Permit f 9.,16 9 -- P--)...e41)) �, — - tz i
C ITY OF TIGARD ELECTRICAL PERMIT
' ' a COMMUNITY DEVELOPMENT Permit #: ELC2009 -00104
T t G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16182 SW 108TH AVE 185
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 19 - (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. ATTENTI•.: ` -•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -001' rough OAR • -001 -' 00. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.334.2344.
/
/ k—f G Issued B �"h'S Perm 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
a. COMMUNITY DEVELOPMENT Permit #: ELC2009 -00104
TIGARD 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 19 - (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.
Issued By: 4 Q Permittee Signature: (2_12 7' ) 0i 6C\
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.
„• " - t. -
Electrical Permit Applicatio -. 4 '; '' ,' - ' FOR OFFICE' USE ONLY
'
! City of Tigard .: DICIB
i
. ...., q 13125 SW 1. ail Blvd_ figard. OR 97223 FEB 2 7
2009
7 ia-
: Ploit Rojc,
RV .
,
. -. . Phone: 503.639,41'7 I Fax • 503.598.1960 j Other Permit. _,1
i TIGARD Inspection Line: $03.639.417;s CITY OF TIGARD TFare 1(06/By: , , •
i .haui 1 Iii See Page 2 for 1
! Internet: wv.v..tigard-or.gov RUB DING DIVISIn I Not.... rr t G, supplemental Intornission I
r__- -,--,
_ TYPE RY
___ ____ t___
: 0
New c,ons .nietion --9 OF WO
1Additionlalteration/replacernent
. ! please cheek all that apni; PLAN REVIEW
N (submit 2 seit: oi'plans w/items eheelced below).
1 ; _,
1 j Li s Or re,file; 100 0111pi or mole 0 1311ildiq over three STCW1C! 1
1 0 Demolition 0 Other: i • .
, . w oem ii.::,: :huh mica Marinas and IIPPI:v2rdS
-...--. -_:. i
I i ; z,cce4A 10.. ,i1C, nmis al 150 voiti. or 0 Floating buildings
---• CATEGORY 'OF CONST1RIXTION
.-- •- --- ,-, ! less to grou.iu.,ii uaeccds 14.Wo 0 com atineulturisi - t 0 I- and 2-tamily dwelling g C7ninmercial/inclostrial 0 Accessory building, , roc IP ;Am! ingaliations. boic mercial-use
I - hng%.
0 mui,i_fa,rity 0 Master builder 0 Other: i 0 Fire pump. 0 lunallation of 7S KVA o r
. -.. ---- 0 hinergenuy , Wye: s,Iparatety domed system.
I Jog SITE' INFORMA2 a N . ...D LOCATION
1-- . .,
- - -- 1 ' -
r Nicht km of :low IlttlikIr Mad of
Job no.: : Job sit flddr 'V' ° - i mV- !WM or inov, occupancy,
..)
, t „. ....,./• _a 6,.4.) g 0 s,,, ,), mot., .^eeklemini mu, tt
. _.- - .---. 0 RecreatiOnal vehicle pak.s.
' City/Stin 5 , /. e/Li : ----- 7 .7.- .. (...' r, () /7_1..14 .: 0 H.hi,....., i 0 Supply voltaire for mole than
i 1 Cia .a_.. , ...._. ._ „ ...„ 0 Ito/x .„.cafioils. 600 v0IT nuMil
1 I Suite/b14.43t. /g5 I Pcoject name: de„ „,c,p,..„ 1170(0.
1 !--,•--- . • - - - - - 7 j FEE SCIIEDULE
i 1 oss ectie i joh sitc.:11ainet -..
1- Cr str ireet ons to z_ (
wale.Oruole....- , N • • ,
1 1 , ___, n Oeit..i.ni0 , pt„
ew rtsidential Suogie- or multi-family dwellin unit-
, . . j Includes attached garage-
r __ .. . - i j _-... -,-- -
1 • =- 145 l-
- -i- f•--r-7,-
I '+ l 4
: ! SUbdiViSiOn! 101 no.: i i 1.000 SC ft. in less
1
1 !--- ,------ 1
1 --
:' -- ---. • ---•-• - ' -- 1 I Eti, add'I RV! sq. 11. or portion 33.40 I i 1
■ ; Tax map/I:nut:el no.:
11mi/et! oncrp . rcsidViial
. - -- • • - -. - --i 75.()0 I ! 2 1
! I DESCRIPTION OF WORK j. , jjj j _________
(with obo su it ) -4---
! i- • /-•
- ' - --- 1 Limited cnern. intilti-farT707± -
"d_ 1 7).00 I I 7 i
, 1
Flu __ I (.44. rile 4 , , ....eg 7- .2..E.4.- 1 i_reSidential (with above N. il.)
