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Permit (35) CITY OF TIGARD ELECTRICAL PERMIT I' . COMMUNITY DEVELOPMENT Permit#: ELC2017 00056 TI ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/24/2017 Parcel: 2S 112 DA01400 Jurisdiction: Tigard Site address: 6650 SW REDWOOD LN Project: PacTrust Subdivision: 1996-048 PARTITION PLAT Lot: 2 Project Description: (4)branch circuits for third floor common area. Contractor: JOHANSEN ELECTRIC INC Owner: PACIFIC REALTY ASSOCIATES 16869 SW 65TH AVE, SUITE 311 ATTN: N PIVEN LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-747-2503 PHONE: FAX: 503-972-1861 FEES Quantity Description Date Amount 4 crt Branch Circuits wo/Purchase 01/24/2017 $78.44 Specifics: Service or Feeder 1 ea 12%State Surcharge- 01/24/2017 $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 952-001-0090. You may obtain a co• r.-le rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: i Permittee Signature: �„_-_e► 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. To: Page 7 of 7 2017-01-19 20:33:35(GMT) 15039721861 From: Charlynn Leifsen Electrical,PO— O . rInit A pcat9.li . CEIVEI) .: QROFFICLUSEONLY . , R ceiv r //� f " City O Tigard .)A � 1 $ 17 4 ,,Rl iT ".L r� 1 ° 7(rc.2/c oI7_voos� >m 13125 SW Hall Blvd.,'Tigard,OR 97223 Plan Rcy .s .. , Phone 50318.2437 Fax 703.598. ea.:,^rv�)y Datl6 I Related Permit 4 i>u,AR£) Inspection I ine: s0+639 4I 71 kir A il.J Arty Ready ate 13y __— der, B(See Panel for Internet: w ssy.ti ard-or.gov b. s Voitfreu�t nod: Supplements)Information m talq 1.0•E 411 ' — Ii.}4N RLV'f; i ©New construction E Adthtion1alterationireplaeerent Please check all thin apply(submit 2,.,tee of plans w ne>_7s chested) 1 ! 0Service or feeder 400 amps or more 0 Building os-sr the c steries I ❑Demolition ❑Other: __..-.,. ... , � ,,....•,_,_.— � _..._._ _, .� where the available t au?.i eunent ©Mariirus and boatyards. t` ' C:: .&ORV Ok C9ONS IX3t-CTIO:Y exceeds I0 001)iunps at 150 volts or 0 bloating buildings. I 0 ® 0 I .. 1 ss to ground,or exceed i 4.0(0 0 Commerciat-use agricultural 1 ani hdFllhrdli'Clltt7,, Conunv ciallinttust rah t oet.s,sory .In tri, 1 amps for all other installations. buildiag5. ❑Multi-family ❑Master builder ❑Other: 1 ❑l=iraum. p 0 Installation of 150 K VA or = JO3SLIIN-;-tO .A4«*TOr Aj',O T )C/ L(.9 - ' ` ❑1m gtne e>stein larger separately derived 0 Addition oi new motor load of system. Job 0: Job site address:6650 SW Redwood Lane 16f31IP os wove. _ CitZ/SlitielI',.lP: ' Osis 0;mote resided:lied units oct t paney i r. _ 0 Recreational vehicle parks. H dt;-cat ti i sus. I Suite/bldg./apt.r+:3rd fir .. - --- �i U Hata does toeations. 0 Supply voltage for more than; i —� Proicci nnnae:B1dh 24d?common area rem I ———-- — 0 Sot six or feeder 600 amps or more. S00 volts comm I I Cross sareetrdirections to job site: ' : kk . .grill Iz-1 t i ttm » �( er.pin ts..1 r eh tubi ! 1 _ New residential single-or multi-family dwelling unit. r 1 Su:livision: i Lot 0: Includes attac=hed garage. --- _.__-_..-__._.—...._._1... — — '11 :,000 sq. ft-or less - 168-54 1 4 I Tax mapiparcel 4: fa add')500 sq-ft or portion 3'3 92 — 1 1 1:'12 _.:_� t 1 inn u.r.ae rev rasicienual Common area remodel on 3''d floor —`— — -~� Mi .