Permit CITY OF TIGARD
r ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2013-00577
•TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013
Parcel: 1 S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: (1)service for replacement generator.
10/1/13: Reprinted permit to include(1)additional 200 amp feeder BT.
Contractor: ABC ELECTRIC Owner: DAYTON HUDSON CORPORATION
135 NE 9TH AVE BY TARGET CORP T-0345
PORTLAND, OR 97232 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS. MN 55440
PHONE: 503-233-7551 PHONE
FAX: 503-233-7552
FEES
Quantity Description Date Amount
2 ea Services or Feeders-200 10/01/2013 S201 40
Specifics: amps or less
1 ea 12%State Surcharge- 10/01/2013 524 17
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $225.57
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 will 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 952-001-0090 You may obtain a copy of t a wles irect questions to OUNC by calling 503 232 1987 or 1 800 332.2344
Issued B Permittee Signature: L �-
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 the next available inspection date.
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.
® CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2013-00577
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2013
Parcel: 1 S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: (1)service for replacement generator
Contractor: ABC ELECTRIC Owner: DAYTON HUDSON CORPORATION
135 NE 9TH AVE BY TARGET CORP T-0345
PORTLAND,OR 97232 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 503-233-7551 PHONE:
FAX: 503-233-7552
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 09/26/2013 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 09/26/2013 $12.08
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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 will 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 952-001-0090. You may obtain a copy of the ules or direct questions to OUNC by calling 503,23 2.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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 the next available Inspection date.
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.
9/30/2013 11:53 AM FROM: ABC Electric ABC Electric TO: 503-598-1960 PAGE: 003 OF 003
•
Electrical Permit A ion CEIVED FOR OFFICE USE ONLY
City of Tigard SEP 3 0 2 013 R,,ceiv.d ....,. . _...
/4-1 r-- *7 7
. ......4 d.1- 13125 SW Ilall Blvd.,Titian!,9A-Rakr..T.,
Pk
Ilan Review
-Other Permit:
1 1. • Phone: 503.718.2439 Fax 5valleritor i'GARD Daleiby.
Inspeetim Line: 503.639.4pu"ILDING DIVISION /N.,ge,,,,iyinr. Min' - FP! Sec Pap 2 for •
•
bin not www Eigard-0r40. Notifiedadethoch Supplemental ltdoesturtion
. . . . .
11111/11111111111.1111WW411111111110
... . .. . ... .. . .. .... .. . ‘ . , . .... .
A
0.N : tiditiodalteration/replacement
Please eht,rk all that apply(submit/seta of plans witems cheeked.ku3oy) '
ew cimitruetion '-4
0 Service or feeder 400 atopk-br more 0 Bonding Awe:three stories.
0 Demolition U Othefr: where the available fault Current 0 Marina.,and boatyards.
:.n.'-'-':'" :'•-•.- , - -r.','' -"1----'s.1,-:---;;'S.:!',..-:...- .:- :r.-...-C:r",.,t'-'nt,sis':.1:'-''''''''''''',"ir.,,:;:.-::::-`,,,,-- ' ' ---,-. maxteds 10000 mints.1 150 volts or 11 Floating buildings.
, „ ,-,,..,_,,,-„i._-‘,.z:.:....,.i.r,.-,,,,,,-,„,..„,:n- :...,t ..,,,- .•--... -• .. . .• ;....,.r.,....,::::::.-4._,...._-.- ...'&.,--,.‘ - less to ground,or tuteends 14.000 0 Commercial-use rtgricultutal
0 1-and 2 family dwelling V/Commercial/industrial I.J Accessory building amps for all other installations. buiktMgs.
D multi-family [ Master builder ci Other 1:3Pirc PunT. El Installation of 150 KVA or
Ime,4 r.--,..- , t-1,-.0,r.c, 0 Emergency system. larger separately derived syskun,
;;;;-.;-:1---;i'.,,,,-'*7-1;::•-1-7Isr• ••• - i -.G''''•if.M.1170 r'9.N1101''00Vg'..:'';,,T...;. ..$'. ...: EJ 4,doition or my.,wow toad of 0.V.'v.n 2 -3',
10011e or more. occupancy.
JOb no ;I' . /.>: Job site address: trf.:ty.?'4..._1,'.. • -.(4_1' ,. L.,...v y , .1 0 Six or morc residential units. 1:1 Recreational vehicle parks.
City/State/ZIP: 0 Health-care facilities 13 Supply voltage for more than
Eithwardous locations. 600 volts nominal.
.
ot .
