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Permit CITY ®F TIGARD ELECTRICAL PERMIT Permit #: ELC2010 00167 ` a COMMUNITY DEVELOPMENT Date Issued: 04/14/2010 TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S126CA01100 Jurisdiction: Tigard Site address: 9009 SW HALL BLVD 100 Subdivision: Lot: 0 Project: Target Project Description: (3) branch circuits for video display cases Owner: FEES DAYTON HUDSON CORPORATION Quantity Description Date Amount BY TARGET CORP T -0345, PROPERTY TAX 3 crt Branch Circuits 04/14/2010 $71.02 DEPT/TPN -0950, PO BOX 9456 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 04/14/2010 $8.52 Electrical Contractor: IES COMMERCIAL INC 16135 SW 74TH AVE TIGARD, OR 97224 PHONE: 503 - 648 -1900 FAX: 503 - 670 -9572 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit wit expire if work is not started within 180 days of issuance, or if work is suspended for more the 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. 7 Issued By: /` , I / cl Permittee Signature: OA/ // ` / L' C --76/\i/ 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' 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. 04/11/2010 22:59 5036709571 NEW TECH ELECTRIC PAGE 01/02 Electrical Permit Applications ` , 0. '. „ ` .. 11S y ;: . i j r i� aP" City of Tigard i ECEIV IQ t T cd ;.. i Nn.; � n 13125 SW o Ht,11131yd.. Tigard, OR 97223 n c � 0 ' i ► /I' ��o2 (��Q �0�/� i !i•t Review P1 503.639.4171 Fax: 503.598.1960 APR 1 2 2 t relf3 Olhcrrcrmit; ti; t -f rTiGAiR1n; inspection Line; 503,639.4175 M See Page far ""' = Internet: www.tigard- or.gov Supplemental Information w I_ ra! _ . • • ' WORK BUILDING DIVISION `; PLAN 'REVII W Please check nil that apply (submit Of plans w/ft rn? checked below): ❑ New construction ® Addition /alteration /replacement ❑ Servic or feeder 400 nmps or more ❑ nnitttinr over three stories. ❑ Demolition ❑ Other: where the available fault crl rent ❑ Marinas and boatyarcl , CATEGORY OF CONSTRU ' ' , exceeds 10.000 amps at 150 volts or ❑ Floating buildings. 171 l - and 2- family dwelling Commercial/industrial loss in PIMA, OT exceeds 14,000 1:3 Commcreinl -usc agricultural ❑Accessorybuilding alp fo all other installations, c buildings. ❑ Multi-family ❑Master builder ❑ Other: CJFirc pump. Cl Installation o4'75 YVA or JOB: SITE INFORMATION AND LOCATION ' ❑ Emergency system, Inrgef separately derived system, © Addition of new motor load of ❑ "A ' "E' "1 -2" "I.3" Job no.: 41758 1 Job site address: 9009 SW HAI 131vd 1001•IP QT more, occurrmcy, -- C3 Six or more residentinl units 12 itecrcntionfll vehicle Parke. City/State/VP: Tigard OR 97223 ❑ kcnith -care facilities. ❑ Supply voltage for more dean ❑ Hazardous locations, 600 volts nominal, Suite/bldg./apt, no.: Project name: Target 10345 In Service or feeder 600 mnpg or mOTC. FEE SCHEDULE Cross street /directions to, job site: nc� ---.r Iv, Rcr. i Tnrn! New residential single- or multi - family dwelling unit. includes attached garage. Subdivision: l i,ot no.: 1.000 sq. ft. or less 168.54 4 Tax mop/parcel no.: -- Ea. add'I 500 ay. ft or portion 33.92 I Limited energy residential • ` DESCRIPTION' OR 'WORT(. ; (with ahnvc sq Q) 67.84 2 Limited energy, multi - family G7 81 adding 3 ckts to video game display cases residential (wish above sq. R.) , 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ❑ PROPERTY OWNER : , . : ' ❑ ,TENANT 201 amps to 400 amps 133,56 2 Name; — 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1.000 amps or volts 552.26 2 City /State /7TP: Temporary services or feeders installation, alteration, and /o rclnentiou Phone; ( ) Fax: ( ) 200 amps or less 59.36 f Owner installation: This installation is being made on property that I own which is not 201 amps to 400 tulips 2 intended for sale, lease. rent. or exchange, according to ORS 447. 449.670. and 701. 401 amps to 599 amps t 68.54 2 Branch circuits - new, alteration. or extension, per panel Owner signature: _Date: A, Fee for branch circuits with d APPLICANT , ❑ CONTACT PERSON • above service or feeder Ice, _ eneli branch circuit 7.42 2 Business name: B. Fcc for branch circuits u'ilhour service or feeder Ice, first 1 :36.18 2 Contact name: branch circuit 56.19 Each add', branch circuit 2 7.42 1 14.84 2 Address: _.. Miscellaneous (service or feeder nor included) City /State /71P: Each menu f,cturcd or mnclular -- dwelling, service and /or feeder 67.84 2 Phone: ( ) I Fax: ; ( ) Rcconnect 67 2 F,-mail: — Pttmp or irrigation circle 67.84 2 CONTRACTOR • - Sign or outline lighting 67.84 2 Signal clrcuit(s) nr limited - energy Business name: 1ES Commercial panel, alteration, or extension Pa •e 2 II Each additional ins ection over allowable In an of the above Address: 16135 SW 74' Ave Additional inspection (I hr ruin) 66.25/ hr Ill City /State /ZIP: Tigard, OR 97224 Investigation (1 hr min) 66.25/ hr w Industrial plant (1 lir min) 78,18 / hr II Phone: (503) 648 -1900 Fax: (503 -) 67 -9572 Inspections for which no fce is I 0 "6 -1.3 i.ic.: 182452 , Electrical Lie.: C448 Suprv. I.ic s ccIf eaII listed A Iir mill 90.00 / hr R .: 4 9115 ELECTRICAL PERMrr PE ES Suprv. Electrician signature, required: Subtotal; 71,02 Plan review (25%ofpermit lcc): Print name: Corey Baysinger I Dote: 4/12/10 State surcharge (12% of permit fce): 8.52 A u rhorized signature; TOTAL PERMiT FEE 79.54 1,./ This permit application expires if a permit is nal obtained within 180 Print: name: Date: days nits• It hero been accepted as complete, _` " Number of inspociiana nllowed per wroth. 1 41 itIt npp,tloc 10 /01 /19 440 -'161 ST(11 /n5 /COM /W1 R