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Permit Pi\ CITY OF ft. TI. ELECTRICAL PERMIT PERMIT #: ELC2006 -00172 ig. � DEVELOPMENT ' S ERO SERVICES DATE ISSUED: 4/4/2006 g 503 - 639 -4171 PARCEL: 1S126CA SITE ADDRESS: 09009 SW HALL BLVD 100 ZONING: C - G SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT : JURISDICTION: TIG Project Description: (1) branch circuit for freezer expansion retrofit. 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: 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 D -104 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 LIC 91668 SUP 3486S Total ti 5-U. (,QO 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 .•- - han 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are - orth in 0' ' 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these ules or direct questions to OUNC at 503 - 246 -.•99 or 1- 800 -3. 4 . A •, i + Pitt Si '•���� Issued l y: v - .. L _ __i Permittee g nat . , __ O 1.. e 1 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: ONTRACTOR INSTALLATION ONLY 1._� ;1 ! :. , DATE: SIGNATURE OF SUPR. ELEC �!= � 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. RPR- 03- 2006(MON) 14:11 P. 001/002 Electrical Permit App l ° EH..:—. a R OFFICE USE ONLY C.itty of Tigard Re ee�u d Permit No.: 13125 SW Hall Sivd -, Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 APR 03 200 %. : 1,,, n +Iff {{, . Darelg� • Other Permit Inspection Line: 503.639.4175 011 - Date Readyiuy: Jurla .., See rage 2 for Internet www.ci.tigard.or -us CITY O T1(a t„ I q t� Notified/Method: Supplemental tolormauon T .. T. ..,, .CC.. OF 1S'VrYi'!df' r w� , 7 . r -'�tt� r N . rst s a �, aw a - ,� 'i•` ' , .G" . .e i ut arlri`� y a 4 �j a ' Ott+' ' .V7 - 1 9 1 1 -t ... ,t 1 ue1' t .... � ,,ke "'''.. � i 3 °' �C::.���»"�..%rC„�.A.;. ...0 �sq,�..L° �'�st:ti.:- � :ttie$` ��: ,�€xri, ,r ,' �G� ��1, rt r BJr `��! ��jj'"" . 6:1�� i`�15 t F�.. t y Y aC1�. Y.Y'�5,�".' ❑ New construction lb Addition/alteration /replttecment Please check all that apply: El Demolition 0 Other. UServiee over 225 amps, comm'l ❑ Hazardous location ,�, * �. e` , , . . t . �� « 7 "'. ( over 320 amps - rating ❑ Buildng over 10,000 sq. ft., e H pa,r. o iJ` u c er 5' �,. '1t�a: r;.: ;t :llrlr,, ,1t�1:n�;�,L�i�W���Y«='��� b ,L � °�f. r,: �,�Ife,.' : �li`:� ' _, of 1 -and 2-family dwellings 4 ,J,:ry� .,. �, •� :�;ft�r...e..�5e,:.,�.f' ��l1tLc;: r � Y €s Or more new residential ❑ 1 - and 2- family dwelling liq Commercial/industtinl ❑ Accessory building I1Systcm over 600 volts nominal units in one structure ❑ Multi - family ❑Master builder Other. ❑Building over three stories OFe edtrs, 400 amps or more y �, _ ['Occupant load over 99 persons ©Manufactured structures or +ill d°C.�1 t! rst���.fe`' s, 4 . " - , i1 O 4 h� a gkit ❑Egcss/tightingFlan RV park l ( � Q '�/ ❑IIeallh care facili ❑ Other: Job no. ut d t 1 J o b site address: 1 / Submit 1. sets of plans with any of the about. City/State/ZIP: Ct ( j The above are not applicable to temporary construction service. Suite/bldg./apt. uo.• Q Project � /+ ' 0 } J 1 i c i ��� , � -A / G7— ' 1 ' li nice -�' - " tna `J J d`),Nr3 aio u sir <:! �:, :.. Description Qty. Fee. Total Cross strcet / directions to job site: Ncw residential single or multi- family dwelling unit. Includes attached garage. 