Suite/bldg./apt.no.:VI `1"-N Project name.r: f': ti(1.17t, D Service ot feeder 600 amp.: mom
glENISI2-.:Er: ,,i. .4.!:I: :7 ,1,5,'',..)
/.
Cross SiTeeXdiTeCtiOrIS to job Site,: .
Tk/Ctiildelk.,„ ._ J.'Dv. , loud- •
- • - • Nevi residential single-or multi-family dwelling --
ng unit.
includes attached garage.
.. .. .-
Subdivision: 1 Lot no.: 4000 sq.It.or less 16834 4
-- . ------ Ea,addi 500 so.R.or portion 33.92 I
fax limp/parcel no.:
Limited energy,residential
,,t.,,''rq "'',i'■Viir■''',' ''''''''''''''''''-'''' . ' <With above sq.R.) 75.00 2
;—.1.141&11,--- ,,`;'"' . ' ' ..:. . . - Limited energy,multi-famili---- 75.Ct _
O
midential(with above ..ft, 2
a •
--- "-%.1rAtiri.M.1721M1,:=An.. 2,41
0 .1t/
, a . „....„,„ Services or feeders iustRilation alteration and/or relematirelocation Al tot A' I
, ..-..- -''=,t' 200 amps or less i 10030
'Pi(Cli,4-`,4t',..er,,. :
`- -:. .
. 201 AMpS to 400 amps 133.56 2
Name: '',- '11(1 1411" . . .. . • - , - ... i. .- a •• . •i. '
401 mops to 600 amps 20034 . '--2
Address: - laiTti "T'i' 601 Lauf*to 1,000 amps MI 301.04 2
.. . ,,. Over 1,000 amps or volts 552.26 2
City/State/ZIP:
Temporary services or feeders installation,alteration,and/or
. ,
• relocation _._
Pit.tme:( ) Fax ( ),
• . 200 amps or less 59.36
Owner installation:This installation is being made on property that.f own which is not •••
201 amps to 400 amps. . _ 125.08 •.• 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
401 amps to 599 amps 168.54 2
.......,...
Owncr signature: __ _pate: .... _ Branch eirtuits--new,'literati° or extension,per panel__
'"'' '''''''''. 'Pr'■.: ?;. , . ' , ,irzi,,Witir‘ ''"00.'A...:".i..%„:;',..,: A.Fee for branchcircuits witli
. , . ...§.k.. ,. ..,>...,...-r-.N'd•.4s, above service or feeder fee.
7.42 2
Business 113171e; 7) •,2-''') t: :;'( . each branch circuit
II.Fee for branch circuits ivanow —
Contact name: ,.- - . . ,/: ''', ,, 7', . . .,, service tit fetAla fee,fast
56.18 2
branch circuit
Acldrms: ' • vach add'i branch circuit 7.42 2
/ :4:. t ,'1.,_..i. .._ _........ ..,......._
.. .
Miscellaneous(service or feeder notii eluded) _
City/Sta te I ZIT':
a cli.nlanuf actutlxi(a modulat
....._____
6784
dv..., douItin ,service.and/or loader
Phone:( ) —17-70x::( )
Reconnoct only 67.84 2
--..
E-mail.
..... Pump or irrigation circle 67.84 2
_
A,b_ft. TrTsii1,1 : .: .'7,7:::....'•_:.;:!;;:.-,. 'N'...2 il.ti•:'S-,7".;.,=, ,..::-..:1'.. Sign or outline lighting ___ _67 84 2
.._ _
Business name- 06(_ k4......b
(1 t.A 4 Signal circuit(s)or limited'energy
punci,aheralioll,or extension. See
yap:.2 /
...__
Address: _1 -..,,..,1 rp iNkl, ''''''''i\,_ el 0.4. (-1 1‘.,,......... Each additional inspection over allow tile inanyof the above
- Additional inspection(1 hr min) t?625/hi
_____
C it y/S t at c/ZIP: ...I ) .1.t._1(.,,„ ,, ,,,, cic _...ca:2_..) r,:.:-. .,
Investigation(1 hr min) ii6.25i hr
1111
v-
......._____ ._
pi,„„,: ,...„).. ,-. ‘ 5-5 1 ...._ Fax:L .?:.,3.7 -"hr."- Jurlustnalplant(f ILnur)) 78.18/hr
---. ------
-- inspconons tor which no f< is
90.00/hr
_...-.
