Permit ' X710 q ` . u t�A o,,Q
q CITY OF TIGARD ELECTRICAL PERMIT
" ! '. COMMUNITY DEVELOPMENT Permit #: ELC2009 -00100
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16164 SW 108TH AVE 146
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 15 - (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 - • • • • - •52- 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.
r
Issued By: ` , / r Permittee Signature: � ' ' , ' , r it.=
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
111 8 COMMUNITY DEVELOPMENT Permit #: ELC2009 -00100
TIGARD 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 15 - (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: qani Oa/ Permittee Signature: '�l CCIC Q 1 1
lN° 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.
a .•
FOR OFFICE USE ONLY
C, r ar ''
Electrical Permit Appl catioln RE CEIVE
I `1
City of Tigard 1 ' kst e.ed 27 69 I DO i
i : -- 'r 13125 SW F811 Blvd., Tigard, OR 97223 FEB 2 7 2009 ; :'lm, RJ•itct\ 503
1 amity. •N Oilier Permtr: I
".., Pho?holm .6394171 Fax' 303.598 '
I ( la $ee Page 2 for ' i Inspection Line: 503.639.4 175 Ir ?^ ! i.) • •• Re;td,.:Liv ;oils.
I FT9A `
Nnntieu /Merhed: :TIC' I SapplemmntafInformation _i
TIGARD CITY C� , , •
i Internet' www.tigard•nr.gov e 9 ill r );\ . !
- _ t PLAN RE
j TYPE OF WORK t L_—... - r bi Neese enact ;i snat apply (submit 2 act o f plarty Wheals chrckcd Wow): ❑Ngu•CCtnsauCtlOn } � r ll �� l. Adthtit111I3V [CrlttOnirCAIaCCInC i ■ ❑seivieeor Tt , :der 4 (()nett t mere DBuilding over threestonos I •
Derr10 {E[icn l__l (:)tht:r: . _ i some the nv:nilt+ble fault current ❑ !Amass and boatyards• I
exceeds 101'41; :ntil& at ISO volts or 0 Floating huildin, s l
CATEGORY OT CONSTRI..0 :TION
i _ -_ __
.. . I • ic55 ;o t•tnuud. M MC:cdS 14,000 0 Couuuereial•usc apc.uhural
❑ 1 -and 2- family dwelling �, Commercial; indu5lri;•'ll Q Accessory building ; lei si '. other n,gtaNrtuht6 buildings.
1 Multi- fan.ily ❑ Master builder ❑ Other. j ❑ Fire pump 0 lnstaliivan of 75 KVA or
i I ❑ ` __ _ .. .. — . - - : I ❑ Eutorprtu: ••ranN larurr itparMly tier ived aystr•.m.
JOB SiTE INFORMA !•J N . ' ,O( ATION i I ❑ ddd•ia n c, new mutt load of [} A' 1;: .- t 3 i '
L_�. - --- -! ',�/ /�Q/� f i 1N11IP s: n,•rc occup�ncv.
_ _ �W r�UC Yr' .._ Rec,eatt6nal v.eI iCIC Pxrks. 1
Job rte.: Job site address: [] S i 1x hr:m,:. ::ex,deutizil tint[.
'. _ i " — / fix 0 Health- car.: Q Supply olmae I& 'ant* than ' i
I City/State/21"
' � �, I�a�' �,. `''' C���,?: .._ — -- . .� ❑ Finiardomioe;ttntts. 000 ,,pts nominal. i —. . ) I
�! —, I ❑ serv i . ec or t WO at al n ixi e . �{
I Suitciblds• /a:n. no. / , Protect Warn _ I FEE SCi kDL1LE f
� .. - ` v . I Del" 'tt tottu - t Tee. I Total 1 .
