The URL can be used to link to this page

Permit Q® CITY OF TIGARD ELECTRICAL PERMIT . n il • COMMUNITY DEVELOPMENT Permit #: ELC2012 -00270 T L G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2012 Parcel: 2S112DC00701 Jurisdiction: Tigard Site address: 15955 SW 72ND AVE Project: Guitarish Music/Advantage Point Subdivision: FANNO CREEK ACRE TRACTS Lot: 39 Project Description: (10) branch circuits for TI. 2/13/12, reprinted to correct address and project name. 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: 503-624-6300 FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 10 crt Branch Circuits wo /Purchase 05/09/2012 $122.96 Specifics:, Service or Feeder 1 ea 12% State Surcharge - 05/09/2012 $14.76 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total r $137.72 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. ATT ION: Ore, .n law equires you to follow the rules adopted by the Oregon Utility Notifi = - Center. Those rules are set forth in OAR 952 -001 -0 10 through OAR • • 101-10 • : You may obtain a copy of the rules or direct questions to OUNC by .1987 or 1.800.332.2344. Issued B • • ! / _ � / .if.. .if.. / / t ' Permittee Signatur ` % 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 Ina 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. CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00270 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/09/2012 Parcel: 2S112DC00701 Jurisdiction: Tigard • Site address: 15957 SW 72ND AVE Project: Advantage Point Subdivision: FANNO CREEK ACRE TRACTS Lot: 39 Project Description: (10) 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 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 698 -3417 PHONE: 503 - 624 -6300 FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 10 crt Branch Circuits wo /Purchase 05/09/2012 $122.96 Specifics: Service or Feeder 1 ea 12% State Surcharge - 05/09/2012 $14.76 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $137.72 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 2 -0 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: Perm ex/ # ,G / Ce¢- 77O�L/ 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 503.639.4176 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 MAY - 7 2012 1 (lit tIl I.1( Et ,I 11.1., IN ..._. - City of Tigard ue e . S q .. F/ Pamir No. Q 2 -/ / L /. 13125 SW Flan xlvd., Tigard, OR 9CITY OF TIGARD plan Review Phone: 503.639.4171 Fax: 503 i ING DIVISION S °tbor � / .2 'Of09/ Inspection I ire. 507.639.4175 Dalo Ready 121 See rage 2 for • d/M Internet: www.ligurd- or.gov Nolifiaelhod: Supplementallnfarnutlon S �' 'r. : .x l.. ' y u, ; ? ',, • •`, ... ' , s C y ; . 'srtr x i ,, jt • � , »" ..d 7 l: ',1.'''-''.: . '�'�h� : .h ;ro;K ' :.,:.. �. �J.4 .�"i: ' , .: �� & • ' �'- .,::�: , _,.r .'t'� ;::.iJ��'_.. ., � ,.: � Y >.`� :; 3ny:•ir:.'yi, ' • � �:::��:� "��n) �"'Z: ;,;,i., .. '.u.,:. ❑ Newconstruction ® Addition/alteration /replacement Please hcrkall that apply (submit Z sob: or plans w/Itemn checked below): ❑ ��: ❑ Service or feeder 400 amps ur more Q Building over three stories. ❑ Demolition where dio available fault omen Q Marinas and boatyards. qsa , x. {t` r •"':�•a : M1;l # * $ ±,a ? " ; i!!eb ?'N -'F_ i i1,: r, `w:`•1i. exceeds 10,000 amps at 150 volts ur ❑ Floating buildings. ' 4, .. . •.'r -, • . Y .t , i' ' ;: ''' 1 `" ' less to ground or exceeds 14,000 C Cetnmarcial -usc agricultural ❑ 1- and 2- family dwelling ® Commeltiallutdustrial ❑ Accessory building amps for all other installations building.. ❑ Multi - family ❑ Master builder ❑ Other: 0 Fire pump. 0 Installation of 75 KVA or Vr . a• :r. r ,00 •a gi+i ry •' .1,.: „,.