Permit 4 7 l oci 39u L,tAA - t� ee d .
CITY OF TIGARD ELECTRICAL PERMIT
111 * COMMUNITY DEVELOPMENT Permit #: ELC2009 -00101
T I G A R. D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16174 SW 108TH AVE 169
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 16 - (1) branch circuit.
Owner: FEES
DHP TERRACE LLC & Quantity Description Date Amount
DHP ANNEX LLC, BY AKAWIE & LAPIETRA PC,
13 HERON DR 1 crt Branch Circuits 03/02/2009 $46.85
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 03/02/2009 $5.62
Electrical
Contractor:
SQUIRES ELECTRIC
PO BOX 16851
PORTLAND, OR 97292
PHONE: 503 - 252 -1609
FAX: 503 - 253 -5831
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Grp: R -1
Total $52.47
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 • ,. -•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -00 • through OAR • • -0r • 0 You may obtain a copy of the rules or direct questions to OUNC by callin. • • . 6.6699 or 1.800.332.2344.
•
Issued B • • �♦ - / Permittee Signature. �� 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' 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.
p CITY OF TIGARD ELECTRICAL PERMIT
II " le COMMUNITY DEVELOPMENT Permit #: ELC2009-00101
T tGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16100 SW 108TH AVE 173
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 16 - (1) branch circuit.
Owner: FEES
DHP TERRACE LLC & Quantity Description Date Amount
DHP ANNEX LLC, BY AKAWIE & LAPIETRA PC,
13 HERON DR 1 crt Branch Circuits 03/02/2009 $46.85
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 03/02/2009 $5.62
Electrical
Contractor:
SQUIRES ELECTRIC
PO BOX 16851
PORTLAND, OR 97292
PHONE: 503 - 252 -1609
FAX: 503- 253 -5831
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Grp: R -1
Total $52.47
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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
l�JJ
Issued By: (J . l . t�M 0A-L] Permittee Signature: OZYS). 4J\, itiiC t
OWNER INSTALLATION ONLY v ,►
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 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.
st,,, 4 ,•
t •
i
Electrical Permit App1icao FOR OFFICE USE ONL%
C
ity of Tigard r.- ( ' ii r ' ' Receiveci
. - • - • . Date 'is • . ,.
17 v 4 ,„4.4 ' ..• -2. 2 7 .cq ,
No tC2f:DC9
i 9 13125 sw 1. n11 .. 1314 Tigard, OR . 3 :; i tAisil Rcelett. ?cowl q
I II I 2 . Phone: 503.6,39.4171 Fax: 501.598. I 9rEB 2 7 n09 , oac:Bv• I (Met; Permit:
i "--1
••-•--
; TIGARD Inspection Line: 503 639.41,5 I We Ileady:By: • 1 24:ris • i iii see page 2 for t
CtIN
..-
fateilict: www.tisard-or.gov . Notifted/Mcilual. i I I I Supplemental Irtformj2t±st_ t
/ - , D • •
! i OF TIUM - _-
I L .. . ... srvpy_oF tilishnj_k.N G DivisiON 1 E FLAN REVIEW J
1 j 0 New construction --A-Tidifidnial/CrationireplaCetTIOM - i vtease check it: i'il tsuitachecked below) 1
I I 0 D 0 Other: 12 serviee t s :ceder 400 amps or 0 Bat tdine.ovar three stories.
eITIOliti
t F - C It - _ :
- where Ille ak,hlable laull carrell; 0 Marinas and boatyards. I
I t CATEGORY OF CONSTRUCTION e seeat5 to.cito gimps at I 50 von,. of 0 iltaain* b .
uildings•
I I- . , --- --; 1
16f. ha gro::::,i, :11 exeeeds 14.000 0 Commercial ng:
■ . .
-u..t.ing
; 0 I - and 2-1=11) dwelling ., lil. Commercial/industrial 0 Accessory h ;I i amps tra an. other thsta■laitola• building. I
.
