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Permit CITY OF TIGARD ELECTRICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit #: ELC2013 -00161 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/12/2013 Parcel: 2S 112 D D01600 Jurisdiction: Tigard Site address: 15495 SW SEQUOIA PKWY 140 Project: A Common Thread Subdivision: PACIFIC CORPORATE CENTER Lot: 4 Project Description: (10) 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 SW SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 503 - 698 -3417 PHONE: 503 - 624 -6300 FAX: 503 - 698 -2486 FEES Quantity Description Date Amount 10 crt Branch Circuits wo /Purchase 03/12/2013 $122.96 Specifics: Service or Feeder 1 ea 12% State Surcharge - 03/12/2013 $14.76 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $137.72 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 9 2- 01 -0090. You may ob in � a copy of the rules or direct questions to OUNC by calling 503 232.1 AM-1607 987or 1.800.332.2344. ' 7 Issued By: � vti�f Permittee Signature: ©M. vL 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. RECEIVE k Electrical Permit Application V( UI'rl( I. t' O■I.1 City of Tigard MAR 1 2 2013 111 Phone: 503.63 Permit No.; LLt o�0 a�llo� 13125 SW Hall Blvd., Tigard, OR 9722 P1en Review 9,4171 Fax: 503.595.1 ' ) an- Other Mind: p t .tr a •fJ 1 3 --(' 'erryOFTIG I ! , , ,; ;; r ■ Ittspeotion Line: 503.639.4175 BUILDING DIVISI li o a a t 0 c0 Internet; www,tigard- or,gov , i i+ .` 3 y i %>!: "37: { :� 1 ' ,; Yn:.', 1'. G.. !',.. i. : -, , � n: . +•t'. :' ? {P. r1 :. .:`J'� u a , �Y.:1:! �.� . �'sr`.5.a'�, ... , ' .'i�: n .G:':r.`rL Y`: 1.;�".Gx�' :.. �•�`,`. .- New construction a t apply (submit; acts of plans w Please cheek all that terns checked below): ❑ ® Additfon/altermion/replacement 1 Demolition 0 Service or tbcder 400 snips or more 0 Building over throe stories. ❑ Other: whore the available fault current ❑ Marinas and boatyards. '"" : . ry , ..g.� ,. �r c-' , r - . - a rt+ :�u;; ,. ..� .F. :, ,. '.t'l� ",,,t , , 'iry" i r� t� `. i:' i exceeds 10, amps at 150 vo lts or ❑ Floating buildings. -r . '�11'w , 11 1.- p! , ' , ' , ` ,, ' , ..: J�..;; ,, .;: , . ..:yr ' � >' Pa S m6 In in around, or moods 14,000 0 Commercial-use agricultural D l- and 2- family dwelling ® Conunercialf ndustrial ❑ Accessory building amps for all other inataleatinn buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. 0Iaatellation of 75 KVA or , - ❑ Yntorgoncy system, urge separately derived system, �c .....,. . ,: r, .. .. ; ! ;•., .. .',. ()A .' ,1 - „*.�,! .�, ,. motor 2, !� -. ❑ Addition ol'ne mo D " °h' "t 1 1001V or more. occupancy. Job no.: Job site addtt S: 15 4 9 5 SW S e crux i a , 140 0 Slx or mere residential units. ❑ Roomalional vehicle parks. City /State/ZIP: 0 Healthcare tbcilities. 0 Supply voltage for more than 0 kla:sardous locations. 600 volts nominal. Suite/bldg. /apt- no.: 14 0 I Project name: A Common Thread 0 Service or feeder 600 amps or more. igintMEINMETESTLINSSEVISM Cross strut/directions to job site:iima:mm New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no,: 1,000 sq. ft. or loss _ 168.54 - Ea. add'1 500 sq. ft or portion MI 33.92 mouQ Tax map/parcel no.: _ „ .'5 -� ^'1',`s:i } r: ... ... ::1' {'..: '', ,;'.:''' r V. 7500 gi Limited energy, multi-family . 