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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00423 T t GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2012 Parcel: 2S112AD01000 Jurisdiction: Tigard Site address: 7007 SW CARDINAL LN 145 Project: Cundiff Engineering Subdivision: PACIFIC CORPORATE CENTER Lot: 1 Project Description: (10) branch circuits for TI 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: 503 - 624 -6300 FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 10 crt Branch Circuits wo /Purchase 07/18/2012 $122.96 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/18/2012 $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 OA 9 -001- 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. l Issued By: t. �+'�C.-�il Permittee Signature: OKI 4P 00 L/ C' , ( O� 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. Electrical Permit A apt cah i - oRE CE I i i VE ts 01 i tt i •1 ;1 °NI , City of Tigard JUL 17 2012 i 7 8 'incE Permit No,: �(z,60.- „ II 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review i Phone: 503.639.4171 Fax: 503.598. /� 9d �,� �1 Ice DIVISION Dat&B . OthcrP•'.9' o� • • 10 , , , . , i , impaction Line: 503.639..4175 lJ Date Ready/BY intcmtd: www,tigard -or. ov BUILDING nn � 1 � //( Nodfwd/Mahod: .� �..•Fi1 k , . .." .7 n -9 R..,i '� �:Y '. /'£ R. .YY• Y 1 ..i.� / .l ,.,. ,..._.. ,,�.;..t,r,.. ,ar`E...,p.,a.)Y'I�e i� ':i: � �' ,n:Y .a S� r �: . i � y, t' �. .,,�. :;,:�: '�:� „d �.t.,, . r. ��� . � *a_✓G�°.f,'� `'�i�+' �'. . .. �.._ ti'�: t ': Y.':,; ''M,Y�:�i td' •>.S:” ..�.n. '' ��r g " Plans, shook nil that apply (sn ,it 2 sets of plans w/ltenn checked below): 0 New construction y ® Add • • Demolition • Other; ❑ Service or fender 400 amps or more ❑ Building ova tiros stories. where dm available fault cement ❑ Marinas and boatyards. ` . v 4 "r' `a ` •*'<;�.!'' ' ,:.' ; r .. i � 1F A c ` 4 2:.. ;. x' •y . :4, emoeda 10,000 amps al 150 volts or ❑ fleeting hwldinga. '. / i;.,,, : ' , ' ', J!''' ',1 : ,,.... . . i ct .. • '. .*''. . eo n. r. .w.. a..� , ..' " 4 - .', : ='• 1" 13 1 and 2 famil dwelling less to ground, or exceeds 14,000 ❑ c agr ng ® Commercial /industrial © Accessory building amps for all other installations. buildings. Q Multi - family ❑ Master builder 0 Other; ❑ Fire pimp. [] Installation of 75 KVA or fv"s 1 ,.,� �.•.. > ,w -. ... i a. r x d , . - ^ d , :, . ]' = ;'t'..'.Y,f _ ,7? ,� ; i ❑ F ncngenvy sys em. target sap strly daivod system. . '"� 'l:„ r r, CI of motor lord of Q "A ", "F ", " 1. .,/:'.::. i• , •L:fi�. : a:,. q.. 4`,..2 .'. u . ,.., '�'� A .. ;A'�'FS;;> �.q s 2", ••1.1 " Job no.; , ,. si addres 100HP or mote. uP�Y- 7 0 0 7 SW Cardinal . 14 5 ❑ six or more residential units. 0 Recreational vehicle parka. City /Stato/ZIP: Q Health -care facilities. ❑ Supply voltage fir mom than Q Hazardous locations, 600 volts nominal, Suito/bldg. /apt, no.: 145 r Project name: Cund i f f (3 service or feeder 600 amps or more. " Cross street/direotions to job site: Doarrtplbn I " Qty - I den I Total New rosidentlal single- or multIdamlly dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or loss 168,54 4 Fe. add'I 500 sq. ft. or portion 33.92 I Tax map /parcel no.. Limited energy, residential e;: `. . = ``''`' li ; ;;, xsa ; .'r':: ::. ;i a;;,i' with R. 75.00 2 ` : : Li nneq y m Tenant Improvement residential (with above sq, ft.) 15.00 2 Services or feeders Inatollatlon,alteratlon, and/or relocation 200 amps or less . 100.70 2 '` "7:i`I'''; a ;o , • 67 a ` 4"), . ' 400 amps 133 .Sfr 2 ,.; ': ,- sae,ll'1��a6 ��TSdr:11�c' ':�' :.,;'r ::: ;.'. �`,: 201 amps to 401 amps to 600 amps 200.34 2 Name: 60 1 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 alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 1 59.36 1 I Owner installation: This installation is being made on property that I own which is not 201 amps 0400 amps 125.08 2 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 far branch circuits with . i ',. . - e _ ‹;;• ,r,,-..'. ,. • - _4 _ ,... , ,. ,:,; :,.:-.. above service or feeder fee, ,' . ` ' ?II .r,. t': .., .. . , . ik l' 4: '.. ;. r': a, • .. `;f ‹ . . . ". a; :' tiL� ",Cf41 41 !' .' . .. ; r ' ''.: ; .:' • '''' each branch circuit 7.42 2 Business name: B. Foe far branch Circuits wlrhorU Johansen Electric ,. service or (ceder fee, first / 56.18 �� r I p 2 Contact name: Char lyn<n Le i f s en branch circuit 0 Pesch add'I branch circuit l ri ! 7.42 I44., 71 2 Address: 10948 SE Valley View Terr Miscellaneous (service or feeder not Included) Each manufactured or modular 67.84 2 City /State/ZIP: Happy Valley, OR 97086 dwelling, service etd/or feeder Phone: (5 0 3) 698-3417 I Fax :: (5 0 3) 698-2486 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: rn .,�. +: t,::�•- ,. -,,. ,.,. :.- . Sign or outline lighting 67.84 2 i �'y�s <jo.�i'� .: �._.�, } �i., ; 'r..i �.�: . . r . `' ", ^'.�.�!�;_.CJ ;�, �;'=1' :s;p o . _� }�.'< , -5.: �A' '':' _ . �. v Signal oirouit(a) or limited -nag)' panel, alteration, or extension. Pnge2 2 Business acme: Johansen Electric Each additional Inspection over allowable In any of the above Address: 10948 SE Valley View Terr Additional inspection (lhrmin) 66,25/hr Investigation (I hr min) 66.25/ hr Cib' /Statc/ZIP: Happy Valley, OR 97086 Industrial plant (I hr min) 78.18/ hr Phone: (5 0 3) 698-3417 [Fax: (5 0 3) 698-2486 Inspections for which no fee is s. 'mall listed V, hr min 90.00/ hr .ACB Lic.: 51539 I cctrical Lic.: 3-243C I ,pdprv- Lio.: 20535 :_ `i;" 4•t ' i:' ` =a : =::: r: _t • Subtotal: /27, 9/ Suprv. Electrician signature, required: c I Plan review (25% of pensut fee): Printnamc: Carl Johansen Date: 7/17/12 state surcharge (12 %of permit fee): /S! #7 T(YfAl. PERMIT FEE: J3. 72, V Authorized signature: ( Thb pnrndt application esplren Its permit b not obtained width' ISO Print name: Char l yon Lei f s en I Date: 7/17/12 days niter It has been accepted as complete. • Number of inspections glowed per prrmit. l:' Buildinawcrmital.CParmitApp.des 07/01/10 440.4615T(11ro5/COMAVIM 6 /T - 39Vd 98tZ869£09 9862869£09 ID3'I3 N3sN'iHOr WV 9£:TT ZTOZ•LT "Tar