 503 639 4171 Fax 503.59 b OF TIGARD i / , Ii , , ,, I) Inspection Line: 503.639 4175 BUILDING DIVISION Date n Ready/BY: Supplemental S e Page Information Internet, w.lignrd- or,guv - r• n m , taon i Please aback all that apply (submit 2 acts of plans whims checked bases); ❑ Now construction ® Addition /alters /rcpt ACCII Crit ❑ s ervice or fccdcr 400 amps or more ❑ Building over three stories, El Demolition © Other: whore the available fault current ❑ Manilas and boatyards, Y' t „ '' '',' -', P '''''' WIY 't I t ' ctcc a le 10,000 441110 at 150 volts nr ❑ Floating buildings ' less to ground, or axceode 1000 0 Commercial-use agricultural 11- and 2- family dwelling in Comniercial/lndustrial ❑ Accessory building a mpr for al other ieda0ati ms. buildings C Multi - family ❑ Master builder ❑ Other; Lit-ire pump. ❑ Installation of 75 KVA of • . , . , ❑ 1: mergenoy System larger separately derived aystrm ',d'rin- r”: - F • ON : -LO a I{yI+T.. ` Q Addition of new motor load of ❑ "A" "E" "1 -2" "1 -3" 100HP or more occupancy. Job no.: 1 Job site address: 7 0 0 0 SW Redwood Ln 0 Six or more residential units. ❑ Recreational vehicle parks, City/State/ZIP: P; O Health-care facilitica ❑ Supply voltage for more then ❑ l lazardous locations. 600 volts nominal. Suite /bldg. /apt. no • 1 Project name: NW Engineering ❑srrvice feeder 600 amps ormoro. i 1 ,.. . n_: a 'tits g';,- Cross street/directions to job site; p n. r ri p t i an 1 y i Meo f � rntal I . - New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision. Lot no,: 1,000 sq ft or less 16854 4 Ra, add'I 500 sq ft. or portion 33 92 1 Tax map /parcel n0.; - - Limited energy, residential " ' fE tO Or WAX ' ' i . (with above sq R) 75 00 2 '"" .' ' ' ' "" '. ` Limited energy, multi - family 7500 2 Expansion residential (with above sq. ft,) Services or feeders installation, a lteration, and /or relocation 200 amps or loss 100 70 2 .. ' $!aM'"•, . , Y�f .. ,. 201nmpaIn400am '� 13356 2 Kane; 401 amp% to 600 amps 20034 2 601 amps to 1,000 amps 301.04 2 Address; over 1,000 amps or volts 552,26 2 City/State/ZIP: /Slate/ZIP: Temporary services or feeders I nstallation, alteration, and/o y relocation Phone: ( ) f Fax; ( ) 200 atop% or Ines 59 36 - 1 201 amps to 400 amps 125 OA 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits •- new, alteration, or extension, per panel Owner signature' Date, A Fee for branch circuits with ' ` : 1 above service or feeder fee, �`e F !liCr lif`T•. .. :�, , 1 C 1 V1 A R ` I l ' ' ' F1 each branch circuit 7 -42 2 Business name: (-5 b'ee for brunnli c innirt.. wllhnul Johansen Electric service or feeder fan, first 1 S6 is 56. 18 2 Contact name. Charlynn Leifsee branch circlet Each add'I branch circuit 19 I 7421 4 0 . 9 81 2 Address: 1094$ SE Valley View Terr Miscellaneous (service or feeder nut included) Each City /Stage /ZIP• Happy Valley, l OR 9 7 0 8 6 clwe m g, ser cmrcd or modular 6784 2 h}?y y i dwellin service and/or feeder Phone: ( 503) 698 -3417 1 Fax (503) 6 98 -2486 Reconnect only 6764 2 E -mail. Pump or irrigation circle 67 84 2 Sign or outline lighting 67.84 2 o, • - Signal ciirouil(s) or limited- energy Business name: Johansen Electric panel, alteration, orextension Pngv2., 2 Each additional ins , action over allowable in an (Attie above Address: 10948 SE Valley View Terr Additional inspection (Ihrmin) 6625/ hr Investigation (1 hr min) 66.25/ h r City /State /Zll >' Happy Valley, OR. 9 7 0 8 6 Industrial plant (1 hr min) 76.10 / hr Phone; (5 0 3) 6 9 8- 3 417 Pax: ( 5 0 3) 6 9 8 - 2 4 8 6 in' for which no fee i s 90 00/ hr icallY ( hr 'j* ' -' a � 'I CCB Lic.: 515 3 9 Electrical Lie : 3 - 24 3 C Suprv. Lie • 2 0 5 3 S � : ':,:, �rt x'1+1 ' .4/0,- ' Suprv. Electrician signature, requttgr� A Subtotal' 1 9 7.16 w Plats review (25% of permit fee) - Print name: Carl Jo tan s e> t Date; 11 / 3 / 11 slate surcharge (129s o permit fee): 2 3 . 6 6 / , � TOTAL PERMIT FEE: 22 0. 8 2 Authorized signature: ( - - This 'permit appllcatlml expires if a per unit is not obi - Maid within 180 days after It has been accepted as complete. • Print name. Charlynn Leitsen — Date: 11/3/11 Number of inspections allowed per panne I •V1ililcitneermdalBLC•'ermllApp doe 07/01/10 440- 4615T(11 /05/COM/WLD Z /T - EDVa 9817Z869£09 98VZ869£09 IOazE NESNVHOf 1/ 1V OV :OT TTOZ -CO -eels