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Permit
G �� 1.• 7 CL-41.e ,..4016:ti Ze.,11_41 . A v CIT OF TIGARD E 7 ECTRICAL PERMIT K 0 -'. COMMUNITY DEVELOPMENT Permit #: ELC2010 -00012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/12/2010 Parcel: 2S115AA00100 Jurisdiction: Tigard Site address: 16100 SW 108 AVE, APT# Subdivision: DURHAM PARK APARTMENTS Lot: 36 Project: Brightwaters at Red Hawk Project Description: Installation of (8) branch circuits in multiple garage units. 3/3/10, changing project description to: Removal of ceiling outlets at garage door openings. Owner: FEES JACK PALMER, PROPERTY MANAGER Quantity Description Date Amount DHP TERRACE LLC BY ADAWIE & LAPIETRA PC, 13 HERON DR. 8 crt Branch Circuits 01/12/2010 $108.12 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 01/12/2010 $12.97 Electrical Contractor: JARMER ELECTRIC INC 5105 SW 45TH AVE #200 PORTLAND, OR 97221 PHONE: 503 - 246 -5381 FAX: 503 - 244 -8037 Type of Use: MF Class of Work: ALT Type of Const: Occupancy Grp: Total $121.09 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. ATTENT . re • . law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -00 hrough OAR 9 •-' r 1 -∎ 10D You may obtain a copy of the rules or direct questions to OUNC by callin.563'246.6699 or 1.800.332.234.. Issue By: 1 0 / Permittee Signat - : — �. - %,, : . r� —� 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' r � 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. ' 'ELECTRICAL PERMIT 71 CITY OF TIGARD s � ..; COMMUNITY DEVELOPMENT Permit #: ELC2o10 00012 Ti 'Art 13125 SW Hall Blvd., Tigard OR 97223' 503 639.4171 Date. Issued: 01 /12/2010 • Parcel: 2S115AA00100 Jurisdiction: Tigard Site address: 16100 SW 108 AVE, APT# Subdivision: DURHAM PARK APARTMENTS Lot: 36 Project: Brightwaters at Red Hawk Project Description: installation of (8) branch circuits in multiple garage units. Owner: FEES JACK PALMER, PROPERTY MANAGER Quantity Description Date Amount DHP TERRACE LLC BY ADAWIE & LAPIETRA PC, 13 HERON DR. 8 crt Branch Circuits 01/12/2010 $108.12 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 01/12/2010 $12.97 Electrical Contractor: JARMER ELECTRIC INC 5105 SW 45TH AVE #200 PORTLAND, OR 97221 PHONE: 503 - 246 -5381 FAX: 503- 244 -8037 Type of Use: Class of Work: Type of Const: Occupancy Grp: Total $121.09 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 'days of issuance, or if work is suspended for more the 180 days.. ATTE'. .. c - gon law 'requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0: 0 through OA' 152-. ' -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issue By: / � y Permittee Signature: c �— �' OWNER INSTALLATION ONLY The installation is being.made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' - __ . f. • , . � 42-- Date: LICENSE NO. CaII 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit.card shall be kept in a conspicuous placWon the job site until completion of the project. Approved plans are required on the job site at the time �f each inspection. • G e "of -Oeeo3 Electrical Permit AD Ilcataon m , Received //� City of Tigard JAN 12 2 010 �„ ; l / ; , , PCnnn No .. eLct.t7��D " d 00 / ', 13125 SW Hal D lvd , Tigard OR 97223 Plan Review Phone: 503.639.4171 Pax; 503.5 CM OF TIGARD DA�t$ cti Li Other Permit; Ins peon Line ;503:639.4175 Darr, Ready/By; Sea Patsy I for L, f1 Internet: www.tigt�rd -or.gov • UI DI G DIVISIOM Notified/Method: STplemeaml'Information TXPE O 1F�'worm 17LAN ]CtEVIEq► ❑ New construction 1g(Addiliott /alteration/replacement Please check all that apply (aubmit a sets of plans w /Items cheelce l below); - ❑ Service or feeder 400 amps or more ❑ Building over Once stories, ❑ Demolition ❑Other. where the available itult current ❑ Marinas and boatyards. - • " "" • CAP EC+ORY 0p ivOi!iSi`lt>CietION exceeds 10,000 amps at 150 wilts or 0 Floating bufdinga. El 1 - and 2 - family dweliing ❑ Commercia[7industrial Iea'tn 'rml. Or exceeds 14,000 ©'Commercial -use agricultural ❑ Accessory building . amps for nil other installations. buildings. 