- / rat, y .r :�,`:, 0l'Annicncy system. larger separately derived system. ..:` ??f.,,.. �2 - v 1 . ; :15:,,`,.` y141 o:, ,, .$ , ', ce ,..s +, i , .. • _ Q Addition of new motor load of 0"A - h'", "1.2 ". "1 -3 ", Job no.: Job site address: 100HPormore. occupancy. 15 9 5 7 SAT 7 2nd Q Six or more residential units. ❑ Recreational vehicle perks, City / Stato/ZIP: O Health -nun facilities, 0 Supply vollagn for mono than o Hazardous locations. 600 volts nominal. Suite/bldg. /apt,no.: I Project name: Advantage Point D Service orfeodor 600 amp ormore. Cross street/directions to job site: Description � TM • " Fo 1 Total I • New residential single- or multi - family dwelling unit. Includes attached garage. - "— Subdivision: I Lot no.: 1.000 sq. ft. or less 168.54 4 Fa. add' 1 500 eq. ft. or portion 33.92 I Tax map /parcel no.. Limited energy, residential r 7540 2 t:.,':1 ,Y., . � ':.1. . :. " .'.: `, . . } .. ' • '. J:. 1 c!(�:"oy !{- .o ,1, a �r:`i. h oT Y M ] {.i (with above sq. ft.) , y , ._vn. Y Y J.. � °.•d -, �`..,�1 " "` ' ,. '.. } . .. �� ) .r , r .,x,• .i,i Limited energy. multi - family 75.00 2 Tenant Improvement residential (with above sq. ft.) Services or feeders (nstallation ,altcration, and/or relocation ' 200 wept or loss 100.70 2 ■ ,` W.' " 1s '" e C'� .(:ei<'% gi;: } hi 1K ,A„ . 4 . :. 201 amps to 400 umPS 133.56 2 Name: 401 amps 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: Temporary services or feeders Installation, alteration, and/or relocation Phone: ( ) (Fax: ( 200 amps or loss 59.36 1 x 201 amps to 400 amps 125,08 2 Owner installation: This installation is being made on property that I own which is not qUl amps to 399 amps 16834 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: Dale: A. Fee for branch circuits with V` ., a, + +11 ..6,r Y 1'.J., .t:. i s :',1• '1 r;.y :S above aervl000r feeder fee, 742 2 each branch circuit Business name: Johansen Electric Fl. Foe for branc circuits without service or fader fee, first , 5C, 56 18 /$ 2 Contact name: Charlynn Le i f sen _ breach circuit Each add '1 branch circuit q 7.42 146..1 g 2 Address: 10948 SE Valley View Terr Miscellaneous (service or feeder not Included) City/State/ZIP: Happy Valley, a OR 9 7 0 8 6 Each manufactured or modeler ri7 8d 2 PPY Y r dwellia, ;, service and/or feeder Phone: (5 0 3) 698-3417 I Fax:: (5 0 3) 698-2486 Roconnect only 67,84 2 Pump or irrigation circle 67.84 2 r E -mail: xy ... , r 4'1 u , �x ,, ,,.., sig or pudine lighting G7.ti4 2 y. , ,.,.�. s �;' f� • , �...,: wt . . ::' ' ' .; , .,soa.'.� - 'r .. 'z' 'lignal circuit(s) or limited-energy Business name: ,Johansen Electric panel, alleralirm,oretttanaloe. Panel 2 Each additional inspection over allowable in any of the above Address: 10948 SE Valley View Terr Additional inspection (1hrmin) 66,25/hr City/State/ZIP: Valley, OR 97086 Indust (! hr mm) 66.25/ hr ty Happy Yr Induttrielplant(Ibrmia) 78.18/ hr P ne: (5 0 3) 698-3417 9 8 - 3 417 I Fax: (5 0 3) 698-2486 J nepooticall ons f li sted 'A hr or wbioh no mfin 6it, w ie � �/ � ✓ 'fi CCB Lic.: 51539 VI Lic.: 3-243C Suprv. Lic.: 2053S ; ?� : `�:• 'Mires EaTiaT i ,;{ 72 C : . ":0! , : 5 ' Suprv. Electrician signature, requited: - 9uhtvm): Z. g�a �,s t�,e �� Flan review (ZS% of permit fee); Print name: Date: Stntc su rcharge (12% of penult fee): 9,76 t/ Carl J ansen 5/7/12 f l y 1 Authorized signature' TOTAL, PF M1'f F E E : 7. 7; , gn T 1dt p ermit appaeatlon aspires If a permit Is not obtained within 180 Print name: Charlynn L e i f s en _ bate: 7 5 12 days after n Ins been mended as complete. Y / / • Number of impactions allowed pm permit. I:■sulldina dm 07!01/10 44046137(11 att/L'OM/WEB Z /T '39Vd 986Z869E09 9817Z869E05 ZOT'I3 N3SNVHOr WV LO :OT ZIOZ- LO'Aew