Permit IN ���� OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELC2008 00201
DATE ISSUED: 4/4/2008
T I c n RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136DC - 04500
SITE ADDRESS: 07501 SW DARTMOUTH ST 1 ZONING: C - G
SUBDIVISION: PP1995 - 013 LOT : JURISDICTION: TIG
PROJECT: WINCO
Project Description: TI. Moving existing transformer and associated panel.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 2 WISERVICE OR FEEDER: 50 PER INSPECTION:
201 - 400 amp: .1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WINCO FOODS LLC PRAIRIE ELECTRIC INC
PO BOX 5756 • 6000 NE 88TH STREET
BOISE, ID 83705 VANCOUVER, WA 98665
Phone: Contact #: PRI 360- 816 -2484
FAX 360- 816 -0482
FEES
Description Date Amount Reg #: ELE 37 -491C
[ELPRMT] ELC Permit 4/4/2008 $493.10 LIC 60178
[TAX] 12% State Surchar 4/4/2008 $59.17 SUP 3562S
Total $552.27 REQUIRED ITEMS AND REPORTS
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 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: . . . 0 . - , - - - . v -- - ermittee Signature: .e ,77//.--/' w
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:
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.
04/04/2008 15:34 FAX
-'• f� 001 /002
I A
�Ik"h 4 r a'la�r' fi.,�ilf'4 t'� 1° y ' rf � `i'.
4-El Permit Application � t , ' ., I r -1 ( +) R (' 1111(1 t , O� 1 � i ri i r R ;
Application,_ ii <' ?i ,i' ii+ricrauu t tr�io4., ra* ,� t4 .
B City of Tigard I � y Re ceived
1 -, .ii . y g I DateB � a1 Si Permit ELG ,
1 ,,
13125 SW Hall Blvd., Tigard, .? W )
'10 Phone: 503.639.4171 Fax: S r' 5 8.19� " . O ther PerrniC / �/, - , "
° � L1 ; Inspection Line: 503.639.4175 r ` '� ` � Date Ready/By: Duns: RI See Page 2 for
-'r I,. . Internet: www.tigard - or.gov Or 0\ Notified/Method: Supplemental Information
a P � R°�`t M af.t, n :r i' -'... z'i' a 'a'G,. ':i, fa �3 r X "' '4'*('? 1 }Y - s -;? S,.-,,, .,.. 1 i ru ice}" r,S
,"� '� $ .�.',�'Fg,'� �jy ! .'�,. a .�, � ! a . z b �� r± � • F '� . ll nSgy '4� a .+� c. SF .� ,t A �S'�.+.z:s
. H k > 7 x £ � } /if { . .i a 4 , 7
e ETC€ a s` • t ti '� St l F '.11,' 7:M.',, a i . ' +,.t 1 _ a 0zi 1, rA 3 ✓.r
aX?x•.• a�aa. `. fi,., o .3�.r.rr:,G�r..4�.L.ra���`�.t`v lvr�rsV. �Fanf w' Y.:. �l w`^' �' ad..,,. t, r.. L� S. a:< n. f 4 � t2 ..ra.Tsi...�4�w . -.$: .,aar -.. � . 4... � ;.:.FrrsrF._,nvxN.=.9 F�xs,,:,. 1�v.. �n>c t�:d,�.+.d�;r.F�t'. .o
❑ New construction ® Addition/altera ' ...1. • p acement Please check an that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
{{" .4 a Yrh v + . t ��'( ,y1' '-y f x +"� +, Tj, a s, Ha ��' rkti Z 4- 4 .NV T . ' r �, exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
lei t F',« : , wa.KW.:11k t , t. .xa:,s...L> , s o- «-�a . 'a:1_ x: o4u. Zi twt.ign i:.) }11: it :s less to ground, or exceeds 14,010 ❑ Commercial -use agricultural
[2 1- 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
Fee ,h 1 rti r . • 'ik34 1 y y� t , 5 n 1 ]� n t : si t s4„ P my ;y - � i y y � ` ❑ En rgency system larger separately derived system.
