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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC201300160 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/12/2013 Parcel: 2S112DA00800 Jurisdiction: Tigard Site address: 15115 SW SEQUOIA PKWY 100 Project: Language Line Subdivision: PACIFIC CORPORATE CENTER Lot: 2 Project Description: (15) branch circuits for TI Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES LP 10948 SE VALLEY VIEW TERR ATTN: N PIVEN HAPPY VALLEY, OR 97086 15350 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 698 -3417 PHONE: FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 15 crt Branch Circuits wo /Purchase 03/12/2013 $160.06 Specifics: Service or Feeder 1 ea 12% State Surcharge - 03/12/2013 $19.21 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $179.27 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 5 - 001 -00 . You may � r obtain a py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.. Issued By: % n ./ Permittee Signature: D Kl 11 1. PLI ea , r I U LI 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. I Electrical Permit ApplicatiRE EIVED I'0I. OI' Ft( 'i: I tii: O \1.1 City of Tigard _ , - Permit No.: . B AR 1 2 2013 RWt Hall l3v.,'1'i Olt 972 Da l 3 13 �L,�/3 oo( -'' 13125 SW Hll td Tigard, Plnn Review d k+ Phone: 503,6.39,4171 Fax: 503.598.1960 Cistern . tidier Permit ,,,, i3 - (7 I ,, , , a , Inspection Line: 503.639.4175 R TIGARD Dale eady/ny: 1y /' � See Pam 2 for Clli N oti aed/Mothod Internet www.lignnl�u.gov plerrrerltallnforrrmtMn �..... . . .: y .. .L'. !. r'::, _.'.}.' i.J:. �.�..:: ��:'. ;.A'lL.:`Ji`.:.• '\9,\ - b''s"r sln�: r. ', w. ' =, ... ±^��I.r .,�.. ` r .. : ' ., �� : ' 0 New construction ® Addition/alteration/replacement Please emcee all that apply (submit j sets of plans whams obeokeed below): El Service or fbedor 400 amps or more ❑ Building over throe stones. © Demolition 0 Other: where the available fhult curers 0 Marinas and boatyards. p 1� {ti. �; ✓ii .:,: * sue.' . d .. .. exceeds 1 enrps at 150 volts or 0 Floatin buildin `r.`i:''•. „ ,: : k` 4 ,...'.,'.7t ",'f` -t,: .. : ;F , .;:� less m g roan& or em 14,000 ❑ Com moroial -us a ❑ 1- and 2- family dwelling ® Commercial/industrial Q Accessory building amps for all other installations. buildings. 0 Multi-family ❑ Master builder Q Other: D Fire pump. ['Installation of 75 KVA or w, ; ; 'r , t ; u ,.4' ^: ! ? r y r .• l - - r. _ ,.. .. yr - CI Gmorgeney system. huger huger separately derived system. ! - �P��,'� �,� , ,'rye y ikk `� � ., ' i 7 p"'� YSYaP���r�!!? S' ���! h`' i<fnT"�'��t1,!! "�.. ,. .. `' ^'::..k.. A ©..A- •,.y, „, „1_2.. Job no.: (Job silo address: 15115 or more. ocoupaney, 1 SW Sequoia, 10 0 ❑ Six or more residential units. 0 Recreational vehicle parks. City /State/ZIP: ❑ Health-care facilities. 0 Supply voltage for more than - D Hazardous locations. 600 volts nominal. Suite/bldg. /apt, no.: 100 I Project nacre: Language Line 0 Service or feeder 600 amps or more. . Cross street/directions to job site: " "i ip io • r Oh. 1 1 Re v , . ~ 1 y ` ,. ., New residential singe- or multi -family dwelling unit. Includes attached garage. Subdivision: I Lot no,: 1,000 sq, it or loss 168.54 4 Tax map /parcel tto.: 1 - Ea. add'l 500 aq. il. or portion 33,92 I ?..',7'....',14::'.1.'.. vr:; .a \Yt " ;' ' y ,,, t ,. :.. Limited anurgy, residential 75.00 2 .r,. ,,, i . i, 5 � ' . .; . ...... �.'�y�''�yy�y� ;i•: .r.V `�: •:I: r .. � %� � '- (with abovo eq. it.) Limited energy, multifamily 75.00 2 Tenant improvement residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 100.70 2 f}}. r � {i,,, < `,3:; 1:. '�^ ;;T '2R" '' . amps to 400 amps 133 - 56 2 !'i'•r`'::�'�'ek -m. fi 'J . , t . 1 ., ' 6::'. ,: + "•• -' ', r '.::Y�i � ?�: ^ �f:'; .i': "�- (,:i 201 :. 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 552.26 a 2 City/State/ZIP: /StatelZlP: Temporary services or feeders Installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less I 59.36 1 Owner installation: This installation is being trade on properly that I own which is not 201 amps to 400 amps I ! I 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 Branch circuits - new, alteration, or extension, per panel _ (Tuner signature: Date: A. Fee for branch circuits with i " . ' . .�py2 ebeve service or feeder fee, ''! y a: T a ' z ' i : .: : 1 :T C;r ~: 7.42 _ . - 1::,:g..?.-4,.,%:,,,:;-.7: , .,., ";: ;/, �"1; ±.;'. ;;cY; each branch circuit Bus n a m e : Johansen Electric B . Foe fcrbranehefee,s wlrhaal �r service or fender fo0. Gnat I 56,18 ,rte• t.� p 2 Omtactnamc: Charlynn Leifsen branch circuit Address: 10948 SE Valley View Terr Mchaddnerua(ser (service ly 7.42 ,$Q' 2 y Miscellaneous (service or Adder not included CityBtate/ZIP: Happy Valley, F.rwh mutto0ictared or modular (i7 84 2 ppy y OR 9 7 0 8 6 dwrdliog, service and /or feeder Phone: (5 0 3) 698-3417 I Fax:: (5 0 3) 698-2486 � Recanneet only 67.84 2 E-mail: rump or irrigation circle 67.84 2 - • - , y , Y , Sign or outline lighting 67,84 2 wti , :11 i r ',;i.r y�1 ^c ,.b •' ,:(.r., ' i LI - ..' , • , . ' ... . • Signal oireuil(a) or limited - energy Bnsuiess t18111e: Johansen Electric panel, alteration, or extension. Porte 2 2 $acv additional inspection over allowable In any of the above Address' 10948 SE Valley View Terr Additional inapeetion(1hrmin) 66.2S/ hr City/State /ZIP: Happy Valley, OR 97086 Invicetigatioa (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18 /hr Phone: (5�3) 698 ltax: (5 0 3) 698-2486 In pections for which no fee is 90,00 / hr B L r specifically listed 0i hr min) CC Lie.: 515 3 9 I Electrical Lic. 3 - 2 4 3 C I Suprv. Lie.: 2 0 5 3 S ''e': ; ,;; ?, +!: 0�� s P ' ' is . -°` •' Suprv. Electrician signature, required: Su it fee) K ^'i /� Plan r eview (25% of permit fee): Print name: Carl J ansen Data: 3 /12 /13 State surcharge (12% of permit fee); /e/, '1'O'l'Al. PHRIv1IT FEE: /i9 Z7 Authorized signature: This permit application expires if a permit Is not obtained within 180 Print name: Charlynn Leifsen Date: 3/12/13 • Number of dope alter lt haw been accept as complete mapootions allowed per (gtmi 1. . 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