Permit I !
1 A-1 1° 5 t. .✓` 0 6—AAQ o f cA c-e--4 .
q CITY OF TIGARD ELECTRICAL PERMIT
1111 2 ' C OMMUNITY DEVELOPMENT P ermit #: ELC2009-00094
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16136 SW 108TH AVE 73
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 9 - (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 throu• • • • R 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 50 46.6699 or 1.800.332.2344. //
Issued By: •C /'' /. _t� Permittee Signature: _�� ' ■ L .. �_ /
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
s. COMMUNITY DEVELOPMENT Permit #: ELC2009 -00094
T t G AR D 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 9 - (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: it i 1X. A Perm ittee Signature: ��LIG.� _ aipk eszs to
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.
,
...
- .!.
Electrical Permit ApplicatRE.CEIVED FOR OFFICE USE ONLY
City of 'figard
FE : Reezived
;
; illteta,,: cg-*-2-7. -..09_ ; Perim: No E c m .crev.i_ I
. • 13 125 SW Fall Blvd.. Tigard. art. 9722 B 2 7 2009 I7Ion ., 'I
• 2 i 011ie( PCX1‘1' I
. Phone 503.639.4 I 71 I'm: 503. <1.8 LW : riate'R.i• ;
5 CITY OF TIGARD I
TIGARD inspection !.inc: 503.1539.41 75 i Dine 12;:ady'Bv. I •hm: w 1 El See Page 2 for
nternet: wv.u.tigard-orgov BUILDING DIVISION 1 NAir.dikte;h;x1
_ I
- amp • _, .,_. I 'ii ISO vls de Floating buing
(3 . 1 Supplemental Information
r _.-
-
, i TYPE OF WORR I r-- L--- PLAN REVIEW
.,..
, _______________
0 New ennstruction Addi
iton/alteration/replacement
_____ . • ! ;lease cheek :Ali mai apply tNubmit 2 set5 of Mani *Atoms ' chocked belOwl:
• 0 Sorylee of f:;idor 400 mope in thine 0 Itoildiqt over three stnrinS• i
0 Dcmolitir Ti 0 01.11 ,, er! . wbcfc ;he 11 \ Ailai)le fault currant 0 ivIsmu Lel,:i btmlyards
,____ _
. .-' , II
CAT OF CONSTRUCTION at oi 10 ldis
-_,, - • - lessio grotod. ar ewee4„!* !4,000 0 Coottnercell-uSe agricultum I
aeo
LI 1- and 2-family dwelling g commerciawntiustriai 0 Acce amps for n *th' installatins. bildng
gsory building
ui; 1
0 Multi-tarr ily 0 Master builder D other: Em.p.mo
0 EMOrgenc% w$Iall 0 IfstaJlatum Of 75 KVA er 1
■ • ...
1 MB SI T E INFORMAT N D LOCA
ANT ION --1 larger worately derived system i
I- -t ...___ A 1
lob no: 1 467- 0 ftta. ul rtes. miOr kille Of
10011P Of r.,,re Ofeuremcy
i Job site address:
, LZ,J "4 0) i t? 44.-. 0 Si, „, .1,,,, ,esiecnnal 1111k in Fteemvinnei vehIcle park.
1 i
L ;°; . . . -... --,
City IStlatci7.1?: il , . 0 i•ioniih-eani racitines 0 Supply voltage Co: incite than i
r".‘1.1._
t K ( )7_)_.).4 • .._ . c I i,„,,,,:d„„s ,,,:vini,, (4)0 voirs nominal. 1
Seite/bidglapt. no.: q . Project narn 0 S,n'IC:e CH 10:der 00 anine or more
i - •:---- :::•----•••• -j- • •-• - FEE SCHEIR.ILE
i Cross streeti.f irections to.lob sillbd€0 42 r,
re
CiA■■ ad. ,
lifau ,„,:.,_ , ....„. ,.....„,
___ ______.... _ , New residential single- or multi-family dwelling unit. I
1
. I Includes attached pra --r- - --m
ge. 1
_ . . . -----1 1--
. ' 1 ;ir s , I , ;
1 Subdiv 1.000 sq. ft. les 145.15
Tax ision: ' 1.ot no. : !___. - 1
- - .____ ._____. - ...- .:-.- - ----; i La add'l 500 sq. 11. or portion 1 .1 1 33.40 1 1 1
mapipareel no.: 1 r •
; • , o nned ene,• residential - - , r.7
r ----
DESCRIPTION OF W(TRR - - - .. 1 " i 3 "' 1 n'l 1 75.00 1 • 2 1
i .
_.:---;
; imited , 1
r-- i r-- L enerlp... anitti-liunily 1 1 7 I
,A7V1 plug t (0 etc), raioe 0.4.47 rc_pt.04,' I 75.00 '
I i leSidelltliil (s.ah above f ) 1
-•,_
I
•=•._„ • •
--
I I Serviees or feeders installation, alteration and/or relocation
\3
..-:,-
1 1 200 amps or less I g0.30 T 1 2 4
. .