', ', r . +�, ` ' rtt s ' f .. s u
r Y'` e " h r . ,, ■ ya 4 x 4:1 "� ' '1^ ❑
=.,.; u a a...- .- a,.. x , ,., r„sea �c ,.. s� ........r r�• .w.a . w � r s � ra , .c.. _�.,.�.,�t .;�..s, * \n:; ;z,:.�: 0 of new motor load of ., .. .. 1.2 .... 1-3 ".
I00HP or more. occupancy.
Job no.: COR60583 Job site address: r I SW DARTMOUTH ROAD
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: TIGARD, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: 1 Project name: WinCo Foods ❑ Service or feeder 600 amps or more
.A'...��c� ,a t2>C�"ktJ�:x ns.. ?.s,r sa,.:zzi .:zx??.;i':r3j^tis. ,°'31.m
Cross street/directions to job site: Desciiptioo Qty. Fee. Total •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no Limited energy, residential • re.'1 . ' 3'r s � : ` . A , k � k �� ••� } 44 .I t r : ' ' k V . 'wr? -)*' P , a a 4 t ° 75.00 2
ti1if;:i' ..; hK N'.: ftti a ; .msu. et:t4 .,>.t t i,;,ida iisC6s r ' Pahl g,*;tt a' ..a:'ili: J . ( with above sq. it)
Moving existing transformer and associated panel - a short distance away
Limited energy, (with above sq . ft
nY, � Pa Y residential (with above sq. ft J 7500 2
Services or feeders installatio alteration, and/or relocation
{ 200 amps or less 2 80.30 160.60 2
1:14.1.- ,•,a lie•• r4U
• .p i...A .3L.A ^4`."r ,13:.i.VI ` 1, 4k +,i'`+ 12;Pc y �qVc . Sv Ys` =
w:., -• ,<: 1 ::4 :i:, ^r#'...v �. - 5°? t .. 11 .k; .1.,.._C ` , �1 iv4, 7�S r , 201 amps to 400 amps 106.85 2
Name: ( I �C 0 c S i_ C C_ 401 amps to 600 amps (60.60 2 F , V I 601 amps to 1,000 amps 240.60
Address: PU 6 x 7 �� Over 1,000 amps or volts III 454.65
City /State/ZIP: Su, / 0 0. -7 v� Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) 1 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, . • r panel
Owner signature: Date: A. Fee for branch circuits with
1.r Y ? ?i c l g yre P ,_ r f� 'rn µ : s � f F ' , ?s�� i F r u Yr s ,r-' '.b? t p z T: above service or feeder fee. 50 6.65 332.50 2
h7.41: r 5 ?.h mod.„ r. . ... -a ,..a, t.ta,:,c 94,4a .t3 ..A s a: .W::,k.; ,7. .
, . .,.r ::Y G..rh .,,n...a •;, :i4e sf :,i :.. ∎4. s.
each branch circuit
Business name: Prairie Electric, Inc. B. Fee for branch circuits
Contact name: Anita Paso without service or feeder fee,
fa 46.85 2
first branch circuit
Address: 6000 NE :': th Street Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City / State/ZIP: Vancouver, WA 98665 Each manufactured or modular
90.90 2
Phone: (800) 573 - 2750 I Fax:: 360 573 - 9866 Reconnect t on ye and/or feeder
( ) Reconnect onl 66.85 2
E -mail: anitap @prairielectric.com . Pump or irrigation circle 53.40 2
" t s "sad �'�i g t e a y : tk - E t ,� n4 rs H {,�, i �, Sign or outline lighting 53.40 • 2
.T. _J,:ww. +..5.. : Lam... >�:�' ?.'�..Y?f;.: 4s .... C. +..T:•r: as. , i. cgwY „�r,tUS.An . �i+�.a<u3e_S�Zk S.c r ?.- ,...aa ., !..n ..r ; l`�.:.
