Permit ' 1 9-710 q j— -t 4.1
Y a CITY OF TIGARD ELECTRICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: ELC2009-00096
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S 115AA00100
Jurisdiction: Tigard
Site address: 16146 SW 108TH AVE 105
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 11 - (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 th • • • *AR 952 -• • 1 -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: . . ` di t Permittee Signature:
OWNER INSTALLATION ONLY 1
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.
IN CITY OF TIGARD ELECTRICAL PERMIT
I.' COMMUNITY DEVELOPMENT Permit #: ELC2009 00096
T I GARD 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 11 - (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 00� \
OAR952- 001 - 100. You may obtain a c \ copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. �' /1
Issued By: 401(11 1 lX l SAL Permittee Signature: (� t l �) c 1
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.
- r
w i,
Electrical Permit AT
Ii FEB 2 7 2009
Received 1. Putnit No.:
I
City of Tigard _ ! Uatc :S>.2 • . 22 -6c
. e ke_20Oet • �C214v
i . • 1 3125 S F all Blvd.. Tigard. OR 97223 ITy OF TIGARD II Pl.n: fu,,,„ Permit : Phone' 503.639.4171 Fax. 503.598 l Da tc:13v �
I TIGARD
I LDING D IVISION, ; . R e alc: Rt: it ^is Page 2 for
1 Inspection Line: 503.539,4175 I T EJ See Fa .
Knutiod'>Aetlutd. I �� Supptemenral loforntatiop
Internet wi wv.tigard- or.,tiv
PLAN REVIEW 1
i TYPE: OF WORK _ -I
- -- i ('ieaso chea:k al; ;hat apply (Submit 1 sets orplans vaiteins chcckai below). I
❑ New cons:ruction A .Addilionlaltcriaion- replace ent ❑ tit(+ or resider a11t1 amps at more ❑ Building over three blos i(S.
• Q
Demolition - 1=1 Other: — . __ i +'•h n 11'm n∎ ulable !huh ea((¢td l� marinas and boatyards
i eccaed, l0!4in amps at I io volts or ID Floa i bui1d111gi 1
CATEGORY OF CONSTRUCTION I '
less m ¢run :n. or tweeds I».000 ❑ Contmem ay iculturd I
I ❑ 1- and 2•tamily dwelling .Commercial /industrial ❑ Accessory building i ! amp: thr a(I other ,ustalletious buildings,
❑ Firc pump ❑ installation of 75 KV A or
l ❑Multi - fair f 1.y ❑ Master builder ❑Other: { 0 hile(genCy ,,ystern. larger separately thrived system.,
J OB SII E' INFORi;\7A'I I N ANI LOCA•F O' ❑ Addition or new moot loud of ❑ larger
:•E, separately 1
11 I I 0014P or time. �CCUpattcy. I
1 !oh no.: — Job site addre - /1) I ❑Sts nr mutt te.idlnt;at units. ❑ RecreatWua) Vehicle; parks. l
' ❑ Supply voltage tin more than '
,� ,_ . ❑ Healrlt rare !twilit :es p h
.
