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Permit CITY OF TIGARD ELECTRICAL PERMIT • n ,,i 1 ,: DEVELOPMENT SERVICES E PERMIT #: ELC98 -0089 639 PERMIT DATE ISSUED: 02/23/98 -4171 PARCEL: 2S112DA -01400 SITE ADDRESS...:06650 SW REDWOOD LN #160 SUBDIVISION •PACIFIC CORPORATE CENTER ZONING: BLOCK • LOT • JURISDICTION: TIG Project Description : Add five (5) branch circuits to an existing commercial tenant occpy. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 500SF...: 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 (10)...: 0 - - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- - 0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0 201 — 400 amp • 0 1st W/O SRVC OR FDR.: 1 PER HOUR • 0 401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 4 IN PLANT • 0 601 — 1000 amp • 0 PLAN REVIEW SECTION 1000+ amp /volt • 0 > =4 RES UNITS > 600 VOLT NOMINAL..: Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.: Owner: FEES FIRST DATABANK type amount by date recpt 6650 SW REDWOOD LANE PRMT $ 55.00 GEO 02/23/98 98- 303507 SUITE #160 5PCT $ 2.75 GEO 02/23/98 98- 303507 T I GARD OR 97223 Phone #: Contract or: CHRISTENSON ELECTRIC INC $ 57.75 TOTAL 111 SW COLUMBIA STE 480 REQUIRED INSPECTIONS PORTLAND OR 97201 Ceiling Cover Underground Cove Phone #: 241 -4812 Wall Cover Elect'1 Service 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- 001 -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: Issued By: 1,010-4--- 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' N : DATE : —,R...7 2 LICENSE NO: a 1 / - 111/// ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ . ._ _ . — . i _ . . CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Print or Type Inspection (503) 6394175 Incomplete or illegible will not be accepted Permit # 6� �t_ ?'Y Fax (503) 684 -7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development FIRST DATA BANK Number of Inspections per permit allowed Name (or name of business) FIRST DATA BANK Service included: Items Cost Sum I Address 6650 SW REDWOOD LANE /6,0 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 a Residential ❑ Li portion thereof $25.00 1 Limited Energy $25.00 Each Manuf d Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical ContractorCHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation 111 SW COLUMBIA, SUITE 480 200 amps or less $60.00 2 Address 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. 241 -4812 601 amps to 1000 amps $180.00 2 Job No. 221 -1178 Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. 76-14e 4C Exp.Date OR State CCB Reg. No. 458 Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 �� � 201 amps to 400 amps $75.00 2 Signature o ∎ A. I.� . . '- isoINAWI. 401 amps to 600 amps $100.00 2 873 S Over 600 amps to 1 000 volts, License No Exp.Date see "b" above. Phone No 241 -4812 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 circ $5.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit 1 $35.00 35 • 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 20. 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 panel, alteration or extension $40.00 2 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: 55. Not required for temporary construction services. 5a. Enter total of above fees $ 1. 5% Surcharge (.05 X total fees) $ NOTICE Subtotal $ 57.75 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ 57.75 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 $ 57 . 7 5 I: \DSTS \ELC96.APP Rev 9/96 • 7/15/99 Activities for Case #: ELC98 -00089 9:39:03 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 APPlication received 2/23/98 GEO RECD GEO 2/23/98 ELCC003 Permit created 2/23/98 GEO DONE GEO 2/23/98 ELCC700 Ceiling Cover 2/23/98 • GEO 2/23/98 ELCC720 Wall Cover 2/23/98 • GEO 2/23/98 ELCC725 Underground Cover 2/23/98 -GEO 2/23/98 ELCC730 Elect'l Service 2/23/98 GEO 2/23/98 ELCC799 Elect'I Final 2/23/98 NOTE AKJ 3/22/99 1/13/99 inspection request (research) sent to Chuck ELCC500 (F)Issue permit 2/23/98 GEO PASS GEO 2/23/98 ELCC920 Miscellaneous action 2/9/99 CD FAIL AKJ 3/22/99 notified christenson electric to varify work done & schedule for inspection. ELCC799 Elect" Final 3/23/99 CD PASS CD 3/24/99 ELCC800 Case Finaled 3/24/99 AKJ PASS AKJ 3/24/99 • • • • • • Page 1 of .1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Location (n S� ftQlt< Suite 167 v MEC Contact Person Ph PLM Contractor ri ' , t - ' t' rJ f�. Ph 2-(4/- / 2— SWR BUILDING e9t/Owner ELC qir - ZOO 8 f Retaining Wall ELR Footing Foundation Access: " FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear - C - /'7 D / &s 1 1 1 7) 1 3 1nt Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: - Final PASS PART FAIL PLUMBING • Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final SS�PART F IL (ELECTRICAL rdroice Rough In UG /Slab Low Voltage Fire Alarm Final - ,PASS < ' PART FAIL tat Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA ; Approach /Sidewalk Other Date c'_ t = Ins Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.