Permit (27) CITY OF TIGARD ELECTRICAL PERMIT
', COMMUNITY DEVELOPMENT Permit#: ELC2017-00193
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/20/2017
T faa�Ft g Parcel: 1 S126CA01100
Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 100
Project: Target Subdivision: None Lot: None
Project Description: Sign lighting for(4)signs.
Contractor: VANCOUVER SIGN COMPANY INC Owner: DAYTON HUDSON CORPORATION
2600 NE ANDRESEN RD#50 BY TARGET CORP T-0345
VANCOUVER,WA 98661 PROPERTY TAX DEPT/TPN-0950
PO BOX 9456
MINNEAPOLIS, MN 55440
PHONE: 360-693-4773 PHONE:
FAX: 360-693-2747
FEES
Quantity Description Date Amount
4 ea Sign or Outline Lighting 03/20/2017 $271.36
Specifics:
1 ea 12%State Surcharge- 03/20/2017 $32.56
Electrical
Type of Use: COM 5 Misc Administration Fee 03/20/2017 $4.50
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $308.42
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. Y obtain f the rules or direct questions to OUNC by calling 503 y2.19;7 or 1.800.332".
C
Issued By: _...ec �.---a 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.
Electrical Permit Application t FOR OFFICE USE ONLY
City of Tigard +' * Received ,-p
Date- q 13125 SW Hall Blvd.,Tigaiid,'tR 97223 Plan R : (� ���
Phone: 503.718.2439 Fax: 503 598.1960 Plan Review
y i" DateB Related Permit#: '� /_ I'
Inspection Line: 503.639.4175 • ? s M _(''I Ready Date/By: ® ••Page 2 for
T I G A R D Internet: www.tigard-or.gov k Notified/Method: - Supplemental Information
T� 21 9‘ kl
s1 taxCaj A PLAN REVIEW
❑New construction ❑Addition/alteratton/dill C'e#neti[' Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition 9 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OY,COISISUCT . exceeds 10.000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 9 Accessory building less to ground,or exceeds 14.000 ❑Commercial-use agricultural
amps for all other installations. buildings.
9 Multi-family 9 Master builder 9 Other: 0 Fireum .
p p 0 Installation of 150 KVA or
INFO ,. J,, ❑Emergency system. larger separately derived
Job#: Job site address:9009 SW Hall Blvd ❑Addition of new motor load of system.
100HP or more. ❑"A","E","I-2","1-3",
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: J Project name:Target ❑Hazardous locations. CI Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site:
Description I Qty. I Each I Total l.'.*
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 1S126CA01000 Ea.add'1500 sq.ft.or portion 33.92 1
OESCR.IPTION f .:WOR Limited energy,residential 75.00 2
Install(4)sign circuits (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
❑ SPERT .OAR I ' M..MA Services or feeders installation,alteration,and/or relocation
Name:Target 200 amps or less 100.70 2
Address:9009 SW Hall Blvd 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone: ( ) Fax: ( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
.AnticAr4.TI . 69 CONTACT PR. ON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Vancouver Sign Co above service or feeder fee,
7.42 2
each branch circuit
Contact name: Chris Brown B.Fee for branch circuits without
— -1a'i a.f...ckr Lw fr..t-
- ress. 1 I ` • n resell ' e I - _ - - branch circuit 56.18 L
City/State/ZIP:Vancouver,WA 98661 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone: (360)693-4773 Fax: :(360)693-2747 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:CBrown@vansignco.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Vancouver Sign Co Sign or outline lighting 4 67.84 7/ 367 2
Signal circuit(s)or limited-energy
Address:2600 NE Andresen Rd Ste 50 panel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP:Vancouver,WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(360)693-4773 Fax: (360)693-2747 Investigation(1 hr min) 90.00/hr
Email: Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 63951 Electrical Lic.: 37-46CLS Suprv.Lic.: 648SIG specifically listed(t/z hr min)
A I /. / , \ ELECTRICAL PERMIT,BEES
Suprv.Electrician signature,required: � n ^ �-` Subtotal: 271.36
u6
Print name: Adam Wallis Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 32.56
G
Authorized signature: TOTAL PERMIT FEE: 303.92
This permit application expires if a permit is not obtained within 180
Print name: Chris Brown Date: days after it has been accepted as complete. 1
* Number of inspections allowed per permit. / 0 '
1:A Building\Permits\EL C_PermitApp_EI.R_ERP..doc Rev 06/17/2015 440-4615T(I I/05/COM/WEB
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