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Permit CITY OF TIGARD ELECTRICAL PERMIT 11 1 DEVELOPMENT SERVICES PERMIT #: ELC97 -0550 ���� DATE ISSUED: 08/25/97 . - ��� - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 18136CC -00100 SITE ADDRESS...:11765 SW PACIFIC HWY SUBDIVISION ZONING:C —P BLOCK • LOT • JURISDICTION: TIG Project Description : General Motors tenant improvement. Job 8220 -6736 - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 5O0SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0 LIMITED ENERGY • 0 401 — 600 amp • 0 SIGNAL /PANEL • 0 MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (1O)...: 0 - - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- - 0 — 200 amp • 0 W /SERVICE OR FEEDER: 30 PER INSPECTION • 0 201 — 400 amp • 0 1st W/O SRVC OR FDR.: 0 PER HOUR • 0 401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 IN PLANT • 0 601 — 1000 amp • 0 PLAN REVIEW SECTION 1000+ amp /volt • 1 > =4 RES UNITS • > 600 VOLT NOMINAL..: Reconnect only • 0 SVC /FDR >= 225 AMPS..:X CLASS AREA /SPEC OCC.: Owner: FEES GENERAL MOTORS INC. type amount by date recpt 11765 SW PACIFIC HWY PRMT $ 490.00 GEO 08/06/97 97- 297993 TIGARD OR 97223 PLCK $ 122.50 GEO 08/06/97 97 -297994 SPCT $ 24.50 GEO 08/06/97 97- 297993 Phone #: Contractor: CHRISTENSON ELECTRIC INC $ 637.00 TOTAL 111 SW COLUMBIA STE 480 REQUIRED INSPECTIONS PORTLAND OR 97201 Ceiling Cover Elect'l Service Phone #: 241 -4812 Wall Cover Elect'l Final Reg #..: 000004 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. 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 than 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- 881 -0010 through OAR 952 -001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature:' Q.,.Ur e �-�. Issued By: /6A.11A 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 SUP R. ELEC' N : ( I r I ('.ate DATE: LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day + + ++ ++ + ++ + + + + + + + + + + ++ + ++ + + + ++ + ++ + + ++ + ++ + + + ++ + + ++ + + ++ + + + + + ++ + ++ ++ ++ ++ + ++ + +. + + ++ r CITY Cr TIGARD Electrical Permit Application Plan Check # - a 16 t3125 SW HALL BLVD. Rec'd By Date Rec'd TIGARD OR 97223 r5( Date to P.E. =7 Phone (503) 639 -4171, x304 Date to DST= - 2) ^L7 Inspection (503) 639 -417 Print or Type Permit # E-L 9 4-6 5 Fax (503) 684 -7297 - Incomplete or illegible will not be accepted Called /') 7 c-; /-;"" 5/S 1. Job Address: 4. Complete Fee Schedule Below: `' `v`" Name of Development G.M. TRAINING CENTER Number of Inspections per permit allowed Name (or name of business) G.M. TRAINING CENTER Service included: Items Cost Sum Address 11765 SW PACIFIC HWY 4a. Residential - per unit TIGARD OR 97223 1000 sq. ft. or less $110.00 4 City/State /Zip Each additional 500 sq. ft. or Commercial © Residential El Limited thereof $25.00 1 Limited Energy $25.00 QUESTIONS?CONTACT JIM HOLCOMBE Each Mag Service Home o Feeder Modular Q Dwelling Service or Feeder r $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation Address 111 S.W. COLUMBIA, SUITE 480 200 amps or less $60.00 2 - 201 amps to 400 amps $80.00 2 City PORTLAND State OR Zip 97201 -5886 401 amps to 600 amps $120.00 2 Phone No. 501 741 - 4R1 7 601 amps to 1000 amps $180.00 2 Job No. 220 -6716 Over 1000 amps or volts T $340.00 340. 2 Elec. Cont. Lice. No. 26 -34C Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. 00458 Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. 5746 Exp.D. - Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of S Homy' _ 201 amps to 400 amps $75.00 2 � ' - 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, ( I License No 873S Exp.Date see "b" above. Phone No. 5t 741 -4R1 7 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit 30 $5.00 150. 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy Minor Labels alteration e s (1 or extension $40.00 2 * * * ** * PLANS ARE BEING PREPARED, WILL BE MAILED ASAP Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: 490. Not required for temporary construction services. 5a. Enter total of above fees $ 14 U 5% Surcharge (.05 X total fees) $ NOTICE Subtotal $ 51/i_ 50 /` 5b. Enter 25% of line 5a for $ 637.00 122.50 di BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # Total balance Due $ 6 3 7.00 CHECK #58045 CCI ENCLOSED 514.50 CHECK CEI ENCLOSED 122.50 L -"-- I: \DSTS \ELC96.APP Rev 9/96 • 7/26/99 Activities for Case #: ELC97 -00550 1:51:55 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 8/6/97. GEO • PASS JD 8/13/97 ELCC003 Permit created - 8/13/97 JSD PASS JD 8/13/97 ELCC102 Plans routed to Plans Examiner 8/13/97 JSD PASS JD 8/13/97 ELCC700 Ceiling Cover 9/9/97 MJR PASS MJR 9/9/97 ELCC720 Wall Cover 9/17/97 MJR ' PASS MJR 9/18/97 ' ELCC730 Elect'l Service 9/4/97 • MJR PASS MJR 9/4/97 ELCC799 Elect'I Final 9/17/97 MJR PASS MJR 9/18/97 ELCC110 Plans checked /approved by P.E. 8/21/97 MJR PASS MJR 8/21/97 for that sheet of plans only ELCC115 APProved plans routed to DSTs 8/21/97 MJR • PASS MJR 8/21/97 . ELCC117 DST Post - Review complete 8/25/97 JSD PASS JD 8/25/97 ELCC400 (F)Ready to issue • 8/25/97 JSD PASS • JD 8/25/97" ELCC500 (F)Issue permit 8/25/97 B PASS BON 8/25/97 ELCC800 Case Finaled 9/17/97 MJR PASS MJR 9/18/97 • • Page 1 of 1 . CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: ^ 9 A. . P.M. 4 Location: • ....1 , / • - .•.a.. ∎ - wr BUP: Tenant: (5 d (! 4 Suite: Or Bldg: MEC: Contractor: j /L ./ / / JJ Phone: 503- 763- /C 56 7 PLM: Cm= _ 4.1 _ ✓/ ...r /1` r Phone: ELC: 7 p 7 ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL I' LECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved roved: oved 3 Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not A pro Not Approved FINAL FINAL FINAL � FINAL — 1 _ . 4 -- I! �/ ,11� `_ /- / O Call for reinspection O Reinspection fee o required before next inspection Unable to inspect /?(.,/ Inspector: , ` of J �'J m --to ( Date: � � �, Page