0 MIlItirrOrt lb: 0 master builder 0 Other: El Fire pimp 0 InstalIzaua of 75 KVA ($1
1...
L ..--.• TI • ---■-• 0 Emergein:■■ •• stow tarot separately denved system.
JOB SITE INFORMAT ON AND OCAON 12 Addioon 0: hew Tumor kW of
t I-- -__ .-
I 1 Jab no i lob site address: 461,,a /el 4tis--- 0(11.1P or ,,,,,ro occupancy
; H!
il- _ .._ ...____ 0 tiii4 ol inciA: vtidentl:11 Mid'. o Sectenhoaal V011itlie ParkN. I
i CitViStatC0.12. 0 Heititivirarr IncilitieS. 0 Sappl■ vollaat tbr inure than
,. • c3a. /
r ci . L. I=C-. 0'7.2_14 0 hccord.,.:‘.illtons. No vulti itominai. I
I _ -,--.. ---. - --,
i ! Stlite/bidgjain. 110.02'., ' Project name: --:' • ! s,, ni• :outlet GOO MAW. Or MM. '
i
; -I
Cross, stf ecth:i irecti OAS to job site: 4 _ O . 1 - c„.. at RaWdili titseripOoa . . I Ow. I Fee. t * Tat:_l__LH
F--
, ' New residential single. or multi-family dwelling unit.
. ; 1 Includes attached garage. 1
1 ...._.. .. - - -7- ... ---- --t-" --i---
; 1 1.000 sq. It of less ! 145.15, I , i
1
i Subdivision: ; Lot no ,: ; .- •
1 , - ha. add] 50(1 sq 11.. or portion i 13.40 I ; 1
1
I ax mapipai cei no.: _____ i imited env e , residential - 4-- - '..--1 • I 75.00
., _ ___ ,
--I-H-
DESCRWTION OF WORK k_ (wiel abo‘e sq. 11.1
f , - - ----
-- 1 ' Limited energy. multi-family
_Q.. Lr‘..Q7,S=4/" rt_____c i 1 oi ge A 7' c r&A ,
Il . ' 46(ci_ - 1 YOSdentim twitb ahove am. i)
F.
2 1 .
i i--_ ---
i ' -,....,) ' i
• Services or feeders installation, alteration, and/or, relocation _1
: i .......,
i 200 amps 02 IdSS I I 0.30 i
I -., -- --- -•---!.
1 r ---- ---- - 1 .-- lr -- 7 - .. - t -
I 0 TENANT I 1 201 amps tv 400 amps : 10().8) I ---- 2 I
PROPERTY OWNER , ,j_ _ ____ _, _ . i..._1., . - 4-- .--4-
Name: 1
i , • 1 401 ampto s 000 amps .__L, -
' 160.60 •
1 ,
I . ..........--1. - ---;
! _ _ _. _ -- --! ' 601 amps to 1.000 a -
mps 1 240.60 ; 1 2
L I
i ---1-. --.• •‘-1- --:
-- 1
[ Address: 1 Over 1.000 amps 01 YOU , I 454.65 I 2
I City/S/2(P .
: -.1.-
I - -- - .- -- -- - - - -- I Temporary services: or feeders installation, alteration, and/or 1
tate:
I rciueation_ ---1
_ , ___ ,....,
i -- - - --,--.
.. ----..--- ( 7 • 51 . - F I
i I
Phone:( ) ; Fax: t 1 200 oleic or less
;___.. I • • - -1
- •-
amps to 400 amps . ---h- 1 2
100 30
i , roTvrier installation! T hi s installation is being made on property that 1 glen which is nol I ;---: _ -
. ! 401 amps to 599 amps
intended lo • mile, lease. rent. or exeliange. according to ORS 447. 449. t,70. and 701.
I ; . praticb circuit s new. alteration. or extension, per panel ____,I
Owner signature: . _ , Daw' _ _. ._ i A. No rot 'Intuit emaiii.s I 1 i 1
1 6.65 1 1 1 1
H above set% ice or feeder fee.
