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Permit • CITY OF TIGARD ELECTRICAL PERMIT u ' `� 0 ', .. COMMUNITY DEVELOPMENT Permit #: ELC2012 -00644 • TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/08/2012 Parcel: 2S113AC00103 Jurisdiction: TIGARD Site address: 7244 SW DURHAM RD 900 Project: Foremost Forwarders Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2: Project Description: (2) branch circuits to replace warehouse lighting 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 crt Branch Circuits wo /Purchase 11/08/2012 $63.60 Specifics: Service or Feeder • 1 ea 12% State Surcharge - 11/08/2012 $7.63 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 • 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 -001-00:0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 1.800.332.2344. Issued By: �/11. w 1� Permittee Signature: �APo oq- 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. • RECEIVED NOV 0 8 2012 Electrical Permit Application, Hu: 0 1 ; 1 : 1 ( 1.1 !..I.: ( )' I .) City of Tigard (,tom OF TIGIT �+ a (t Permit No.: 1a-''60i' t • 13125 SW Hall Blvd.. Tigard. OR AU SIG M° ' Other Pamu: • Phone: 503.639.4171 Fax: 503. �W tJ�¢J11 , Inspection Line: 503.639.4175 Date heady /13y. lerla' // Iii gee Page: for 1; , ., is i , Notified/Method: I & Supplem I nfo,rwtlon Intern ct: www.tiRard�r.gov ,, •s ,, ;z wo, •:,. 8�^:" 7 —e;Fr• .e, ; , �,,:...,r� r a i '• 4 I�ik , ." S : � t.•.3 �: ' p': tl' a u`� ""T ,:7.•r•.,V!+• ":.kw',^:. '✓ ..P' :'::r h.�d - q-. i''�., f.i; . •p � ;ivi.::,:',,,,f/.•;:4.7., 1'..�� ~ ,� , . i •••&„4 t.. '`�':r " "!:t >;; ',Y i! � �, ;•.�'•,I'' , ri C� �F: ,Y. i-'� M .i� . r',• r . ; 2�. i `j �. •.: :: il•:� ^r'.: '.1 �' .:;i ' �' `; ':..., 'a ;rl. „ :r � u ',. :; ,•.. ' s . .. sots o f plans Whams checked cluw)t . ; f:+... . "i . �,; "�;Ea = " E,; _ c ^:' Piciacehwkallthatapply(submit� P 0 New construction ® Addition/alteration/replacement CI gcrvlw or tbeder 400 amps tv more © Building over three stories. whereto available Inuit current 0 Marinas and boatyards. Demolition 0 ��' '' a exceeds 10,0110 amps at 130 volts or � Floating buildings. u,.. - , -;�'7`•r.(e V .r.. .., S` . li .. ,.ft:. igi .,:. .,. ` i.) it .r .u48 ialftQrral �'`•t , 4:Y" =a ijp �q� �- ,..,*w ?;;x,�;_ ,',' !;c)., kasto und, or exceeds 14.000 0Commercial ago �C�:`r� 1 ..,�, ^` ��� . 1 \'• �Y� •:�:i Y,� ° ^ �' , �� M'rn" , ��' y ': : gin, 01- and 2-family dwelling ® Commercial /industrial 0 Accessory building amps for all other installaticna. buildings. CI Fire m ❑ Installation o175 KVA or ❑ Muni- family ❑Nester builder ❑ Other: CI Emergency system. larger separately derived ;rystetn. T I V ; r ,. V ` v ' , r . . ^`• ;;C:-i .(- :ti,; ;� ❑ wmotorM° 0 "A ", - E" "1 -2 ". o ::..J l.° •. }'r :1 K '� • .. ��' , , • . ` .... �' ' a ^ .,., �" : ' *,; Addirion of na , i` x zu,> . Yr•''11' %1;'' (' :,•.sees ,rcrmpaaoy, L• � ~. I: •: IOOHP nr more. Job no.: Job site address: 7244 SW Durham 900 0 gbc or more residential units. 0 Recreational vehicle parks. CI Health-care tgailitioa. 0 supply voltage for more than City/State/ZIP: 0 Hazardous locations, 600 volts nominal. 0 Sarvko or feeder 600 caps or more. Suite/bldg. /apt. no.: 900 Project name: Bldg M — . : �.^ :Z; :: : ::•; ; 1 , : ': I.. *e,1 t ?:; Cross street/directions to job site; " b " ^ ".