Permit g 1a, 10 9 L' f- g .
p CITY OF TIGARD ELECTRICAL PERMIT
7 1 11 , COMMUNITY DEVELOPMENT Permit #: ELC2009 -00105
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16184 SW 108TH AVE 193
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 20 - (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 R 952-0 - 100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.342.2344.
Issued By P ermittee Signature e..., ! +
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 -00105
TI Ci AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
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 20 - (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 r a � copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued B � (� .t.�Cl 1/ Perm ittee Signature: � \ Q
VVV 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.
i Electrical Permit Application OR OFFICE USE O
R ' t :e i . ; d • - ag FezCO4 t co 1 o �� ,
1 City of Tigard CI F
�t a P. in ::
���„� 1!.t„ 1 :Holly I
a 3125 5W I all Blvd i 'i'i ard, OR 97223 r 2 ? ` •
& (him Pcrm:r. ;
Phone: 503.630.41'1 Fax: 503,598.190 FEB 27 200 I ua :c� B, I
i )ute Re >: '13y' ill :'r i Et See P ag e 2 for
! TIGARD , nsp e c GOn Litte 503.639.41 is , ;, T ' Supplemental Information i
nternet wv.,e.ltgard- or. euL �<ti.trd Urthtul: l i pp
1 I PLAN REVIEW
I TYPE OF w'txa —
- ° 1 j ?lease Check 1:1 that apply (submit 2 sets of plans a' /news checked below):
I j New CUnaruCtiOn AdditlUrl / aliCCal•tOnlCCp! SCCRtctlF I ❑ $Crvicc or feeder . 00 *imps or more ❑ Building over three stories I
I i 1 ,viler; the :t .tuhblk fault current ❑ M:utnas and boatyards.
I El Dcmulitio ? ❑ Other' .—
e,cc«k!o•a.utartp < i
al volts ti
ltsn; 0 buildings•
I CATEGORY ( :O!YSTRIiCTit)
_ less o ! tnna or p; al tweeds i 4,000 olts d Floating bu t di . iculn
r❑ I and 2- family dwelling Coanmercial /industrial ❑ .acct ssory bUildiny I amps silt all other mstaitr:lirnts, baildintr.
I ' i � i:, p „.np ❑ humiliation of 75 h VA or ❑ Multi-fair ily ❑ vizstt r builder Q Uther — lyt derived system.
❑ Emergency ;..stem larger separate kri r r!
3 06 51'PE INFUIi, I 1 NI) LOCATION I p :�dd t r' ac v neuter }nail of D "a -F.", i l
1
; ,Hp,x n!■ve occupancy.
. my t :e < ti r < cs , don , i %1 u:ta 1� Recreational valuate narks
I Job 110.: • `: -.. — site address:
-__ $ 0 $t,ppl\ vOlrale fOr,nor0 than I
F .. -- —^� ".. ❑ . Ca h :t Crt3t : •6ei1 „ ie�
/ 1� F/� Cnh volt, l uoje or 1
! ( ` .ir; '!Statri7.1._ _; r CdCii,_4�G4 f G ' r � - C . 1 !j . —. —. — •.. -- ❑ H;va;aott.,,,,cst,on< 1
I ` • _ ❑ tic v:cc or fevrk, CUU 3n1p5 Or : note .
: S u i te /bld / a 1 yi�3 cwt I' rolrct name: FEE SCHEDULE •
1 r t i� Jt I nnrnptih. _ . 1 v. t Fec• rota `,
Cross st rce � i < ireetions tt> job site.
L: _ „ _ �� —■ , ;i Vew' resident single-or multi-family dwdling ttnjt.
— 1 I Includes attt ched garage.
f _. — .— ...— - —, t 1.000 145.) �- —
-- -- . aoo ,�. k or les r I 1 4 I
Subdivision: — i_t,l no,. .._ —; _ f _ — — 1 •
';t add' 50!t sq. It. or portion , I 3,•40 '
Tax map /pan:el no.: — .— .— , 1 i hltited ga r _ .residential I . 2
i
_— 1 75.00 t
I _ , — DESCRIPTION OF WORK _ — � =
. Cro
, w e nuhnlily I { 75.00 I L i
J DES
� ( q 6 � - � F e y i t�5ltlCflU e ( w n h t a i w . i•ig c s g fr i ■ e rP 4 7-
! � I services or feeders installation, alteration, and/or relocation
I
—r RO +2.
