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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00670 T[GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2011 Parcel: 2S 113AC00103 Jurisdiction: TIGARD Site address: 7236 SW DURHAM RD, STE# 100 Project: VT Group Subdivision: COUNCIL VIEW ACRES (LOTS 21 -44) Lot: 25 -27,2; Project Description: TI 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 11/30/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/30/2011 $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 O • : '52- 001 -0090. You may obtain a copy of the les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. . - left l 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. NOISIAIU 91\11(111I1M CI IVJIld0 8113 • • EitYo J� ll0Z 6 Z i Electrical Permit s 2 9 ni rh�p / p\ r��g� l 1:01 ffiri. t sI': 0 \I.,\ ENIIIIIIIIIMMIE - w C i t5 SW Ha11 g A i1v d 1 Tigar U I A�ia 1 r `'r- G1�i Permit No.; / ��- I jam' O . s Phone: 503,6 { 1 9,4 7 5l Uti f , i I I , A s; t , � tion Li ®�4 U,Ita Ready/By: IrMil Wi see page 2 for Imomt,c wiliFIEDDIC DIVISION Notitind/Mothod: Supplemental information V ;'; t r ,. , r' t' e 0 ,{ J Il t q , ' •. O . c . •. 4 ' a ix :;..P•':"''''' Please check all that apply (subunit j sots of plans w /items checked below)! ❑ New construction r ®1 Addition/alteration/replacement ❑ Service or feeder 400 amps or more 0 Building over three stories. © 0 Demolition Other: where the available fault current ❑ Marinas and boatyards, y r ,.4 aaNa tom' {' , ;; exceeds 10,000 amps at 15 ;, 1) volts or ❑ floating buildings. x !S 1 7 1 ( [ 4 : a 4 9 tl ♦1 \, t i 1 ;� i ' ;(, , -. � ' loss to ground, or exceeds 14,600 ©Cnmma'ctal -uan agricultural ❑ 1- and 2- family dwelling !a, Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pulp, 0 Installation of 7S KVA of p �rr'}i ❑EmergenoY sY'•tem. tagse paratoly derived avatem. a a ' w . { 4 a ,A Jit,:,: s ,A X a '`' ; �i;t f +� 1 7 ❑ Addition anew motor load of ❑ "A„ ,ZL„ aey . 1.3 ", 100I•1P or more, occupancy, Job no,; Job site address: 7236 S W Durham 100 ❑ six or more residential units. ❑ Rcerentionnl vehicle parks. ESEMINIPMEIMIMMIMMIll ©l laalth care fhviiiln s .. ❑ Supply voltage fix more than Hama-thous locations. 600 volts nominal, 0 S or feeder 600 amps or more, Suite/bldg. /apt. no. • 100 Proj ect name VT Group «r site, '' ' S Cross street /dirnctio s � : - ' New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no,: 1,000 sr . ft. or less - 160,54 111111=13 Ea. add'{ 500 or portion MIMEMINIMIll Tax map/parcel no.: L imited energyy, , residential ` III 75.00 I P ; with above a.. ft, ' . " ' Limited energy, multi - family ■ 75.00 Mill SUxIdCllllal with above a.. ft. Services or feeders installation aiteration and/or relocation 200 amps or Ices 1.111 100,711 -- n n t � i t ). 201 ans s to 400 ainpa = 11111111 • 111 • 111 � �t.... i s �,tl'�',N e, ,'� 1, ! ; �'� t , , I�t :. � t i , � �. + 6. p A01 amps to 600 amps EN 200 mom 1,01 amps to 1,000 amps In 301.04 mop Address: Over 1,000 amps or volts IIIII 552.26 mop Temporary services or feeders Installation, alteration, and/or relocation 200 amps or leas 59,36 U Phone: ( ) Q 201 amps to 400 amps Owner installation: This installation is being made on property that I own which is not 441 amps 1, 599 amps IMMEZEIMIIIIE1 intended for sale, lease, rent, or exchange, Recording to ORS 447, 449, 670, and 701. Branch circuits —new alteration or extension er anal Owner signature _ Date: A, Fee for branch circuits with fJ o, Y 01 1 .0 •'90:4 t ' ;nf / 0':'. , ; ahoVn: 901't0eder fat, � . , „ „ r � each breach circuit circuits c tm o B. Fee frbth ro without ails wi 8usinessname: Johansen Electric Feet rb r n c h cr cuits d mil Contact name: Charlynn Leif sen branch circuit IIMEMILEMIZEIUMEI Address: 10948 SE Valley View Terr Miscellaneous service or feeder not included Each manufactured or modular 67.g4 City /State/ZIP: Happy Valley, OR 97086 dwellin l service and /or feeder Phone:(503) 698 -3417 Fax::(503) 698 -2486 111=11111C11011=1111 Pump or irrigation circle IIIM . E-mail: Sign or outl lighting 67 " 111101 •an Bl alteration Or aKlanaioll, Business name: Johansen Electric Each additional lnt.ectlon over allowable In an of the above Address: 10948 SE Valle View Terr Additional inspection (1 hr min) 11.11 66.25/hr — III Investigation (1 hr min) _ 6625/ hr MM. City /State /ZIP: Ha • • y Valley, OR 97086 Industrial plant (I hr min) 1•1E Phone: (503) 698-3417 Fax: ( 503) 698-2486 inapcotioma for which no fee is 00,00 / hr 11. s•ecificali listed 44 Or nun IMMEEMINEMEMEDIE 5uprv.Lie.: 20535')Tlrt'a:.r 'iy 6 .60 Suprv. Electrician signature, required: k "¢ , < .0..1 c.„„/ Plan review (25% of permit tee): Print name: Carl Jo . -n 11 .0 .•1 TOTAL PERMIT 1 1 MEM Authorized signature: This permit application exptrea if a permit V not obtained within 180 days after it has been accepted as complete. Dale: 11 /29/11 • Number of inspections allowed per permit. 1 ,muilding\pernd4ltn.C-AcmitAnt) doe 07/01/10 440- 4515'1'(11/05/COM/wlin Z / T ' SCVd 98E7Z869C09 981Z869CO5 'Darla NaSNVHOf MI OZ:50 TTOZ'6Z•AoM