Permit it CITY OF TIGARD _,1 s , ELECTRICAL PERMIT
PERMIT #: ELC2006 -00543
.� DEVELOPMENT SERVICES DATE ISSUED: 9/27/2006
`--'' 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: Power for electric cart machine. Job No. 596404 - 2372
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: 1
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 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 CHERRY CITY ELECTRIC
BY TARGET #345 TAX DPT 14 -1 8100 NE ST JOHNS ROAD D101
PROPERTY MGMT ACCTG CC -470 VANCOUVER, WA 98665
MINNEAPOLIS, MN 55440
Phone: Contact #: PRI 360- 571 -4411
FAX 360- 571 -4410
FEES
Description Date Amount Reg #: ELE 37 - 620C
[ELPRMT] ELC Permit 9/27/2006 $121.85 LIC 91668
[TAX] 8% State Surcharge 9/27/2006 $9.75 SUP 3486S
Total $131.60 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 a,re'set forth in 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these- rules or direct questions to OUNC at
50346 -6699 or 1-800-_ - 4.
y: , J� Permittee S nature: ), ' i g s/6 "
Iss ed B LI KLi`I- 9 /� "c
"' "" 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 a•- .
- f , % ___- DATE: 974
��t7S
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.
SEP -P .006(TUE) 15: 09 P. 002/002
(. E1 c`ll Permit cat .1 4 R OFFICE USE ONLY
a rd .
City of Tigard, Received e � �-c 6 5 :
L3125 SW Hall B 0 A 'y 97223 6 RI X i � � O� � V Permit �5
rim Review
Phone: 503.639.4171 r •Fa7t: 503.598.1960, ` - "i z r $, Date/By: Other Pertain .
Inspection Line; 503.639:4175 Gp,� A �'� I Y y �U See Pegs Z for
s P '�� .C'� . :.rrn.� Dalr Rcad /B Jur '
Internee www.ci.tigarti.arius 0 t �, / �� rr I Notified/Method: / (',; Supplemental Intormadon
:,. `t :,:. ; , u • >,. �; , ;, ,J ° R'
V., � •+� .. � trY; < ?4t .'1 ::mrS�:TiPZ,', :'kFra C I; AO t� _ • •
LI 'New construction ( . addition /alteration/replacement Please check all that apply:
[7] Demolition v ❑ Other: ❑Service over 225 amps, comxn'I ❑1 location
EIS ts crp . - I Al T3 u t � ❑Service over 320 amps - rating OBuildng over 10,000 sq. L.
I ... >1. v 1 a 2 p 4 "i' . "�' i�lei l: of 1 - and 2- family dwellings 4 or more new f dU '- ...,.��_:,;. r4 'fw',.t "...�: gK residential
❑ 1 - and 2- family dwelling QACommereial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑ Other °Building over three stories ❑Feeders, 400 amps or more
4
/ 1 �y tip E v�w �1,� J t . ^ n ittir: ❑Occupant load over 99 persons ❑ fa
Manuctured structures or
'i� x ar -+1 ,''„Z,, _ 1 d L� .l . ~ I cW 4 (' ' , i ❑EPress/lighting plan RV park
Job no.9 7 -, `7 , Job site address.- Ai" (A M to UlD ❑Health-care facility ❑Other: _ .
� y
Submit _2_ sets of plans with any of the above.
City/State/ZIP: - 1 - 1 ow n V I /���/j2. V I r^ p � The above arc not applicable to temporary construction service.
Suite/bldg./apt no.: Project name: p , / \.1 1.� "N 58 �' .i •..19.4FA::: ;k - 7 ' ..
Description Qty. Fee. Total
Cross street/direetions to job site: New residential single- or multi- family dwelling wilt.
Includes attached garage.