1,009 sq. ft, or less 145.15 4 Subdivision: I Lot no.: Ea. add'l 500 sq. ft_ or portion 33,40 1 Limited energy, residential 75 -00 2 Tax map /parcel no.: - Limited energy, n e a i t t t ec ,k 1,�- r . em - sidcntial 75.00 2 1 :; 1 Y # 1 M i il e.. ' Ni a' ' i e ° a •� ' CA i�!' 11 Y i�� e;� E Each manufactured r � v. or modular 3 7 ' /pCt 1n Q /� dwelling, service and/or feeder 90.90 2 CcS "�'� ef✓ t f �� 9C �'1 t -F Services or feeders installation, alteration, and/or relocation ''��, rig L� 200 amps or less 80.30 2 K 1� n jax l a i e`,I . G a ��'� FAVit t,i " ,,AM u' i r 1,, ,1 AIM Op 201 amps to 400 amps 106 +85 2 401 amps in 600 amps 160.60 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/ State/ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) g am; ( ) relocation I 200 amps or less 66.85 1 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; g _Date: 7 Brunch circuits - new, alteration, or extension, per panel �' s -��lt t Cu lfil P =�t� ,,*�46�t �C' el r} ° ° i; I .jG l il9� {u� E aK4#) a. all a t ' � i .. RE A Fee for branch circuits with L e ti r : '. M , .�.+t�t...w» • u.t.,t,:r:� 1::7 I e; a F �,.- �� :l� IA ��9� serv or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, r 46.85 u/ Address: each branch circuit ! ` Each add'1 branch circu 6.65 _ 2 City /State/ZIP: Miscellaneous (service or feeder not included) , Pump or irrigation circle 53,40 2 Phone: ( ) I ( ) Sign or outline lighting 53.40 2 E-mail: Signal circuit(s) or limited - MI SREE I ",«�.' MRI t.MMAeTi4 :i t "Sidr�.lrlu ; i l I ' „ -041 :1 i E'1ri cn 'gy pond, alteration, or 1 „ 1 �1 MI }� l _ ( r — extension. Describe: Page 2 2 Business name: � �/��J �1/I Address: V,7 . L1 , i A) -- �1 Each additional inspection over allowable to any of the above ■ !� Per inspection 62.50 City/ Statc/ZIP: L i a ' 0 1Wr - t L E Investigation per hour (1 hr mia) 62.50 Ell Phone: (3(00 = i — L, I Fax ( ) G r- I r U 11 D industrial plant per hour 73.75 � r*, c%��'4e alt ;' ::!..!: CCB Lic.: CH Ix Lp Elegy al Lic.: 3� ( , • Suprv. Lic.: 3W4 � .....1.111,7_ °.. v Subtotal Suprv. Electrician signature, required: r Plan review (25% of permit fee) J ! . _Ys ,..c..- / � ' �, I I C)” State surcharge (8% of permit fee) 75 Print name: Da te : j TOTAL PERMIT FEE 5 d Authorized signature: This perndt application Expires If u permit is not obtained within 180 days after It has been accepted sa complete Print name: Date: • Fee methodology set by Tri -County Building industry Service Board *" Number or inspections per permit allowed u3oildirrawerrweau :t.e- 1.emutApp 12/a3 4411-4415rito,oue0tWwEe CITY OF TIGARD . BUILDING DIVISION • PERMIT #: ELC:200 €i-0172 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/4000(; Phone: (503) 639 -4171 Ail /nJi�yg�'iII Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4119/2006 TIME: 7:02AM PAGE: *39 SITE ADDRESS: 09009 SW HALL BLVD 100 CLASS OF WORK: SUBDIVISION: WASHINGTON CIRCLE PLAZA LOT #: TYPE OF USE: PROJECT NAME: TARGET DESCRIPTION: (1) broach circuit for freezer expan$ ion retrofit. OWNER: DAYT 'N HUDSON CORPORATION, PHONE #: CONTRACTOR: CHERRY '""•ITY ELECTRIC PHONE #: 350.071 - 44111 Inspection Request Scheduled For: Date: 411912006 Pour Time: Code # Inspection Description Confirm # Contact # Message Electrical final 028291 -01 :.%0-608-9954 ¥ Corrections /Comments /Instructions: - Npt , 4 ►a PASS n PARTIAL APPROVAL ❑ CA - fI NO ACCESS CALL FOR INSPECTION ❑ AD, e- AL FEES ASSESSED Inspector: - lT"0 Nt D. 1 0 . Phone #: (503) 718 -Z �.t