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Permit CITY OF TIGARD 1 • ELECTRICAL PERMIT 1111 � COMMUNITY DEVELOPMENT Permit #: ELC2012 -00401 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/02/2012 Parcel: 2S112AC01500 Jurisdiction: Tigard Site address: 7319 SW KABLE LN 500 Project: Quality Custom Distribution Services Inc Subdivision: FANNO CREEK ACRE TRACTS Lot: 23, PT 2 , Project Description: (4) branch circuits for TI. 9/4/12, adding an additional (10) branch circuits. 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 4 crt Branch Circuits wo /Purchase 07/02/2012 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/02/2012 $9.41 Type of Use: COM Electrical Class of Work: ALT 10 crt Branch Circuits w /Purchase 09/04/2012 $74.20 Service or Feeder Type of Const: 0 ea 12% State Surcharge - 09/04/2012 $8.91 Occupancy Grp: Electrical Total $170.96 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 i1 .ccordance • approved plans. This permit will expire if work is not started within 1 0 days of issuance, or if work is suspended for more the 180 days. ENTION: Oregon - re• •' •u to follow the rules adopted by the Oreg Utility 1 • = •n Center. Those rules are set forth in OAR . 952 -0 1 -0010 through OAR 952-0c- 1090. Y .0 may obtain a copy the rules or direct questions to UNC by ca ing • 1987 oc1.800.332.2344. Issued By: / Permittee Sig ure: /yt -Y OWNER INSTALLATION ONUY 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 503.639.4176 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. CITY OF TIGARD ELECTRICAL PERMIT s . COMMUNITY DEVELOPMENT Permit #: ELC2012 00401 T t G A.R L) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/02/2012 Parcel: 2S112AC01500 Jurisdiction: Tigard Site address: 7319 SW KABLE LN 500 Project: Vacancy Subdivision: FANNO CREEK ACRE TRACTS Lot: 23, PT 2 Project Description: (4) branch circuits for 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 4 crt Branch Circuits wo /Purchase 07/02/2012 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/02/2012 $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 95 - 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. i r Issued By: Permittee Signature: DAL AP/ 41 epraoA4 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. Electrical Permit Applicati0 r(llt OF l(l l tin: c►.I,, City of Tigard SEP 0 4 2012 Received Permit tY �,� . ,Al) , -00 fa • 13125 SW Hall 'Blvd., Tigtud, OR 97223 Plan Review ' I Phone: 503.639.4171 Fax: 503.598.1tyry OF TIGARD Dat :: Other permit; , 1 , , .. Inspection Lino; 503.639.4175 Date Ready/By; Iiii= EI See pane 2 our Internet: www.tigard.or.gov DUILUTP'G Di IS1 NotifiesVMethod: Supplemental Information ❑ Now construction ® Addition/alteration /replacement all that ;poly (submU t sets of plena wlitcrna chocked below); ['Service or feeder 400 amps at more 0 Building over tree stories. ❑ Demolition ❑ Other: whore tho available fault current ❑ Marinas and boatyards. : a O floating buildings. .: •;... .:.:.' •. L'JI'I'J�tiT�Y UTt' �'�141�>C�C>l'iC�T..:...- ....., . , - ,..., exceeds 10,000 amps at 150 volts 1. an 2-family dwolling ' • less to ground, or exceeds 14,000 CI Ctmmmerclal -use agricultural 1:1 ly g ® Commercial /industrial ❑ Accessory building amps for all other hmatallations, buildings. ❑ Multi - family © Master builder ❑ Other 0 Fire pu ne. 0Installation of 75 KVA or Fan system larger le system. separately derived try em. . ; 141�i'' otF : ' A 1t► , I7f re" . 4 01 ,141' . • • ,. .. ❑ Addition o new motor load of In "A• • 1 "1-3". Job no.: I Job site address; 1 a u a mere. mummy. 7 319 SW Kab 1 e , 5 0 0 ❑ six mare residential units. CI Recreational vehicle parks. City /State/ZIP' ❑ ticxMn.care t eillties. 0 Supply voltage for more than 0 Hazardous ksatioes. 