75.00 _© Tenant improvement residential with above •, f, Services or feeders Installation alteration, and/or rslnuttion 200 imps or less = 100.70 - © ‚ V :'.4 :Y'.w . aa;..t ..,.',;0.+.Y. `'�r"' „''u • - • 4q r Ni1Iti.:oa�nuaavue . �:ir -¢:r. N �, • .. . is )3 >''•i ,• �: ; • 201 amps In 400 amps I'33.56 � Name: 401 amps to 600 amps 1111 200.34 -© 601 amps to 1,000 snipe _ 301.04 - © Address: Over 1,000 snips or volts _ 552.26 immE© City/State/ZIP: Temporary services or feeders Installation, alteration, and/or relocation Phone; ( ) Fax: ( ) 200 amps or Ices IIIII •5936 - Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 - intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps =•12:111111•11111110 l ' .:,. L il, idalraanol A iil.ILII1]M.111 Owner signature: Date: _ - --..._ "g'” A. Fee for branch circuits with =t y G-�' d 'gu< '' '. .;. '' _ 0 s' "•f 'A'1 above service or feeder fee, 7.42 ~ •k. ` %�','r;'`'1 "' 7's �• .- . Y . <: . ,. II ,:r,• r 7 � .. " : .�'�� wuhbttmohc Business name: Johansen Electric B. Fee for branch cirarits nielitoji service or feeder foe, first Contact name: Charlynn Le i f aen r branch circuit Each add'I branch circuit MI 7.42 rearan Address: 10948 SE Valley View Terr Miscellaneous IMMIX or feeder not included City/State/7,1P: Each manufactured or modular ■ 67.84 _ d t>e/71 P; ggppy Valley, OR 9 7 0 8 6 wellin _ service and/or feeder Phone: (503) 698 -3417 I Fax: :(503) 698 -2486 Reconnectony =111=111111111111E1 E-mail: = 67,84 - Sign or outline lighting : 11111111•M ';._ 7;,:,'A. .:.," t -r' ^", -. • "•!~►x..., ` i,..,;: ,jls' :;:: Signal stvuil (a) orlimited-energy N B pg in egs name: Johansen Electric el alteration or extension. Each additional Ins eon over allowable In an of the above Address: 10948 SE Valley View Terr Additional inspection (lhrmin) IIIII 66.25/hr -. Investigation (1 hr min) - 66.25/ hr -II City / State/ZIP: Happy Valley, OR 9 7 0 8 6 industrial plant (l hrmin) = 7 F 1 . 18 / hr 11.11111111 Phone: (503) 698-3417 J Fax: (5 0 3) 698-2486 Inspections for which no fee is 90.00 / hr _. •ificall listed `R he min CCB .Lic,: 515 3 9 I Electrical Lic,: 3 - 2 4 3 C Suprv. Lic.: 20533 l.ir I (C9)TII., : . l"�'i� ate " '" ^'_ { b l . ; ,,',,{I-.. bto; �/� G I ;, " .� Suprv. Electrician signature, required: 4 ✓ Plan review (25% of permit f e t a l n ) : Printname: Carl J ns en te: 3/12/13 State surcharge (12% of permit fee): /' Audtorizcd signature: TOTAL PERMIT FEE: 77ds permit application spires If a permit is net obtained within 150 Print name: Charlynn L e i f s en I Date; 3/12/13 days atter It bas been accepted as complete. • Numbm of inspections shoved par permit. ItlRaildinetpermitalt PermitApp due 07/01/10 440.4615T(I t/n5COM/ 4P,B 9 /9 - Souza 98bZ869£09 9862869£09 ZDSZ3 NSSN EO2 WV TO:TT STOZ'ZT•JEw Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 15495 SW SEQUOIA PKWY 140, TIGARD, OR, 97224 Commercial - Electrical 199 Electrical final 03/29/2013 00:00 ELC2013-00161 PASS - No C of O Violation Summary: Inspector Contractor