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Permit CITY OF TIGARD ELECTRICAL PERMIT 11 1 COMMUNITY DEVELOPMENT Permit #: ELC2011 -00613 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/03/2011 T1 G'' °4 g Parcel: 2S113AB00600 Jurisdiction: Tigard Site address: 16160 SW UPPER BOONES FERRY RD Project: Dow Agrosciences Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 30 Project Description: (3) branch circuits to connect equipment Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES LP 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 4 crt Branch Circuits wo /Purchase 11/03/2011 $78 44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/03/2011 $9.41 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87 85 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 OAR 952- 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: '%1 Sir s 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. ".%\ \ A 1.- Electrical Permit A lication rt►I: (►rrlc r 1. wi: O11.1 City of Tigard \1 ®� `I� wt 1 3125 SW Hull Blvd., Tigard, OR 97223 , Q l ` ; Z Vplan Rovtow " \ to e ' , Other Permit. Phone 503.63') 4171 Fax SU3 518.1160 C � � r ,rDatue a 1' t, .t i, I a Tnapeetion Line 503.639 4175 ,� v �� ®`tee Page 2 for Internet, www,tagard -or gee IC r\� �� Supplemental information T ro ti . r,, ",''',7,'-'1;041 �;'��� .�.v,, ..,r • —, .� ' .: /,,. �F`V�" py "'✓ " , , ' ;�;PLAt' ,V[P °,., . CI New construction ® Addition /alteration /replacement Pinion ,11005 rill stir/ apply (cuhmit 2 4151 of glints w /itcnta checked below), ❑ Survicn or fuoder 400 nmpy or mo'e ❑ Building over three stones, ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards '',"/,:‘:‘':''','::',,‘ , ' ui" , , i , : '' V',O ' jOX f , ,', ' ,r,7, „ exceeds 10,000 amps ut 150 volts or ❑ floating hulldoiRa ': ' " , lass to ground, or ohuuads 14,000 0 Conmrrcial -use agricultural 0 1 • and 2- family dwelling Commercial /industrial 0 Accessory building amps for all other instanntimas buildings ❑ Multi - family ❑ Master builder ❑ Other: Li hire pump ❑ rnstallaiton of 75 KVA or J�B ;SX"i't, ti ilik'tJO LO tl O . \ ', ❑ Emergency system, larger separately derived system. ' ` ;' ', ❑ Addition of now motor load of El "A", "E ", "1.2". "1.3 "• Job no,: Job site address: I (j //,,() r: L() IO0 ormoro occupancy, 1(� `' qi //v( 41 ❑ r Sr Sir or more rosidential units ©Rocrcational vehicle parks, City /State /ZIP: /� ❑ ltealtl.cara facilities ❑ Supply voltage fir more than ❑ Hazardous locations. 600 volts nominal, 9ernoa o r feeder 600 amps or more, Su1bOPoldg /apt, no.: Project name: DO k) ... ❑ , p ' P„ &; ';'' C street/directions to job site: pnarripnoa I' Q ty. L Pte. L :rva�1 j • - New residential single or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no 1,000 sq. ft or tats 168,54 4 Fa add'] 500 59 ft Or p srtiin 33 92 1 Tax map /parcel no Limited energy, residential Lit den 75 00 2 with a bove s CO 1t fa4't t 1' ( u limited energy, mutti•family 75,00 2 DKIII C' t<-`� //' residential (with above sq, ft.) v � Services or feeders Installation, alteration, and /or relocation 200 amps or loss 100 70 2 '.` ,''' `' !) ` Mi r; ,'4 ifirits) , , 201 amps to 400 amps 133.56 2 Name 401 umps to 600 amps 200 34 2 601 amps to err Address: 1,000 - City /State /ZIP: TeMpOrttry services or feeders installation, alteration, and/or Phone:( ) Fax.( ) 200 amps or less 59,36 1 201 amps to 400 tulips 125 08 2 Owner installation: This installation is being made on property that I own whieh'is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits – new, alteration or extension, er panel Owner signature' Date: A. I. ce for branch cirouits wah 9;;A', 'XrX' ,r `.1'`, ,,..c 1iApT,'Oiasoii„ . nusdi brunch druid Business name: Johansen Electric 13. f ea for branch circuits wIthod service or feeder fec, first 1 56.18 5w 5 2 Contact name: Charlynn Lei f sea branch circuit Address: 10948 SE Valley View Terr Miuceuaneous (service or feeder not Included) Each mnnnf'nctured or modular 67 84 2 City/State/ZIP. Happy Valley, OR 97086 dwelling, service and/or feeder " Phone: (503) 698 -3417 Fax: ;(503) 698 -2486 Reconnect only 67,84 2 --- Pump or irrigation mule 07.84 2 8 -mail: - Sign oroulitne lighting 67 R4 2 . , Signal eircuit(s) or hmded•energy Business name Johansen panel alteration, or extension. _ 1' 0 2 2 Each additional inspection over allowable In any of the above Address: 10948 SE Valley View Terr Additional inspeotion(lhrmin) 66 25/hr • City/State/ZIP: Happy Valley, OR 97086 Invesusauoo (I hr nun) 66 25/ hr — Industrial plant (1lirmin) 714,1R / Phone (503) 698-3417 Fax: ( 503) 698-2486 Inspections for which no fee is 90 00/ hr spnt.ificaljy li. ( he min) CCB Lie ' 51539 I Electrical Lie,: 3- 2 4 3 C Suprv, Lie,. 20538 , ' , , ,'' ,' • $ CA:f. r `' ' ° '; Subtotal: 7g • 7 7 Supry Electrician signature, re Plan review (25% of permit fee)' Print name' Carl ohansen Date: 11 / 1 /1 1 State surcharge (12% of penult fee): 9', 41/ TOTAL, PERMIT FEE: 713 Aulhoa'ed signature: ' 1 \ ___./ This permit application expires If a prrrtdt Is not obtained within 'RU Print name: Char 1 nn Leif f s en D U. 11 days after It has been accepted as complete. y * Number of inspections allowed per permit 1' 1.0utldmgiPamut r.ELC- Parm,tApp.dot 07 /01 /10 440.46)51(11/05NYtb1/WRp Z /T •EDVa 9817Z869C09 9817Z869CO5 'Darla NESNVHO2 Na 89 :c0 TTOZ'TO -- °N