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Permit 1 y CITY OF TIGARD ELECTRICAL PERMIT 11111 a COMMUNITY DEVELOPMENT Permit #: ELC2013 -00022 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/14/2013 Parcel: 2S113AC00103 Jurisdiction: Tigard Site address: 7236 SW DURHAM RD 500 Project: Spec Space Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2: Project Description: (1) branch circuit 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: 503 624 -6300 FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 1 crt Branch Circuits wo /Purchase 01/14/2013 $56.18 Specifics: Service or Feeder 1 ea 12% State Surcharge - 01/14/2013 $6.74 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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 thro 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2 4. • Issued By: Permittee Signature: ( 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 • 0 2013 Electrical Permit Application 141R 01'1-1('1? I •i': ()NI.) %;ITY OFTIGAR© City of Tigard � I [Ln11VG DNISIO ° �� / A'—% Permit No.: f ./ -c7 • 1312s SW Hall Blvd., Tigard, Olt 9722 ta Review p ,�j„� � • Phone: 503.639.4171 Fax: 503.598.1960 Dnle/13 : Other Permit: 4 I 1 , tY t , Inspection Line: 503,639,4175 Date Ready/By; 111.1 Efl See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information VO r*. . 1.74 •! . ,: 7pr Please check all that apply (submit g end■ of plans %W .',,.. / Itana checked below): El New con ® Addition/alteralioWre lacement D Service or t eder 400 amps or more 0 Nuikling ova three stories. ❑ Demolition ❑ Other: whore the available fault current 0 Marinas and boatyards. .; : y.; -41.1 f; �'� '' .:'__, i r, t p '...a; _:e :;';.:;;,:.;:;.:i o exceeds 10,000 amps at 150 volts or Floating buildings. Atl>w ,:: ;.,; .. ,.. ` :r. r:: `a. '` , dess to round, or cxcxda 14.000 ❑ Commcroial•uw agricultural ❑ 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings, ❑ Multi- family ❑ Master builder ❑ Other: D Fire pump. ❑ Installation ut'75 KVA or red -•. r..,:_�• , r z..- -. F:tn ergeney xyxtmm. larger separately den system. ;: • ';.;: .'e .. " Y: :P:Icki :, : , , ';;'' ?i`:`:-.'r; : D,. .: 0 Addition ofncw motor load of A ..,c o «1.2,...1 ,3,. 10OHP or more. occupancy. Job no.: Job site address: 7236 SW Durham, 500 CI Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: 0 Health-care facilities. 0 Supply voltage for more than c n! D hazardous locators. 000 volts nominal. Suite/bldg. /apt. no.: 5 0 0 Project name: vary rke.._ gpa [ `--Y D s.r"ica or feeder 600 amps cl n me t. Cross street/directions to job site; ».rcrisston I Oa. I v... I 'Teen i • New residential single- or mold - family dwelling unit. Includes attached garage. Subdivision: I lot no.: 1.000 sq. tt. or less 168.54 4 Ea. add' 1500 sq. ft, or portion 33.92 1 Tax map /parcel no United energy, residential :.i %' l' ? i7 , " " (with above sq. ft.) 75.00 2 Limited energy, multi-family 75.00 2 Warehouse lighting replacement residential (with above se. 0.) - Service's or feeders lnstallatton,,alteration, and/or relocation 200 amps or leas 100.70 2 ,. '.c s" to oo amps 2 401 b �. ' 1 a 601 amps to 1,000 amps 301,04 2 Name: Address: Over 1.000 amps or volts 552.26 2 Temporary l services or feeders installation, alteration, and/or City /Slale/77F: Phone: ( ) J Fax: ( ) 200 amps or less I 59.36 I 201 stops to 400 amps I 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps u.599 amps I 168,54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or e7ttnnsln� r panel Owner signature: Date: A. Fee for branch circuits with .<.'. s /� i ` •': ; :::, r ..,. , :. . ' -' '.•'.,. °' .., . above service or feeder fee, ...... �� �" .." ::, • . ° e; ,,.:. •.. •. �0 .• Z+E� N' =;': 7,42 each branch circuit _ 2 Business none: Johansen Electric R F rfa% without .-cervix or fader foe, first , 56.18rj(p. �� 2 Contact name: Charlynn Le i f sen brunch circuit Each add'I branch circuit 7.42 2 Address: 10948 SE Valley View Terr Mtsce4( nneous (service or feeder not included) Each manufactured or modular 67.84 2 City /State/ZIP: Happy Valley , OR 97086 dwelling, service and/or (ceder Phone: (5 0 3) 6 9 8- 3 417 I Fax:: (5 0 3) 698-2486 Reumneet only 67.84 2 Pump or irrigation circle 67.114 2 - E -ma } , ; • Sign or outline lighting _ 67.84 2 ,."'' "','.i''''':r` +., _ - ,,,, �. .1,Ef� l� � . •. - I; i '', , :;';i.:';'.::::' ' Si - stagy Business name: Johansen Electric panel, alteration. over allow extension. w a ble P Inan 2 Each additional Inspection In any of the above Address: 10948 SE Valley View Terr Additional inspection (1 hr min) _ 66.25/hr City /State/ZIP: Happy Valle , OR 97086 Invcatr 66.25/ hr ppy y Industrial plant (I hr min) 78.18/ hr Phone: (5 0 3) 6 9 8 - 3 417 I Fax: (5 0 3) 698 - 2 4 8 6 Inspections for which no fee is 9000 / hr CCB Lie.: 51539 I Electrical Lie.: 3 - 24 3 C I Suprv. Lic.: 2 0 53 S --,a ifaa'ly listed 1 '4 hr min) 'PE - ,W,;?: Subtotal: 1 (p, (g Suprv, Electrician signature, required: C'd'P n 4"" - _ -'vs �� _ Q L �� ( jF� d Plan review (25% of permit the): Print name: e: Stain surcharge (12% of permit fee): Le' • 1 4 Carl J hansen 1/10/13 TOfAL PERMIT FEE: (pi , 2- Authorized signature; � This pemdt appucandra expires If a permit u not obtained within 180 Print name; Charlynn Lei f s Date: 1/10/13 aryl alter a Ins seen accepted n complete. • Number of inspections snowed par penult. L■eseldicg .PcnnienELC- PeroutApp.doe 1.17N1t10 440s6157(1I005ICOM/WED 8 /T '301d 98bZ869£0S 98tZ869£09 'D3'I3 NasN'HOr WV 65 :60 £TOZ'OT'uur Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 7236 SW DURHAM RD 500, TIGARD, OR, 97224 Commercial - Electrical 199 Electrical final 02/15/2013 00:00 ELC2013-00022 PASS - No C of O Violation Summary: Inspector Contractor