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Permit , CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00253 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/02/2012 . Parcel: 2S112AC01500 Jurisdiction: Tigard • Site address: 7319 SW KABLE LN 900 Project: Viking Bolt Subdivision: FANNO CREEK ACRE TRACTS Lot: 23, PT 2 Project Description: (2) branch circuits for lighting upgrade 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 05/02/2012 $63.60 Specifics: Service or Feeder 1- ea 12% State Surcharge - 05/02/2012 $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 OA y 52 -0 090. ou may obtain a copy - of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: , Permittee Signature: OA � L " l ��� id/ ���lll 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 603.639.4176 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 APR 3 0 2012 I :(,I<(,I:I:I, is t SF City of Tigard 1 � © . �� P�m* i/. —�Oo2S ' • 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGAR an R Phorw: 503.639.4171 Fax: 503.598.1 ILDING DIVISI I Nwo . Other Permit: 1 1 , , ,-, c , Inspection Line: 503.639.4175 Date Ready/ny: ® see Page 2 for Internet: www.tigard.or.gov No incd/Method: IIM Supplerrrrntal lnfomtstioe 'iY � sii'"Lw , ,':�'�:.r` - � - " „ ' •�..•� ,•�.rY:l � ,'7 t'L. ;. •: �.�' "rc1'Y: . , y:;•� . kt'' : '. ,� . ,,,. •• { . " �r - .� `'?. 1.• :::. /W..: .• ,•, ant. i '�.,.'. _. .., 4_a.�. �.i : L:...11. ., f 5(,..�,Yi vlA:r, " ' ��ff�� .z�'Mi.••��+:,.�•��a��'� >'s •�j1.1�Y.� 3,.,. R .� :f .., �- i }/� w''.;'',. ' •)_ e' au ...� . -.. IY•1 YY _.. l:f .:.•l �_ •�T' s -.. 'i ;(•(i ,:� r . Y� � :�'I'.• .. El New construction ® Addition /alteration/replacement Plisse obi all that apply (submit s son of plans w/irema checked below): ❑ Service or feeder 400 amps or more O Building over throe slorina. ❑ Demolition ❑ Other: where the available fault current ❑ Marine and boatyards. '',,, d: • 'a'W(? e ! .t�? +i ", �: "';'k'ey' y ;v`r:` u;:..t exceeds 1000 at 150 volts or 0 buildings. v.� tti}Q� : w : `` S ?e l se' :: • , ,,,YY�� .. xl •xs %�', "¢,•z' 1.)r, . Pa 8 s. 8 4fr . , r �. ,..; .' :. k to d exceeds l4 00 Cc arcl ea ground, or o a 0 l] s,lm el.uae agricultural ❑ 1 - and 2•family dwelling ® Commercial /industrial ❑ Accessory budding snips far all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: 0 Fire pump. ❑ Installation of 75 KVA or �V MY »h • . �^t.�Y ., r M. . r '- r?, la rmor8awy stcrn sy law separately derived system. .r. ;n•.: ,,,f r:,5 •, �/t .a . ;� ,;.. ;. y2. n: e' -.. ti. "; Addiri ❑ - A ", - L "1.2", 1_9 Job no.: j Job site addre .'7 316 S W Kab l e Ln , 9 0 0 I x or m more. R occupancy. ❑ 3ix or more residential unite. ❑ ocrcetioml vehicle parks, City/State/ZIP: /5/4/ ❑ Health-care facilities. ❑ Supply voltage for mum than CI Hazardous locations. 600 vole nominal. Suite/bldg. /apt. no.: 900 Project name: Viking Bolt ❑ Service or Rader 600 amps or more, . — ,? ' Y:'; 5 ior� t"i W - , 34: , : , vl ; :1 ef:I , .6 Cross strcct/directions to job site: iw erlp , i� : } Qtr e ` L Total . .: I . tlon Me e. New residential single. ar multi - family dwelling unit. Includes attached garage. Subdivision: I Lot n0.: 1.000 eq. ft. or loss 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 2 -r•c.