1 -2 -
---.-..... • i Services or feeders installation, alteration, and/or s•elocation
1 --.„. i l'
-- I -7 i- • -71
, , 700 amps or ins ,. i , .. ,
1 --- D PROPERTY OWNER - --- -. --1 -
0 TENANT .
1 ' a s . I 2 „
„ .-. ..,.„..___L„. -- - ---; 201 mps to 400 amp
I--.
1 401 temps to 60o amps , 160 tS(Th 1
N ame: .---- - ""
-. --..-. .- - • -. .-- -....- • - ! 601 amp% to 1.000 amps ' 1 240.60 1 2
„ I l• 1.... -74_, I
i
Address: ! Uver 1.000 amps or volts : 1 454.0 I
J 1
J ! City/State/71P: 1 Temporar■ services or feeders installation. alteratiOn, and/or 1
1 66 85 I - 1 I 1
! relocation
-
J I Phone: ( )
Fax: ( ) 200 amps ti: less .._j_._
Owner _---
i 1 10030 I 2
- - - - - - - . '.----' 77 0'1 amps to 400 amps
. , installation : l'his installtaion is being made on property that I own which is iti.)t , , ".
' f__ 1._... ---.-._
• I 40 i amps amps i 1 133.75 1 .
intended fo7ole. Was e. tent. or e,„(ehiut2 Br
e,. according, to ORS 447. d•1•0. 070. and 701.
•
. „ : 'r
anch circuits • new, alteration, or extension, pee panel
. t
Owner signature: 1)4to* • -- - j
_ _ “ •• _ _.. . - , rtraM:11 Cm:tilts Ivii i , 1 ' 1
• •-, - .7.F-,' ..-... - -._. _ - .. , 1 •
0 APPLICANT 0 CONTACT PERSON ! . above set% iQC Or feeder fee, , ,,
,
each brandi eireitit 1 I v s'
__•-i-- --I
•
Business mime: I 1 B, Fee for bfanch circuits 7
.___....--_ --- -- - - - • -- 1 i withow wrvice Of fccder fee, 1 / 46.85 1 44, 2, 1
j Contact na-ne: . I lust branch circuit
- - -- - ---- - -- - - • - -•
Hach add branch circuit j 6.65 1 1 2 i
• : Addr• i _..
ss: t- .-...,_ ._•
• - - ._ _ -- -
J (service or feeder not
ncluded) .. 4
_
ciry1StateZiP: Each manufwured or modular 90
- n .
__ ._ -- -,- - ..- . -. - - .- -- -• - ! dwellino service andlor ter
J • 90.90 •
j ;
) Fax:. : ( ) j Reconne 1 66 . el onlv '
•
J ! 17 1: i Pump or irrigation circle I 1 53.477 i 2
____ ____,._ __ -..._ - - r o
; 1_I3___r_T1
: 1 CONTRACIOR i Sign outline lighting j , i 3.40 1 1 i
- - , • . .., ,. , - i ..„. 1
, Signal eiretut(st or ittniteo- 1 j I
I J 1
Business name! A.6e• 4u re ...... i , ,.& lee c c ,..d..-L.t..6 : energ ). panel. alteration. or
1 I ' 1
._-_-, j
' ' 1 n Describe. J I Page 2 1 j 2 I
Adclres,vp. is ce
_.. _. ... ca-Z:x / 41- (...-. _ - - - - - . L extensio , i
.. ,
(i1y'State c i ft i i ot Az / t k 97.)9-1_ - - - - I Each additional inspection over allowable in any of the above I
.
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• --/-- • ---- ,---• .- .- • ". L
Phone: 6ng) L. „) . 0 ./4 9 - c V Iv I I 6 ._, lnve5 pet: hour (t Ili
......:...,) .. 8:,_,
r - ,--- - • • 1 nstrial per hour ! , 73.75 I '
i CCB Lie.: ia 4. ic Electrical I .ic.;j1 , /8' je p
1
jarv. Lic.14m...t ,___..
- -.- - I Idu plant ELECTRICAL PERMIT FEES .
Suprv. Electrician signir.urc. require
fi„.)., _- Subtotal:
_ ----
- .. ..=_ _ . -
-...... .
' '7-• - . ' Plan ieview (25% of permit fee)
44./ re_s !
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state sun:ham: t i 1 ./n ot permit tot,. • t
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sAuthorind signature: Tal'Al.. PER MIT ME
-
j---'--- • --"--- *- I - - - - - -1 Poi permit expires if :i percpii is pot obtained within 180
; I
Print name: DM: I Z dap after it has been accepted as cernPicte-
.- - ''- -. - z . (
- .-- - - .- - - - A-- -- , Stwobei• of inspections alloAud per parl!!;
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