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Permit CITY OF TIGARD vISE® ELECTRICAL PERMIT I s' COMMUNITY DEVELOPMENT Permit #: ELC2012 -00318 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/24/2012 Parcel: 2S112DA00800 Jurisdiction: TIGARD Site address: 14945 SW SEQUOIA PKWY 150 Project: Prudential Subdivision: PACIFIC CORPORATE CENTER Lot: 2 Project Description: (4) branch circuits 10/15/12 REPRINT corrected address for permit S r�5 aj[/ Se 4 /S0 Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES LP 10948 SE VALLEY VIEW TERR ATTN: N PIVEN HAPPY VALLEY, OR 97086 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 698 -3417 PHONE: FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 05/24/2012 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 05/24/2012 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 95 -001 -0 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 / 344. OA Issued By: Permittee Signature: .] 4P Q�- / C /4-77 , 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. CITY OF TIGARD ELECTRICAL PERMIT _. ' • COMMUNITY DEVELOPMENT Permit #: ELC2012 -00318 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/24/2012 Parcel: 2S112DA00800 Jurisdiction: TIGARD Site address: 15055 SW SEQUOIA PKWY 150 Project: Prudential Subdivision: PACIFIC CORPORATE CENTER Lot: 2 Project Description: (4) branch circuits Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES LP 10948 SE VALLEY VIEW TERR ATTN: N PIVEN HAPPY VALLEY, OR 97086 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 698 -3417 PHONE: FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 05/24/2012 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 05/24/2012 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 5 001 -00 0. You may obtain a co of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.33 or x- l 1 Issued By: Permittee Signature: Oa 4 Pu .11-77 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. 5 U" Electrical Permit Annlicatioll CEIVED Ir01< r)rl`1( 1 I Sr tl`IN City of Ti M AY 2 24 tN Pemdo: LL - o 31 g .. 13125 SW Hall 13114,, Tigard, OR 9722 3 3 2 0 � 2 Plan Review Phone: 503,639.4171 Fax: 503.599,,k960 Dm :. Other Permit: 1, .„,., t , Inspection Lino: 503.639.4175 i ! Y OF TIGARD Date Raady/By' El See Page 2 for Internet: www.tlgatd- or.gov BU /Kr Dws � j �� Nutifced/Mothod: Supplant/0d jiiformetlon +;� , W .::. •r:;Ja: "�ti '�7:....e �:., u5 s� BUM y "3 f�; : r �r ?ir „teyr:7 �.l .,ti .r:..>> .. ,rl;�,�l:" •.: ' #;•. n 1 :"? °..: ^ '!�.'r , r.•: "•y ' .. . 37 ' . 4 ±>a:,r, , s;„ c • ' �� " r 't..,.. ,, r ' �dif,'� +� � � .. ;' �' ; 3.7 :� t i. �� : 4:P�1+� . k heknv , �3` , ad.Q +�r;ay. '�� %` +::r . .. �•�.:..: - i "i•' ''mi' n..., ;•. �r.•:�.. �x �. ❑ New construction ® Addition /alteration/rcpIacement Neese c all at apply (submit tots of plans whammy checked ): ❑ & vita or feeder 400 amps or more in Building over three stories. ❑ Demolition ❑ Other: where the available [hull outran r Floa Marinas and boatyards. a ^• {,:Y:,� r `Y!IC,i l . L....._ ^ �i, '�<J�:�;�i', exceeds 10,000 amp, at Ise volts M F building& '[ .r q, TS, .Y,,'yo� n • p .rr�yr�, , �.' A'��i v ' F ..... slr ,.J 1 ""°. ,.. -.� F:, `T^- %: ..'� '•_'.'.Cki`.: Y_. \` '•4p'•;. - ' • ' ` "" lots to ground, or exceeds 14,000 (] Commercial-use ttgriouttural ❑ i - and 2- family dwelling ® Commerciaifmdustrial ❑ Accessory building amps for all other installations, buildings. ❑ Multi - family ❑ Master builder ❑ Other: D hoe pump. ❑ Installation of 75 KVA or ° �,:. O heaganey system. gear separa derived system. V;,.. "cti'�'�,y " - y,:o, • t.. . . , ir5e. , a, ,. r :j'.,, "4- pX . `: > iv'',: ,`'•.Y {t� A Gna ernewtnomrloedof .t : , ; . .,,`,'A`4, k „'! ;• ;i'-,i;i;>yr_ t,' r. t ....,. A.. � .q': �_: % ddi p_ , �„ „ „ Job no.: ( lob site address: 10011P or more. occupancy. 