Permit CITY OF TIGARD ELECTRICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit #: ELC2009 -00103
TIGARD 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 186
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 18 - (1) branch circuit.
Owner: FEES
DHP TERRACE LLC & Quantity Description Date Amount
DHP ANNEX LLC, BY AKAWIE & LAPIETRA PC,
13 HERON DR 1 at 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, - Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -00 0 through 0 - • 2 -00 • $0. •u may obtain a copy of the rules or direct questions to OUNC by callin• ' ..6699 or 1.800.332.2344.
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•
Issued B • _ ��J / 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
NI ■ COMMUNITY DEVELOPMENT Permit #: ELC2009 -00103
T i G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
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 18 - (1) branch circuit.
Owner: FEES
DHP TERRACE LLC & Quantity Description Date Amount
DHP ANNEX LLC, BY AKAWIE & LAPIETRA PC, 1 crt Branch Circuits 03/02/2009 $46.85
13 HERON DR 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 a copy of the rules or direct questions to OUNC by calling 503.246. 1 6699 or 1.800.332.2344. n�,
Issued By: 4V tO I Y \.t fL Permittee Signature: CC— - kQ. tit () f\
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.
L : • • ., t
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EleCtal PertalpC A ileatiO , : ( % it.„, FOR OFF ICE USE ONLY
1
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. Received ;
City of Tigard
14 . i 3125 SW F all Alvd.. Tigard. OR 97223 i Date. is,. 2 • 2 7 - C
pi,. R.4, ,o, ; N rim; No i7 fe 7 009.. 0 0 ra
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1 2 : Phone: 51)3.639.4171 Fa.V 503.598 196 F 2 7 2009 1)...1,, 1 Other Pentlir
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I TIGARD
Inspection Line: 503.639.4175 1li 1 Date iteady.Sy. j le ris El See Page 2 for
Internet wviw.cigard-orgov CITY OF - P ' • _ : NO:it-..ume;had:
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,___ ..___. -C , supplemental infordi.tion i
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i 1 4ittP' . NG4D ' 1 1
__ TYPE COF .-- ' : Please cheli PLAN FLEVIEVY aii ;Nu annly (bmit a se. of p(ens editenis checked below): 1
r New c,onssuction %Addition/alteration/replacement
I ID s it;,:ilei. 4(X) mnps at' more I:I ituiiding over three stones 1
_
; 1 0 DemolitiOn El Other: ; whew the a, allable fault nt 0 Manna+ and floalYaraN
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CATEGORY OF' CONSTRUCTION ''" at ISO volts or 0 Fing loat bunS I
ildi
)-- .- _. - - 1 ;us lo woulni. or ex);eack )4 XXI() ClComMeraml-usa PIP Culti 1
; El 1- and 2.tarnily dwelling XI Commercial/industrial 0 Accessory building amps Corali other installations. bulidulEtt
0 Multi-far; ily 0 Master builder 0 Other: 0 Fire piano El installation of 75 Ir. VA o;
----- '-• ' - 1 0 Emergency ,ystem. Unger sepanatiy derived system
i g SITE IN FOR TT a ND LOCATION ; D A o c t, t i„ ti o t . n 1710(11 khid Of
h-------- JO • .----..---., ,...., !; . _ ___ - - !I i
i 1 JOb no: i Job site ;Lddrcss: ..7 led HP or more OeCU Y
panu I
M !iv!. of 'nom iwidenti.1) •);!): 0 Recreatiergi vehmie parks.
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1 City/Srate/ZI7: I' • oi ' •• 1 .-- ‘--- - - 0 Harn.car :'w1(11,4:.. 0 Supg4 veitave for more :Wm
I 1 4' a t k 4 ) 1 7 ../ .)- 4. . 0 - ' . i
!-- H..„,,„„, ...... on „,,,N nomin.i.
SutcJhIdg.faM,
. a s„,n, ,), ',:ckier 000 amr: of mt•rie. !
tliteibld.gla3t. Pk)/ 14:4? ; Project name: . -
-
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Cross streethlirections to job site: brielusaleici..cLysilActa__ 1
': New residential single- or multi-family dwelling unit
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I . s ac aa
I --- Includeatt hed grge. -- • - • 1.