',CH 1,:e.'• I;.? Electrical 1..i.e.: 24„.4244 1...„Suptv. Lie; _5-0 ci,'cip, ...S_ s..cific.9,,;tristod !.:!htin...:.•;. i...,.„:,.; I....‘.. :....,„ , .
/A, Aii---- -70 /(0 .i.'.-1....-:•:::i.X0...0f-,Sf....iii..1,...f.tt .-,.,.:; :
i Suprv.Neetrician sil-i, t c,required: ' - A- /
I .
el
Plan review(25°A of painn led.Print IIBTOC: . ....-) Dale: .:1),/, 4 2 ,:,._
_ .... - State sun:In-tow(12°20 of permit fee). / ,,0_ ___._._
Au di orized signature.. Ali% -TOTAI.PERMrf FEE: . ' ': li
________ - . - , _....._ t t •
:---77___:____
This permit:pith-ratio!,espires if a permit is not obtained within ISO
Print name: (,......./Da )t,--) L r))- 9(3 i'). Date: ( nsi .... I days afti.,r It has been accepted as compietc.
' Number of inspections allowed per permit.
I.S.Buiklipe,Wrsinalie_PcnititApprtil_Elif:chm ktv OS/21/2013 440 46IST0 I/OS/COM/MA
Electrical Permit:Application • , FOR OFFICE USE ONLY
• Ci. Of'Tl 21rd Received'd f/t ` Perini;No. LSD/" 'd05�
ty. g ) —j .Dates l .•_ ,r. : Linn/s ell/Hall 13I..'d.;Tiger 1 O �__ 'bthcr Permit:
}', r. Phone: 503.718:2439 Fax: 5033 9 • 69 Date/By. ..
4 75 ' ' Date'Ready/By: :. hula; .El Sc Page 2 for
TiGA1iD InspectiogLtne:;503.639. 1 �� (� , .•Internet: www.tigard-orgov ' , . s r, .. Notified/Method: Supplenicntali nform.ation
';„�,III y;�I e y?'71VRn,. a. ,r'Si:.v44`•3,W 0 8 Z��''r,.r�' 4. ,1, XE 307--�ai+'. r�. .s;.4'7+. i y F�t �' y�'4, d' 0.t410 '1,�e F;=R° r :,c r.,..
.`h IZWA '`v.'21.s;o��W4I S x W%:K.;t I_'& 0 ti ktF �. .'5 gs y;
S ��r � ,.•�-�' ^.:.ate t� .s:•;.. ,t •.,:y..�. • .r sa.,.-.,.r.� - _taa,�_" .�'� nz�rrr�,.C�y
0 New construction 'Additiolt/altera 1, Please check all that apply(submit a sets of plans w/items checked below):
,�J�
p 7�? ❑Service or feeder 400 amps or more ❑l3uildiag over three stories.
.0 Demolition . . :0 Other: ,t `� �' where the available fault current 0 Marinas and boatyards.
'T'I7 'sir-^ y74I'Z^..:.;rr''''itift . i .;iiRip i.:;qF ,�r,i7M/ s• .:`.'.',.-17-rx 37171,;::> •"��'�-* � "� s 3m Yr„ty*r,6f�t ,0 2�'q ' ' "0 Cure e���f�q9�.t �0 i st'r,�nr� ��}�. � r�P/ � � exceeds 10,_000 amps at 350 volts or �'(]�Floating buildings.
5�u", lcz�yc - .>s.,.�>r rB` )rGa a� �'v� s 1 ----- 2 s --- less to ground,or exceeds 14,000 , ❑Commercial-use agricultural
0'1-and 2-family dwelling OA'CommerciaVindustrial 0 Accessory building amps for all other installations, buildings.
0 Multi-family . 0 Master builder • 0 Other: . 0 Fire pump, . 0Instaltation of 150 KVA or
,,,. ❑Emergency system. larger separately derived system.
err.:. r: - ;j
::i >` .' -k,$qI i' F F, 1°il"Otl 0 '�1�?!)<34{e g �q x4 " Addition of new motor load of A„ E„„1.2„ 1.3„
Lti'it�':.�st.,."•Y 3::1:":: ..y ;x v S' -..t*,41"x�l. �xi.ii.ms, 1<-;,"—x.4, •� ...e:.. ..�,.t'zi-il llW 0'e .4
Job tto.: Job site address: ) (�1,„-,e (7
r, I OOHP or more. occupancy,
'���' 9 Q(/7 C x J= H(,t 1/g t.v i. 1tf:I(X/ ❑Six ar more residential units. ❑Recreational vehicle parks.
