Permit 8a-09 a a- i2Q.,e
r q CITY OF TIGARD EL ECTRICAL PERMIT
. . g COMMUNITY DEVELOPMENT Permit #: ELC2009 -00102
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 25 115AA00100
Jurisdiction: Tigard
Site address: 16178 SW 108TH AVE 177
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 17 - (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 -1809
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 a nce 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. A NTION: Oreg law re• fires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 010 through OAR 952- • -0106 ou may obtain a copy of the rules or direct questions to OUNC by calling SD2.2 .699 or 1.800.332.2344.
Issue y: _ 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 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
Il 44
COMMUNITY DEVELOPMENT Permit #: ELC2009 -00102
1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
T t 4' A Et. L) g Parcel: 2S 115AA00100
Jurisdiction: Tigard
Site address: 16100 SW 108TH AVE 173
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 17 - (1) branch circuit.
Owner: FEES
DHP TERRACE LLC & Quantity Description Date Amount
DHP ANNEX LLC, BY AKAWIE & LAPIETRA PC,
13 HERON DR 1 ell 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 -1809
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.
Issued By: X Permittee Signature: Q 1 ll01:0
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.
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Electrical Permit A licati r rs:: is . 7 - IOR OFFICE LSE ONLY
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I City of Tigard It, , • ,, • - •
i 1 lic.,:eived,.-. . _,.....,
! Dfnally. e • i •L )4' , i..r.„ii N.re t26:0_011
_ '“ 13125 SW 4 nit illvd., Tigard. OR 972 ; ph Review I
I t Other Permit. !
' 1 - Phone: 503.09,4111 Fax: 503.598. r i" 2 7 2009 ! Date:By
.,_. --,i... - 1
Inspection Line: 503.639.41 75 i Moe lteadv'Sv. i ita4 ; 0 Sc e Page 2 for
TIGARD ' i
Internet• www.tigard•or gm, CITY OF TIGARD . No4..61;1,41.4 . I 1":4 jupptemenol InforinAtion j
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TYTET.) WZ tt lnI VISV-N ` ' --- 1 ---. PLAN REVIEW --7----1
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Ction Additionialteration;repineemeri
I . I-1 Ne conslr u 1 I Pietn Check ;Ii; iiiiiiIPP IY litibillit a sets 141ans w/ileillSelOWk i
w 94 l ; ,..., , !
Service tit :;:ale'r 400 will:* or mole 0 I3tiilding over Iiiree elnr
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i L.I Demoliti Li on 0 Other: • . wItti, the 0, Ailithir iiittli cm roil 0 mat irdsS Ana bOarysirdS. 1
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.• CATEGORY .OF CONSTRUCTION 1 ! i e,ceeds 10,000:Imps sn 150 volts 01 0 Floating buildings.
L - . . --...-.,, ; less :0 lowili or exceeds R000 0 ContinC:CIZII.Lifie apcuiti.trui
t ! 0 1- and 2-fimily dwelling 123 Commercial/ industrial 0 Accessory building ; I ;imps ref sit caber tivslaliation. buildinS.
I 0 Multi-iarr ily 0 Master builder 0 Other: ; [3 Fire pills.). 0 Inatallation of 75 KVA or
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JOB s - inerrancy larger separately derived gyrizo.tn
m.. ATION LOCATION 0 Addition o! ;leo molts' load Of
_ INFORM ... - -- - , ---. ----' I
0011P oi i!soi.: 9=000 i
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Job no,: I Job site address: Oa) Ae)g cf_
0 s.,,: ,..,,,:•.pclenrmi snits CI ikcereationzi sohicie iniCkS
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City/StaleiZI': ") • ,..,; ,,,t is. i."? 6 1 ,) -} • ; 0 H,1,1,......,,Iii3O 0 Stip, i■ ‘oIt age for no than I
600 volt; owing!.
141-‘ I-LA ,--' , -.._ ., i -- -.- 4. __. _ .._ .......__: . aiaZiirciotes ;,;intliOns,
if
77 •
Suite/bIdglapt. no/774ft l Project MIST!' " ' ! ; 0 Secilee km ;cede( WO amps Or more
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Cross streeticirections to job site: '
. ; . . • -
: I New residential single- or multi-family dwelling unit.
•
. 1 d es attache garage. I
_________ , ____ ..___ ___, ,_,...
; 1.000 sq. ri. or less 1 -7- 1
Subdivision: ; 1.ot no.:
-.'.... li.a. udtV1 500 sq IT or portion I I 33.40 r i
r ..
