Permit d o_o-dAizteJ c akA t ,,,c3
CITY OF TIGARD ELECTRICAL PERMIT
I I 11 COMMUNITY DEVELOPMENT Permit #: ELC2009 -00095
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S115AA00100
Jurisdiction: Tigard
Site address: 16142 SW 108TH AVE 97
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 10 - (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�R 95 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling2.246.6699 or 1.800.331.2344.
Issued By: 4 Permittee Signature: �- 42 - - "Ke
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
2 . COMMUNITY DEVELOPMENT Permit #: ELC2009-00095
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 10 - (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
33
copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1 iii"""
1.800.332.2344.
Issued By: tX Permittee Signature: J � � 17U OWNER INSTALLATION ONLY r
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.
. ,..
FOFI P
Electrical Permit Application R - VE FOR OFf ICE USE ONLY
•
C:ity of 'I' igard FEB 2 7 Z009 i ikceeNeti z 27 , ...., i
k: • f • t...-Y1 i Perna! No.. i . 6009 ..
, .--- " 13125 SW I all Blvd.. 1 iprd. Ok t)7223 i .1-- .
! I'lan RI:vil .--
I 1 '- Phone. 503.639.4171 FaX 503.598. 196 CITY OF TIGARD i Dattm i Other Pernal.
1 - 1
Inspection Lint . 503,639.4175 1 lot, - 1 71 s Page 2 for
I TIGARD BUILDING DIVISION L'"wi'ca'Y'BY ,
. N.,,,...,,,, 1-4
int.... ,1/4,ww.,,gard.or gu, e: , .; Supplemental information I
;_...)
i PLAN REVIEW
..-1 1,-. . ,
I . .. • TYPE OF WORK .... ; 1 rime cile•CK :,11 thAt apply (ettbm;1 a set% of plans whleflIS eheelted bete■vl: 1
1 1 0 New cons. ruction X7A7iditionlalterationkeplacemern
! 0 service o r feeder .100 amps et mme 0 Building ovor throe armies i
i I 0 Demolition 0 Other ' : ,,ildr ilic (....oshte nont villein 1:1 Mmimts mid boal.Yards
: .
. 1 - .-.. ...! ;
volts or 0 Fleatiap balIt1M.s.
i 1
CATEGORY OF CONSTRUCTION
h - - - ! 0 - and fa •
2-mily dwellina gt Commercial/industrial 0 Accessory buildiq • .1, j tess in eron. id. or Mega 14,000 0 Commercial-use nsficoltufa.
I ,
I I i11111,Th for ail ;hr UmullatiOlti. buildings
1 I of won: occup
00
rl
i LI Multi-family JO SITE I 0 ORM 11 D LOCATION Master builder En Other: 0 Fire pump, 0 Inst allation of 7 3 sVA or
- i ' i 0 iimerliame! sYstem larger separately derived Aystorn
B NF ... I , N 1 0 Addivon of evv motor l o ad of
i ! i .......,
Oa ( 1 4. 'L • - ! 11,11, ancy.
i ■ Job no.: ; Job site address. OLD l'e -
, I ' 0 ;.>.:,,, ',IN.,: d utiih:. 1 u.
OR ecreul taint! VelliC.C. rixf... i
-"--- r7 TT --- .---- .----- a-with-Li: facogie S
.c
; City/State/71?: 1 : .. n ,,,,..../ 10 upply vollage Mr more than
1 i - k i C 'I r us t., /...Z m '.7 , 0 l . .tations.
1 • . / 600 '�n inal
I
Suitelbldgitt A. no.: /D 13„,-,,,,, flan", i i I: scrvice ot %seder WO amp$ 4 , 1 r ntOre.
!--- . .
FEE SCHEDULE _.1 1
t j Cross
street /c1ircetions to job site:
_....,..„tv.,_ j_i_Iee,___1_. Tete■__L:
I
i 1- --* . i I New residential single- or multi-family dwelling unit.
■
ro , 1 Includes attached garage.