City/State/ZIP: , _ ' I e , • 1 7 — -- ❑Health-care facilities. 0 Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: V.,, 0 Service or feeder 600 amps or more.
�V °><,,�•, r':ti.,,.;, ,�=6��;� afV ti y, 's: i'6;f 'a. ��..i- :yK:: sx, -°�s
a=.�,avlz=sr' ..'c'r.Kv�dl3�x31vsai�;1,,;� r���>�:_.`Eyr�.`'�.n.-
Cross street/directions to job site: Description Qty. Fee. Total •
New residential single-or multi-family dwelling unit.
`-i-cta x Includes attached garage,
Subdivision: I Lot no.: 1,000 sq,fl.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
r fi A�,. IMNI.::;�;4 :I -17., r alt, N.7; 75.00 2
y t; t `"+'" - 's-0.. :,, with above sq.lg
ati tom' ' la 't^,�F:?iE ?� c,t l 169 0 0'I�.cS q • y1.�5,.'1"
vwfiv'yaa: ,'sue afi a I trained energy,multi-family
. �,• 75.00 2
residential with above sq.fl
�) it ene' abl6- eli ;$�a'ra er Rkicit, fi 2t..M.P_.,m 4'._';
E,. Wiz,
Services or feeders iusiallationralteration,and/or relocation
~, sty„, . ^gt r'R,t. y r , + r,4:=ky, °r " ,"' T K 200 amps or less / 100.70 1 t,r/() 2
w• �r �0�M} C:c,0 ��ii.' t. i7E n J=t,4 i:1 3i P— 7 lfi<lSr'�`', - ,,
:3aas�r � °ma 1r#aiue1♦^�" '```"' .<. .,TY••"s s` 201 amps to 400 amps 133.56 2
Name: n n(\j ,e-t.- 401 amps to 600 amps 200.34 2
Address: 1 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 12
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
relocation
Phone:( ) Fax:( ) 200 amps or less 59.36 t 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
40I amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
/ `.:zi431:"; ; w:-r?a 7.3g,M'<L r ' t.t �� t tT�"• k + �:;` A.Fee for branch circuits with
.,'"fit:; ' 'S >: r n- .v.n.1 '1 <'�"` '~° ,... ,L a 4`�' ry''�'
L eR £>a.T e 3,k. _a e" i;> I� > � / about service or feeder fee,
( each branch circuit
7.42 2
Business name: '`C C-\C ' L,
B.Fee for branch circuits without
Contact name: i scrvicc or feeder fee,first 56.18 2
�ld(-'�� / branch circuit
Address: -',, 1 l "�` J' Each add't branch circuit 7.42 I 2
h � J Miscellaneous(service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Phone:( ) Fax: ( ) Reconnect only 67,84 2
E-mail:
Pump or irrigation circle 67.84 2
.
. 1,17 �IS M_ w ��ibM�Ou Q, n rSr d
Signor outlincli 6h din g 67.24 2
Business name: �j� r Signal circuit(s)or limited-energy See
t1"� f1 C l� panel,alteration,or extension. _ Page 2 2
Address: , z t S It c t\. _0-IAA n,X‘.__ Each additional inspection over allowable in any of the above
�J Additional inspection(1 hr min) 66.25/hr
City/State/ZIP: � `Qctx-)e 1 R (4`'/,, 3 _ g ( ) -
investi Investigation 1 hr min 66.25/hr
Phone:( ) X33..75-,5---1 Fax:(15)5) , 7..33•`I '� Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.:/' I r--'0, Electrical Lic.:_2(. Supiv.Lic.:�('6,S s •titan listed %hr min_ _ __
� e ::) "' � -.., 5 :sP. %$v:. ,.:' n�•'.� i2.t. -4?L�kEt1.'�� �f�.- �..,,,;_.�,•�;,�
Supiv.Electrician signature,required: Subtotai:
t
Print name: ' Date: C ? Plan review(25%of permit fee):
a - _ * • . A State surcharge(12%of pennit fee):
TOTAL PERMIT FEE:
Authorized signature: �+ , /
This permit application expires If a permit Is not obtained within ISO
Print name: t(\
g ' Date: L C., • days after it has been accepted as complete.
• Number of inspections allowed per permit.
tt\auitdingti'cnnitsmLC_PeemitApp_1itR_ERii.doc Rev 05/212013 440.4615T(I n/05/CO.WWI'•a
£00 30 Z00 :30114 0961-86G-COS :01 0TaaoaT3 Day 0Ta50aTg Og`d :W02<3 Wd 90:fr £tOZ/92/6