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Permit CITY OF TIGARD ELECTRICAL PERMIT ' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00623 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/04/2011 Parcel: 2S112DB00300 Jurisdiction: Tigard Site address: 7233 SW KABLE LN 500 Project: Nuance Systems Subdivision:HERN PACIFIC TIGARD INDUSTRIAL I Lot: 5 Project Description: 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 -698 -3417 PHONE: FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 11/04/2011 $63 60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/04/2011 $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 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 a co. of the rules . • ect questions to OUNC by calling 503 232 1987 or 1 800 332 2344 Issued By: .���° ��_ Permittee Signature: —zr� 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 i i iili ill l'It R, t l ; (.)Ni \ ir�el�ea City o f Tigard NOV 0 3 2011 oatc/B i1� Pertlit Nn —. , 6 l /—ac �" w 13125 SW Hall Blvd„ Tigard, OR 97 13125 �. Pion 503.639 4171 Pax; 503,59e 1' Ty OF TIGARD In Ilion Liau SU3 63').4175 !a Se wage 2 for I I I , 1 1 i >x BUILDING DIVISION IIIISIIIIIIMIIIIIIIEIMISSIIIMIIIMIIIIIIII- Internet i Lin tigard-or.gov 39.41 S up p lemental Information ' Itkrt-:15Xt WORKi,..:. c ,:ki4i.t. , : ; ,:' © New construction ® Addition /alteration /replacement Please chat all that apply (�Ohn z .e,. of plaiaa w /trcius checked below). ❑ Service or lustier 400 amps or more ❑ Building over three songs, ❑ Demolition ❑ Other" where the available fault ounent ❑ Marinas and boatyards. ;,, ''.1„;:',' !; �; E �l !tSbRt1 "'ttICIC T ' • „,,t oxccc48 10,000 amps at 150 volts or ❑ Mauling buildings ;, , '7,'', , ,' � ,� ' � lt ?' "' less to ground, or exceeds 14,000 ©4ummerclal.use agricultural ❑ 1- and 2- family dwelling .'1 Commercial /industrial ❑ Accessory building amps for all other installations, building'. El Multi - family ❑ Master builder ❑ Other. ❑ pure pump. ❑ Installation of 75 KVA or 'YF J ❑ l .fnergcncy system. larger separately derived system i ' , , . x4r Ir. n , i' ❑ Addition of new motor load of C] "A" "1.' "1.2" "1.3 ", Job no,. Job site address: 1001iP or mere, occupancy 7 2 3 3 SW Kab 1 e Ln ❑ Six or more residential unit ❑ Recreational vohiole ptvl City /State/ZIP: ❑ Health -onre (iwilities 0 Snppiy voltage for more than . ❑ Hazardous locations: 600 volts nominal. Suite/bldg. /apt. no„ 5 0 0 I Project name; Nuance Systems ❑ Service or feeder GOO amps or more. y Cross street/directions to job site Description 1 Qay. 1 Mee • 1 ',,t^.;',:,, Total ., • - New residential single or multi - family dwelling unit. Includes attached game_ Subdivision: 1 Lot n0.: 1,000 aq: ft, or less 168,54 4 En, edd'I 500 act, ft. or pori,on 33 92 1 Tax neap /parcel no., Limited energy, residential . , , , , ,,. btSC T 4 !t. Or WORK; " ' , .' (with above sq. ft,) 75.00 2 '-'•`• Limited energy, multi - family Lighting work /connect hepa filters reaidantiijwith above sq. ft) 75,00 2 Services or feeders installation, alteration, and /n relocation 200 amps or leas 100,70 2 ,.rw..:t,• Y ,j ,Ti'll ' t l , , I J . .• . 201 amps to amps 133 56 2 401 amps to 600 amp. 200,34 2 Name, 601 amps to 1,000 amps 301 04 2 Address: Ovar 1,000 amps or volts $52.26 2 City/Slate/ZIP: /State /ZIP: Temporary services or feeders Installation, alteration, ant/or Y relocation Phone, ( ) J Fax: ( ) 200 amps or less 50,36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which Is not 401 maps to 599 amps 160.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, Branch circuits- new, alteration, or extension, per panel Owner signature. Date, A, Fee for brunch t- ircuots with t 4 ,� shove service or f tee, �:'"7QAS • i1 i. C 13F? +1�" '! • each brtmo 0 or feeder t 7 42 2 Bnsinessnamc: Johansen Electric A Fee forbr wfrhoul service or Rider fee, first 1 56,18 6.18 2 Contact name: Charlynn Leifsen briu,tah,.ot;u,t - Each add'l branch circuit 7 42 2 Address: 10948 SE Valley View Terr Miscellaneous service orfeeder not included Each City /Stott•✓ /.ZIP: Happy Valley, E OR 9 7 0 8 6 dwelling, Snrvi ured or modular 67 84 2 ppy y r dwellint4, service and/or feeder Phone' (503) 698 -3417 I Fax: :(503) 698 -2486 Reconnect only 67,84 2 Pump or irrigation ciri.le 67,$4 2 E-mail: Sign or outline lighting 67 a4 2 " „ "o c ': , _ Si gna l c or limited - energy Business name: Johansen Electric panel, alteration, air oxtensiott. Page 2 Each additional inspection over allowable in any of the above Address. 10948 SE Valley View Terr Additional inspection (I hr Min) 6625 /hr City /State /ZIP: Happy Valley, OR 97086 Investigation p laid Cl r 78.28/ hr PPY y r Industrial pluol 1 hr mat) 78.18 / hr Phone' (503) 698-3417 f Fax: (503) 698-2486 lu vpeetions for which no fee is 90 00/ hr spout lieally,listed iw'h min) r CCB Lie, , 51 3 9 glee trie Lic ; 3 -243C Supry La • 20535 g1�,� hr wrB , miT�' E" ' i;' + , , , Supry Electrician signature, required: ( Q Subtotal: 3 . 0 ' Plan review (25% of permit fcc) Print name; Carl JAhans e ate: 11/3 /11 4tate nurchargc (12% of permit fee)' 7.63 I OTAI, PkRMfl' FHii: 71.23 Authorized signature: nos permit application expires if a permit Is not obtained within 1110 tu ✓carne; Char 1 nn Le i f s en Date: 11/3/11 i n pec after it has been uccrpi as complete. Pri y " Number of inspections allowed per permit. 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