- • 1 -- . • •• • '
t IMO sq. ti. in less
1 I Subdi‘iSion:
: Lot no ; 4.---....--7 -!--.
-• •-- L ft or portion T-T 1 14 3•3 5 14 1 t 5 ) 1 - 1
- 71
1 7.00
Tax matp/parcei no.: . 5
-.. •■••• I
' I 1 ienited V1(11 reMdential
1 .-"...
I DESCRWTION OF WORK ..-- • - -- -- I ;
1 : 0,1th:too,: so it )
, - 1
,__________ . --..
--.- nti.." ( TimIGI energy.. inuiti-fatiiii, 1 I - - r 1 2
/5.00 1
1 Ito -k- (247 to. of' e dal r. ft (-)-€±::_..._ i 1--L ( above v.i. IL) _. . I
...-1 ..j cesi: or feeders installation alteration andior relocation
. ,
i 7 ,..., i---
; . : , 7.00 ap - I 1 80.30 -PE
0 PROPERTY OWNER ]
: r , ____ . - , ____ ,_. . ms or
; i 0 TENANT 7 r 201 amps to 400 amPs ' 106.851 1 2 '
1 - 1 ' 11
- . 1 401 amps to O00 amps I [ 160.60 . i 2 ;
1 ; t.. • 7 -i
1
me
---- .- •-• - -.". -1 i 001 toms to i .u00 amps [ i 24(0 - 7-
_
t I Address: ' 1 Over 1.000 nirms or volts 1 ; 454.65 ! i 2
___. I ._ _ - _ ..1._. -
- 1 Tempojar services or feeders installation. alteration. and/or 1
. I City/State/21P: 1
. .._. j i relocation
____.. .
____
.__.
1 1 Phone: ( ) Fax; ( 1 I 1 200 amps or less I . 66.8
i
; 1----- --I
--__ .-.------- - - --, 201 amps to 400 amps I 100.30 ' 2 i
Owner installation: 'Flits installation is being mode on mopc:r1) that 1 own txhieh is nut I 1---. -
i I 401 amps to 599 anms j . I 133.75 1. _I_ 2 ;
I intended fo - :idle. loan, lent. or es:change. according to ORS 4'17. 449. 670, and 701.
. . I 1 Branch circuits new. alteration, or extension, per panel i
Owner signature: _ fhlIdI_ - -- . . A Cct: for branch circuits vith I I
..:==.-=." .4=... ...=-. ::::-- ---. •-•-. H , • ; ! i ;
. .; f ■
1 n 0 APPLICANT CONTACT PERSON . , ancwe seIN it Or 'Ceder ee. • 6.65 I
I ; 2
L_. ...-- -- ---- --,.--...-- - - - - - 7 , etch 1)1
:
■•■■••-1...■ 1
1 i
Business t
ss name: fc.. branch circuits ' 7-.
. . t i
--..--- .-- •---- - -- '1, I worront service or feeder fee. 1 / I 46.85 1 44, .
1
Contact name: _ - --
' I first branch circuit .____. .. , • ;
. t- , ___ •._. .. •, - . - ... --- ; ..____.....
Esch add'I ')canch cifetiit .■ ----- 6.65 I 2 i
Address: ......----.. 1---:
- - ' I •
• , .. ,.... . ..-.. ..- _. •••••••■•■ .. ...■ ••j t M (service or feeder not included)
i I • • 1
, City/Stale/AP: ! Filch manitilicturcci or modular .
I q0.90 , i 7 1 -
• i--- -.._. -.-.- -.- - I dwelling., service andlor feeder I 1 '
I ; ,___.
. Phone: t ) . ) , t_Reeormaci only . I . 66.8; 1 I 2
_L____ ..______.. ,
-- - , - - , 2
1 E-mail: I ' pump or initiation circle
; _ ;_ 1 I 5.1 40 '
t --....----__L_.• T-I.
