Permit •_ CITY OF TIGARD ELECTRICAL PERMIT
: '�1 g - COMMUNITY DEVELOPMENT Permit #: ELC2012 00602
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TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/22/2012
Parcel: 2S113AC00102
Jurisdiction: TIGARD
Site address: 7272 SW DURHAM RD, STE# 800
Project: Spec Space Subdivision: COUNCIL VIEW ACRES (LOTS 21-44) Lot: 25 -272:
Project Description: (2) services /feeders and (20) branch circuits.
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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 ea Services or Feeders - 200 10/22/2012 $201.40
Specifics: amps or less •
20 crt Branch Circuits w /Purchase 10/22/2012 $148.40
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 10/22/2012 $41.98
Electrical
Type of Const:
Occupancy Grp:
Total $391.78 •
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: • - •.n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 thro • OAR 9 001 -00•0. You may obtain a copy of the rules or direct questions to OUNC by calling 5087 or 1.800.332.2344.
Issued By: Permittee Signature: LGZ c._4.
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
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SIGNATURE OF SUPR. ELEC' r • � 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.
PIIH Ull if I. 1 ll (1 \I. �
Electrical Permit App
OCT ' 2 2 2012 Permit Na.: .CC a,� — oo�o
City of Tigard R /o ®�
• 13125 $W Hall Blvd„ Tigard, OR 97223 W . /9 is
(fiber Permit: • ' Phone: 503.639.4171 Pax: 503.5 rime 0 See Page 2 for
Int Internet; Lim:: S03.639.4175 rd -o. ov MIMING D flStC" Notified/Method: Re/Metho d: Supplemental Information
�) r , ,, ': t ., .li fd-Of o Notified/Method: lntetnet: wtr+wv plf .g
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•R'4 ^':.5 �. ,r ` ' �, �, m.. ) . ,•yC :✓".: ° "';!- '2'':nf - ;..-.. � r.r��= i,;.rl ' 1; �r'�� '
a ':c;: t ' {' .; r` - ? ... .. ; t .r$•. ,..:. Fleece cheek all that apply (submit Z sets of plena wilteme checked below);
El New construction ®Addition/alteaation/t eplatxment ❑ Ser ices feeder 400 gulps or more ❑ Building over three stories.
❑ Demolition El Other; w ltore the available fault current ❑ Marinas and boatyards.
( � ,,..,_ f T.,;: t'.,vi • .•?! e xceeds 10,000 amps at 150 volts or ❑ 17oat mgbuildinga.
'a ;:? , y ?:.7wkal i ah1!s'p j .v. { r, R(.rtN: : ground. or 16.000
s., :r a'';. k:.: • S. . c ;< P•t• - ,.:•:�i v . .. . . . f, °>. lass M Q Comm erda l- uao Agri vv l turel
v ❑ 1 and 2 family dwelling �i Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
1:I Piro pump. ❑ Installation of 75 KVA or
17:1 Multi El Master builder Other: ❑ Finaga cy ayetem. larger separately derived system.
, ;�;,�; ,,...t,0 G -,coy. ?a r:• h•, ti:C3-tilti ..'iY ❑Additionofncwmoter ❑ „ „ 2, 1 ,
94r: � ;.,y`:•ii i . ^:.� •�. 10) : . .. 100HPormoro, oweupancy.
Job no•: !Job site address: 7272 SW Durham, BOO _ ❑ Six ur more reaidemial units. 0 Recreational vehicle parks.
Health-care facilities. 0 Supply voltage for more than
Clty/Stalo%LIP: ❑ Hazardous locations, 600 volts nominal.
❑ Service or Ikeda 600 amps or mom.
Suite/bldg. /apt, no.: 800
l Project name: pbc1 5 spec ” : , r,• <` :: ` , .e
• ; �rl �� i o n �� ".sirs_ ...l..c ,,��.'. '�•• }..., t � •� l • -
Cross streetldiroctions to job site: F 1
New residential single or multi - family dwelling unit.
Includes attached garage.
Subdivision; 1 Lot no.;
1,000 aq, ft. or leas 168 4
P.a. add' 1 800 sq. it, or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75,00 2
i "' +rTi
:.} :,,� �:� - w' �q {;<l:V..c ?;t;;.'c`- .'r.'%" 3;<;.` '.`.r:'' .. (with above a�. Si) . .
',r i.. ', .•,..... . ,.i % " ",,.,. 1 .. ,., ., ; .: F';<< l.imitedenergy, multi-family 75.00 2
clean ' up spec space residential (with above aq, fl.) ,
Services or feeders installatton and/or relocation
200 amps or leea 1. 100.70 lz .41) 2
, w \ 4,,, ����� y a Ye ' ,� I ; ?:r i ;,: ; ' v ' ' 201 antes to 400 amps
y 133.56 2 200.3 a'� :` : .:..l�ta i : : sly : . ' :ii ' 2
40l amps to 600 amps _ 4
Name: 601 ammps to 1,000 amps 301.04 2
Address: over 1,000 amps or volts 55226 2
Temporary services or feeders installation, alteration, and/or
City /State/ZJP: relocation
Phone: ( ) j Fax: ( ) 200 amps or loss 59.36 1 1
201 amps to 400 amps 1 i 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 699 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. _
Bra circuits— new, altcrntlo , or extension r panel
Owner signature: ,_ Date; A. Yea for branch circuits with
. w, a ,t,,.(.� �yi k shove sorviue A) 7A2 li • gp 2
. 4. . a , ' •`= ::: 45 "'` • � ,... : • „q.',-•'..,,5,'......'../ S ,, - .� .;! is ,'".. • /,•'. , la! r,'ti ? `•' -.4 ;, Y ; branch c or feeder fee, //t► l/•
•`." . , ., each been
B. Yoe for branch circuits without
Business name: Johansen Electric service or feeder fee. fast
56.18 2
branch circuit
Contact name:
Charlynn Leif sera Each add 'I b circuit J I 7,42 2
Address: 10948 SE Valley View Terr Mlscdlaneoua (service or (miler not included) _
Ew;h manufactured or modular 67.84 2
City/State/ZIP: Happy Valley, OR 97086 dwelli ,, ntvice and/or feeder
Xew only 67.84 2
Phone: (5 0 3) 698-3417 I Fax:: (5 0 3) 698-2486 Pump or irrigation circlet 67.84 2
E-mail: ' .
, .. . Sign or outline lightin 67.84 2
;`:, • ru�f:. ;.S, T :' {;tl
, '�:;,� }'o �J.•, .,� .. ~ 1 ' �.. s' �. : �' i '� .:: A ?;� .�':.a ".y: r. `�� •a %:• Signal cirouit(e) or IimitoJ allergy
..a r .,:..i... ;i.<
::;'..,;',,'
tre89neme: Y - �'^ 'BA . , , tm„el,eltaatiom , oraxtendon. Pefte2 2
$U61
Johansen Electric Each additional Inspection over allowable in any of the above
Address: 10948 SE Valley View Terr
Additional inspection (I hr min) 66.25/ hr
Investigation (l In min) 66.25/ hr
City/State/ZIP: Happy Valley, OR 97086 _„ Industrial plant (1 hr min) 78.18/ hr
Phone; (5 0 3) 698-3417 I Fax: (5 0 3) 698-2486 Inspections for which no fee is 90.00/ hr
a.. •'fioall listed 'h In min
I E lectrical Lie.: 3 - 2 4 3 C ; r,y;m' ;{ '• :1v : 1 LYwf r; , r ::,1,7,7--
CGB Lic.: 51539 Lie.: 20535 �`� , =`' �:(•. > ; i' r: "., �. '..
Suprv. Subtotal: +yg, �
Suprv. Electrician signature, required: / 7� r c e �/ n � ✓ Plan review (25% of permit fee):
Print name: Carl Johansen , /i v y Date: 10 / 19 / 12 State a,ur�terge (12% of permit f( ): Z/ /, ig
'TOTAL PERMIT FBB: 34 i, / S
Authorized signature: Cr! c yd 1� 'fhb petmlt appftnilon expires tea wadi U not obtained within 160
days alert, has been accepted as complete.
Print name: Charlynn L f sera Date: 10/19/12 • Number of inspection% allowed per penult.
1 :muildimApermit.st.t:- pamiW 001/10 440.4615Ttt tnSICOMIWIS$
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