Permit ra CITY OF TIGARD ELECTRICAL PERMIT
1
° PERMIT #: ELC2008 -00402
COMMUNITY DEVELOPMENT DATE ISSUED: 7/16/2008
- TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 136DC -04500
SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO ZONING: C -G
SUBDIVISION: PP1995-013 LOT : JURISDICTION: TIG
PROJECT: WINCO FOODS
Project Description: Sign lighting for (3) wall signs.
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: 3
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVCI FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: 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 VANCOUVER SIGN COMPANY, INC
650 N ARMSTRONG PLACE 6615 SW HWY 99
BOISE, ID 83704 VANCOUVER, WA 98665
Phone: 208- 377 -0110 Contact #: PRI 360 693 - 4773
FAX 360- 693 -2747
FEES
Description Date Amount Reg #: ELE 37 -46CLS
[ELPRMT] ELC Permit 7/16/2008 $160.20 LIC 63951
[TAX] 12% State Surchar 7/16/2008 $19.22 SUP 525SIG
Total $179.42 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 • • • - .1 - ccordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more t,= 180 days. A - TIO • •re•on law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OA • 52- 001 -0010 through • • • ‘ 972-041-0100. You may obtain copies of these rules or direct questions to OUNC at 503.24- 699 or 1.800.332.2344.
Iss ed By: t 1/f Permittee Signature: /
Y
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
' 3NATURE OF SUPR. ELEC'N: DATE:
\ ENSE 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.
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Electrical Permit Application �,t, 1 , ,; i,, � A r ;� . 01- � (2 l U { ) a , A l � y ;` .
City of Tigard Received if D Permit No.: Fie g -6199,0
1 114
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
C Phone: 503.639.4171 Fax: 503.598.1960 DateB : Other Permit:
:.i.', O A R D- Inspection Line: 503.639.4175 Date Ready/By: ME 65 See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental lnformation
TYPE OF WORK PLAN REVIEW •
El New construction ❑ Addition/alteration/replacement Please check all 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.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling JS 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 ",
w
Job no.: Job site address: - T60 6t,) 10 >; t mouth AcL. Six or more a re s. R occupancy.
❑ Six or more residential units. ❑Recreational vehicle parks.
City/State /ZIP: T i30.iC 0 A t 7 Z2.3 7 ❑ Health -care facilities. ❑ Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: 1% /LGO Fools ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1
R New residential single- or multi- family dwelling unit.
7500 61,k) D e�Ct ✓YLe u-tk R d. 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 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
I
Limited energy, multi - family 75.00 2
3 1 If wil l; nat e d , S f ckn 5 residential (with above sq. ft.) .
v Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I lg TENANT 201 amps to 400 amps 106.85 2
Name: ' Y (l�_ 401 amps to 600 amps 160.60 2
(JJ I rI, G 0 I' 60C?�S 601 amps to 1,000 amps 240.60 2
Address: -7500 $W p aS{ rnn utjl, gri. Over 1,000 amps or volts 454.65 2
City/State /ZIP: '�'; qa,`� 0 q 7 ZZ 3 Temporary services or feeders installation, alteration, and/or
�1 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
p APPLICANT I ca CONTACT PERSON. above service or feeder fee, 6.65 2
each branch circuit
Business name: Vancouver Sign Co B. Fee for branch circuits
A c �f n r m without service or feeder fee,
Contact name: R e i 46.85 2
•
first branch circuit
Address: 6 615 NE HWY 99 Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Vancouver WA 98665 Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( 3 6 0/ // 6 9 3 4 7 73 Fax: : :(360) 6932747 Reconnect only 66.85 2
E- mail: (` C irl.5 B. Ufd.YISiCVI.GO, G Q WI Pump or irrigation circle 53.40 2
J CONTRACTOR Sign or outline lighting (31 53.40 2
Signal circuit(s) or limited- (3)
Business name: Vancouver Sign Co energy panel, alteration, or
Address: 6 615 NE HWY 9 9 extension. Describe: Page 2 2
City/State /ZIP: Vancouver WA 98665 Each additional inspection over allowable in any,of the above
Phone: ( 360 6 9 3 4 7 7 3 Fax: (3 6 0) 6 93 2 74 7 Per inspection 62.50
Investigation per hour (1 hr min) 62.50
CCB Lic.: 6 3 9 51 Electrical Lic.: Su L ic.: Industrial plant per hour 73.75
37� , LS Suprv. MIT FEES
Suprv. Electrician signature, required: %�'av d�', %-. ELECTRICAL ELECTRICAL PE R Subtotal: / (ey, ...20
. t L,� % Date: 7 J �� �� /
Plan review (25% of permit fee): --�—
Print name:
A. / � � 1 / s State surcharge (8% of permit fee): / c? . a 9.
Authorized signature:
xi TOTAL PERMIT FEE: / 7 / ' �{�
This permit application expires if a permit is not obtained within 180
Print name: Re., L 5tOr Date:
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T( I I /05 /COM/WEB
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BUILDING DIVISION PERMIT ��~°"~~~°""�~° ~~"""~~"~~"° ` ' #: ELC2008-00402
13125SVV Hall 8|vd, Tigard, ORA7223 , DATE ISSUED: 7/1612004
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 A.-4'
INSPECTION WORKSHEET FOR DATE: 11/12Y2OO8 TIME: 7 PAGE: 34
SITE ADDRESS: � CLASS ()7601 SW DARTMOUTH ST 100 YMNC4 �
SUBDIVISION: LOT TYPE � PP1��S'0�� #: �
PROJECT NAME: � wiWCQF008S
DESCRIPTION: Sign lighting for (3) wall signs.
OWNER: WIMO0F00DS. PHONE #: 2013_377'011Q
CONTRACTOR: VANCOUVER SIGN COMPANY, INC PHONE #: 360_6934773
Inspection Request Scheduled For: Date: 11/j20QO8 Pour Time:
Code # Inspection Description Contact # Message
199 Electrical final C 77941-01 36[�6'B3-4773 N
Corrections/Comments/Instructions:
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| | FAIL | | CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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|Inspector: � ^ K-�� Date: n � � �5 � � Phone #: (503) 718- PK
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