! �. 2{31t' / %l. °' y, � . .' 7 :� e�• ... _.. (500 volt$ nudge! ;
v i e r d t. k , I� ii:U.Ailiou.: K:fttMrs
+—'•' �) o-•— i El S rt•tcc• bi ;ceder (.IN) amps to mere
Suite/bldg./a:11. n0.: / j Project name: ! — 1
_.... -.__ . •. FEE SCHEDULE :
. - --I
1 Cross sireetit'irect :ons 10 job site: + I � VOm J Fee. Tong I
I - - -- ` '�"" '�- ! I New residential single- or multi - family dwelling unit. 1
I I Includes attached garage. 1
I • • Ceti 11o. L0O 3q. ti. in leSS —� - i •
Subdivision: ! l
_ .. — . • — • . •• ' fin. add 50(: sq. It. to ponion t 33 40 i — t
Tax maplpar::eI n0. _ __— _. I limited meets. r esidential 75 txl
DESCRIPTION OF WORK ! tN rlit ;these so ti) _ I �_ '
` -- i I Limited Cncrp multi - family ! 7 >.00 I i 2
1 �� ii � . _1 . �'� ' � f �e^ •�' Y e- - ! rtti ( wi;t, atx n s t al l 1.l.) i �=
_ 1 Services or li:eders inst services or feeders installation. alteration, and/or alteration, and/or relocation
200 amps or less I I s o 30 ! _ �_ ,�
I ❑ PROPERTY OWNER 1 ❑ TENANT 1 r 201 amps its amps I ! ,06.8 - �' 22 ,1
' - •101 amps to 600 amps ! l 160 60 i 12 1
! ! Name: 1 >4Q.�.. 1 2
— . — I amps t c, .000 amp:
i I_ i Address: _ - -- -- .. i Over 1.000 aims or volts l 4 22 I
I - -. .. — —~ Temporary 1
{ ; (:ity /Statel'LIP: relocation
on •
200 amps or less �� 66 RS i —^
Phone: ( 1 : Pets' t 1 - 2_1 ! 301 amps to =UU amps 1 00.30
Owfter installation: 'Phis instal)r_tion iv being mettle 0n prop t hat I otsit which is not -
t , • ; 1(I l amps ice 599 amps � - i 1 ia.75 j 1 - ;
1 I inten foe sa lease. tent_ or e> change, according to O 44 7, 44 ) 6 t 0 and 701 • "irNnch citrnirs- new. alteration, or e�ten per panel
Owner sigrt utire: —_ Late: A. fee for branch circuits wait r 1 1 - 7 - 1 { f .•�— ❑ CO \7:aC PERSON 1 ;Most sc n ice or feeder fee, ❑ AYPtIC -- _ I 6,6c 1 2 I
�__. •,.. _ -- e ach hl'a11Ch {irL'1il i I I —_. -
. ; [3. Fee for brunch circuits ,,„ 4r02 1
Business nan1C:
_ — ' ti idrvur Scar vice or feeder tee. I I 46.8? I
` Contact name: -•i rst brancu_ -i
h h Circit
_
- each add - 1 branch circuit ! - b .6:' .
' Address: .— •—I
1_. 9iscelFaneogx (service or feeder nut. included)
cd)
L " C:ach manufactured or modular I ■ 90.90 I ? i
i ... —.. - dwelling- service tinth'ctr feeder ' _ l i .i
Phone: ( ) 1 1:Lx:: ( 1 I Reconnect ,ti 1 I 66.8i — 2
i { -- : rump or imitation circle 1 .40 I
E i 1- - t 1 2 I
_ C(JN I' CTOR n or outline ' — - � , Sig lighting I i 53 _�- 2
r--
! I Si nal ctrcuu(s) nr limited• I j
i Business mar.. e; 00• IL/Y f .41-1641), I C -t' energy' panel. alteration. or i ` ' !
I- -• _ extension. i escrilte: i I Page 2 I ! 2
• 1 Adder s�f_ , L :X /4d ge � ...— :
- - " �_ � + - Fst eb ad ditietnttt inxprruon over allo+vable in tiny of pee above -1
City/State/LIP: _ '- 1 [3 L � Gl� f ' �' !
' _. ��i t_' �• /�. -. � �� /r� _ • , tact tnspccu,,:t I 62.j0 a —i- —I
Phone: (r , FAX: I. 1 ---)....-'5.,.5 •! �', / I Investigation per hour i I lir motel 62.50 ! j_ j
�! I f �� f t Si1 Prv. ! .le-: Lf � • Industrial pinnl pet hour B M 7 S
(CQ I..ic.:� l � y i.lrctri l.i c � Y '" ELECTRICAL PEBMIi Fr E
. I _ Subrotal �7.J
Suprv. Electrician signature. requir. • • -• — • 1
r --.. - -: —_.. _ r ; •
C' Islam rcvww (25% of permit fee): • _
! Print name: r. C1 te e! F � — — ._ C) »1.t'., j� �_ Hutto surcharge ( 1'_ °o eu'txrmit Pcc). ,,. ■=:,
I Authorized :;ignniure: I OTAL PERMIT FIT. i j'
._ .I
! _
- — ..- --- — -- i This Hermit appiiestion rrpirex if a permit is not obtained within 180
Print name
_ I Date: i days after it has been accepted a ;MP s m l � • 7
L . -- . —.' -. ,— . —. — •. -- - ' Number 01 atspeCt� ens n)Inwed per perm,,.
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