1 I Subdivision: ! Lot no.: i I LOW sq ft. in less 45 1.5 1
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.,_ ._ .._1._ .-_. . , Lh adt1 50(■ Sq. ft. or portion 1 1 3140 I I 1I
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l Tax Inap/parccl nO.: l . Unwed energ.■ . feSidemial . ; 1 •-•
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DESCRIPTION OF WORK _ ._ -I 1 i ti " e b n; .. i It' farnilr .1 1 73.00
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i 1 Services or feeders installation, alteration. and/or relocation
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, 0 2 0 amps OT 10$ ----r---1 1 80 30 I 2
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0 PROPERTY OWNER I 0 TE 7 _
1 ; NANT j amps to 400 amps
- - _._ 1 106.85 1 : LI
i I' I 401 amps to 600 amps --,- .
I Name: i,
....- .- - - i 6,01 m aps to i 000 amps ' 240.60 ' 12 1
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. 1 Address: o ; 0„, I ,,,, i nuos Or volts ; ! 454.65 ; I
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I Temporary services or feeders installation. alteration, and/or 1
, i City/State/Z 11):
relocation
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phone: ( ) L ; T 6
20 I amps amps
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! Fax: 1 : 200 amps e les _:!_h 100.30 2
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L - -.--• ---- -- - •--- -; - - " • - 1 - t 400 . ; 1 . H
Owner installation: This iiistallwion is being. inade on propeit■ thin 1 awn which is not ! _ o -. ... . . -
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, 1 intendec.i lo • sale, lease. Tcm. or :;xchanae. according to ()RS 447. 449. 670. and 701. ! 4ot amps 1.0 3Mps 7 i - r -
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I 1 I Branch circuits - new. alteration, or extension. peryncl ;
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i ! owner signature: _ _ Dele._, . - A r
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och circuits 11•r(h
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t----- above ; ;ei% :a, or feeder fee. i I ; SW 1 I 2 I
0PPLTC-77AN1 C CONTACT PERSON 1
_ .._________ _________ I_ _.--.•-.-- ••---; each branch circuit 1 ,. .
= I Business name: . -
-.! l t fee H / I 5 44,7, 4
I B. Fe.e for branch circuits , I
40 . 77
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: Contact nand: - 1
. ____, _ ___ ,___J ._ -4 _ -r--
'-- - - --'--..--. -. - '- • 1 Each aden branch circuit - r - 1 - 6.65 1 . 2
1 I Address: .._ - ..- -- .- - : ' F. Miscellaneous (service or feeder not included) , _I
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• ! Citv/Stater21P: 1 1 Evil noinufactured or Modular
! ti C 90.90 1 1 2 1
ed I
1 . _ _ ..- --.- - - ---I ; clliiiEnTra andlor fe er , i_,.._ .4_, _- .;-...-1
Phone: ) i !tax: : ( ) I I Reconnect onl ■,, , 66.85 1 1 __,2
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' 1 E-mail: I Pump or irrigation circle 1 . 1 53.40 1 [ 2
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1 ..-- - .--- '-- -- 1 1 ne lighting
: 53.40 I 1 0
CONTR. _ _- Sign or outli
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, 1 Signal ciretutts) or limited- I 1
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t i Business name: , i, L 1 5 c iu yr . .4 , e. .., ,..■ ! tocr,4, pa nt alteration. or 1
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exttilsiial, nescribel Page 2 1
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dres t , clx /4 g6/ ' 1 ! i
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• ,___ i- - •- •- - ••--: , Per 1T1Speel Mil ' ' 62 50 ;
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Phone: (6,-) -p ) i...5- .., _6 Fax: ( ) ,......-&/ , 1 tiVeglaatiOD per hour
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I C:03 Lie.: / -,,- 1 c.lectrical Lic,jk, .. / /p,e i Suprv. Lic.:c_i 6 , , I . .. i _
,., - '- •-" 1 ELECTRICAL PERMIT MS
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i I Stir, Electrician signa:ure. require,41 subtr".2_
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- ___ - .... - 2 - .. - ._, , i Plan review (25% olpermit lee): I , • _I
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-- - -, - - - - - '.. • This iie'rmii eoPiication esibires if A peribit is net obtained within iii0
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I Print mune: I Ditto: I i days after ii has been :tempted as complete.
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