600 volts nominal. Suito/bldg. /apt. no.: 500 I Project name: Qua 1 i ty Cust 0 Service or 18eder600 amps or more. Cross eireet/directions to job site: Drrrriwron >P� I pia- f Fee. 1 Total I •' New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or leas 168.54 4 Fa. ald'I 500 sq. ft or portion 33.92 I M Tax map/parcel no.: Limited energ residential 75 00 2 . IMMOPII 3N OF W01tIt - (with above .. ft) . Limited energy, multi- family 75.00 2 Add circuits to permit #ELC2012 -00401 - residential (with above Ng. rt.) Services or feeders Installation and/or relocation_ 200 amps or less 100.70 2 '711 :d! ; ` :: QT" 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1.000 snips or volts 552.26 2 City /Swle/ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) J Fax: ( ) 200 amps or less $9.36 I 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps p, 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, Eer panel Owner signature: Date: A. Fee for branch circuits with above nervier or Cacdor fro. 7 . .,.. C 4 r111` ' . .. (; C pl9'Y' 14G 'f 11�El : each branch circuit .42 2 • Business name: Johansen Electric B Fee ice o r feed circuits without service or tavern fee, tint 56.18 2 Contactnamc: Charlynn Leifsen branch circuit Each add'I branch circuit 10 7.42 I 7 . 4 2 2 Address; 10948 SE Valley View Terr Miscellaneous (service or feeder not induded) - - City /State/ZIP: Happy Valley, OR 97086 d i son t uomodular 67.84 2 Phone: (5 0 3) 698-3417 I Fax: ; (5 0 3) 698-2486 Reconnect only 67.84 2 Pump or irrigation circle 67.84 1 E-mail: or outline lighting - 67.84 2 Sip o m G191K7T�$ ... Signal eireuit(s) or limitcdwagy Business name: Johansen Electric panel, a or extension. P I no 2 2 Each additional Inspection over allowable In any of the abov Address: 10948 SE Valley View Terr Additional inspection (1 hr min) 66.25/hr City /Stale/ZIP: Happy valley, l a OR 9 7 0 8 6 Investigation itd (I hr olio) 66.25 / hr �py y, Industrialplant(1hrmin) 78.18 /hr Phone: (5 0 3) 698-3417 I Fax: ( 0 3) 698-2486 Inspections for which no fee is 9000/ hr in c cifioally , listed 15hrmil CCB Lie.: 51539 Electrical Lic.: 3-243C Suprv. Lie.: 20535 :'' Subtotal: 74.20' 4 . Suprv. Electrician signature, required: �/ /J e � !F 0,11...44,0.0.44../ Plum review (25% of penult fee): Print name; Carl Johansen I Date: 9/4/12 / 4 / 12 State surcharge (12% of permit Ice): 8 . 9 0 Author ed ei store; / //,1 n . TOTAL PERMIT pemnil I not obtained 83.10 ( v(,( Thh permit application expires era penult is not Muds 180 name: Charlynn L i s I D days after it has been accepted as complete. Print ma y 9 4 12 / • Number or inspections allowed per permit. I:muild;esWermiu\ELe- PermitApr.a. Pmino 446.461tT(tIIOSICOMIWLa Z / T ' HDVa 987Z869CO5 98PZ869C09 LDaza NaSNVHO2 NV 90 :0T ZTOZ•60•des Electrical Permit Applicable fi City of Tigard JUL 2 2012 Received 1 i /A- 7.- PermitNc den a- o - o • 13125 SW Hall Blvd., Tigard, OR 97223 plait Review Phone: 503.639.4171 Fax: 503.598. OFTIGARD Da. r • 1:12:111111111111111 , i , , ,., t , Inspection Linc: 503.639.4175 Date Ready/By: 0 see Page 2 for Internet: www,tigard•or.gov BUILDING DIVISION Notified/Method: Supplemental Information a,Fy^ .c .:. r >e:1:•. ;� , . . , ' , -.'.�. , . , ra,•. , ; , t..;rl. , _ v _ a. ;,.r:�: _fi; .r- .t r .; ..., � . ,J=:^g r9(... ' � ao: ,. } ^.... � ':1 �'�E i:i' , 'cr?;; . r ,;, .,r',;.��: - 0;;��:r4fi ..v ` .Y.. ^ �':rY . :J: 7.., r � .1 .\•.,, ` •'A.';.. ;\; 'c .,. '• l,>7', "':a�•� ... ,..,..... .,.,.:,.,..r5.. l . ,.... f . . '...., „ ❑ New constmotian ® Addition/alteration/replacement Mew check all thaz apply (submit i sets of plans Mitems sleeked below): ❑ Service or Rieder 400 amps or morn [a Building over three stories, CI Demolition 0 Other: where the available fault current CI MOM and boatyards, i s' rr i 3 41 : ."' U'' :.e' w `, , ,,r ;-; ;.70,1 y {;^'�'. , '�:1 ;:'7;.' "3 ' : ;44 ''•"' exceeds 10,000 amps at 150 voila or 0 Hustling buildings. ;� . .," .: • . "gy m '. . ` i ' „. ... 