Signal circuit(s) or limited -
Business name: Prairie Electric, Inc.
energy panel, alteration, or
Address: 6000 NE 88 Street extension. Describe: Page 2 2
City /State/ZIP: Vancouver, WA 98665 Each additional inspection over allowable in an of the above
Per inspection 62.50
Phone: (800) 573 -2750 Fax: (360) 573 - 9866 Investigation per hour (1 hr min) 62.50
CCB Lic.: 60178 Electrical Lic.: • 7 91C Supry i .: 3 Industrial plant per hour 73.75 r,`
Suprv. Electrician signature, required: X --- ` _ Subtotal: 493.10
Print name: Bill Halberg , ` Date: 4 - - lip Plan review (25% of permit fee):
State surcharge (12% of permit fee): 59.17
Authorized signature: • TOTAL PERMIT FEE: 552.27
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
/yam /(�/�/ /(/J / /�,{,��7r- j, /A /r�,,d/4'6 r,�J,'�J,",'�y ^+' * Number of inspections allowed per permit.
IABUddingTermits\F e 1 _ " 4, / (�' 7.1 Jr Ke(s�' - �� i �/�
CITY OF TIGARD
BUILDING I !VISI ®N PERMIT #: I E.C?00 i1ft 01
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 414/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .6, t
INSPECTION WORKSHEET FOR DATE: /1/612008 TIME: 7:0 0A PAGE: 20
SITE ADDRESS: 07601 SW DARTMOUTH ST 100 WIN('( • CLASS OF WORK:
SUBDIVISION: pp•19y,.013 LOT #: TYPE OF USE:
PROJECT NAME: WI WO
DESCRIPTION: TI. Moving existing transformer and associated panel.
OWNER: wINCO FOODS LLC, PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360-816-2484
Inspection Request Scheduled For: Date: 11/612008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electric:al final (077749 -01 360.607 -0386 Y
Corrections /Comments /Instructions:
CI AL w faoN - 1 - e/kk 90610
r) 4 fAN.L---,1
N
N \
(-- \\
\1
‘li PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
r �cn � ,/ ,�Q I�
Inspector: l7 , h Uml g Date: 1I 4 CJ D Phone #: (503) 718- __
r
CITY OF TIGARD
BUILDING DIVISION PERMIT #: _.
a�.Lt., ?000 -00201
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /1 /4/2008
Phone: (503) 639 -4171 "' Qi`� r13,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/14/2008 TIME: 7 :OtlAhlt PAGE 75
SITE ADDRESS: 07601 �� DARTMOUTH ' `l 100 1NCQ CLASS OF WORK:
SUBDIVISION: PF' 1996-013 LOT #: TYPE OF USE:
PROJECT NAME: l+1PNCO
DESCRIPTION: T) Moving existing transformer and associated panel.
OWNER: WiNC;O FOODS i/O PHONE #: 3 G 4
J -1 ; 0.7 - 6 5
CONTRACTOR: PRAIRIE ELECTRIC INC . PHONE #: 360. 816 - 2484
Inspection Request Scheduled For: Date: 10f14f2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 I al vie 076652 -01 208.484-2878
Corrections /Comments /In- ructions:
S ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL. n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ � Date: f 0 `�� Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION .. �
A PERMIT #: PI t 2C1f13 C;C) %t11
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/4/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ''��
INSPECTION WORKSHEET FOR DATE: 9122/2008 TIME: 7 PAGE: i7
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 07501 SW DARTMOUTH j loo lAntJ4�rL #: TYPE OF USE:
PROJECT NAME: I'P195.013
WI
DESCRIPTION: O
TI. Moving existing transformer and associated panel.
OWNER: WINCO FOODS LLC, PHONE #:
CONTRACTOR: P RAIRIE EL INC PHONE #: 360-816-2484
Inspection Request Scheduled For: Date: 9/22/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 075747 -01 36C) -607 -0386 N
Corrections /Comments/ Instructions:
®(&u . P MO Ik), <, 11.4 tgflr, , C-E ‘ V.4
o i4 to cam.) .
