Permit ps 1 e--6( S.A.k..L4
CITY OF TIGARD ELECTRICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: ELC2009 -00091
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16128 SW 108TH AVE 57
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 6 - (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: 0111 / Permittee Signature: � P GP
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
11 .. COMMUNITY DEVELOPMENT Permit #: ELC2009 -00091
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 6 - (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.
e � 1
Issued By: .0 1J� �. , t Perm Signature: S Q 0 • 1l (( k Cf
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.
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r. :. :
Electrical Permit ApTlicattotRECC a% 1, , - FOR OFFICE USE ONLY
1
i i L i V -..,- ' ,,,' Rteeivcd PN
Cty of Tgard
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! . Date d • a 7 .0 ct I Peron; No.. Fluicoct .00pc?...1 ;
I . " 13125 SW 1-all Flivti., Tigard. OR 97223 FEB
CD At i t_wv •,/ . l ReSlev. •
1 2 • 2 : '. Phone 503.639.4171 FaN. 503.59R.19& Date.sHy. i °Mgr Perahii
i
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1 TIGARD Inspection Line. 503 i39.4175 . aw 1-
: ioris I 8 .see Page 2 for -1
Intent: wetw.tigard-o CITY OF .,.... r.gov TICARD -. :t - - '
_..._......440p0.0.41c : N.,i,,dim iTl. C 1 suppteme lat.-mown
__ ...
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TYPE OF Nkbklikt-U" v " PLA REVIEW
.-.,--
/ 0 New constrixtion -- cit Addition/alteration/replacement yiese check ;ill Oa: ilpply (submit a sets Zlans wilicins checked tvlow):
0 S.;;:' Ix I'vdtie• 40 amps or ;lime 0 B1,111411147 over three sullies;
1_
i , L j Demolition Other: Ns:11w: the n.liloble filial current El Marinas and bonlyard5
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i --i-i - CATECORY OF CONSTRUCTION exceeds ill...01 unipS ni 150 ,, n1IS of 0 vinaritur buildinsts
s ---
- ---1 iess :0 gronn,i. or eNeeed,, ittOoo
0 1 0 Commercial-use 30,3:aural
; - and 2 duelling gl.Commercialfinclostrial D ACCC$S0ty building :sap. ibi a:: Otilef installations. hi:tidings.
I 1 0 Multi-family 0 Master builder 0 Other : 0 l'tre pump . 0 installnlion of 75 K VA or
1 ----I 0 inner giali: ..!•iiteill. brgei Aeparateiy derived system.
1 ' JOB SITE INFORNIAT 0: ' : i LOCATION
. I:Addition ot new inkItor ii.rad i.if 1
0 Recr
Job n
100Hp ,.,. sr.t.: occupancy
I ; o.: i Job site address . .,..111) /eg74.1.___
...., ID s;,, "r mewe te4itiClIt1:11 untbk eaittmal ehicle iikS
vnt.
_ ..
--,1--
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..........,,-.---- 0 Fiath-inir let
o i;iti 0 Suppl voltage ltage tbr Imre than
liCity/State/Z. .
,': t ; tk 1_ 4
I • .1/ ___, 0 it riardous :.iieatibas, 640 vet% tanning.
I SuitelloldgJapl. no,: '-- tit 1 Project name: L ID servi o r f,,odei soo amp.;
1-. ... KJ ' . FEE SCREDULE ,
I Cross streekireericins to job site
' _4111.03-44-__ZEd-lialA
9cd On. Or/ Fo. TVA _
• New residential single- or multi-family dwelling unit.
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- . Includes attached garage.
-• _ .
1 Subdivision ; Lot no.: 1.000 sq. ti. or tess 1 145.15 i Se 1 41 -
. i • • ' - ..----. • ----1 :.,I. adcli 5th sq. il or portion , I 3A0 A0 r
1 - _ . ,1 1
i--.- 1 '' -- I
i aX map/pip:I.:el no.: . i tinned enerns. residential
- • -- --- , • • , ; S 75.00 I 2
DESCRIPTION OF WORK 0., ,1:1 ;,00%,• 4.1 11 J
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,,_ ___ _ ____
! I .
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.5..-.. --7i I Littliled cnCn. multi 1 I 75.0o i 2
residential (rth above mi. ft.) ;
1 [ Cle-14 _FILLQ ___3_4±4:- 14. i a et'.`' 7'___ .
...__) ' ' Services or &tiers instalti alter
laon, ation and/or reloc
, ation . 1
.. • lzss
1 =200 amps 01
i .
.•
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--- i 1 110.30
I 201 amps To 400 I 106.85
amps 1 1T 1
ID PROPERTY OWNER 1___- 0 TENANT _ t
- • -
: 1 • ' i 401 amps to b00 amps I 1 60 .60 1 1 2 1
: I Name: • 00 : -1-‘7-77
i ___. ., „_______ .. ..__ _.... ..._.. i (,(1i t,,,, lc, 1.0 240
amps 1 240. :
. . _ ..1
Address: Over 1.000 amps or volts 1 1 454.65 ! 1
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City/State/2,1P 1 emporar:. Ncrvices or feeders instAllation. alteration, and/Or '
. ! : ; s 1
, - _ _ . i • relocation
. -, .....- __...