, .------1
Tax map/par no.: : • i tauter., enet4,t!,. re,identi 4
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: l DESCRIPTION OF WORK 1 ! 0lit 1.x)■.,.• •iit ri.) t !
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r-- • - f - • : ',muted d multi
e,:..rt:).. inil■ I
: 2 ;
i 1 riCAa_ ,p_i i4.1._±L._ C2LY, (t 4. i" , et C.L1 r t ft &My ; L residtmiai (with above rin ft.)
1 feeders installation, alteration, anitior relocation
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i I i t---cl __i 1 200 amps O I
r less • - r -- $
--- 7E37 1 2 I
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, 0 PROPERTY OWNER ! 0 TENANT 1 201 ampsio 400 amps I I 106.85 I 121
Name: 40! amps to 600 amps .
• I 160.60 i _ , 2
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bat amps to 1,000 amps --1 60 . 2
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' Address: ! 0:r 1.000 amps or volts 1_
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• e I inprintry services or feeders installation. alterati0O, and/Or
City/State/ZIP _- --. - _. - i
:
• : relocation I
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1 1 200 - s or amp ics5. 1 5
l• P tone: < / ; Fax: I I ; , ; 06.8; -r
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1. - •-••-• -. .---1 i 20i dinp5 lc, 400 amps ; 100.30
Owner installation: 'ibis installation is being inade On propert that 1 own whh ic is not . , _ I
: 401 amps ro 599 amps i
I intended roi :talc. lease. rent. or exchange. according to ()RS 447. 449. 670. and 701. ; i___. _ ... ..____ 1 03.75
• Rranch circuits . new, alteration. or extetnion, Per pans' . ..4
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' O signature: Dille:_, _. -- NE:cc forbroKii circuits WIth 1 ! 1
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• --r. above set \ ice or feeder fee. ; ;
• 1 6.65 1
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• CI APPI IreiNT 0 CONTACT PERSON ,
---.. ---- .
' ::..---- L ____ -.-...--i ech bra
• a nch uireuit
Business •
mune: 1 he for branch citeuits
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H-" ---- - - - ---- "---- - 1 withoui scrvice or feCdCT Ne• / I 46.85 1 411, •
Contact narn;.:: _ _______!' o. first branch circuit
I - . - - . ; Each adcrl branch circuit I 6.65 i 2
Address: : -
,• _____, _„, __ _ _, ...-1 mtsceitancous (service or feeder not included) ._.- i ---1
,_._ ... 7__
1 City/StatclZlP: , F.ach ii nothettited Of Modular :
1 1
, )0.90
_____ _ ..-.. .- -, - --; dwelling, se:A ice andior f I
eeder ' I
Phone: ( I -I
.i.._ -_ 85 .„..- 2
. • i n1 I Fax: : ( 1 i, Reconnect dill% 1 66. I !
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or rr
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E-Inail: ; 1 Pump iioation circle i 53.40 I
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.-- - 1 • Sign or outline lighting I 1 53.40 i 2
r--- CONTRACTOR _ _. ____I k i
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.. - 1 smut] eiretints) or limited- i I r 1
1 13usiness n :ale: f L 6 e -• ic , y e s- ,,.,. A . - le..e i • t .,„...1._4_,..e , . I 1 en r2y mulct. alteration. or
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Pa 2 1 2 1
; • extension Dcsuritic. ! . age i , 1
Address: ' '
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- - -: ' Fach nridirional :pi:vino : in over atiowahlc ill any of the abovc :
i City/Stateri.IP: F t ; 1,1 0 , A d: zp 9 , H7, . _ .
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. ....15 . 1 .../6 L l F:( , ).,.,). :15. 2; • ..,05g, / ; ; inveitiiiation per hour '1 lie milt I ---t 2.50 t 1
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, //li , sup i.ic. 48v , , ,_ 6 i • ,_. Indosnai O E
wn per hour
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C.C1:1 Lic.; i --eq, i Electrical Lic.•,it. ---1
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t i Suprv. Electrician signa:ure. require.--
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,.,, , , Plan review (25% cif pennit fee):
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Authorized signature: 1 : IOTAI. PERMIT FTE•
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. ----- -- .- •-• - - - '•-• - -- - - I . 'fah permit a pdtiention rapirni if a permit not obtained within 160
Print nan-e: ! Date: days after it has been accented in complere.5 2. (4-
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