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Permit
'Pi C I TY OF TIGARD . : - , ELECTRICAL PERMIT PERMIT #: ELC2008 -00584 COMMUNITY DEVELOPMENT DATE ISSUED: 10/14/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S126CA 01100 SITE ADDRESS: 09009 SW HALL BLVD 100 ZONING: C -G SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT : JURISDICTION: TIG PROJECT: TARGET Project Description: Electrical for control room. Job No. 98339 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: 3 W /SERVICE OR FEEDER: 3 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: DAYTON HUDSON CORPORATION CHRISTENSON ELECTRIC, INC. BY TARGET #345 TAX DPT 14 -1 111 SW COLUMBIA STREET # 480 PROPERTY MGMT ACCTG CC -470 PORTLAND, OR 97201 MINNEAPOLIS, MN 55440 Phone: Contact #: PRI 503 - 419 - 3300 FAX 503 - 419 -3728 FEES Description Date Amount Reg #: ELE 26 -34C [ELPRMT] ELC Permit 10/14/2001 $260.85 SU 458 [TAX] 12% State 10/14/2001 $31.30 SUP 1994S Total $292.15 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 fo than 180 da s. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rul are set fort •n c • R • .2- 001 -0010 through OAR 952 -001 -0100. You may obtain copie if these rules or direct questions to OUNC at 503.246 699 or 1.800.3 ).2344 le- Issued By: k.., �ie( y Permittee Signa , fe - ,/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: e ' TRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: 7 67, 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. !, OCT—.11-Q0,3 MON 02:39 PM CHR I STENSON ELECTRIC, INC „ FAX NO, 95034193695 P. 01 Electrical Permit Application City of Ti gird 1 • • R`l�/ee:, ( #0 %f of *; PermitNo.: Eke,/ 7r . •G15iSB p 13125 SW Hall Blvd., Tigard, OR 97223 41 Review other Pernik: Phone: 503,639.41.71 Fax: 503.598.1960 04 gale = , • 1, I Inspection Line; 503.639.4175 1 ■, y' /aria' la See P90 2 for l 1 t 1 A 1 1) p `� qd Supplemental Information Internet www hgard -0r.gov Q .Ott�a l LT X T AF WORD � . + 1 q' i ', + I t ,' c ' S Please check an that apply (Submit a seta of plans w /items checked below): ❑ New construction Addition /iilteration/replacem 0 Service or feeder 400 amps or more ❑ Ruildins over three stories, El Demolition ter: V where the available fault current LI Marinas and boatyards, • ' 'CATEGORY �� ONSTRL C'1`1QN . : ii ! I ' exceeds 10.000 amps at 150 volts or ID Floating buildings. less to ground, or exceeds 14.000 0 Commercial -use o LI 1- and 2- family dwelling Commercial /industrial © Accessory building amps for all other lnatallations. buildings. ❑ Fire pump. CI Installation of 75 KVA or El Multi - family ❑ Other: — ❑Emergency system larger separately derived system. i 5 ' �!�� i i r ' ;, $1�'�i' � � Master builder lld Oltl l�lP �1..9Q0,4Q0 R � � ! . , 11 1 i ' ? P n Addition of new motor load of ❑ "A,... &„ "1-2", 1.3', 100HP or more. occupancy. Job no.: q 130 Job site addrcs V (: a P !. ❑ Six or more residential units, El Recreational vehicle parks. * r � ❑ Health - cart facilities ❑ Supply voltage for more than City /State /ZIP: pia I. 'it , I . 0 Hazardous rotations, 600 volts nominal. 1 ❑ Seance or feeder 600 amps or Suite/bldg. /apt. no.: + y r Project name: j' A te - } ` i) 3 - ! r ; 1` i Ir Cross street/directions to job site: (� A9,bci 4. li � , 1 rye pr+ era LUMMILMINIMITEN `` New residential single or multi-family dwelling unit. 5f0 3 -- 7 ( _ , * includes attached garage. Subdivision: ll�� Lot no.: 1,000 sq. fl. or less 145,15 4 map/parcel no L mf Mill d energy, gy, r siden i s ion 75 00 31 40 MI Tax ma : - : , i Limited , g ft. ,' i, :. :'D�SG�''l�l!'