( 200 amps or !ass 80.30 4 — M TENANT 1 701 amps to •100 lungs 1 I 104.85 1 2
L:1 'PROFEfITY N UW>\'ER 1 — — : —: — � .
-I 0 a mps to 600 a - 1 16 0.60 . —
• I Name: — —• —• — I 601 amps to 1.000 amps
240.60 1
� ! 2 ••
2
-- Over 1.000 amps ur volts 454.65 t - -
I Address: — —. — — — --
t _ -- — ; '� Temporary' <ervicrs or feeder; installation. alteration. and/or 1 • 1 ; ciry /Statc'ZIP: — -- relocation , — .�. --1 •
F -- •• — — —' -- . : ' 2 limps or less ; 66 . 8 . 5 ; - .� �1 --�
1 Pllone: ( ) — ' rim.: ( )
— .. ._ . — _!._ -. —. ' 1 201 nol O0
to O amps )0030 1
Owner installation: ibis instaftaion is being made on property that 1 own which is not ; i +U1 amps to 0 amps - r 3 � , ?
! intended for :na)c. lease. lent, or Gxehangc, according in ()RS 4a?. 449, 67(). and , ()l • • ' Branch circuits - new alteration. or extension. T lanel — 7 •
! )ale: 1
O wner signature: e: — — —_ —• _•.— -i A ` hx bran circuits tv,/ I I ■
I - ..=.--._,-
. — — CONTACT PERSON i ahrn'c s itx Icder fee' 1 2
Q �PPLICa* T _ -I I Cat it ltrall ll Cior reutl c I 6.65 i -�
i kit Fee for blanch circuits ' 7_,._ ''
Business name: — — — I I Q !
_ — —. — I „itl,ot�r s e ; or feeder fee, 1 I 5 1 i � I
I Contact name: — — I ! tirst branch crrtatit -�— 1 !
- -.. —_ • -- I Each add•1 branch circuit I 6.65 I i
addr 355; Miseellancu is (serv or f not included) d) .—.t
i -- — — _— — — � t Each manuiia toted or modular ! — I 2 i
I C:itviState/./_lp: — ,— ._ I i 90.90 1 -- 1
I - - -� - •—.. r• �. — — dwelling. service itll }Cedes _
I- I Reconnect only ! 6G R�
1 0. ) i — _— —
— 1 Pum or irrialion circle ) , - 40
I 53.40 i 1 2
P . -mail: __ — ^ - - -- — 7 'sign pr outline tiR)tting I l I
= C TUR -- _ j — �— I
I Signal eirCU it(s) or li m i ted
1 ! 1:6 ff _ — , i I ene > • panel. alteration. or ,
Business r.arle: C l L.r rer,J 4 i r . -e..: — I
_ ! extension. , Paac 2 :
h , scr
_ ,
Address _ '” —. ._- —.. -- L. __ . _ I , over allowable ,
£.,,ch ;wiun insprcrion i n anv of tthr above i
C: it; !Staic'ZIY. �7�• >`*.1 or. xe Ls. i (7 ..^ ) 9,'Z — — — i i : r inspc�ai, n ... I .. 62 aU
/n i /
� y —. i 62.S 9
Phone: ( „:,J) c� 's^ . -14(.[N f I Fax: ( ) : 51'7 ' ,6 ,. �i Inv2;t p e r hour l i iv 111m; I — — {—
L-•• 1 1 Industrial plant per hour te 73 71 1 — �
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it Subtota l :
Saprv. Flsctric signature. rcquirt — — _ — — —, I — —_ Plait r' e wc\\ (25 °.sloe perm fee): , —
r puls. /42 - °i., of permit
1
I tint natrrd_ " .._ . rc° — — —. — .— _ • - •— — tit . surcha TOTAL l I ' , � � .
Authortzod signature: — —• — -- — —, ' `' ;'his permit at,plicatiOn expires if a permit is n Oh within la0
r e i Dille: — days after i t hits been accepted as c umplete� ^ . 47
PTITIt narne .. -- —, —, — —! —. — — —• —' • Nuutber t.f alspechon5 a llowed per pain+.
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