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Permit CITY OF TIGARD ELECTRICAL PERMIT 111- • COMMUNITY DEVELOPMENT Permit#: ELC2013 00486 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/19/2013 Parcel: 1 S136DA00101 Jurisdiction: Tigard Site address: 11410 SW 68TH PKWY Project: Oregon Pers Subdivision: PFAFFLE PLAZA CONDO Lot: 2 Project Description: (1)100 amp feeder to feed room 230 panel 2B3 to generator panel. Contractor: CHRISTENSON ELECTRIC INC Owner: OREGON,STATE OF PUBLIC 111 SW COLUMBIA ST,STE 480 EMPLOYEES'RETIREMENT FUND PORTLAND,OR 97201 11410 SW 68TH PKWY TIGARD,OR 97223 PHONE: 503-419-3300 PHONE: FAX: 503-419-3695 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 08/19/2013 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 08/19/2013 $12.08 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are `et forth in OAR 952-001-0010 through O:: •52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: I' /- � 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. AUG-13-2013 TUE 10:38 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 01/02 Electrical Permit ApplicaitgEIVED FOR OFI"ICii USE ONLY Received City of Tigard pass , , i _.�� _ 14 a 13125 SW Hall Blvd.,Tigard,OR 9�! 1 3 2 013 NEE Review Other permit: 1 I Phone: 503.718.2439 Fax: 503.598.1960 Date/B Ins ction Line: 503.639.4175 Aloe Ready/ay; 91 Sea Page 2 for I'I(�A R I) a CITY OF TIGARD Notified/Method: /1 Supplemental Information Internet: wvnv,tigard-or,gov ::'I3tP • .... . ;....._..' '. :.?�°,. ':; REVIEW;; ;^:; ,'. . " ..' - "��. � - ,., ��- =� ,�- .. Plum cheek all that apply(:ruhrnit 2 sets of plans w/items checked below): ❑Ncw construction Addition/altcration/replat;ement 0 Service or feeder 400 amps or more 0 Building over threw stories. ❑Demolition ❑Other: _., - •-.• .; where the ava0able fault current 0 Marinas and boatyards. tyards. _. — x. � .' CATEGAR�D&:CONSTRUCTION:: : • ' exceeds l0 000 amps at 150 volts o r •op g buildings. leas to grnwd,or exceeds 14.000 Q Cotmercia l•use agricultural I 1u a l 0 1-and 2-family dwelling ®Comunercial/indusuial ❑Accessory building . amps for all other installations. buildings. Q Piro pump. 13 lntallatlon of 150 KV A or ❑Multi-family ❑Master builder ❑Other: ❑Emergency system. larger separately derived sy4tem. © E....1_2".9.3", ',r - of new motor lend of "A 'p,LOCAT'IDN�,� -��� Addition IOB S1IIti lrl>;oiurinrl4N,!�i ❑ ,., ",: 100HP or more, occupsney, Job no.:26746 Job site addTass:114].0 SW 68 rn PARKWAY' ❑Six or more residential units. 0 Recreational vehicle panes. ❑IT.eulla-care facilities. ❑Supply voihse for more than •City/State/ZIP:TiG'.4RD,OR 97223 DHaznrdous locations, 600 volts nominal. Suite/bldg./apt.no.: Project name:OREGON PERS ❑Service or feeder 600 amps or more. c : .: :.•;'r"ERR SCHEDU'C.E,:; '.. .;'. ;,. Cross street/dircctions to job site:JOHN EKMAN 503-706-4916 'Du-., no KIM��ly — New residential single-or multi-family dwelling unit. _ Includes attached garage. I Lot no.: 1.000 sq.R oY 10.59 168.54 El Subdivision: Ea.add'l 500 sq.B or portion 33.92 e Tax map/parcel no.: Limited energy,residential 75.00 ._. ',�;..; (with above sq.ft.) i;1: :..:.:DESCRIPTION=OB:.WO�tIC` .-' ._i,- .' : -1••-•:-. .=t. " Limited energy,Multi-family• 75.00 2 INSTALL 100 AMP FEEDER CIRCUIT TO FEED ROOM 230 PANEL 2B3 TO residential(with above sq.ft.) Renewable Ent y: - ❑ Sce'Pa_e 2 ' GENERATOR PANEL Services or feeders Installation,alteration,and/or relocation 200 amps or less I 1 00.70 100.70 2•`El:pROPERT"! OWNYCR,;,: `la TENANT.:=.-:': 100.76• 201 amps to 400 amps Name: _ 401 amps to 600 amps 200.34 601 amps to 1,000 amps 301.04 Address: Over 1,000 amps or volts 552.26 City/State/ZIP: Temporary services or feeders installation,alteration,and/or relocation Phone:(— ) I Fax:( ) 200 snips or less _ 59.36 I Owner installation:This installation is being made on property that I own which is not 201 am a to 400 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 Owner signature: _ •Date:, Branch circuits—new,alteration,or extension,per panel •... • A Fee for branch circuits with ,.'.JA APPLICANT.::,:, .` ��CONTAG'F�'PEIt,SONl:,1r,r.._•° abovoscrviceoril:edcrfee, °: ;." each branch circuit 7,42 2 Business name:CHRISTENSON ELECTRIC,INC. 13,Fee for branch circuits wWUlnur ` Contact name:S UZI FLOWERS service or feeder fee.first 56.18 2 brunch circuit Address:111 SW COLUMBIA,SUITE 480 Each udd'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) _ Ciry/State/'LIP:PORTLAND,OR 97201 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone:(503)419-3300 Fax::(503)419-3333 Reconnect only 67.84 E-mail:SUZI.FLOWERS @CHRISTENSON,COM Pump or irrigation circle 67.84 . CONTRACTOR•.'.:' .- - Sign o lighting r outline 67.84 Signal circuits)or limited-energy See Business name:CHRISTENSON ELECTRIC,INC. .and,alteration.or extension. Pit e 2 Address: 111 SW COLUMBIA,SUITE 480 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:PORTLAND,OR 97201 Investigation(1 hr min) 66.25/hr Industrial plant(1 hr min) 78.18/hr Phone:(503)419-3300 F u 3)419-3333 Inspections for which no fee is _ 90.00!hr CCB l.,ic.: 458 Electrical Lie.: 2 -34 r Su•rv.Lie.: 5215S specifically listed('/t hr min) _ -; , ELECTRICAL PERMIT'FEES: . : Suprv.Electrician signature,required: . . Subtotal:_100.70 Print name: ROBERT J BRUENE f - Dal: Plan review(25%of permit fee):8112/13 - _ State aurchsrgo(12'1/4 of permit fee); _ 12.08 Authorized signature: TOTAL PERMIT FEE: 112.78 This permit application expires If o permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. 1:tauildingnPcrmita\ELC NrtmitApp_ELN_EllE.doc Rev 0512112013 440.4615T(1i/u3K:OMJWE9-/1U- -T �(---