Permit io 9 a_
CITY OF TIGARD ELECTRICAL PERMIT
al
` COMMUNITY DEVELOPMENT Permit #: ELC2009 -00107
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16186 SW 108TH AVE 201
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 22 - (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: ME
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 t. -• • • ' 95 : • -0104. 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: • � ' , Permittee Signature: ( s-'
e tea! / 6
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
a.; COMMUNITY DEVELOPMENT Permit #: ELC2009 -00107
T E G A g 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 22 - (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: U\ Permittee Signature: 4 Q� YSA/ QI
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.
P ,. 6,
1
0 E lectrical Permit Application FOR OFFICE USE ONLY
! - RECEIV �i.a r }permit No.:
1 ! City of Tigard Damp..: tai . a l •6 9 � ._
, '!
q 13125 SW i- ail stud ., figard..OR 97223 FEB 2 7 200 plan Rope, Other Permit.
,hoar 501639 t 71 Fax. `03.G9S.19GG )a ;r'n1
ba te Ready 13 1 7,_.:s ! 0 See Page 2 for !
i njpeCOn Lint : 5O3.639.4175 � n � u H - t - � SaD Dlnme atai lnforrn j
i TIGARD lute net: wv ;w.ltgard- or.gtty 0.+ OF I a t(7, Kul:tiriVethod: _ t
117,! Lo�9 DBVI "'? ��
• ■ - TVPE OF WORM' I I PLAN REVIEW
�,,, plow cheek ;311 that aunty (submit 2 sets of plans w'ucn,s checked bC� I�u'): I
1 El New construction itiptt'alteration , trphtccmcn} 12 S,•r „ oa or !:":dar 7,00 amps Or,w,re ❑ Building ever three stones i
! ❑ Demolition E:1 Other: — „here the mx,laStc liudt current DI Mariras sntd boatyards.
i s
eetedr 1 U. ion amp: at 150 vOIts a ❑ Floetiag budditt$s. i
CATEGORY OF CONSTRUCTION j e c to gia or exceeds 14.000 ❑ Conl,mncial -use ngrteuuurai 1
- and 2 t�mily dwr.11inS . ConlnlcrclttlrindusLrial ❑Act soy} ltuildirt amps lia all tither knstallanoux buitdinp.
O multi-tan ii C,) rut pomp 0 lltstaltatita Of i S KV,4 Of
y ❑ _ Master builder ❑ Other: - J !
❑ l:,nC, ,• lent. larger x tirml o 7 derived O SyStCm.
! JOE SITE 1 aRAT 'i O A(�U LOCATION ❑.Amnion u!' new momr 1a 41 of rI 1.
4 — .... / i _..1-, LOONY or worn occupancy
! Job no. lob site __ • dress ,iu.� w 0 s,x,W metre reculenital cniN Q Rccrcet+Onel vat pat'ae
_ —••1— • "/ ` E ��� , ,r: ,h„„::,.. 0 su vOlta_C tOr ,Harr thm, j
Cit; , Statci7.I ': 7,.0 f + L . � 7� _Z ` i .-_. .- .....- ❑ 1'taxattl „ts ,d:iuons GOO %Oil. numinai. I
�' ! sc.„,,,, Ai i2CPer oat now Of i „Ore 1
I 1 `Suitt: /b1dg.iapt.A97 1 Project name: — FEE SCHEDULE •
C:rt >55 Slr6tt,'C1rCGi!Or1s site: i !! UC.crtot. - •_ .._ ----1,7(771.7 Far. 'tot
1 __ �a ° Ne w residential single. or multi - family dwelling twit- 1
I Includes attached garage. 3
1 -.- -- _ - ..- l . 000 sy. ft..4 Ins% 1 r 145.1 i 4
Lot n o.:
i Subdivision: r apart:ei no.: - - - -. . - I Fa. add l 5U {:;i(. ft. or Fonton - 733.4(1 i _ - I 1 I
Tax ., —. I • t innrrdcncr +•,6,residenlial I 1 75.00 � 1
r ! ! (, f:iN, ^,• al it ) 1 _ i • --t
4 — -- ' UFSC.RIPl'I47N Or WORK _ —
1 _ - -' I• • !.unttcd encryy. tnulni- fa I i 2 i
� I 7;.00 4
i ” C`} �'t ( 7� _ ! j, res,dr<n (w,}hab( sq ft.) I . __I ! i
( — t tl t,�! } , . '`' !1! and/or r tlocation
r y j 4 ti crvices or feeders installation, alteration, 2,
i — } a. . 20 0 a mp s or Inxs -� 80.,0
[] PROPERTY OWNER - ❑ 1'E NA "I -- I r(11 amps to 100 amps i � 106,,85 _ --
1 401 amps to 600 amps } : 160.60 1 —I-
{ I ' Name: ;_601 amp; 10 !.000 amps 1 -1 . 240.60 ; - ; TI
i I 4 5.4.b5 '! ^ T2 ---I
I I Address: — — O�t r 1.000 amps or ci tt5 � _l_.;...— ,-- ,
i _ _ —.: —•• -- — — — ', 1'rtnpurar) services or feeders installation- alteration, and/or
1 (: iv /St;ate /ZIP: . ..