(with shrive sq tiJ 1.1 _� 7s.00 2 1 ..... i Limited energy,multi-nicely ' residential(with above sq.11) i 75,00 ` 1 - Rufewabie 1_ISM f 0 See Page 2 j- 1}RC33'ElI1'Tr::€44^11e.R 1^� , T4-1A,'w C. 1 Services or feeders installation,alteration,andior relocation 1 amps or less 1 Address: __ ,�— __ 0)amps to 400 amps '�)i( Ti 01 amps tti 600 amps 00.34 _ City/State/ZIP: id 1 01 amps to 1,000 lisps 301.04 { 2 Phone ( ) I I ax ( ) ( L Ov r i 000 to ips it volts ;52 26 i2,1 _._.__..._—__ - i 1 eanporarTservices or feeders installation,alteration,and/or Entail: i relocation ; Owner installation: 1 his installation is being made on property[hitt I ossn which is not i 200 amps or less i 59.36 1 intended for sale,lease,rent,or exchange.according to DES 447,449,670,and 701. 201 amps CO 400 amps _ 125.08 2 I Ovvner signature:—... _.. Date: j 401 amps to 599 amps I _� 168.54 2 1 Branch t _ alteration, #3uslutrssrlanicriJol0ansenElectric } LCi>'4T";: PJ SOIS rant circuits neer era ion,or extension,per panel = � 4 CcEtpr bt mthctrcuns t-lth — '' Labove service ice or feeder fee, I 7 d2 ;--- 2 — — - - I each branch circuit 1 I i Contacnesse:C:hartynn Leifsen B.ccs for branch circuits w/rhow I service OF feeder tee,first 1 56.18 I : Address:16869 SW 651h Ave#311 —_ 1 F branch 56-18 ; 2 1 .....,.— —.__ anch circuit 1 City/State/ZIP:Lake Oswego,OR 97035 Each acid''I branch circuit 3 7.42 2226 j_2 i j------------_._ _ _ __.. _—...----- %t#ccellarnnus(service or:recite not included) Phone:(503)747-2503 Fax:•(503)972-1861 ,, I. 1 Each manufactured or modular j 67.84 , 'Z _ a dwelling,service and/or feeder I'rnrnl offite(0)johansenelectrrc corn 1 ----F -i a C11Rt [ 111 l Reeortuvct only 67 84 i2 1 Puml.at ori. anon circle 1 67 b4 1 H 13nsiness name:,Johansen Electric ' Sign or outline lighting . 67.84 1 2 , 7 Address: 16869 SW 65th Ave// Dana],,�iEt ratu)n,or 311 extension. 0 See Page 2 1 E ,,- i, -- , i Ci y/5t�r to/711' Lake Oswego,OR 97035 Each additional inspection over allowable in any of the above i -- ---- — — .... Additional inspection(1 hr Saila) I 66.25!hr 1 j — I t Phone'(503)747-2503 1 rte.(503)972-1861 investigation(1 hr min) 9Q00;hr } I Industrial plant(I hr Iain) , 78 18/111- , L�nsail:office(aijohansenelectric,com —_ -- —_ i ,. ...I ----.--.-----_—__ T—.__.._... _._. I Inspections for which no ice is CCI Lit. 51539 Electrical Li•: 3-243C popsy.Isis,: 5378S �- cifrcaily 14,?ecl(1 he min} 9G.00 ht I j —._..1.7,777.7_27...t._________,_ —_. _ —_. I.:; t I,I genii"+1L PLR lll7 Iet ES' St.gary ccti'el an signature required•„ Subtotal 7844 —i Print name: Jonathan Johansen Date: 1/19/17 1 0 Plan)sus sew Required(25%o1 permit fee): 1 -____________--_.__ I �__.. —r State suretaarCO"f.41`PF.KR41 f FEE; 89 t 1 I <�" pemait tie)_ � Authorized signature: • '. 7.85 , _--..._.._._.—.-__._._—._....•_-____; This permit Application expires its permit is not obtained within 180 Print Masse: Char€y'nn Lei Date. 1/19/11 days afterit has)been accepted as complete. ____________ _ _________ --- ______ i * huinhrr o inspections allowed pct p,'.1 mit I@:ni e ,tennit-6LC,_Permirhpt,HL R ERF;too,'Rev W1712055 12055 440-"..61?P 1 r-05.0051,0 Sit City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 6650 SW REDWOOD LN, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Electrical ELC2017-00056 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor