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Permit A CITY OF TIGARD ELECTRICAL PERMIT s: 111 - COMMUNITY DEVELOPMENT ELECTRICAL ELC2012 00601 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/22/2012 Parcel: 2S 112 DA01400 Jurisdiction: Tigard Site address: 15350 SW SEQUOIA PKWY 198 Project: Computeration Subdivision: 1996 -048 PARTITION PLAT Lot: 2 Project Description: (1) service and (6) 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 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 698 -3417 PHONE: 503 624 -6300 FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 10/22/2012 $100.70 Specifics: amps or less 6 crt Branch Circuits w /Purchase 10/22/2012 $44.52 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 10/22/2012 $17.43 Electrical Type of Const: Occupancy Grp: Total $162.65 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. ATTENT . Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -001 hrough OA 95 t • le; a. You may obtain a copy of the rules or direct questions to OUNC by calling .2 2.1987 or 1.800.33 344. Issued By , �� , 7 Permittee Signature: - /'e'7 air /0_� 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' ,mss 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 Application, I't11i OI:I,t 1.1 ,l': ().l.\ P OCT-1221 E�M � L )o�.t -r Gid/ City of Tigard � Pamir Na.: Nn.: 13125 SW Hall Bled., Tigard, OR 97223 CITY OF T Z Other PWmlt: ,,( •IGQ�9 Ili i Phone: 503.639.4171 Fax: 503.598.1960 k_ is i v wlion Lido: 503.639.4175 BUILDING DIM '. 7' • adY /dY; runs el See Page 2 for i i , .:� : t > lnap intmrret: www,tigard- a•.gov u fled/Method: Supplemental Information •. .. . ,. '.t Y ' ?Y:;; L; *• . , a ... ,p,. , . 7 '} i:1.:, :' @r Y ' v.: . y , :vp.. °li 4' moo:!• L'F',,i' r.. _ e3Y: ?..'ri5�: . ;a 4;: `.:.:r!� -.. , .::.::.; -s, - ... , ; >: at. ''.: = .° : � � .. IMoaao cheek a8 than apply (submit / eats of ow w /ltanls checked below): ❑ New construction ® Addition /altar>ttion/rcplaccment [] Service or feeder 400 amps or nun* ❑ Building ovor'nrea atones. ❑ Demolition © Other: where tba avail available fault current Marinas boatyards. a fs t ❑ end � .p ° ,1, Fi; ' S, ., ;,:.; exceeds 10,000 amps at ISO volts or ❑ Floating buildings, _i _6' ; 1 7 7'::;4 1 , '' : -+_ kl " * 'E:3v.�. rkf �1 s W 14"i"::':'"''''''''-'4"'''''''.4' ' Y''' ; ', v: '' less In ground. or exceeds 14,000 ❑ Commercial-use agricultural ❑ 1- and 2-family dwelling Gd Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Fire Pump. ❑ lnstaltation of 75 KVA or In Multi ❑Master builder ❑ Other: �l n,ergeney system,. larger separately derived system, ,. cl s �� ,• •u "A'71.".", X1-2„ ,.1.3". . ;• ': > �^ a�.. � �:' � ".` ❑Additirm ofnewmotor load of ❑ ; ; i:`'ir t ^ Y `''' r • ' 10011Pormom. 'xarpaacy. Job no.: ( Job site address: 15350 SW se. o i a 198 ❑ Six or mom residentlel units. ❑ tlarational vehicle park.. ❑ Health-care facilities. ❑ Supply vullago for Inure than City /StalC/ZIP: ❑ Hazardous locations. 600 volta nominal. Suite/bldg./apt. roject name: u ion ❑ Service or Ibeder 6 00 amps or more. — no .: 198 P Com p terat .. p ,);(.:;;_. x.: -V!.' :.,:,:c, Cross street/directions to job sift, y ' ' la New residential singly or multi -family dwelling unit Includes attached garage. 1,1)00 eq. ft. or less 168,54 4 SSubdivision: I Lot �'• 33 X92 1 Ea. add'I 50 sq. fl, or portion Tax map /parcel no.: Limited energy, residential 7500 2 + n;. - • n . �`� .'� , v ! „ ' : `• (with above so. (L) Limited energy, multi-family 75.00 2 Tenant Improvement residential (with above sq,R) _ Service§ or feeders installation alteration and /or relocation 200 amps or less / 100.70 /ptpi7C 2 201 amps to 40O amps 133.56 2 1� '441 a /riri 2 401 amp to 60 0 am 200.34 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 Temporary services or feeders Installation, alteration, and/or City/Statc/ZI P: relocation 200 amps or less 59.36 1 201 amps to 400 amps 125.08 I, „ being ' ” 401 to 5 9 91 am 168.54 2 2 1 � am Pa sale, lease, rent, or exchange, according to ORS 447,449,670, and 701. Branch circuits— now, alteration, or extension, per panel O ' signature: Date: A. Fee for branch circuits with above service or feeder fee _ 7.42 / f(� �� 2 i4 r • t ' s club branch circuit ID 1 B. 1'oe for branch circuits without Johansen Business name: - service or feeder foe, first 56.18 2 branch circuit Contact _ Hach add'I branch circuit 7.42 2 Address: 10948 SE Valley View Terr Miscellaneous (service or feeder not included) T Each manufactured or modular 67.84 2 City/State/ZIP: Happy Valley, OR 97086 dwellin:, scrviee and/or feeder Reuxmeat only 6734 2 Phone: ( 503) 698 -3417 Fax: :(503) 698 -2486 Pump or irrigation circle 67.84 2 E-mail: ,, Sign or outline lighting 67.84 2 ti .;, a, ✓.' •',rr,.w+ " , ' .1. .'..'t s ..4/L- y lt>; {,t�'. '.ew': *.r;;ii i:.∎..'..Lti.fr Signal cireuit(a)orlimitedcncrgy level, alteration, or extension. Pane 2 2 name: Business • - - Each additional inspection over allowable In any of the above View inspection (l hr min) 66.25/ hr I nves ti gation (1 hr min) ' - 66.25/ hr Happy valley, OR 97086 Industrial plant (1 hr min) 78,18/ hr Phono: (5 1 4 698 inspections for which no fee is ill 90 00/ hr —II s 'titan listed 'h hr min p� ___ Plan review (25% of pvm fee): Print name: Carl hansen Stuns surcharge (12% of penult fee): /7, TOTAL. PERMIT FEE: f r, j I V This patrda application eapleee If a penult Is not obtained within 180 days after it has been accepted as armpleta Print name: Cha r Lynn Le i f s en Date: 10/19/12 • Number of Inspections allowed per pomtit. 1:l nuildinsTennluluL•PermitAPP. 0791 /10 440- 1611T(i I MS/COMt'V21 V /1 ' 3Drd 98VZ869€05 98VZ869£O9 ID3ri3 NaSMKHOr end SE:TO ZTOZ.6T'4DO