Permit ,g17z•7/ - .
CITY OF TIGARD ELECTRICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit #: ELC2009 -00098
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S 115AA00100
Jurisdiction: Tigard
Site address: 16156 SW 108TH AVE 121
Subdivision: DURHAM PARK APARTMENTS Lot: 36
Project: Brightwaters at Red Hawk
Project Description: Garage 13 - (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 , • • • - • 52 -00 -1100. You may obtain a copy of the rules or direct questions to OUNC by calling or 1.800.312.2344.
Issued By: . I Permittee Signature: ed C 4 .
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.
1 11 CITY OF TIGARD ELECTRICAL PERMIT
�°.' COMMUNITY DEVEL O PMENT Permit #: ELC2009-00098
TI GARD 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 13 - (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: Q „%,69V1/ Permittee Signature: �,� Q AO* � l
OWNER INSTALLATION ONLY m.< �
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.
.. ..
•
. _
Electrical Permit Application REeFly, FOR OFFICE USE ONLY
! : Reveived ... .....,
1 City of Tigard
4 Ot 23 Sw I- all Bivd., near& OR 97223 FEB 2 7 zoo9 Date ile z„ z...,Tz_A9 _ ) _
Reviem Poona Nog 2_ccp • °cog 8
-• - • • _,
i 1 : •
: .. Phone: 503.639.4171 ___,
..iis 503.598.1960 ' •)airycly ; ()tiler Permit 1
.._.... ....____—. i
1 TIGARD Inspection Line: 503 639.4175 CITY OF
1 lum. ! gd See Page 2 for
; tieard-nr.gov BUILDING
!
!I its, _ . Supplemental information j
llama www DIVISIOil ...._
TvPI: OF WORK PLAN REVIEW
_
Nc..ase ch,,J.:;:n [hal apply 0:iihtni: 2 xn: of plant wiitems decked Wow):
1 0 New construction - 'N Additionialtcrationireplacennem
ers•ice o r :der .100 :mins or more 0 sancti over ver thr t
ee sories,
1 0 Demolition ___U Other: 0 s wher,,, the. :1,ade fa • ablith riirroM 0 Marinas and tis.lat&aids.
S_____,
1
- CATEGORY OF CONSTRIXTIoN i exceeds ¶(.S amps re 1:■0 volts or 0 Ft:Anne ht 15
1 - ---; less io it.; (Auld, ot excee4,!* :4.000 0 Cot mere aertcaulal
i i 0 1- and 2-imi
•ly dwelling X. in
0increial/incistrial D Accessory building i
minim eli Am installations buildings.
i I 0 Multi E Master builder 0 Other: 0 File pump. 0 lastatiation of 75 K v A or
.-- — 0 1 Aystem. :ATION larger separately derived systom.
1 „ ,
JOB SITE INFORM
Job I4N AN1 LO< D Addition of :few motor load of 0
I Job nn.: i Job site addrc8s: mtv.,..:7 ( 60 4 mg-44 ,00HP otc. ot ■r Occupancy,
r-- I
I , _ 0 SiN or nit i:. residential klAiTS. 0 Recreational vehicle ;tali:5
--
?: 1 sx 11 0 liellin-eaN !heilities 0 Supply Votrar liac for I than
- & ;
I 1 City/State/ZI - - 6• 4,' K_ 9 /7., 4.
cyfi. t" . - n I iv.artintot ,..etitioos. 000 vulb n
■ asnittai
a.).
1 i
.--) ,
Suite/bldg./apt. no.: /2 ...I Project nante: . _ o r % hoo mop r ,r more
6.-- --
I i''' i FEE SCHEDULE .
Cross strectiirection% to job site* ■ '''a..k. _12 .,...„ ..., .. .,....„.........
--- residential l
singe- or multi-family dwelling unit.
!
1 , I includes attached garage. i
- ;___ : 1.000 sq. 11 in' less 145,15 I 1 4
! Subdivision: ! i. ot nil.: .. - .
Tax inap/paree! no: acid 50!: tai, ft or porti __
on 33,4(1 i 1 I
_L_
5 - ---..- .
i l .
I:. -- .inuted eiterp. residential
1 —
...I ,, ith obi c• M. 11.1 75,00 1 ! 2 1
______L- 1
I DESCRIPTION 01 WORK ,
•
: - I i , /I • ! i =gal CTICI*. multi -lamil■ 5.00 ! I 2 1
oftto cr2./r e a f-o (Ce; r m
i e c'
c:_f_L,Le : idi:min an i (w above au 11.1 7 t
.1.---.–J--i
.,_.1 „.2 1 Set or feeders installation. aitera - ea. and/or rekleatio _
e__I
.- 1 21)iiamps or ie ----
ss fi0.30 1 1 2
____ , • • - •-- r , ,. 4
0 PROPERTV OWNER 0 TENANI• 1 2t.,1 amps to 400 amps 1 106.83 1 I 2 .;
-1-
401 amps to 600 amps 160.60 1 1 -
Name: .. __.;.. ._....--;
., ••• ; 601 amps to I 000 amps 240.60
i
Address: ________ Over 1.000 amps or volts ,.. , 454.6. ; .._
• tii
! I' --* ... ; Temporary services or feeder, *nomliation, alteration, and/or
i City/State/ZIP: 1 relocation
S. • .
Phone,: ( ) I Fax* 1 200 amps or less 66.85
/ 1
— • ••• . : 5 • ‘_ ; . n y , 201 amp; to 40 amps
Owner I 10030 I 2
wner instillation: l'his installation is being made on property thar I own whien ia f. l :
; . ! amps to 59 ---7
intended for :;a1c. lease. rent. or exchange. according to ORS 447. 449. 670. and 701. : 401 9 amps ;3 ---. ., . 7i 1 2 ..... -4
ratich circuits - new, alteration, or extension, per panel 1
Owner signature: _ Dale: —. --- A rec for branch circuits with i *i---;
, •
. , 1
• •
• 1 0 CONTACT PERSON abow: se:% ice. or lbCder i'ect. 1 i
0 APPLICANT , 6.65
. _ — each ldraii,;h circuit ■ ....,._I
l
l Business name: .