1
1 Phone: ( ) 1 Fax: ( ) : 200 amps or less
• : I 66. t15
s-1 : 101 =imps to 100 amps 1 i . I 100..10 i 1 2
r Owner installationt Thisinstallation is being made on pronert; that I o wn which is not 1 ,..1 - ' ' .
; ! .401 amps 1.4.1 599 amps 1 114'3.75 I I ,
. i intended fo: :tale, lease. rent. or ekehange. according to ORS 447. 449. 670. and 701. i
• 1 i_Ltratich circuits - new, alteration. or extension, per panql
i I Owner siznature: Dore: _. . ; ! A. hec for branch circuits th - 17 . I 1
,
.-- - ' •
_____ - 0 APPLICANT '...'--1. 0 CONTACI PERSON
• _J_.... I i above sen ice or feeder lee. I 6.65 1 . i 2 i
- - - each braNh occult 1
Business name: ; ! Ft Fee tor branch circuits 1 • '
•• ..._, ; . .
w ith on i service or feeder fees / 1 6 -
I --
Contact tram::: j i first branch circuit
.___ .
i ! Each addl branch &min - - 1 - o.oz , , 1 2 1
. I Addreaa: : 1- - ._,.._ ..1
c 1. .. ... ..._ .._.. .. - . __ --; 'ytissenaneous (serviec feede not included) -,
City/State/:IF: . : Each inanurnetore'd or modular I I , I
1 90.90 1
I
. r ... - - .---- • - -- • -- -- --i ! cls■cllin•t., service andior feeder
- - 1 - - 1 1
Phone: ( ) ! Fas: Recounel : ( I i t: i.nt 66 5
• t .8 t
; '- ---
, _ 2 I
=ail: i Pump or irriaation circle 53
I. _ _ --- r - 40 1 ,
1 -- - - - .---I - 2 - 1
I 5340
1___ . CONTRACITM i Sign or outline lighting
_ -s----,
- . - l Signal circuit(s) or limited- E 1 l i 1
• • / .
1 BusineSS narle. 4
fi je tu r ... 16 lb ' - Ltd,. ... _ I enrgy panel, attention. or 1
. , 1
• 1 extension. Describe. Pae 2 I 1 g I 2
...,, , ,
; I Address: ( - ) x j, .15- 5 i i , 1 i
_____ ;___.,
., - - --
....,...-
• , Each Additional inspection over allOwable in any of Me above .;
. i Cit.Istaterz,11 a 44 / e) k 97.29,./ i.- . • -- -..,
•
/ -7 • i Per itispcottta • '
_ ,
-- -..1
i 1 (i 1 ), j i; 1 , 4.6 9 . ),):.--) ,..) / .08 1 lavestigalion per hour t I hr min) I , 62.50
-.. ..• --:- _ 1.___..
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, I CCE.t Lie.: L33 "z i EleCtrical Lic.:, , i/p le i sup .i.ic.: 6 i Omit per hour 1 1 1 , I
ELECTRICAL PERMIT FEgS . •
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. I SuprN. Davit:tan signa...ure. regniret : Subtotal:
. i
. r. - • ---- - / .... :
..., ( .' I I i
.
: I Print narne:rjo . AA '' T:./ / 1 ' - s Plan review (25% of permit fee):
um: surcharge ( 12% of permit tee): i
t' re' _..__ -.....• ._, . . ,
. ,
,_...
TOTAL PERMIT
AutllOrized signature: _J_,•:,_-•- --=
_ ' •---- - - ' - I This permit Application expires if si ',emit is not obtained within 180
Print name: Date: ...i esys after a has been accepted as complete. 52 1
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- ..___ _ •-,-- -- -- .-. -- .- • „, i,1' iiispeciivins our Ass:il 1)er riervnis
I 1.(,sicostiwr II
170/800d HOL# 3IU1331 3 s3Enos . le89C9U09 8L:CL 600Z/a/30
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BR1GHTWATERS
,. AT REDHAWiK
CMS i
C
� 97f741 t� /� 129/133 tRf'I�IS 4,411,4T44 ,� � �
; am jo ra H ima ' ' am . • 1. yl 1271123 13ot'1 /147 T
3 9 ! ' 7IT , 1�, 1+ l t
�' 1 03/104 125/121; 132/136 1 "L „
It a ffri fi CO= FITI t 11711 il= _ WA IF- Ini
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4:):- /freh h ina — .,)/ gimi lilitim (
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9 , WEI r "+ , . P e Ism k *-x4
VIM
60153 ® ®1911'1>'17 I
W 55/51 E Tomr i I
, x 514/ - 41i45 t Q t
03 s� 4'2146 �r. 0 "I-4 lia 1 Mgt)
L- * 4:147 O r • tv
' 40136 1 44/48 PLAY 1
0 M135 AREA COME
371 2 * ., in
CRIB CiliN
111 24420 \Ja ' `, 27f3t .,.
11 0
23/19 ' WI ihti Petri CI' =ex 0 11
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2Z/18 I AP
MOM i N 6 u p
1310 Itf,A90 41 *
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%no rirtiii 12Fiti
iirmr 4.4**,* ,4,.:„±.3* ik
.. *(210
SW 108th Avenue
- i a 1nn_1t10A Z %AI 1 raRth AVFIJ1 W
030 /ZOO d 9ZEl# 3I813313 S3aIf1DS 1E89ESZEOS 91. El GOO /LZ /