<r,,:.r.:V1:1 ?p:'r1!•f ?. ,s;._.W40•. O * ,., ... -.} ?•s - .?:`:''r ■ Swilb abovaeq." — - li mited energy. multi- family Lighting fixture change out in warehouse _ residential (with above sq. a.) 75.00 2 Services or feeders Installation, alteration, and/or relocation 200 amps or leas 100.70 2 "= .C ,'/.:Z � r ars . here :7 `.V.1'+ •• , i r,e 'Pr :ba:47.i;.01 am to amps ;. tt r r r' e dI . : ^ '! 'Yak `.u. :F'•. (!!t? 1 Id. . L:. y : ^.5. {7a 133.56 2 !' a�'o i•'i .,. k. ,., u FLrr •' ., • a .., ... .•+ 1r. � ...1%i7?i ryYl• `p a 201 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1.000 amps or votls • 552.26 2 City/State/ZIP: /StatcJZ1P: Temporary services or feeders installation, alteration, and/or ty relocation Phone: ( ) 1 Fax: ( ) 200 amps or lass 59.36 I Owner installation: This installation is being made on property that I own which is not _ 201 amiss to 400 amps 1 I 125.08 6s ,sa I 2 intended for sale, lease, rent exchange, according to ORS 447,449, 670, and 701. 401 amps to 599 amps z rle Branch circuits— new, alteration, or extension, r panel Owner signature: Date: A. Fee for branch circuits with :, rr � ; n.: r 'a •• -•.�C /. •fl above service or feeder fee. :. r, 7.42 2 '��'� r3Ri "''� <:; ?;; � . .. ::!w ... r.'< :� "':.. �.,, . ;:� • ..., ".,'.�:;;. each branch circuit Business name: B Pee for branoh circuits wlrhour Johansen Electric service or feeder foe, first 1 56.18 6.18 2 Contact name: Charlynn Le i f e en branch citcuit Each add'! branch circuit 1 7.42 . 42 2 Address: 10948 SE Valley View Terr Mbceleneous (service or feeder not included) Each manufactured or modular 67,84 2 City /State/ZIP: Happy Valley, OR 97086 dwelling, service and/or feeder Phone: (5 0 3) 698-3417 Fax:: (5 0 3) 698-2486 Reconnect only 67.84 _ 2 Pump or irrigation circle 67.84 2 E -mail: Sign or outline lighting 67.84 2 ;'�� Len' S!• ,qua, i. n . ' v ! .✓, � o- �. , rA . Iim110d.on ..:�4f; ?r':.= �'r�_w ;<�,.�,. ,�.. ]'d .l��. . .. -�aa . ,,.:4.5. ` .y�^ �•�• �a •.4 , - Sigaaloirouil(a ) or orgy Rusinesenatne: Johansen Electric panel, alteration, or extension. Paget 2 Each additional Inspection over allowable in any of the above Address: 10948 SE Valley View Terr Additional inspection (1 hr min) 6625/ hr City/State/ZIP: Investigation (1 hr min) 66.25/ h Happy Valle OR 9708 Industrial plot (I hr min) 78,18/br Phone: 698 -3417 I Fax:3) 8 2486 6 - napectionaforwhichnofcc Ph 503 (50 ' 9000/ ' � � •ificall lialed 45 hr min 0/4 CCB Lic.: 51539 �Elxtncal -243C Suprv. Lie.:2053S ' %'''t`:�' ;' " ,r °iwi' � ''�,;;:' : :�'r ;,< :” Snprv. Electrician signature, required; /) _ _ /J w Subtotal: • 0 ( fa j e t j efa411,1 "I -4� Plan review (25% of permit fee): Print name: Carl Johan n Date: 4 /30/12 Stale surcharge (12% of permit fee): 7 , 6 3 / Authorized signature: �- This permit PERMIT FEE: 71 . 2 3 e/ prrndl app8eagon expires ifs panidi is not obtained within 180 nn Leif i f s en Date: 4 / 3 0 12 days a8er It has been accepted u complete. Print name: Char 1 y / • Number of per permit I: WuildingWumio 07/01/10 440.4615T(11/OS/COMAWEa Z /T '3DVd 98VZ8696O5 98VZ869E05 loans N38NVHOr NV VV:OT ZTOZ'Oi:'xdV