- - ' - - . I
r 0 PROPERTY OWNER I 0 TENANT 1 7201 amps to 100 amps 1 178 I 1 2 i
i ! 401 amps 10 600 amps i 1 • • , •
I INarne: : I--
_ .___ .._ - -- - ,...--; . 601 amps to IMO amps 1 4-- ""rn
I 240.60 1 L- .,
i ■ 1 , --.--1--- -1 --.,,, 1
Address: 1 ! Over 1,000 'traps or wilts A I 454.65 ; 1 4
; [-.• ---.--. •-• •-• - ' --.-`-. A,
- i Temporary services or feeders installation, alteration, a nwor 1
City/Stoic/2:1P:
i relocation
. v.. ,-. _ .-. ._
i
:
Phone: ( i : Fax: ( 1 ! 200 ampS Or iCSS ..-7"-- -, '68D I
I - Owner ----7. 1
-... amps to 100 amps I . 1 100.30 I
i I installation T
; his ntal is Iri ion is being e ort
mad on prpey the' wn hih not 1 o wc is . ' '
•.• i I 4(11 amps to 599 amps -71
intended for :ialt. lease. rent. or exchange. according to ORS 447. 149. 670. and 701. . --, j_ifi_
•. Branch circuits - new, alteration. or extension, per panel ...._i
- 1 - i
i 1 Owner stgli ature: __ =
. , . -. Date._ _. .._ : i A. Fee fix Minch circuits ir///, 1 !
0 APPLICANT I
1 1 0 CONTACT PERSON ! .... I
J I above sc\ ie c Or feeder to:. 6
I i i
I 2 '
: .....h -. _____.--.--,-. - -. - -• ,- - . : eh branch circu 1 it _ __...._ I
:
1 .65 • __j
' Business name: 1 for aitch circuits _i
. i 1 i
._.--,- - - .- - -1 In
i h
witout soviectIr feeder fee. / i 1
i 1 46.85
Contact na:ne: ; ' first branch circuit
- --- ..---. - "- - "- "-- - - - -" ' Enli add I tvanch circuit I I 6.65 ! 1 2 I
Address: 1 ,-- - - -...- --i
_.____ _, . - - . -. - - I Atiscellancous (service or feeder not included) 1
. City/State/ZIP: f:ac.h mai ittfitt;tored or 'nodular i I 90,SX) ; I 2 1
___...- • -•• --- --. - ---. -- 1 clweiliervice andior feeder • 1 ..--1
Phone: ( ) Fax: : ( ) , Reconnect only ,. 1 1 66 85
.
i-. - - --. - - ...___
---- ___
' . i_... -, .
_L_L_
; i E-mail; L
_ -- - -- - " n Pump or irrisation circle I i 53.40 1 2
i-,. --.--.,.
CONTRACTOR
. . sum or Mime lighting I 5.4O j
- --'
I -
1--- l
_____
.,..---- i . Signal or limited- 1 V-
cs. I 1
,
I IlusinesS !lane: (Z) C iti ye .;. /el j;ki =r-:
. ._ ._ ; em!, panel. alteration, or
A i : . , . • .
._.__ . I . 1
i e on. Describe: Page 2 1 2 I
,
..-h-•.„ „.,
ddess I 'V 7.4..., ,- / ,' xtensi
1 I __1 I
4 Ellett additional inspection over allovrable in :pp; a the above _i
City!StateiZIP. 1 Ct. 1 o . 6/ tr-__ 9 9'..,)9..a
• .., , , ..1 •
62.50 I
vition per og i r m
• - 1---: - 7-- -- ' - 1 - . - 1
• Investi h 1 hull i ' 62 • i
i • ::_---- -I-I
t ___,.._.... .. •
CC Lic.: j _/.& ,....:5 Lic...,...4...//p/L .._.._ ._
•SL L 4 1 83e..1 6
L Intitistrint pinnt per hour
ELEcTRICAL PERIVILT FEES . !
;.- - •
Surn-v. Electrician signaant. required,L. SubtotaTTOP5
----;'- - " - '-"- - 7-7 V• . • :7 t f1'
: I Plan revio. (25% of permiec I , 1
- ,c., , , ...:
I Print name : .,..) : ,. 5c: . ' e ,.., :, pute ,,,.. Z,l 1 i ,. ' ...- '
. /La _. __. . . _ . .
i- .- -
, „„tc ,.„Nh" i 12% of pentlit. 1
',,.
-
Authorized si2.nature: TOTAL PERMIT : :2._,\ . -,.•'
- .---- i0
1 e' - --- -------- - --- -----, - - - - --- Thi!, peroni application expires if o permit is oor oble;neci withif I,
Print narne: Date:
c: (ley% ale it hes been Amoco ...mplet-
: _ .___ _ -_ -.- .-- - ---,- -" - . - N,,,,b, 07 nupettiop; nl:owed per permit
4.:11-44 ( 1 IA/NCO,A;WCB 52 '47
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AT REDHAWK
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� ? 97/101 t?Bl124� 129/133 152/111 11tf11
irsci
wail A .. 1W 127/13 130/1 /> �`
F 109/164 135/121; 132/136 149/345 ', ,�;� is
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25/79
it mss
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24120 \rs3 r 23131 * Al...sg.
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0 21117
. - 0-tizza * I * 'kw*
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14/10 ( 5 rr . . si � ^ t
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SW 108th Avenue
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