Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10111
DEVELOPMENT SERVICES DATE ISSUED: 6/27/2006
411 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 126CA -01100
SITE ADDRESS: 09009 SW HALL BLVD 100 ZONING: C - G
SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT : JURISDICTION: TIG
Project Description: Power to new freezer.
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: SIGNAUPANEL:
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 6/28/2006 $46.85 LIC 91668
[TAX] 8% State Surcharge 6/28/2006 $3.75 SUP 3486S
Total $50.60 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 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- 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'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.
CITY OF TIGARD
-`� ELECTRICAL PERMIT
4, "o
COMMUNITY DEVELOPMENT PERMIT #: ELC2006 10111
TIGARD DATE ISSUED: 6/27/2006
;a 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
SUE ADDRESS: 09009 SW HALL BLVD 100 PARCEL: 1 S126CA 01100
ZONING: C -
SUBDIVISION: WASHINGTON CIRCLE PLAZA T : JURISDICTION: TIG
LO
PROJECT: TARGET
Project Description: Power to new freezer. EXPIRED
RESIDENTIAL UNIT TEMP SRVC /FEEDERS
1000 SF OR LESS: MISCELLANEOUS
0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp:
MANF HM/ SVC/ FDR: 60 SIGNAL/PANEL:
1 +amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER:
201 PER INSPECTION:
01 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC:
601 - 1000 amp: IN PLANT:
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 EXPIRED
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 6/28/2006 $46.85 LIC 91668
[TAX] 8% State Surcharge 6/28/2006 $3.75 SUP 34865
Total $50.60 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 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 1.800.332.2344.
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'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.
m CITY OF TIGARD GAR® ELECTRICAL PERMIT
BUILDING SERVICES DIVISION
. J 1i 1312 SW Hall Blvd., Tigard, OR 97223 PERMIT #: ELC2006 10111
, .,.e, 503 - 639 -4171 www.tigard- or.gov v
DATE ISSUED: 6 -27 -2006
SITE ADDRESS: 9009 SW HALL PARCEL #:
BLDG /STE #: TARGET FREEZERS ZONING:
SUBDIVISION: LOT: JURISDICTION: TIG
This is an interim permit issued during computer system maintenance.
Construction work and inspections may proceed under this permit number.
The actual permit will be issued and mailed to the applicant within one week of the date issued above.
PROJECT DESCRIPTION: POWER TO FREEZER
RESIDENTIAL TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500 SF: 201 - 400 amp: SIGN /OUTLINE 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 ADD'L BRANCH 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: T`
OWNER FEES
1r 3
Name: TARGET Permit Fee $ 46.85 la
Address: ABOVE Plan Review Fee $
City /State /Zip: State Surcharge (8 %) $ 3.75 O
Phone: Other Fee: $
Other Fee: $ v
CONTRACTOR Total Fees: $ 50.60 1
Name: CHERRY CITY ELECTRIC
Address: 8100NE ST. JOHNS RD, STE D101 0
City /State /Zip: VANCOUVER, WA 98665 airip
Phone: 360- 571 -4411 left
Fax: 360- 571 -4410
CCB Lic #: 91668 •
Elect. Lic. #: 37 -620C
Supr. Lic. #: 3486S
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 -0080. You may obtain copies of these rules or direct questions to OUNC by callin 503 - 246 -1987 or
1- 800 - 332 -2344. �AA�
Issued By: b . �/..►►��MJW" Permittee Signature: pif T M. OA
OWNER INSTALLATION ONLY f
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. ELECTRICIAN: DATE:
LICENSE NO.:
Call 503 - 639 -4175 by 7:00 AM for an inspection that business day.
Note: If you cannot schedule an inspection while the system is down, please call 503 - 718 -2433 for assistance.
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.
I:\ Building\ Forms\ ManualPermitForms \ManualELCpermit.doc 06/27/06
A CITY OF TIGARD ELECTRICAL PERMIT
BUILDING SERVICES DIVISION
.��l 13125 SW Hall Blvd., Tigard, OR 97223
; 10111 ELC2006 -
503 639 -4171 www.tigard or.gov PERMIT # :
DATE ISSUED: 6-27-2006
SITE ADDRESS: 9009 SW HALL PARCEL #:
BLDG /STE #: TARGET FREEZERS ZONING:
SUBDIVISION: LOT: JURISDICTION: TIG
This is an interim permit issued during computer system maintenance.