'Multi- family ❑.Master builder ❑ Other; 0 Fire pump. ❑ Installation of 75 KVA or • Emergency. system, larger separately derived system. .lb S ITE JPPI; OR11Ig1$I�IbI` A�1ri >l;ttCaiTltOr1 : �� . Cl Addition of new motor toad of Ll "A", "E", «1_z „ : , .1.3 ., Job no.: /' /, 1� Job site address: 14 D D , Si /' ' r 10013P or more. occupancy. < d ❑ Six or more residential units. ❑ Recre vehicle parks, City /5tatc/ZIP; / / � , / O Hcafth -care facilities. ❑ Supply Voltage fir more them - 1 ` ` 'v a y 0 Hazardous locations. e0o volts nommnl, Spite/bldg./apt no.: Project name: • / II, ;' A„ ,1 ' , ) N- j U Service or feeder 600 amps or more, - Cross street/directions to job site: neaeHaaon '� : .pre, r I • New residential single- or malti-family dwelling unit. inclurdes attached garage. Subdivision: Lot no, 1,000 sq. ft. or less 168.54 4 Tax map /parcel no.: - .Ea. add'I 500 sq. IL or portion 33.92 1 Limited energy, residential • . '- CRIPrxorroF : 11.1ntre . (with above K . R.) 67.84 2 Li mitcd'energy, multi - family 67,84 2 G� P� p2.J residential (with above sq. n.) U Services or feeders installation_ alteradon, and/or relocation 200 amps or less 100.70 2 '1PROIER'1Y'.0W1VER • . I• .... . d TENANT. 201 amps to400,antps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address; Over 1,000 amps or 552.26 2 City/State/ZIP: Temporary services or feeders istallation, alteration, and/or relocatlon Phone: ( ) Fax.: ( ) 200 amps or less 59.36 l 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. 401 amps to 599 amps 168.54 _ 2 Owner signature: Date: Branch Circuits- new, alteration, or extension, per panel f A. Fcc for branch circuits with ' • 0 APPLICANT • •0 CONTACT PERSON above service or feeder fee. each branch circuit 7.42 2 Business name: 13, Fee for branch circuits Contact atone: without' Service or feeder fee, / 56.18 j( ,/S 2 fleet branch circuit Address: Each adds branch circuit 1 . 7- 7.42 I '' /,`/ 1 2 Miseellanerrna (service or feeder not included) City /Statc/ZiP: Each manufachned or modular 67.84 2 dwelling, service and/or feeder , Phone: ( ) Fax:: ( ) Reconnect only 67.84 2 E -mail: Pump or irrigation circle 67.84 2 • CONI'RAC'tOR • . • Sign or outline lighting 67.84 2 Business name: 41 ' E.L. CTt -I E. 1 N. energy pael,( limited- o o crtergy panel, attention, or Address: 51 DS sui L44-h / 0. tension, Describe: Page 2 2 City/State/ZIP: ' O1(A /40 0 Each additional inspecdon overallowabia in any of the above Per .5)X) c9.6 r(y . 53csf Fax: (5031 Investigation 66,25 Phone: ��3� investigtttionper honr(I hr min) 66.25 CCB Lic.: (At.'-j 1 Electrical Lic.: a 44 f Su . Lic.:404. [ tndu. vial plant per boar 78,18 ' • •.1 EC..11'MICAL Ttaxtr FEIN • Suprv. Electrician signature, required: r ,;�... - ' ,_ �-. _ Subtotal; /0 i, / Print name: c("U A(Z'r SH Z . Date: /_ /2 --, fJ Plan review (25% of permit fee): ors State surchargc(12 %of permit fcc)_ /,Z,' Authorized signature: /2 .,o' _ - TOTAL PERMIT FEE: / 2_,./ Q Print nttnto: •< i G / „ C; • j r . Date / -1,2-/e) �s permit application expires ira permit a ant obtained with r J days after it has been accepted as complete. ' Number of inspections allowed per permit. termiltCna ,uiteagt,C•PennlNpp. 10101/119 440- 0I¶T(1IA5/COMAVE8 •