15 0 5 5 SW Sequoia QUO i a Pkwy Q Six or more residential units. ❑ Reemntionel vehicle perks. City/State/ZIP! p Health-care faoihtie,, ❑ supply veltege for more than ❑ Hazardous locations, 600 volts naminel. Suite/bldg. /apt. no.: 15 0 I Project name: Prudential O Service or (feeder 600 amps Or more. Cross stroot/dircctions to job site: • n«errp n `; oa r`� ” ` pa. I 9 Tor d ^ I New residential single- or multi - family dwelling unit. • Includes attached garage. Subdivision: I Lot no,: 1,000 sq. Ii. or leas 168.54 4 Ea. add' 1 500 sq. ft. or portion 33.92 1 Tax map /parcel 1to,: Limited energy, residential 75.00 2 • -.'" •; .:i ;.1; + y'n; -:(: 'A r.. 'T ;,: ;. :;rY . , , .; . 1? , ";'M (with above &I h.) Li mited energy, multifamily Tenant improvement residential (with above so. ft.) , 75,00 2 Services or feeders installation alteration, and/or relocation 200 iunpa or lase 100.70 2 q , v .. ,w ,.� J ; S ct ''' "'' r :Y, 4': %1': ",r:`. 10 am to 4m amps 13 C 1. x : "� ' �� r. �� l;,�i, ']r;`A;,�= 1'''�i '.k: •v.� rt�F`�:'.� /.:� .. . � .. I pa 3 -56 2 '.1'.�yl . "i; � ,; ��:: 4 "ir. .: A.Si� +`: •'�•. .. N' %.: :F .'; Name: 401 amps to 600 amps 200.34 2 601 netpe to 1,000 amps 301.04 2 Address: Over 1,001) amps or volts 552.26 2 City/State/ZIP: Temporary services or feeders Installation, alteration, and/or reloeetten Phone: ( ) I Fax: ( ) 200 amps or less 59.36 l Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 590 amps 165.54 2 Branch circuits - new, alter tlob or extension. per panel Owner signature:_ Date: A. Pee for branch circuits with : " =,' 2 ; ;7. '. ,.,�,. �" x Z;? r >!,? above service nr feeder foe, 7.42 2 <. t4.: i :4rr fd. -)/./..,,...,,/- , , •, ..'�: ' ti "' ,,. , �. '�`� • . .. �� • ` +• ,, each branch strati[ Business name: B. Fce for branch °intuits without Johansen Electric service or feeder fee, first 1 s6.ls 56 .18 2 Contact name: Charlynn Leifsen branch circuit Path midi brenuh cirwlt 3 I 7,42 12 2:2151 Address: 10948 SE Valley View Terr Nllscellaneoas (service or feeder not Included) - City/State/ZIP: Happy Valley, OR 97086 Each 11 % modular 67'34 2 Phone:(503) 698 -3417 I Fax::(503) 698 -2486 Reconnect only , 67.84 2 Pump or irrigation circle 67.84 2 E -mail: • -.a •.�. ,..,. ,. si or outline lighting 67.84 2 t. A rv �t• � ` . ..,_ 1' , JY , 2i Ian,, ,.._ ,.. is , �•::.... �''Y >•':�' •_. - ,.'WV . y •.�.. �r:1i�'L: °.:f,:`t }iW..n; Signal G lCUlt(a)of hmlted- erlafgy Business name! Johansen Electric Each alteration, or extension. Page 2 , Each additional Inspection over allowable In any of the abov Address; 10948 SE Valley View Terr Additional inspection (1 hr min) 66.25/ hr City/State/ZIP: Ha Valley, l a OR 9 7 0 8 6 Investigation (I hr min) 78 hr �py Yr Induatr 78.18/hr Phone: (503) 698 -3417 I Fax: (503) 698 -2486 inspections for whiuh no tee is 90,00/ hr ifteall listed 1 6 hr min CCB Lie.: 51539 1 Electrical Lie.: y Y/¢Y� ;: 0:' � 2 � 4 33 C I Suprv, Lie.: 2 0 5 3 S ' •fi r'(Q: , _ ` ?, �f J� rs? !3' "< , M M.'� :' d� '�Si ry . Suprv. Electrician signature, required: _/��" ,,�,� subt: 78.44 l Plan review (25% of permit fee): Print name: Carl Johansen Date: 5/23/12 State surcharge (12% of permit fee): 9.41 TOTAL PERMIT FEE: 8 7 , 85 / Authorized signature: TM, oensdt appge,nen expires If a pansdt is not obtained within 180 Print name: Char lynn Leif sen ` -L Date: 5 / 23/12 days afters has aster permit. as complete. + Number of Inspections allowed per ponn. it I: cm,iwingwormitaxt.c- Pcnniwpv,dnr mrojno 440.4615Tt11/051CO vtma Z / T - aoVrd 986Z869E0S 98tZ869E0S 'DaZ3 MESNVHor ltd LE :TO ZTOZ'EZ'Auli