Construction work and inspections may proceed under this permit number.
The actual permit will be issued and mailed to the applicant within one week of the date issued above.
PROJECT DESCRIPTION: POWER TO FREEZER
RESIDENTIAL TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500 SF: 201 - 400 amp: SIGN /OUTLINE 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: _ _ 1 W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: _ EA ADD'L BRANCH 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 FEES
Name: TARGET Permit Fee $ 46.85
Address: ABOVE Plan Review Fee $
City /State /Zip: State Surcharge (8 %) $ 3.75
Phone: Other Fee: $ _
CONTRACTOR Other Fee: $
Name: CHERRY CITY ELECTRIC Total Fees: $ 50.60
Address: 8100NE ST. JOHNS RD, STE D101
City /State /Zip: VANCOUVER, WA 98665 _
Phone: 360- 571 -4411
Fax: 360- 571 - 44
CCB Lic #: 91668
Elect. Lic. #: 37 -620C
Supr. Lic. #: 3486S
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 -0080. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -1987 or
1- 800 - 332 -2344. Q �!
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. ELECTRICIAN: DATE:
LICENSE NO.:
Call 503 - 639 -4175 by 7:00 AM for an inspection that business day.
Note: If you cannot schedule an inspection while the system is down, please call 503 - 718 -2433 for assistance.
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.
I: \Building\ Forms\ ManualPermitForms \ManualELCpermit.doc 06/27/06
27- 2006(TUE) 10:22 P.001 /002
• ectrical Permit A 1p� i r -f r , r , r - y , is ,
� �. � ' p R OFFICE USE ONLY; F I % d s , r ' •
City of Tigard Received
13125 SW Hall Bivd., Tigard, OR 97223 Dete/B . i i Permit Na C b-
Phone: 503.639.4171 Fax: 503.598.1960 J N r '! + an Rorie
�) 2� " " C'�^4,;: � 1 i aIrJB : Other Permit /01/
Inspection Line: 503.639.4175 ` ,, .. j '!A y D
� Date Ready/By: lure: (ia See Page 2 for
Internet: www.ci_tigard -or -us Notified/Method: Supplemeutat Information
. i � f �y t �. .� a e t_ d L
,.':r; �.L,'.iiiiii'� tir�'YM a t0,7414 6er t Ail .' 4N4 { rafg t, ii t'41x' wgiz : f„ - ok .
❑ New construction : : i •'• • alteration/replacement Please check all that apply:
❑ Demolition ❑ Outer: []Service over 225 amps, comtn'1 ❑Hazardous location
t , x - / r r �i ��� � w ❑Service over 320 amps - rating ❑Bulldog over 10,000 sq_ ft-,
.'4 72e 11g,'� r • ,?&14" --. • „,� _ • .�° 1. ° , of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling 'Commercial/industrtal ❑ Accessory building ❑System over 600 volts nominal units in one stn,cttne
�❑ Multi - family ❑ Master builder ❑ Other: ❑Building over three stories [Weeders, 400 amps or more
r pr i�� * � i W' L e y * �� y , - k : I , r r�.. K ❑Occupant load over 99 persons ❑Matttifacttn"ed structures or
IG1K, i a, 'ri -. d:r' ile U",. �'» r r ,.` l�t. , ❑Egresalighting plan RV park
Job no.1gIV, _2) Job site address: 1 I $ 8f,. i fi i i j i is °Health -care facility ❑Other:
Submit 2 sets of plans with any of the above.
City / State/ZIP: 11 le / • a The above are not applicable to tenlporury construction service.
Suite/bldg. /apt. no.: Project name: //I�,, M / /P)...BTAI U 4 :t`+R `17-'' * 4 ';i'r'” (tj : } ,y ; •: : ,, :: • •
oaserioutio C Qtr. 1 Fee. 'roakt -
Cross street/directions to job site: New rrsidentlal single -or multi- family dwelling unit.
Includes attached garage.