- -. •_ - -- dneatioo . . - -�.. � t ■
-- -- - T ?!lU amps or !G 66.85 . .� -
__ >0 amps to 100 amps 1(10.30 ' 1 2. 1
- __� 1 - �-- — I 2 - 1
j Owner installation: 'Phis is,wtallt.Liut: is being made on )trop�ri) that ! U+ n w i trot 401 amps it a9 amps 1 1 133.7,5 1 —_—
intended for : ?ale. Katie. rent, of cm :Ila )g,c. according 1P ORS �I47. •.7, (7, 70. tool 7 U 1 _ Branch circuits - new, alteration, or extension, Per panel _
_ _ Date' A. i ec fete branch circuits wall 1 I I �
!Owner signature: _ _ — - --
' ' 1 above sett ice r} feeder fee, i l 6.65 j , Q APPLICANT _ _ _ _ -- 0 - , - -_ CONTACT PERSON { ! each branch circuit
I 1 B. Fee for branch circuits r { Ili
$u�inC ntuitC: — •-- - 5 l— . ,rrritnm serv ice or feeder fees 1 / q b K l / ! i Contact name: — — — _— I j irit _ first branch ccu ( _ �_ - -! - -. .._— _ -- -- - - - L ich add I btanoh circuit G.. ! — i
—. •
! address: —. -- •• —: 1 Miscellaneous (service or feeder not included) — _.—j
- • •- - -- � —.. . —_ .. .....— Koch n,Rnu;tedurCd or modular I { t ; � Z
! City /State /, /.!I': — — — •— 10.90 , I ,
`. _ .. -- — . , dwell lets. sc, 6IQt: RltdktY f ctldCr 1 ` - I
! , j Fax:. ( -) 1 Reconnect on t • (>6.8J j 2
P !lone; ( ) - a . --' - s' - •-1 - -- z
• -- -- -- rP utnp or irrigation tettun t uc { : 53 - „�
4 E —_ — — — '
CONTRACTOR or outline lighting ...1 j 53.40
I ! j Signal circuit (s) or limited- ' 1 - 1 1
4
I3usincssrit 1t: e , l l y ,* ,•�.. — I { Cncta panel alteration. or 2 j
�� Lcl Ye 1 extens Oes cribc: � 1 page 2 1 1
Address--1 Y . .:X /. Le' .— -- -- — -- —• ..—.. ^L
~E ac3a additionnt inspection aver allowdblc in any of the above
— 1 i it) ; 'Stuie'f.I Pc( Ct. >t Ck i t G7 � � t / / -.)5 —. •
. —. —. PC: inspection I . (7,3.3(} i -_ •
l Fat . 1.-; - 5:.5 1 - � ,Gj / InveStttlalton per hour (1 hr moil ; _ 62.:.•0 -- i -
Phone: :_,a ?,3• -• '/4 e) 9 . -. - - . . 1.�?':� - �- -,
i h plum act hour ! 73 75 - -
1 1 CCB Lie. !, I : Icctri c al Lic-: //� /[ 5uprv. • L, .:1� S „� .h
i ,. _! _ .— -. —. —. -- — — ELECt'RICAL P ERM IT FEES �
F _ Subtotal: 1 �-�-� •3CJJ
Suptv'. i (:ct:it:ian sie;ta:urc. rCgtlira \ n�,� - - _
_ _ ; 1
L - - 'IL — J /.71 } - Plan rcvtew (25% 01' permit ie 1
c ): I _
1'ritltnartc:c� — — _ _ / �. ` 1i11C Sllr4har $d(l_vOOP Pe raltt,uds_�
- - • '"7 � ,• TOTAL PERtvii I' FF.LL�� ,
Authorized signaturz: - - -- - - -_I ^-
_� - - This perm app ex it a permit Is not obtained with 18
-- - i Date: days after it has been accepted ax complete- .
' i Prim nark: _ _ .— —• — — — . -J V vn: ;n.necttuns showed per netmit
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BR1GHTWATERS
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AT REDHAWK (100 WO CNIPP 41 . am * 97/101 1 I 120/133 15 / 3ae
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