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Permit
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT , COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00240 TtcnR 1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/12/2008 PARCEL: 1 S 136DC -04500 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO ZONING: C - G SUBDIVISION: PP1995 - 013 LOT: JURISDICTION: TIG PROJECT: WINCO Project Description: Installing (1) fire alarm system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: WINCO FOODS T & L COMMUNICATIONS INC 650 N ARMSTRONG PLACE PO BOX 87387 BOISE, ID 83704 VANCOUVER, WA 98687 -7387 Phone: 208 - 377 -0110 Contact #: PRI 360 - 737 -9725 FAX 360 - 737 -9648 FEES Reg #: ELE 37- 428CLE LIC 67787 Description Date Amount [ELPRMT] ELR Permit 8/12/2008 $75.00 [TAX] 12% State Surch 8/12/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -0. =0100. You may obtain copies of these rules or direct questions to OUNC at 5! . • • • • - ` = 1.800.332.2344. Issued By, ' T._ •�� s Permittee Signature: OWNER INSTALLATION r 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: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. 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. Electrical Permit Application FOR OFFICE USE ONLY City of ° 13125 SW Hall Blvd., Date /B Received IC �il P No.:' ^ f ., Tigard, OR 97223 Plan Review I Phone: 503.639.4171 Fax: 503.59 DateB : Other Permit• T I G A R D Inspection Line: 503.639 Date Ready /By ®See Page 2 for Internet: www.tigard- or.gov , Notified /Method: Supplemental Information TYPE OF WORT �� „.....1 PLAN REVIEW ❑ New construction ® Addition /alteration /reel men't t 1 ' `(1 Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑Other: Cj\'CV 1 �' ❑ Service or feeder 400 amps or more ❑ Building over three stories. .�,t t where the available fault current ❑ Marinas and boatyards. CATEGORY OF CO s 4UCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I- and 2- family dwelling © Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: 7501 Dartmouth Road 100 or or more residential Recreational 0 or more residential units. ❑ vehicle parks. City /State /ZIP: Tigard, OR ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Winco ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qty, 1 Fee. 1 Total 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family 75.00 2 fire alarm modification for tenant improvement residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: T &L Communications, Inc. B. Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: Ross Bushaw first branch circuit Address: PO Box 87387 Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Vancouver, WA 98687 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( 360 ) 737 - 9725 Fax: : ( 360) 737 - 9648 Reconnect only 66.85 2 E -mail: office @tl- communications.com Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: T &L Communications, Inc. energy panel, alteration, or Address: PO Box 87387 extension. Describe: 1 Page 2 2 City /State /ZIP: Vancouver, WA 98687 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 360 ) 737 - 9725 Fax: ( 360 ) 737 - 9648 Investigation per hour (1 hr min) 62.50 CCB Lic.: 67787 Electrical Lic.: 37- 428CLE Suprv. Lic.: 684LEA Industrial plant per hour 73.75 C ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: ` `' l _ 7 Subtotal: fee: 757-Lb name: Larry Bushaw Date: 08/12/2008 Plan review (25% of permit ) State surcharge) of permit fee): ' ', CO Authorized signature: /�� /i�� TOTAL PERMIT FEE: g This permit application expires if a permit is not obtained within 180 Print name: Larry ushaw Date: 08/12/2008 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\ Building \Pcrmits\ELC- PcrmitApp.doc 05/23/06 440-46 I 5T( I I /05/COM/WEB . , CITY OF TIGARD BUILDING DIVISION PERMIT #: it 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W1712008 Phone: (503) 639-4171 ,..z.... Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 10121/3008 TIME: 7 PAGE: 41 SITE ADDRESS: 07601 SW DARTMOUTH ST 100 WINO) CLASS OF WORK: SUBDIVISION: pp1995,.013 LOT #: TYPE OF USE: PROJECT NAME: +oil Nco DESCRIPTION: Incialiing (1) fire alarm system. OWNER: wiNco FooDs PHONE #: 208-377-0110 CONTRACTOR: I 8: L COMMUNICATIONS INC PHONE #: 360,731.9725 Inspection Request Scheduled For: Date: 10/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electiic:al final 9510' N Corrections/ ments/Instructions: / / _ • '' IA66 1.01 Ei`ta_124/0 1 N5(1) • N, N N. N c ----- -, NN „_. (N \ A\ ( ---- PAS PARTIAL APPROVAL 0 CANCEL fl NO ACCESS 1 F--Art- 1 i CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G* . N 68 1-A6 Date: 11 S-1 01 Phone #: (503) 718- lifi ‘ 1 CITY OF TIGARD i s BUILDING DIVISION PERMIT #: ELR2008-0f240 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/12( 20011 Phone: (503) 639 -4171 41 Inspection Requests (24 Hrs.): (503) 639 -4175 419k. 1!. INSPECTION WORKSHEET FOR DATE: 9/4/2008 TIME: 7:02AM PAGE: 23 SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WNCO CLASS OF WORK: SUBDIVISION: PP199f •013 LOT #: TYPE OF USE: PROJECT NAME: WINCO DESCRIPTION: Installing (1) fire alarm FysUUm. OWNER: VVINCO FOODS, PHONE #: 208 CONTRACTOR: 1 & L COMMUNICATIONS INC PHONE #: 360.737 -972' Inspection Request Scheduled For: Date: 9/4/2008 Pour Time: Code # Inspection Description Co firm # Contact # Message 4066 --- --- .14 ,. I 075053-01 3601737.9725 N 116 tZo0E14. - . — 77,2. 0671 Corrections /Comments /Instructions: 1 PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CT . 66 L Date: 9 ' 14• in Phone #: (503) 718 - MIR)