.. 1,000 sq. ft. or less 145.15 4
Subdivision: Lot Ito -: Ea. add'I 500 sq. ft or portion 33,40 1
Limited energy, residential 75 -00 2
Tax map/parcel no.: ,
a r�„' r:, . e t ter i ; r , , ., ti .r : Limited energy. non-residential 75.00 2
yi ''�� f f`w^ t:Sii' 4'a�,ilil ;ii �:'.0 i' : �� rr;°,.�1i4 ° Zg i�.r IR � I:T ei t a- Each manufactured or modular -
dwelling, service and/or feeder 90.90 2
I p , � l Services or feeders Insta11at10n, Alteration, and/or relocation
200 amps or less 80.30 2
p ,t� R
131 �.. )s i t°' f 2 y , r �a,w . � + e. .. �€Lilk .�r " l ;a'� ):4. � '° ... , 1.. li � i. �' 201 amps w 400 amps 106.85 2
� • 4 o i M � 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 maps or volts 454.65 2
Reconnect only 66.85 2
City / StateJZIP: Temporary services or feeders Installation, alteration, and/or
Phone: ( ) ! Pax: ( ) relocation
200 amps or Icss 66.85 I 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 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 si: at m: Date: Brands circuits - new, alteration, nr extensioa, per panel
n� �j � tt;ZI M may "' `T M to R air, s t the Fee for branch circuits with
� Y r �. R` I Ctl ?�SiG1 n'tl'� ��i� ; °°"l'� i �,q s�•�. I�' ! 7W� �� 1: ' ��;�.� : il
�, y�; , „ �, j � ”" I��' - �� L.....N � i� tf , a
e,.r,NR .1;du.I'�� i t r � � h , ". service ar feeder fee. each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.85 14 2
Each add'[ branch circuit 6.65 2
City /State/ZIP: M1Sccitaneous (service or feeder not included)
Phone: '_ 1 / Pump or irrigation circle 53.40 2
Phone: ( ) Fax: ( ) , I Sign or outline lighting 53.40 2
E-mail: ¶ 00 N - 4 � -Ai.agyv r » ;, Signal circuit(s) ar limite
i ' ' e2- :=' :?'? �� L esgi,'tl` g '! (;,c Y � ,, e6 '�i�' .'4 5
. KrF?r.> energy panel alteration, or
�i/��/a '� extension. Describe: Page 2 2
Business lam: 1 �� ; ��i/�
r Each additional Inspection over allowable In an
• � Address: � �� / /,js' ,/� P Y of the above
• / `��� � � `� Per inspection I 62.50
City/State/ZIP: ll.�'11 Investigation per hour ( l br min) 62.50
Q 1 =' Fax: ( , se )s industrial lane o
Phone: V' , ) p per hour 73.75
sh '^ T� ir.'�. 91 'r t7o wr %'1 4�V r� ;uat' w rt'. i = .� :,'a,
CCB Lic / C.D o w 1!7;i Supiv. Lic.: � W Subtotal
ii su Elcctri : lure, regtu -+ bp `. r ��^
Plan review (25% of fee)
Print name: J 4," ` , � De p /1 /1� (j i State surcharge (8% of permit fee) �j .
el
l V r/ v� f TOTAL PERMIT ): EE 5C t (0 0
Authorized signature; This permit appncatioa p a permit ained within 180
4ay, after It er has lres been if necep1cd Is as not comple
Print name: Date: • Fee methodology set byTri- Coutny Building Industry Service Board
- i — "• Number of inspections per pennit allowed.
c\ IIuitdinePamitatffi.•Pennitnppdo° 17/03 440 - 4616 oomuCOmiwEB
Inspections Required for: ELC2006 -10111
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service /reconnect
205 Footing X 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover -
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
• 225 Post/beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors X 199 Electrical final
240 Exterior sheathing
245 Firewall •
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage _ 1
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing • MEC - Mechanical Permit
810 MFG - Structure set -up
605 Post/beam mechanical
280 Insulation 610 Gas line
. 285 Drywall nailing
287 Suspended ceiling 615 Mechanical rough -in
620 Hydronic piping
295 Misc. inspection: 625 Duct work
899 MFG - Structure final 630 Fire damper
498 Grading final
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: - 320 Plumbing rough -in
998 Alarm final - 325 RP/backflow preventer
999 Sprinkler final 330 Water service
335 Rain drain
. 340 Storm drain , •
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank 1
415 Grading 395 Misc. inspection: 1
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 _ Misc. inspection: 505 Sanitary sewer
498 _ Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \IVR \InspCard- AOP.doc 02/02/2005