Permit q/ A /0/ 1 -vd
CITY OF TIGARD
ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2009 -00086
T t GA R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/02/2009
Parcel: 2S 115AA00100
Jurisdiction: Tigard
Site address: 16114 SW 108TH AVE 26
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 1 - (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: • -.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 . •ugh OAR 9 -00 -01 You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued :;y: . • - t . di .4 1 Permittee Signature: i i
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 CITY OF TIGARD ELECTRICAL PERMIT
F 7 a . COMMUNITY DEVELOPMENT ELECTRICAL
ELC2009-00086
T [GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/02/2009
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 1 - (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 50 or
Issued By: art). � L. 71 � L QI1> � Permittee Signatu n2 .Q Q ✓ ) A_ tact l l
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.
..., 8 •
8.
Electrical Permit
FOR OFFICE ISE ONLY
1: i City of Tigard Pill!ta A 7 o? i
Permit No : e tc., ,
■ ! • 13125 SW Hail Blvd., Tigard, DR 9722R ECEIV.... - rail Revie 4
w .--..,...,
2 ' Phone: 503439.4171 Fax: 503.598.1960 Date/Dy: Other Permit:
l' 1
TIGARD Inspection Line: 503.639.4175 • FEB 27 Z009 tats keadYraY: rbs
Tu - - Er - See rage 2 for
1
Internet www.tigard-or.gov Niotifiecl/Method: :- Supplemental InfOrmadad
1 . .
, `,.:.,:';: ' : ::c. ""..."'''' 4 0 , 90E?:f.t)t , 7WOXCITY :. $5F7rwri1)
._ ., _ ... .. . .
•
0 New construction • Addition/alterataftagalVIST019 Please check all that apply (submit 2 sets of plans w/items checked below):
in Seiviet Of fettiCi 400 amps Or more 0 RiaiMMS over three stories.
El Demolition Other: where the available thult current 0 Marinas and butuyanit
!!: '$;,!'. ! ;:•'•::Vat.:. , ". , ::! , •'',., , :1::' • ::'''.:',..i,i;aft,C2011V:!E s ir . CfpUat101 -:, '':::1': exceeds 10,000 amps at 150 volts or 0 Floating buildings
tete to ground, cc exceed::: 14 El Conn= ciai-tsc agicultural '
El 3-and 2-family dwelling JECommercial/indostrial 0 Accessory building amps for all other installations. buildnaz.
0 Multi-family 0 Master builder 0 Other; 0 Fire pump. 0 Installation of 75 KVA or
• larger separately erived system-
! ' . 7, - . 1 .;:::::' - : •..:...',-- ;43r4fti-E4NOEIRM :0"014:. .';i Lo0j16.0. . .i .•:*"'.:. '..; - - 0 Addition of new motor load of 0
100HP or more. occummeY
Job no.: Job site address. •.....i. .6u77
El six or more residential inks. 0 Recreational vehicle pmts.
ity/State/ZIP:1 rr , , 0 19 1 t o 9 ii,L ,,,i, 0 i lealih.care racildict: 0 Supply voltage for more than
0 Hazardous locations. ow volts nominal.
SUi Will dg,./apt. no.: L9 / I Project name: ' pservic or fonder 61111 amps or tam.
' '; ': ; ' ,2 . ...: ...'....'.. : ' ': . ' i - f.:.„C
Cross street/directions to job site: , rz , d r A /k iwis paoiotiod I ozy. I Pee- 1 T(;t I "
New residential single- or multi-family dwelling unit.
Includes attached garage.
..._,_,. .._ • . - , - , -
1,000 sq. ft or less 145,15 4
Subdivision:
Lt nu.: ---
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: ' . Limited energy. residential
7540 2
•,. ::,:: ::' ..": .'....;':, D,4(10010N 07*(140 •,.:-„' • : ,.: • t'.. • .l.
(with
••• ,„ abov e sq. 11.) -..,,, .._
Limited energy, multi-family
Xfirii 75.00 2
(2.4" 0.1 e Aar ezi-2_e4g4." residential (with above sq, h.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
.'..". • • -. ..:: ,'.. •;" . r• • ' ' ;i0.:IENAlait • .'.?:-..- .,.. • 201 amps to 400 amps 106,85 2
Name 401 amps 10 600 amps 160.60 2
: - -
___..., . 601 amps 1m 1,000 amps 240.60 2
-
Address: Over 1,000 amps Or volts 454.65 2
ci /StatetZIP Temporary services or feeders installation, alteration, and/or
ty :
relocation
, -
Phone: ( ) Fax: ( ) 200 amps or less 61 ilF" 1. ,
. - -
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
: .
intended for sale, leas 401 amps to 599 amps 133 2
rent, or exchange, according to ORS 447, 449. 670. and 701. _ -
Branch circuits new, alteration, or extension, per net ,
Owner signa. ...,.... Date:
• A. Fee for branch circuits with
... •
. ::•::::•."::: , , :, .....,..., ' ...,.: ,,, ..:,,,:.:,... -- • j •.-,-.: ,.... • AU COU - Ct.','PElkiSON ,, ....;•;.. , : . each hnmch circuit above service or feeder fee,
6.65 2
.
.. . • - ... • - • . . .- '
• Business name 13. Fee fbr branch circuits - ----.
without service or feeder fee, I 46.85 441. e5;7
,
Contact name: first branch circuit
Each add branch circuit • 6.65 2
Address:
Miscellaneous (serv, f _ _
ke oeeder not included) __.
City/State/ZIP: ' Each manufactured or modular
90.90 2
..-, dwelling, service aneVot feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
._....--------
E-mail: . • . Pump or irrigation circle 53.40 2
• . ...,. . , , 6";• ' '' , . ''''. . ..." .. - ....... . - ....,...:-:. ...:....:. " - •• :..n: Sign or outline lighting 53. -
40 2
- ::' -. :,-. .;:::-:7'::: ::.:::•.,-•'.- ... . . : .::. t8-.*. .^:- ...:-...... ...": . :8 . .7. . • - • ::
a
Business name: Wre0 ak i''"- M- / .
• t A.,e- Signal circuit(s) or limited-
energy panel, alteration, or
Address:"FY) /j g5 ,
extension. Describe: Page 2 2
Tg_
-
City/State/ZiP':'p acs4 ov
9 Each additional inspection over allowable in any of the above
f 1
/ Per inspection 62.50
Phone: MS .,) 6a. .... /4, q PBX! ( )4.5,5 '.58'/ investigation per hour (l hr min) 62.50
- -
CCB Lie.; /0,64 g,5- 1 Electrical Lic.X ; ...-//0)C 1 Suprv, Lie.: zjeg;), 6 Industrial plant per hour 73.75
- • -:::''.' 1 lti(A4 '.. 4.='
Suprv. Electrician signature, ttqui ' Stibroral
, 8---
Print name:t . , Do;c: 9
Plan review (25% of permit fee):
stare surcharge (12% or permit fee): 5 41"
Authorized signature: I .
TOTAL PERMIT
- -- • - - ICJ; permit application expires if a permit ix not obtained within ISO
Print name: Date; dos after it has been accepted as complete- 5 A.147
• --..- • Number of inspections allowed per permit:
•
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