�'lON • DF `WC�1ZK. + + . �'� � ', ... '�... Li energy, multi - family 75.00 � II Al ,. , residential with above a•. ft.) IA • Services or feeders installation, alteration, and /or relocation 200 amps or less 3 80.30 7 0 i D 2 ��Yy ��}}rr�e+� 7Pr'� ' ' l�1 r ' , �7. 1 i'P1 g a,�L i:..Pli � i - ' f,, ,tit ! ' ' `f. I �,,,1'11':;M'hl n l ,,' u ' - ,i' !', 201 amps to 400 am'8 �� 106 85 401 amps to 600 amps MI 160 60 WI Name: — — 601 amps to 1,000 amps 240.60 E . Address: Over 1,000 amps or volts MI 454,65 lial Temporary aorvices or feeders installation, alteration, and/or City /State /ZIP' _ _ . _ relocation Phone: ( ) Fax: ( ) 200 amps or less 66.850 201 amps to 400 amps _ 100.30 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 133.75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. .- Branch circuits — new, alteration, or extension, per panel _ Owner signature:_ Date: A. Foe for branch circuits with „ 4 �: ; above service or feeder fee, 3 6.65 Ii r Q ;', (' AP)'I;C{�111,� ,. ro1r,,,,; Q �Q1N7ri~:,!,Q,Ir 1 2 _ each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, 46,85 2 Contact name: first branch circuit Address: • Each add'( branch circuit 6,65 2 M Iscellaneous service or feeder not included City/State/ZIP: Each manufactured or modular 11111 90 90 10 dwellin: service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only _ 66.85 MEM E -mail Pump or irrigation circle 53.40 N �� i'CONTRAL"TO i Sign or outline lighting 5340 '1. Signal circuit(s) or limited - Business name: Christenson Electric, Inc. . energy panel, alteration, or extension. Describe: Page 2 Address: 111 SW Columbia, Suite 480 City /State /ZIP; Portland, OR 97201 _ — Each additional Iupection over allowable in on of the above Per inspection 62.50 Phone: (503) 4193300 x3328 Fax: (503) 419 -3728 Investigation estigation per hour ti hr min) 62.50 MI CCI3 Lie.: 458 Electrical Lie.: 26 -34C uprv. Lie.: 1i 4S , industrial plant per hour 73.75 Suprv. Ffectrician signature, required: /` r �` fi r • Subtotal: QQ�� �' 99�� 1 p Plan review (25% of permit fee): Print name: Robert Axt Date: V State surcharge (12% of permit fee): 3 1 3D Authorized signature: .�— TOTAL PERMIT Fl E: a 5 .. This permit application expires if a permit Is nut obtained within 180 Print name: Date: days after it has been accepted as complete. f� y�V�' ° Number a flnspectioirtTnllowert per perntit. I'. lnuildie &errnits\ELC- Per mitApp�do e 05/23/06 t/�j ( , �_ 44a'dn Ili iio51COMNEn �. yZ � G' \ f\ / y T CITY OF TIGARD `345 BUILDING DIVISION A PERMIT #: FLC2008-00gA 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1412001:3 Phone: (503) 639-4171 /44 #41010\ Inspection Requests (24 Hrs.): (503) 639-4175 - s ag- . 111. INSPECTION WORKSHEET FOR DATE: 11/5/2008 TIME: 7 PAGE: 19 SITE ADDRESS: 09009 SW HALL BLVD 100 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: TARGET DESCRIPTION: Electrical for control room. Job No. 98339 OWNER: DAYTON HUDSON CORPORATION, PHONE #: CONTRACTOR: CHRISTENSON ELECTRIC, INC. _ j _ PHONE #: 503.419_330o Inspection Request Scheduled For: Date: 11/6/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 077650-01 503-703-7143 \ V HI Corrections/Comments/Instructions: /1 i / '' - WO - f , } \ \ 1\ \ al PASS 7 PARTIAL APPROVAL El CANCEL 0 NO ACCESS 7 FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G ' N Date: 1 I ( O Phone #: (503) 718- 1-L144