9 APPLICANT 0 CONTACT PERSON i
.._.- _ - --.-• -i ,... _ each licancil eireuit. ••-, ----I-, ---i.--
! Business name: 1 13 Fee feir branch eitcolv I I 1 I
- . • . e z.,••-' ;
-.-_,- _ _ _ _. . __...i
! without service ot feedcr fee. I / I t
46.85
, , 1
I Contact name: - ____ ____ __ .,. ; first hr ..., 1 4 1 I . __
i 1 6.65 ,_ j___
. - - ' - - ' &tell add - I branch circuit
__
Address: M
1 . _J__. •-.--
• - _. ______ - .. - .. - - - • -- Miscellaneous (service or feeder not included)
: ,----.
,-t
City/Statell_IP: i Fuca amm a
o:wv m
ed or odular 1 1 90.90
---- - --, -. -- •-- .- - -• -. ,Mvelliug, !iv ice and/or feeder I , ...i _
Phone: ( ) I Fax : ( ) i i
; • Reconnect only 1 66.85 1 1 2 I
• -_, -., -. -,-...-
E ! ! Pomp or irtiption mclo ! I 53.40 I , 2 - !
. _.-4-k
;-•
. ! CONTRACTOR i i Sian or milli; te lighting -1- 1 - 3240 1 . 1 2
t
.• i _ .- -- 1 • .-1
•
I e ., u ! • -----"---' I i Signal eircuitot or limited. 1 ;
I ' I
i 1 .
• 1 losiness rare: o a i ry - • je ,,._t_4_ L ; I energ■ panel alteration. Of 1 i
- -
•r--'' I j MOnsion. Docribe. i i Page 2 1 ; 2 ;
I 4:Add! Lss. , • / , 1
Me T1 , 1
i
• . 1- _. ..__. _ , i ___.
....__.
-., , ,..
: ! Each niditionat litsperrinn Over falOWtible in any of the above i
' CirylIState,211'3, 1.1 , . L' 97_ y J.
--.)='-- -----/- • - ••-•- =, •- "-• - .- J, 1 Pa inspection
i ,-.„ ,..,. ,,,•
Phone 4500 j ` 3 - )1..469 1 Fav I ).,„ 1 t.•••:;•,. --) . '. .•')'..0 / 1 T--, n ,
, • ivestiaation per hour, i na
t ht tt) I I 1 1 . .. 6 6/ 5 5 ° 6 . I I -1
I • .- . I- L .!-- '
- _ .,.._. .. ,....,..,... , _■ ._...:_. . ... -.- 4- --I
: Indui,trial plant pet hour
. 1 CO Lie. /0 ,,-,."- es51 Electrical l / Hol Suprv. 1,1e.: ziee,:,....6 , ,
: , . ...... • ••_ _.._..-t--- ELECTRICAL pRMIT FEES .
r- -
• • - 1 '' . ,.2 i
. i SUprv. Electrician s ' igna:ure, requir : I
I ;
I r - * , - "- - - ---. • -- - - • i 4-- Subtotal:
L Plan review (25% of permit fee): 1
Prinm
t nae: do e 4/1" .-.-. , ---- . • ....
`...- - -5' ! °a1C: 2 .4:/. .. - s t surharge - ( I :Ht(' oipermf
a ee):
._ -. - . , .-. .
I Authoriz.:.d :tignature: : i tOTAL PERMlf FEE 1 ,
...-'7.
; --- ---•'-'--- - - .- .--.- - °- - i 1 IKTMII apptication especs if a permit it net obtained width) 180
1 0 :
: Mne: ! Date days aster 0 haa been accepted as roMPtete. 62
i TO i 1 _j 47
- - -"- .- -. - - - - ' ' %number cii inspection:, allowed oar permit.
44044111t 1.COF•owtat
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