Permit I‘a. - . 1 1 q --1 12. •
-q CITY OF TIGARD ELECTRICAL PERMIT
!PI 2 , COMMUNITY DEVELOPMENT Permit #: ELC2009 -00099
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16158 SW 108TH AVE 129
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 14 - (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 thr R 952 -00 10100. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 6.6699 or 1.800.332.2344.
Issued By: � l
.. /-A--414. ( Permittee Signature: ��• - 4 ,. --
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
# COMMUNITY DEVELOPMENT Permit #: ELC2009-00099
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
TIGARD 9 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 14 - (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 $52.47
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ,y !�
Issued By: Permittee Signature: l 1 .`\Al1 1
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,
PLAN REVIEW -
. . r--, 7 if-% r- 11
Electrical Permit Application,. , k foolitIP•. FOR OFFICE USE ONLY
i City of 'figard , . .
. ;
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1 • le l.3l25 SW I- all 1-11vd., Tigard, DK 97223 FEB 9. I ., ; iiat -2 •, • 2LOct
. 7 2 009 ; pl:;,;R..,,„ . ,
..... te2ari_41109/.. ._1
,
, - ; Other Rental
` '• Phone: 503.639,4171 fax: 503.59$.1960 i Dateinv
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Inspection Lilt 503 639.4175 e Ready:iy: ; hi; ZN I
TIT.; A c,f) , CrTY OF TIGARD : Notilied/Merhixt•
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1 Internet. www.,.izar..-Pt.g.t.w I T i c , 1"-- El liaprlem il2 e l o c tall f ; r 6armali02 1 _1
r-- -... - - ratEDING-DIVISION : 1
i TYPE OF W ' I---... .-.
, ....-
1 .
0 New construction - X Additionialteration.replacement I pleas chcc); ;1;: that apply Ntihmit 2 Avg of oho!: (*thorns checked below
1 ! p s o r It...titer 400 amps or more 0 lilladir tg. over three stones.
• 1 1 0 Demolition D Other: !
. %vivre the av actable Inuit Cuftent 0 Matioas and houp.arer.
1 i-_- •- - - . ._, 1
1 1 CATEGORY OF CONSTRUCTION
..- - ; e.ceeces io.il)o amp,: at l 50 volts; or 0 floating but IdInSfi•
---1 j Idlit ICI gonad. or exceeds 14,000 0 Cornmerniol- use aka ioultaral
i 0 1- anc2... family dwdllin,g igi Commercial/industrial El AcceSsory building I amps fir all olltet in:4211,160;1S. huildinp.
1 0 Multi-farily LI Master builder 0 Other: 1 0 Fire AMR 0 InMillalliall Of 75 KVA Q I
JOB SITE INFORMA TON . 'D LOCATION
; ID Finergenc■ ..ystian.
I 0 Allibtion 07 'tow motor load of laryer serrArely donved system%
tat11.0 untre occupancy
1 1 ' Job no. 1 JOh sit addregs' 4 /be .
4- : 0 s,. ,,,. tiunt. iesideiniel poas. 1:3 Recreational vehicle piticks
I -- .--- ' "--",‘ • "-- 7 - I" --- t 0 II -ill -C c` I'iCil It 0 Suppl■• veltatte for more than
Ci1ViStale/Z. 27 r c4 t k: 9 7.,1.'‘,.?.4 ' -' t " ' 3 ' ' 1 "
.,
I L, J ltaxarnu I, , ealtent5, 600 voile nomin
I S al
....... I El ger‘Ne eR I (A)0 root or ttlOrd -■-•• H
i uite/1)141V pt . no .: i , 1 Project name : -'' . .