•,,, . W• 0 • New residential single- or multifamily dwelling unit Includes attached garage. - 1.000 sy. C or lean 168.54 4 Subdivision: Lot no.: 33 X92 I Fa. add' I 50 aq• ft, or portion , Tax map/parcel no.: Limited energy, residential 75.00 2 (with above aq. fl.) e . ', q a • ' lamitod oniony. multi•fOmily 7s•o0 2 Replace warehouse lighting residential (with above att. R) Services or feeders installation, altarstlon, and/or relocation 200 amps or lase 100.70 2 y : • ' ' r' °' • ; K 201 amps to 400 amps 133.56 2 'A.,,,,:,." : «,� ' ' "Pa°► '°'(fo%: l = 't. ::i''. " ;, E9 : t�......; r, . _• t.,'D'•:' Liy:i >.v . .. 'a .•:•F. t ' -� .:. •, ......' ..:..:: :. ... • .. :... -:.. 401 amps to 600 amps 200.34 2 Name: • 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 Address: Temporary services or hollers lnatallation, alteration, and/or City /Statc/ZIP: relocation 200 amps or loss 59.36 I I Phone: ( ) i Fax; ( ) 201 amps io400_ps 125.08 I 2 installation is being made on property that I own whioh is not 401 amps to 599 em I1tI 168.54 I 2 This instal tug 40 Ps I Owner Installation: as intended for sale, lease, mat, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits —new, alteration, or extension, );er panel Date: A. Fee for branch circuits with Owner signature: - _ ... , .:' above service or feeder fee, 2 ro x � 7,42 ; • • ; .u. .., ..r �' : C' " *`•. y :' 6',i ' :;' eauh branch ;roil 8. Foe for branch circuits without Business name: Johansen Electric service or feeder foe, first 1 56,18 56 . 18 2 branch circuit Contact name: Charlynn Leifsea Each add•i branch ciraait I1 7.42 7.42 2 Address: 10948 SE Valley View 'Tern Miscellaneous (service orfeeder not Included) Each manufactured or modular 67.84 2 City/State/ZIP. Happy Valley, OR 97086 dwelling, aervie ° and/or feeder Reeonno0l only 67.84 2 Phone: (503) 698 -3417 Fax: :(503) 698 -2486 Pump or irrigation circle 67.84 2 E . ca ;> 4•"" . , , .. , Sign or outline lighting 67.84 2 •s y .:. ^,.:: 9;, ,; ;,k' " :^ a'.'%'•,:• k t xlimited - open , • . y, . .ti 'i r:, : �'i'.. i Signal W' '' - , t"�' : Y) ? ' " ° " ` " - '' 0 al alteration orextcnsion Business name: Johansen Electric Each additional Ins ctionoverallowableInanyoftheabove Additional inspection (I hr min) — , 66.25/ hr • Address: 10998 SE Valley View Terr Investigation (I hr min) 66.25/ he City /State/ZIP: Ha • • y Valley, OR 97086 Industrial plant (I he ruin) 78.18/ hr Phone: (503) 698-3417 Fax: (5 0 3) 698-2486 Inspections for which no foe is 90.00 / hr , — listed rh he min Electrical Lio.: 3- 2 4 3 C ` Suprv. Lie.: 2053S «'� s .'i ::, : :: • r � i x�4.i12: _ .:... -: . CCl3 Lie.; 51539 Subtotal: . 3.-- 1 _ Suprv. Electrician signature, required: aril k , Plan review (25 % of permit fee): Date: 11 / 8 / 12 state surcharge (12%° of permit fee): 7 . 63 P rint name: Carl J J}arisen TOTAL PERMIT FEE: 71.23 Authorized signature: 04._ wadi mdi appl catlonexpires If a permit Is not obtained within 180 days after It lase been °eoepted as complete. Print name: Char lynn Le i f s en Dec 11/8/12 • Number of impactions allowed per permit. i llailtliag ;Permltt;2LC- PermltAPP•doc 07/01110 44O46i 1X11/05/CUM/WED Z /1 •HDVa 98VZ869E09 98VZ869EOS zOHZH NaSNKHOr WV 95 :60 ZTOZ•80•n0N