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Permit CITY TIGAR;Q ELECTRICALPERMIT 46 PERMIT #: ELC2005 -005 51141: DEVELOPMENT SERVICES DATE ISSUED: 8/2/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S126CA 01100 SITE ADDRESS: 09009 SW HALL BLVD 100 ZONING: C - G SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT : JURISDICTION: TIG Project Description: Add (3) circuits in photo. • 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADM_ BRNCH CIRC:' 2 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: DAYTON HUDSON CORPORATION CHERRY CITY ELECTRIC BY TARGET #345 TAX DPT 14 -1 8100 NE ST JOHNS ROAD D -104 PROPERTY MGMT ACCTG CC -470 VANCOUVER, WA 98665 MINNEAPOLIS, MN 55440 Phone: Phone: 360 571 - 4411 FEES Reg #: ELE 37 -620C LIC 91668 Description Date Amount SUP 3486S [ELPRMT] ELC Permit 8/2/2005 $60.15 [TAX] 8% State Surcharge 8/2/2005 $4.81 REQUIRED ITEMS AND REPORTS Total $64.96 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 - ;',- 332 - 2344. Issued By: `' - ♦!! _ Permittee Signature: G G 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. • • ' electrical Permit Appli, 1t - I '• . - .• R OFFICE' ONLY, Y City of Tigard a Received Date/By: $ d Permit No.: .10p 5 -006 4, 13125 SW Hall Blvd., Tigard, OR 97223 11 !its Review � Phone: 503.639.4171 Fax: 503.598.1960 JUL , 9 ` Ateghtli n I �� DateB : Other Permit Inspection Line: 503.639.4175 . T' G� .al I' Date Ready/By: Juris' H See Page 2 for Internet: www.ci.tigard.or.us CON Or "ISI— Notified/Method: Supplemental Information = � : t - -mo x , t W TXPs x a ©i i a - zi PLAN' 12E :ik FT-New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑ Other: ['Service over 225 amps, com'l Hazardous location ['Service r' . , x'..:._ l. , ,, MAI ,za.:X �, .t._ >.,, , ; Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., r ;; y X01 S Ri3CT N .; fi. - >:r :. :g41i. , :!i - , ,, `: e : .=, of 1 -and 2- family dwellings 4 or more new residential �N ,a� ?_ 1x1s"s ;:.zm mss' a= �' s^: rs :.w,�- s�.�?,�^r#s+- .,�.r_.>i:" ..� ::. .- �..�. °rte �'".�.: ==2x� ❑ 1- and 2- family dwelling 'F Commercial/industrial ❑ Accessory building System over 600 volts nominal units in one structure 111 Multi- family ❑ Master builder ❑ Other: ['Building over three stories EFeeders, 400 amps or more . y. -. — t- Multi ; _: -. ,,- gin , . ,, _ . - . „, . .: ['Occupant load over 99 persons EManufactured structures or ,41.' V. ” . y�>a zw ,t a z „S O T L ON t .4F,F CA ... , , „. ❑Egress /lighting plan RV park �A6I IO C ❑Health -care facility ❑Other: Job no.: "I ` lV� l i Job site address :OVA �� IAA I ( " �l v� Submit 2 sets of plans with any of the above. City /State /ZIP: � . J o t. (j A 1 1 lut ( The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: U (I� _ . 1U/ Pr oject name: # o � T ✓ ?µ`,'. - °EE E' = = =_ »» . �� !�`-' Description M Qty. Fee. Total Cross street/directions to job site: a New residential single - or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energ residential 75.00 2 • �; :``.; j t :;f' "a .. w,x a ; r,' 3 a , < = s Limited energy, non - residential 75.00 2 l*, T' , `t.a , c'U -_, : #. � �'. .., .. a Eac manu f ac tured or mod _u / C `= dwelling, service and /or feeder 90.90 2 ./ .4. • 1 A . 51 ,. Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 - 2 ' .,;�. ,. �.,; -, _ „ i;:," . ; , . � �x -. °a 3.: >;. M.' , <> :: , n 201 amps to 400 am v�� , O Pttaki. - ' O�Wk 03, I t '` � ' VAN , .. P Ps 106.85 2 " °" 401 amps to 60 0 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 . Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) I Fax: ( ) relocation 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 7.01. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel 0 � ,• �s st+r,�z �:�*�r.± :'dc��ssarr;a;. _ ,., A P i T( tz f§ m gt WWI �" ®ia O € S© A. Fee for branch circuits with d. t .s� ,yes..; _ .,,. + w:r: &..k�x' >.K't..,�'+ s, -#_:; xr. =,rx: . '� service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name:, without service or feeder fee, 1 46 -tom Address: each branch circuit 2 Each add'l branch circuit 7 6.65 /3 i 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) .� _ ts) or limited - ttlen , atr , ' l•Sti, WOU RN s °. ' r. . ',n f "£ , t,,„yt�g",:�. y gy o `1� �. �=: ever panel, alteration, or extens Describe: Page 2 2 Business name: ON. 0 elx 0 Address: Q , Each additional inspection over allowable in any of the above , n ' "" ° Per inspection 62.50 City /State /ZIP: ykrial 1 I/Ot f t q / ` L Investigation per hour (1 hr min) 62.50 Phone: (3oa) ,- -1,47-1 V , 1 6, I Fax: _ ®) f ` � � ' L// 0 Industrial plantper.hour 73.75 ; , . ," 6.1. EreMe itWiT, FEES iN' .: , . CCB Lic.: Ele al Lie.: Sup. Lie.: , /,� v �� IE Subtotal /'. Suprv. Electrician signature, required: U Plan review (25% of permit fee) Print name: J Dater' "f /� State surcharge (8% of pemlit fee) L� � — �� v R N v( V TOTAL PERMIT FEE 6 jf ,� Authorized signature: This permit application expires if a permit is not o btained withi 180 d afte it has been accepted as com plete Print name: Date: '' Fee methodology set by Tri- County Building Industry Service Board " Number of inspections per permit allowed. i:' Building \Permits\ELC- PermitApp.doc 12103 440- 4615T( l0l02/COMJWEB Electrical Permit Application ity of Tigard Page 2 - Supplemental Information • LIMITED ENERGY PERMIT FEES: =1 31.4Z WE . 4 _��. = .i Fee for all residential systems combined ... $75.00 Check Type of Work Involved: n Audio and Stereo Systems* ❑ Burglar Alarm n Garage Door Opener* I I Heating, Ventilation and Air Conditioning System* n Vacuum Systems* ❑ Other: 1. , ., ®, ,. § lJ it, t 4''` ' r, ; IF ES -41 Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* _ n Medical n Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i: \ Building \Petmits\ELC- PermitApp.doc 04/03 Nem, OF TIGARD BUILDING DIVISION PERMIT #: ELC2005-00546 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2/7006 Phone: (503) 639 -4171 Iuh9�i�b�jI+l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/24/2005 TIME: 7:08Am PAGE: 61 SITE ADDRESS 0 Og Sty! HALL BLVD 100 CLASS OF WORK: SUBDIVISION: WA.. INGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: TARG DESCRIPTION: Add (3) wits in photo. OWNER: DAYTON H SON CORPORATION, PHONE #: CONTRACTOR: CHERRY CITNLECTRIC PHONE #: 360.571 -4411 Inspection Request Scheduled For: Date: 8/24/2005 Pour Time: Code # Inspection Description - o • # Contact # Message 199 Electrical final 014168 -01 • 360-901-2377 N Corrections /Comments /Instructions: , y.A Sr4; Rooiw LO U -1 XI I I PARTIAL APPROVAL CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 08 Date: $ � i ' O� Phone #: (503) 718 - 2.400