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. - FEE SCF1EDULE
'
i 1 Cros.s streetit:irections to job site t .-- a6 .t.s,,,..,„ar 1 i 1 i tut •■
! 1 . .' , NeW FeSidentifil single- or multi-family dwelling unit. 1
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1 includes attached garage. - 1
; . .._ . -- ■
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I --- ' ' • ' ; 1.000 sq. F. in' loaf I I 145.15 ---
1 :
Subdivision iv no.:
i : • 1 i 1
: 33.40
__ ,.--...- - - •--, ; :-.i t. add'I 5iii sq. 11. or patent ",
•
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L mapiparccl no.: ; 1 I iniiied eik;re.‘ residential ,
1 .
DESCRIPTION OF WORK --- •--, : .... i ; 75.00 2
: , ,. !Ann,: . ft.!
- • -- 1 i I united ellen; . rnolti-famil - 5mo
--
1 ' 1 residential (wilts at sc. ii.) j . 1
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pi u _tz ‘.. ;1e 4 ,...._ t--...-
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Services oi. feeders installation. alt r
eration, and/or elocaOn
___
---,.
200 amps or loss .._ I_ _I8 ..._1.
.. _.. -
1 1 0 PROPERTY OWNER I 0 TENANT I
, 7201 amps ro 400 amp
Name: s
..„1 __•
' -
. i i 401 amps to 600 mina 1 I 160.60
- - - -•
. - - 1 I 601 amps to 1.000 amps ' i 240.60
1 i Address: 1.000 antrn, or votrs ; I 454.65 i . _ - 1 - 1.1
C ity/Stateii:lP . •....._, •••••__.-
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. s ices or feeders instaliation. Alteration. and/or
:
$ -- 11
. 66.117, !
1 I
• Phone: (
; ) I Fax:( ) - --
1 .---.•. - ---- --- t 1 - 1 201 amps to 400 amps IGO 1 0 ; .21
Owner instaliation± This instai:ation is boing made on propel. that I Own Which is not i ... 4_1. ....__. ■.•
1 ! ; 401 umps to 599 amp.; i i tn.73 i 1 . I
I • intended fo:' :We. look. tent. or Ilsehange. according to ORS 447, 449. 670. and 701. : 1 -
,.
! i Branch circnits - new. alteration, or extension., per PA.
. -
; I Owner signature:
_ Date:_ _ ..._. ' , Asi ro branch eircoit5 11.iih I 1 1
1 i
. : we r Ne% or . I
0 APPLICANT i 0 CONTACT PERSON aht iice i■zecter fee. 1 7 i
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i-----. ttAcil bratiO circuit I • i 6.65 1 ,
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i : Business mune: rte for h
C w e ranch eirCoits !
_ - .. -__.; I , •
wilimiir service or tecda lee , / 1 46.85 I 44e, - 7 I
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1 ontact n-n: i rst branch cii'con , „,
AddresS:
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"; branch ciretot 6 ,5•■ ... t 71 i
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- . - . - --. : ! Miscellaneous (service or feeder not included)
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i! 1 City/Statci%IP: lt, it
iee ianufacto m
recf or modular t i
_ -...- -. -- - ----. dwelling,. service andior feeder i 90,90 1 2 1
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I Phone: ( ) i Fax :( 1 _ ----;. ; , Reconnect only 1 _._) ;
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; I E-mail: pump or irritiatimt circle " TT j 53.40 I ,
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CONTRACTOR , , g
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. ' 7 -7-- .--- TS-ig i-n nal chain or outline lihting s) or limited- I i 1 l
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i ! Business r uric: f.. i u i v ., Aleity; e . 1 "1 e_____ ___ j 1 energy, panl altertiOn. or
e, a I I I I 7
*-- ; ■ extension Describe: ; Page 2 i
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.... . ; 1 additional inspection overallowable in 112114the atio .1
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I Phone: n 1 _,5 a; ). -14....e-)e9 . i ax: ( ) 4 :.),,,,) . ..,6 . 1mA:s:orlon per hour i 1 hr nun)
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T. his. permit application expires if u permit is not obtainCci within 180
; Print name: ; Date:
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