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Permit CITY OF TIGARD ELECTRICAL PERMIT '7 : COMMUNITY DEVELOPMENT Permit #: ELC2011 -00674 TIGAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/01/2011 Parcel: 2S113AC00103 Jurisdiction: TIGARD Site address: 7244 SW DURHAM RD, BLDG# 500 Project: RSD Refrigeration Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2: Project Description: (2) branch circuits for new office. 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 12/01/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 12/01/2011 $7.63 Type of Use: COM 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 OAR 952- 001 -0090. You btain a copy of the r - or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. — Issued By:. �; + ` _ Permittee Signature: �� G� 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. F ._ , E�E Ik�.lBCtrlca! Permi t Applica rr7tl.011 lc 1: I'Sr• 0.1.1 City of Tigard t Erlif �� P ¢m, it • No. C ; I _-606, if s" ° 1 3125 SW 1311111.31vd., Tigard, OR. 91223 1 9 011 Plan Review a Phone: 503,639.4171 Max: 503.598.1960 L Date/13 ; Ell t t r , .ti It r? Inspection Line: 503.639.4175 Date Ron y/13y: iuriu r. Sec Pogo 2 for Internet: www,tigard- or,gov " "% 1 . : � ".). �pp¢ O y FTIGARD t,, Nodtio athod: Q supplemental Information % N 7J w ,M s 1 , .,) .h�„ ,ti� r. ". �� r� .,r �� '' "IFI.' ' �' ��s� ... �hM. �J M "; h,i,u a ,..:, � , ip , y _.. ,, , ✓, „ ' � 1 �1 , IM ,. . t, 0 New construction ® Addition /alteration /replecolttelit re ❑ Please check all that apply (submit' sots of piano wlhoma chocked below); ❑ Service or feeder 400 amps or mo 13ulldtng over tuts atones. ❑ Demolition ❑ Other where the available Relit current ❑ Marinas and bo¢lyurds. ,y:? +; ?w61;; r ar�:�l:,;; ; ; ,'�?7,Ct, gr," " - "r -i ;:,, ?`. ,qi 6; ,' +< , '?;lu` , " d 10,000 5 l ;j:' exceeds amps al 10 volts or Floating buildin �I ; f `• I W 4` do .om .rt :`.tv � ' , . r .r; 'e; v.: ' p lnl B s, g �'� � . , 4 k '' "' "" ° ' ' � '^ :i ' loss to ground, or exceeds 14,000 ❑ Commercial -use agricultural 0 1- and 2- family dwelling El Commercial /industrial 0 Accessory building amps for ull other Installations. buildings, © Multi - family 0 Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or A il, f " y+ y� P ❑ Entergvnoy system larger aeparnteiy derived system. d '',' � r r , y:; !, i r a','�'� ltoii0 ! Ati � i " 40: „. ; � ❑ Ad o caw mohN t o ad o f 0 „A” „ „1 2....1 -3 ", Job no.: I Job site Address: IOOHP or more. ts;cupancy. 7 2 4 4 SW Durham 0 Six or more residential units, ❑ Recreational vehicle parks. City /State /ZIP: ❑ Health -care fhcilities. ❑ Supply voltage for more than ❑ Halardotl5 *admix 600 volts nominal. Suite/bldg. /apt. no.: 500 Project name: RS D A\ Li 8frvice or fender 600 amps or more. Cross sIrcct/dlreeti ns to job site: ��� ( 3 4 O F f ; :; a a't , l +' 1 7,l M ;' r.�. J ne.rrfrueh Qtr. ( Fee, l iotni 1 ^ New residential single -or mult -family dwelling unit. Includes attached ga Subdivision; Lot no.; 1,000 eq. ft or loss 168.54 V 4 --- P.a. add'l 500 sq. ft. or portion 33.92 1 Tax map /parcel no . a Limited energy, residential 75.00 2 . i'^11 #1 *. , , l' �i a ' N,x with above s ft. I ,imitnd energy, multi-family 75.00 2 Add new of f i ce residential (with above sq, ft.) ._ . Services or feeders lnatellatlon and/or relocation ,,P� 200 amps or lees 100,70 2 i'i`<" '� i 4 '. i ' I'�... 7 . t) i.t e �', .•:.' 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200,34 2 Name: . _. 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City /State/ZIP Temporary services or feeders installation, alteration, and/o relocation s or Iota 59.36 I 2 00 am Phone: ( ) I Fax: ( ) p 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 1(,8.5(8.5 4 2 intended for sale, lease, rant, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits—new, alteration, or extension, nor panel Owner signature: Date: A. Fan fit branch circuits with i' " t ( m ' u' ,, L " N ' a" r above service or feeder loo, 7.42 2 "y {,, r " ' y.'ri ! aA '+ 2.", .. V R q,, � .. Y 1 M, ?M 0 64 M S O 9 a Weil branch circuit Business name: Johansen Electric i3 , Fx fot breachcircuits without service or feeder fee, first 1 56.18 5 6.18 2 Contact name: Charlynn Le i f s en branch cireurt F.ach add'I branch circuit 1 7,42 - . 42 2 Address: 10948 SE Valley View Terr Miscellaneous (sersk ur feeder not included), Each manufactured or modular 67.84 2 City /State /ZIP: Happy Valley , OR 97086 dwelling, service and /or feeder Phone: (503)698-3417 I Fax:: (5 0 3) 698-2486 —' Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: 67.84 2 _ "'. „ i , i' , a ` . ' . n Sign or outline lighting • " , , ' , - " •,-,' Signlal circuit(s)orlimited- ¢norBY Business name: Johansen Electric panel, alteration, or extension, Page2 2 Each additional Inspection over allowable In axof the above Address: 10948 SE Valley View Ter Additional inspection (1 hr min) 66.25/hr ' investigation (1 hr min) 66.25/ ht City/State /ZIP: Happy Valley, OR 97086 Industrial plant (] hr min) 66.25 hr Phone: (503) 696-3417 Fax: ( 503) 698-2486 Inspections f o r which no f o e i s )0.00 / hr specificall '(listed c'y hr min) CCB Lie.: 51539 Electrical 0 5 3 5 °' `;:' ' tr Lie.: 3 - 2 4 3 C Su rv, hie.: 2 ; ;jT�,,'r'. , �a . p ` `r7;:,;,:�;4'' r't�...�1��;:�i "�Iw lir:.- ,; „.;,,�,r” -'1i Suprv. Electrician signature, required: / / Subtotal: li . . .0.6.. , • . . - ■ , Plan review (25°.6 of permit fee); Print mare; Carl J - 1 7 risen / Date: 12 / 1 / 11 State surcharge (12% of permit fee): 7 , 6 3 TOTAL PERMIT PEE: 71,23 Authorized signature: This permit application expires if a permit is nut obtained within 180 - dnya after It has been accepted as complete, Print name: Charlynn Le i f s en Date: 12/1/11 a Number of inspection allowed per permit, liBuildinalpermit \FI.C.Pem,itApp.dnc nvn 440- 45t5'r(11/O5 /C.AMAtP,a Z IT - HDVd 98tZ869C09 98t7Z869C09 ZDY'I'3 NaSNVHOf wi TS OT TTOZ -TO -Dee