_.- ,__.... _. i
_ ____71 t _. syin 'if outline lighting ..,. , 'I 53.40 I t 2
CONTRACTOR .,-.-. __
sum' circuit(s) of IiillitCd
enerp
I ' 1 I 1 1
i I Business name: rk 44; ) ,-,4- ....6 _47 5,. j._. .._. .. __...„ i „ panel. altoration. or i
i
; t ! emcnsant, Dcscrthe!
1 Page 2 I - i
Addres: r .,
. ? t :..,, c ke g61 . ,
___ ..„ _ ., ;_.
_ .-. .. .
.___
c i p tE 1 a L I 1) k 9 7 _ 2 _....1. i ; fach additional insi__Iecrion ovcy in o_f the _
.) ., 9 ,
!- - . - . ---- - .- ---- 4 ; rci it1Speciton
__......--r---
C 1 -
1 CCB
Phon Ar1:4) ,i..1,- ,. 0 Fax: )
( _ ) 5, -, , 8'/ i nove,aigatiin per hour 'i In •ntn' . 1
..1_ 5 I 62.50 1 I
•
/ .7. . . • 1 1 Industrial plimt pel hoor
: 1 Lic.: /. Z).‹... I, Electrical Lie .,;, ' /a /(.: Stipp/. Lie,: 4,Mi• .1") 1 !---
L___ ELECTRICAL PERMff FEES .
Suprv. Electrician signa:ure. require - _ ; _ ..,__, „_ ,
----___ u_btotal •2
-- ,
_ .
• -•
j ._ -- ---- ----- -r - ' ' Plan %ivies% 05% of permit fee): i
: • e .
Print iiame1 ‘ e ......,39, 7 0 .., poic:.3-L.,26./e
yule ,Lireharac t 12% or pert1111 WC) 1
.- .- , - • • -
I Authorized signature: ex pir TOTAL PFRM1T Fl. :
- ______; ; _..... _,... .-,. ._.. ,_ ... _.--,..., _ -
' ---- -- -- -- - - 1 ---- - I MIN perom applitliteon OS if u ptrMil Is nOt uotinneci within Inc)
I Print name: Date: i titirs After it has been accepted as tornIgele 52 . L . ).7
I . . .
:._ ____. _______. __ ._ _ ...- . • _• __.: • NIIIttbef of limpet:1;01)S alitiwed per PITLit•
4 40.46 I 31 1.
1O/LO 'd 9ZOL# 31H13313 sHinbs LC89C9U0g 61.: CL 600Z/a/30
, • • .... • • , • , „,.. , .. . .„ , . ,..,. ,
, ,f3,.
.ry
. .„
•
, .
. .
:• RR1GHTWATERS
. •
AT REDHAWK
*'. * ** ** * Sit * ** it *I. * * at
1
Wm 57/101 23/124 . 1791133 . 152/1 i h v.1I1
g71 • • 1W 12711$ 130/1 no i
is = / 126/122 .I 146. i i sf. ,*
x;1104 13 (121 1321136 0 � " °° - ` •
:. ' :476 eat 1 ■ ■. I r • -1 •_1 c=:z1M3 * '4173
akma Lk — 0 / 'Z.1 , S she
Ali
1..r * •� R yy .
� ))ma � .� i ] P �.�' 1�1��7 '. �• • � �� ,�.p K' F W 1b ` 1 '117 ' ��'
c>C 5,91 ' L.,.
IF
e i
mi s/4 4214 t$Or 'l , 4.- ,
. 0 3 /�u 44f4 my 1971 "' '
25I AREA 4, 214
26/30 * 1' . I 7S
e 24/20 ' \-m I.
iv 27/31 205
€9
MEI 444 10 tgit p ED NM s a 111,
22118 I :Ili,
21/17
it _ NM — E' ip
%no
ropt iii
•
SW 108th Avenue
1 C1nn_1c1oA cw 1nRth 11VFNI)F
VZO /Z00 d 9ZEl# 3IH13313 S3JIntIS [C8gegnOg 91. 6l 6002 /L2/ZO