4 ` ` ,; ' .. ' ' ' , ken to ground, a exseads 14,000 ❑ Cnmmarclal.uac agrindtural Q 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations, buildings. ❑ Multi- family ❑Miter builder ❑Other: 0 Fire pump. ❑ installation of75KVAor i t , ,p:, i wM.y . agva! ( . ��y�. r . ❑ Emergency system, larger separately derived system. iy ��,��; ;. ., 4 , "L, ':x.. : .. ^r, . i .`P. �"' ,':" + 1" 'A , F , y, + r , . , , , � . ❑ . , , ❑ Addition of new motor lead of - A...h,,...1- 2,,..,1 -3„ Job no.: F Job site address, 1001-1P or morn. p y 6 SW Kab 1 e fin, 500 ❑ *i>< OT more residential units. ❑ Recreational vehicle parks. City/State/ZIP: 1 311 ❑ I brelth -care facilities. ❑ Supply voltage fax more than I 1 CI Hazardous locations. 600 volts nominal, Suite/bldg. /apt. no.: 500 Project name; Vacancy ❑ service or feeder 600 amps err more. Y M �; • f , Cross street /directions to job site: Deaatpllon „ ' �� Per. I 'rota/ I ' New residential single -or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.; 1,000 eq. R. or leas 168,54 4 Ea. edd'l 500 sq. ft. or portion 33,92 I Tax map /parcel no,: al • 75.00 2 ' y r , ,, _,,,..,, ,� Limited energy, reside ti '�'� � .' ...�. -,.. t" � , . , ��V13' ?� . . " 't ^ ,., , ,. , .r w. "' fi`; � (;l r ,; (w1 eve Sq -(1,) • ... ..,, ..r. . .. ;.. . : ., ;,'.:::�' R "rr. ..l i�: ;�,..;':: � 'ill Pb Limited energy, multi- family 7540 T2 Tenant Improvement residential (with above sq, ft.)_ Services or feeders Installation, alteration, and/or relocation _ 200 imps or Ions 100.70 2 .a ?;, t ;, ., :mvl. ,,. r Tj : , ;? 201 amp to400amps 133.56 2 Name: 401 amps to 600 amps 200,34 2 601 amps to 1.000 amps 301.04 _ 2 Address: Over 1,000 amps or volts 532 2 Temporary C1tyBtate/Z1P: relocation services or feeders InstellatlOn, alteration, and/or Phone: ( ) f Fax: ( ) 200 amps or less I 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps I 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps l t sion, 2 as Branch circuits — new, a hero don, extension, Ater panel Owner signature: Date: A. Fee for branch circuits with , +•.n ,; xx . , ∎ M't?r �{r� - ' ... above servioo or feeder fee, 7A2 2 ';,-?:!.'• ir.. `c:M` , .i '�Wr!�J.,'•� ; ':` /i'; °,3:i:7,'1 ,: ;�t enCh breulGh l n:uit . Businessmmte: Johansen Electric ft. Foo for branchcircuits without service or feeder fee, first ` 56.18 5C. i$ 2 Contactnamo: Charlynri Leifsen branch circuit Each add'/ branch circuit 1 I 7.42 22 .261 2 Address: 10948 SE Valley View Terr Ml seal /aneoun servlceorfe Each manufactured or modular 67.84 2 City /State/ZIP: Happy Valley, OR 97086 dwelling, service and/or feeder Phone: (5 0 3) 698 - 3 417 I Fax:: (5 0 3) 698-2486 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: e T Sign or outline lighting 67.84 2 ^ .i� ? • :'1 "' DTI ` ., .'1.' „' K . rt : M ^ , I ' ... , ., r' a i r .,i I I .,t C : x r r A4. ° ' h • ' , .? �(.;, z, ; ' , ., ti:T Signal circuit(s) or limited- energy • J3usinesa name: Johansen Electric pastel, alteratioa. or extension. Page 2 2 Each additional inspection over allowable In any of the above Address: 10948 SE Valley View Terr Additional inspection (1 lir min) 66,25 /hr City /State/ZIP: Ha Valley, OR 9 7 0 8 6 investigation i plant (I hr min) 66.25/ hr ��y y � Industrial plant (l hr m in) 78.18 / hr Phony; (5 0 3) 698 - 3 417 l Fax: (5 0 3) 698-2486 In peon tins for which no fee is 90.00/ hr S. iticall listed h hr min "(CB Lic.: 51539 fectticalLi -2430 rv. Lic.: 20535 `, : `''i:'s "� 2; :Y.1F1E.:; 1, y;*,"aai il:: Yi';' ?: ''`.;;i: x: "a'c Supry l . Electrician signature, requirod�. a Subtotal; • • Plan review (25% of permit fee): f"6" name: Carl J nB eri �. I Date: 7/2 / 12 Stab: surcharge (12% of permit too): q • LI I , Authorized nature: TOTAL PERMIT NNE: ; 7_ uthorised si S This penult application spires if a permit Is not obtained within 180 ri e i f s en J Date; 7/2/12 days Lion It has been permit. as complete. Print name; Char 1 • Number of inspections allowed per permit. s\rluildin5\PcrmiuiELC_PermitApp .loo 07/01/10 440 4615T(11 /05/COM/WOD 6 / T 'ED'd 9862869£0S 981Z869E0S ioHZH NaSN/HO2 WV ZO:OT ZTOZ'Z0'Tnr •