1,000 sq. ft or less 145.15 1 4
Subdivision: l Lot no.: Ea. add'l 500 sq ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Il'1 aL°"11� i . Y ry „ �„ � r"i t Limitedencrbw,non- residential 75 -00 2
: 1 i+ ..,1 1' �'�?�I ` o a ,.�al 4 +�, r. ..ktg \ a� rid i :' l k Each manufactured or modular
E= A, ' ' �/Y U , 1) , tr . n la r l � dwelling, service and/or feeder , 90,90 2
Services or feeders installation, alteration, and/or relocation
111171141 t , / 200 amps or less 80.30 ' 2
i^s �t E I �I l 1 y , ( � C 7 1 012 w5 I I ott Wi r i" i,!.L� ® j -4;1,1,i"`0�d .x, 201 amps to 400 amps 106.85 2
� in "1/41 l�li 0w la • ce . 9.{ ='`2 1w-
� nIR7elliIC �i�11 iH ,OC- l ,� :YILA'II=Nt. 'Ii1h.FV.A I I few
401 amps to 600 amps 1 60.60 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 /$ttlte/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) - 1 Fax: ( ) relocation
200 amps or less 66:85 I i
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 600 amps 133.75 2
Owner signature: Date Branch circuits - new, alteration, or extension, per panel
'rwl „ l*N 'Y7 I F r a`6 i � 74� j 11n{ M YNY�I,� 1 `g K 'I s FFAL "��t' i Z���Nuiil� A. Fee for b `�¢
t�.1�1`�.t'S�'1 it7�,5� ?�� �r `.i" 'Halt a:k'w 1..Mi' 'al :� n,i��sE .. %:Ilt7. �I1un.:i.:�i.. '� i�l�$ r!i'j ��c�l�r� S1l'fgi .�..11«tit rnlich circuit with
Business name: service or feeder fee, each
brunch circuit 6.65 • 2
B. Fee for branch circuits
Contact name: without service or feeder fee, p C '
each branch circuit ' 46.85 �O c � 2
Address: Each add 'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) { F ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail: Signal circuits) or limited -
r {9 76,,ii �{ r i " y """ I .n ,+u t" r p Y, iN�.. d a nt i it:. '. 4i I ener anel, alto
i�. S , y�;�,F� ° �'as�11Y��,;,��.�����r "�i�.��� ` :r °,::... 1 Wi t t� �i t � t; p r
Business name: � � i ation, or
extension. Describe: Page 2 �(,Q 2
1. .I /� _
Address: 111,1111 1 MN,M� I ' . ,, Each additional Inspection over allowable in any of the above
Per inspection . 62.50
/ t ` ' ", Ii , w a l l Jim / Investigation per hour (1 ht min) 62.50 I
Phone: fr) l I JC r i m I Fax: CM ) I .. L Industrial plant �p� per hour 73.75
CC$ 1~iC� � l P 1.0 �le� i r ��u7i" �' ,Ft:4.74 •efa ilM,,PkIMIS IYAPi.0 ,f,IV ';': 1:
val L ic.: Zj -- / i 0 - u prv. Lie.: Subtotal I e
Suprv. Electrician signature, required: 1 1 I I Plan review (25% of permit fee)
t - St su rcharge ( B% of per fee) 9, 7
Print name: u c E. Date
TOTAL PE j 31
RMIT FEE 1
Authorized signature: This permit applkntfon res if a permit Is not obtained within 100
day after tt teas expi been accepted as complete
Print name: Date: ' Fee methodology set by Tri•Caunty Building Industry Service Board
•• Number of per per allowed.
i; l ullooiewemtitsflLC- AetmiLApp.doe 17/03 4404615'rt111V02/COM/WlH
CITY ������N���&����
��mn n OF mmv�mm��uo��
BUILDING DIVISION
PERMIT #: BC2006-00543
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/27//006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/3K2006 TIME: 7:O6Am PAGE: 60
SITE ADDRESS: 09009 SW HALL BLVD 100 CLASS OF WORK:
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: TARGET
DESCRIPTION: Pow& for electdc cart machine. Job No. 59E404'2372
OWNER: DAYTON HUDSON CORPORATION, PHONE #:
CONTRACTOR: CHERRY CITY ELECTRIC PHONE #: 360-571-4411
Inspection Request Scheduled For: Date: 1 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 • E]ecthc:alDnal 037615'01 360-517'4411 Y
• Corrections/Comments/Instructions:
` ^
. PASS PARTIAL APPROVAL CANCEL ri NO ACCESS
FAIL 7 CALL FOR INSPECTION || ADDITIONAL FEES ASSESSED
Inspector: [)ate: 16 do Phone #: (503) 718' 1*0`