❑ PASS Ii PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED
Inspector: \ , r1V 66 Date: 9 Phone #: (503) 718- b
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: LIC2000
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/40008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/4/2008 TIME: 7:02AM PAGE: 7
SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO CLASS OF WORK:
SUBDIVISION: PP1995-013 LOT #: TYPE OF USE:
PROJECT NAME: WINCO
DESCRIPTION: TI. Moving existing transformer and associated panel.
OWNER: WINCO FOODS LLC, PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360-816-2484
Inspection Request Scheduled For: Date: 9/4/2008 Pour Time:
Code # Inspection Description / Con —f # Contact # -ssage
irm
195 tViim. inspection 075080-01 \\ 360-607-0386 Y
%IS StEl.\iicr ,)
Corrections/Comments/Instructions: - --
— ,-
•() --- 0 • sisCa-- Go visib L-Ea as:2.0 c b oacvt
k. u sir 1.3, ...k,. 1. . ed ..... t__-,--.- -
Ka. I-0.10 g"? c. .
PASS PARTIAL APPROVAL 0 CANCEL 1 I NO ACCESS
174 FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: r; WYr3l., Date: e t' 11 Phone #: (503) 718- 24%
CITY OF TIGARD
BUILDING DIVISION - li,
PERMIT #: ELC2008 -0112 01
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: '1/4I20(18
Phone: (503) 639 -4171 ha A,
6f�1'
Inspection Requests (24 Hrs.): (503) 639 -4175 = '`�:._..
INSPECTION WORKSHEET FOR DATE: 91212008 TIME: 7:01 AM PAGE: 21
SITE ADDRESS: 07101 SW DARTMOUTH ST 100 WINCO CLASS OF WORK:
SUBDIVISION: PP1995 - 013 LOT #: TYPE OF USE:
PROJECT NAME: WiNCO
DESCRIPTION: TI. Moving existing transformer and associated panel.
OWNER: WINCO FOODS LLC, PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360- 816 -2484
Inspection Request Scheduled For: Date: 9%2/2008 Pour Time:
Code # Inspection Description / Confiem-# Contact # Message
17.5 Wall cover 074913 -01 \� 350 - 5733- -2750 N
Corrections /Comments /Instructions:
- Pooa - 11N • E.AcT bc 10 i-14V l'il v- Suit -ZIA)
PASS /I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-- NO ._L Date: e t ' 1 Phone #: (503) 718 - 2440
CITY OF TIGARD
BUILDING DIVISION PERMIT #: E LC200aoo20i
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4k1/2008
Phone: (503) 639 -4171 ����;u��i i? .. .
Inspection Requests (24 Hrs.): (503) 639 -4175 ° =
INSPECTION WORKSHEET FOR DATE: 6/8F2000 TIME: 7:01AM PAGE: r
SITE ADDRESS: 07501 SW DARTMOUTH ST 100 W1NCO CLASS OF WORK:
SUBDIVISION: PP199 3.013 LOT #: TYPE OF USE:
PROJECT NAME: WINCO
DESCRIPTION: TI. Moving existing transformer and associated panel.
OWNER: W1NCO FOODS LLB:•, PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 36Ut316 -2484
Inspection Request Scheduled For: Date: 5/8/2008 Pour Time:
Code # Inspection Description Confirm - #, Contact # Message
10( Underground/slab cover 068512 -01 \ � 360-931-7557 ~ Y
Corrections /Comments/ Instructions:
P -tvm 06 \,a „ . Ni000s\-i
_.�� CA j, 5
?A R.X.; liaT 140Q 6N L.4 qq W1' i N)
J
hnN c ot∎jr∎ JO V r ---- r ---- A, 0 06 1 3
6 (4( V Aat-D ENZ., eAl ■J - 6'k _
0 PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
Si ' CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: I `+ it Date: 6 3 Phone #: (503) 718 - t Ill