B. Fee for branch eireuitS 1 . .
_ .- l
• 1- wirhout service or feeder fee. / 4685 1 4tp, 64-_
Contact name: first branch circuit .
...
: "• —• • • Each add't Nandi circuit 6 65
I Address: . •
i_ -- •- ....._-. misoullancoos (service or feeder not includ 1 ___
c. i;vistatetzi I): : ! f.acdt mancitilettired or modular 2
- - — dvellIng, service ari d/or feder •
---1 1 t
- --r-- - ; •
Phone: ( ) ; Fax: : ( ) : keconnocl ,.),■.t\, 66.85 1 I 2 .
1 1_______ _. . •
. 1 C-inail: 1 1 Pump or irrigation circle :,0 I 2 1
•,___i
' , ; ;--- .
line lighting I i
l 1 1
I coNTRACTOR or out
Signai cacti it(s) or limited-
But 1 i I
. sr1eSS nar1c: tioc• iii re ,_ 4 e4 f 3 ,., c ..„1;
..,,, , .
. 1 ' ---;-- , ,
, , eneros• panel. alteration. or i 1 1
Addrs---I , 9
• -g 1 ! emensinn Describe: 1 Page 2 1 ' 2 j
1 : es: - O
c.x ice .. 6 . / — - 1 . 1 1
1
Cit 1 Enco wirlitil;nal in over allowable in any of the 4bOve _.1
i . , S
i y, tate/ ,..II : I. ? -ig. I I /_,_ 9 4*.2.
'Y ' _CC t i. lk___/,4 .
-- - , . •--'. . utspection ._,___,..,,_. _
1 62.50 I I 1
i 1 Phone ) : 5 .,_ 5 ..
,3 ) 6 4 9 I Fax: ( I, '?-5. , ,,, / ation 1 Investig per hour i hr i aim') 1 62 _ 0 I
i t _ . _ I
— 1 - . ..... 7 , 3. 1 1______1_4
Intlosrriti ninnt per hour
! 1 CCB Liu /3 4 Electrical Lic„ji -1/41elsupry.Lie.14M6 1
i ____ • -, ,_. -,:- .1____.. - „ • . _, IT 72 ELECTRICAL PERMIT FEE,S . .
j ! . I -
; Suprv. Elearician signa.ure. requir : Subtotal: : .,-L7
Pla .1
i ____, •
— .
___..____! .. _ ..... , ./....,. 1 ;
. • n review (25% of permit ree): •
: I Print namr.r„ c ,..,..5( . r, /6: Y : ' 7 - 775 - ie
. i 'time surcharge ( 12% of permit Mel: I . .
L.
•
• E. AudlOriZeti signallife: ! .. TOTAL PERM! r rr.E. I -,
. Th4 a opticoau n expire.. if a permit is nut obtained within 180
1
Print name: , days after it ban been accepted a>. eomptete,-
; Date: .
: • _____ _ .•--.. --,---• — •—• —. - • soothe, ;‘: ilispixtioes allowed per permit ilio7 .1-f
4) f■Tt I ::■%'/COMAVER
VZO/CLO'd 93E14 31H103 s3ainos I.C8c69ZC09 OZ:CL G003//Z/Z0
• •-, 4 1 ,
..
.. .
. BR1GHTWATERS
,. AT REDHAWK Ilik
i 571101 1�t E 123/133 1 I>71l lip
Si / 8S � 1° 927/1 X 13 /1 /1 ,
: r _t 1Z/122 .I1k `i l$,46 40"
11104 125/121; 132!136 1�l9
. *i' I ' ‘ I I I 1 * -;
(e:�ri ;� S she
lot 777 173 Fir . 1 1
n a �o ,. t •16415 1411�13y 1. El 37 1
i 2 ' c18117 r ' h. "i 1d, um ' ad. E ,,,,,.,„
70166 57/6 / . ' `'`+
` ° �'; • 5163 1911W I MD ® -'
. 55/51 ': + ? ;i * *,18/1851 I 1.
E '` `r s415c 41145 * Q iii,
c° 531 42/46 p M1 � . III 1
it
Q 44146 my '
3 i
i ;.71 CLUBHOUSE r .
371 - ono efte
.2 w; IV - * - * 0M /201 III lifb
ciL.3 2311
0 21/17
1 * [......, =3 11•111 MR =I 1 d
. IMO Ili
14110 5 r r ..0 4 l Ft
•
13/9 , ,_ *'� ® sim , i llt
SW 108th Avenue
•
1 C1 nn_ 1 g 1 OA C1AI 1 ARM MIr Id l I F
1 O /ZOO d 9ZEl# 3I813313 S3tannS 188gCSZEOC 91 8l 8002 /L2/Z0