C.rosi street /ciI Loons to lob site: [ Q r 1 •°
_ �- New residential single- or multi- family dwelling un it_
includes attached garage. �-
--
- – - — —.. —.. .— T sq. tl or less 5.15 I l 1
• Subdivision: � , I ,t 1 no,: i- -- • i
— - - Fn. odd'I 500 sq. It. or portion i i 33 I I
-- l.inuted e mcro.. residential I
� Ta� mrtgiparec no.: --_ ..— • ,. ! r.(x1 ! 2
r- DESCRI'PTI. OF WORK I (�ithabt x ti 1 — � •• . -
I -1 i I.intited energy. multi- family j 75.00 2 4
�� tC Stdentiu (wit11'sbuva el• f +•) . I i
1-- r i Y t - r ( Sei v exes or ti eder'3 installation, alteration. and/or relocation
t --I ' 2 l
` 1 200 amps or less 1 80.30 _
r ❑ ' 1: E NAN1" — I 0 na to 400 amps 106.85 1 I
El PROPERTY OVt'N R — — - —�- -�-'- -(
301 :nps to ($00 amps T 1 160. , L
Name: ;---,.,
— . _ 61 imp, to I.UU(J amps i 240.60 1 _ -
I - _over 1.000 t,mp, or v -; 11 4',4,t51 �- 2
-- Temporary services or feeders installation, al and /or
I City /State /71P: — , ; t relocation _ . —T - —1
Phone: { ) i Gt1�: ( ) 1
- _ 2[10 amps or Its _ I 66.85 i — —F '"
__ _ _ ! 7.01 amps tt, 400 amps �0 t 1 {-1
Owner installation: This instant ion is being rn3dc. un property Yh it l own which is not f 4 01 a to +99 am ps I 1:13.75 I I 2_1
I intended to:• :;ale. lease. tent. or exchange. according to ORS 447.449.670. and 70 1. - -
Branch circuits • new, alteration. or extension, per )panel iT _j
t I 4 1 1
1 Q1•ent:r SiQltatuIC: — �_- Ut itc_ , � •� sec i'ot hrintch circuits ,r, /r
1 - • A - :� 0 CONTACT PERSON I i above service or feeder fee. ' I 6.65 I I 2 I .
1 APPLICANT -_ each branch circuit I I —•t
Business name: — I B . rec for o ran eb circuits ----1 , - l
- -„ 1 i /trw' r service of feeder fee i l 46.83 I i �/� 0[,2
j Contact name: — — — . _.. ! Tint brunch circuit _ ! i
1 1 I .� . — 1 i --;
)_ ... _ - - -- F.iwh add I htunch circuit ; 6.63 , •_I
I Address: - , _, -._. —. - I9 ixceuanctws (service or feeder not included) _
i ! F :,tch matttmtl,aured or modular t I 2
d welling., sr1, i e anti/or feeder -
Phone: l )
I l'ax: '. I. ) : Reconnect o +li■ 66.85 1
—. _, i_- ... _ —
• !Pump or irrigation circle I i 53.40 I
1.7. /4 _ ._.. -3 - -- t - 2
CONIIt TOR _ j Sign or outline Ilgh(in., T = 4 -
i —
Signal circult(51 or limited- �-
-- f " j enerrg, panel. lll4ratign. or i i i
i isusasess ram:. '
iii r 3 _ e Y t ~ J .. : Page 2 i 2
r extension, 1)aser 1'a. • Addres f ' C ` f'Qc ' /( ` kJ / - – — — -- : '' 1 1 i
�- ••— �.-_ ,� •~ Each aJditi <tnsi inspection over allowable in any o the taMo�e l
Gity;Statc,L1P: ` tx .tl>. �' , /'f 1 t/. +2 — ... V. .., ,
_ .r_ -- . _ —. --" 1 Nat ins/swill:l �� 6_ F— -- i
1 Phone: ^,;D ,.) %% _)- //: C 9 i Fax: ( ),. 'j_,-5 • - r'5• L . ___i ' InveStirotion per hour i 1 Iii nun) i ; 62.30 ! — I
` I - - / I � i Indust'ial plant pct hou 73. 15 j � ,
! Ceg Lie.' L35 4 q,,,— I neclrit:al Lic e.., . , a /C Suprt . Li4.. ` t_ I I.F,f_TR[CAI, r.>1RMTr FEES
I t. -
Subtotal: I 41
'
t Suprv'. Islsctrician si;,nasure, n quirt — _ _. _ _ — — .
- -° — — -- ) , ' Plan reviem 05% of permit feel' ! __
I G mate: J )/�� 1 �� _ �• �w, p grmu !2C)T -.71, .��
• Print narrc: de 5 • u' rte = , — —..— _— •— _�/ • - S tate 3u rehar±c t 1 2 . , nl' — —
Authorized sigmasure: - t — - ' cr —' ' w ithin 130
1 — --• - -, — •—•- - — — — . —
This permit application pi if — a permit is n obt
Date day, afrer it ham been accepted .rx Complet 2 .11 -7
Print name: .. —. -. —. — —' — • \uRIbC:' to mspccuu al1n.• ai pa: pct'm:
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BR1GHTWATERS
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OEM IMO I 97/101 TS/124 129/133 151118 j
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