Loading...
Permit (60) CITY OF TIGARD ELECTRICAL PERMIT I ■' COMMUNITY DEVELOPMENT Permit#: ELC2016-00842 Date Issued: 10/31/2016 Tr(.1..\RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB23700 Jurisdiction: Tigard Site address: 17390 SW SABRINA AVE Project: River Terrace Northwest Swim Center Subdivision: RIVER TERRACE NORTHWEST Lot: X Project Description: Pool bonding Contractor: ALAMEDA ELECTRIC Owner: ADLV LAND HOLDINGS LLC 3415 NE 44TH BY FORSUM, MICHAEL PORTLAND, OR 97213 7600 E DOUBLETREE RANCH RD STE 1 SCOTTSDALE,AZ 85258 PHONE: 503-319-2192 PHONE. FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 10/31/2016 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 10/31/2016 $6.74 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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. ATT - •1. o =son law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00, .010 through OAy2_1_17z 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 2.1987 or 1.800.332.2344.Issu- By: Permittee Signature: ! «--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' '� „ ' /, r! "c^ Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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. glec ttY+CaI fv,ertrtit Application 1 tai( tat i 1( I P °+l (("I 5 City of Tigard andIII n 0 3!AIWA, ria to�d�4�e'�, 1313,5 SW Hall Bdvd„Tigard,OR 97223 Plume- 503 718 2439 Far. 5O3.598.1%0 . Related Permit rl: / Pao16 35 1 3{13.639,4 175 - u a n Internet www trgltM or gov Naofl«Vt«dethod ►'4 New Construction 0 Addition/alteration/replacement Pell t i 3 sets of plans was ed .. �, Q Demolition []Other: ()Service or fast 400 amps or moue Cl Belem avm stones. wbe a the 0 tail haat current at l I t and boatyards ` ,' n w'.,,erk * z 4 ie.,.,,-: :alt —':,.7.",:f.';7.:. ' O vans or 0 s []I-and 2-familyusd. dwelling Commercial/industrial 0 Accessory building less to tend orexp 14,006 ❑Comm skate agricultural ❑tn4uld-family 0 Master budder 0 Other: amps far all other installations. buildings Frio Pulpit 0Installation of iso K VA w ^', ;. .,�'" a , !:..T.'..7„:1:'.:::', 'N ;zr; -„ ,s DF.Tn y*von, larger tePannelY donned Job#: Job site address: /y/, ,.1 G , ,, O Addition of new motor load of system. 7301 s S W ,, / a2 f ti a t OtlitF'armory. ❑"A","K"."1-T',"i ", City/State/Z1P:Tigard,OR 97224 D Six a more aanits, �. Cliteallh-eate facilities, 0 Recreational vehicle pada. Suite+bidgi #: Project name:Polygon at N O(4 MAit + msvcr 8 Hanrdwas l�cu ons. 0 Supply voltage tar more dam Gross street/directions ^ ©Seaviax ar feedex 6Ib aaaps or more 600 via Hammel rections to job site: tr . DesrriPtieaa Qty, diel. Total A' New residential single-or analti-family dwelling unit. Subdivision:Polygon at'V014h Sty Je Y --4((1f, 1 Lot#: s W i m Includes attached garage. cQ�n{tr Tax map/parcel#: 1,000 sq,R.or less 168.54 4 x, ' .E ' ",t t� 4, . F.a add'1500 sq:ft or potion 33 92 1 Too I - bp ,{„I\Q� Limited energy,residential (iJ� (with above sq.11.1 75:00 2 Limited energy,multi-family 75.U0 2 Name:ADVL Land Holdings,LLC Renewable Energy 0 See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation 200 or less City/State/ZIP:Scottsdale,AZ 85258 amps100,70 2 Phone:(602)694-4031 I Fax:( ) 201 amps to 400 amps 133.36 2 Email: 401 amps to 600 amps 200.34 2 Owner Installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Owner Si atlas Over 1.000 amps or volts 552.26 2 gra Date: ' Tem rary services or feeders installation,alteration,and/or ' a � Pao Business name:William Lyon Homes,Inc. 200 amps elle less 59.36 i Contact name:Angela Grajewski 201 amps to 400 amps 125:08 2 Address:109 East 13th Street 401 amps to 599 amps 168.54 2 City/State/ZIP:Vancouver,WA 98660 Branch circuits—new,alteration,or extension,per panel Phone:(360)695-7700 1 Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder fee, 7,42 2 Email: ryAngela.Grajewsk,saitgw..'�polyg...�o.�,nhomes,com +z ,�. .� .. each branch Ecdirecrit „. , : � �� � i«,. :7. s � .s7, � ir.,„13.71 B Fee ftCoC obrafnch circ its without fee.first I 56.18 SSP• 2 ;... Business name:*lamed*electric branch circuit Address:3415 ne 44th Each add'l branch circuit 7,42 2 Miscellaneous(service or feeder not included) City/State/ZIP: a,, /.0,12.. '/d, 7.2-3 Each serviceclarred a moduder 6? Phone:(503)3192192 Fax:( ) dwelling, rn aL'or feeder ' 2 Email:solarpdsote.com Reconnect only 67.84 2 pump or irrigation circle 67,84 2 CCB Lic.: 199188 Electrical Lie,: c923 Suprv,Lie.: y f7/,$ Suprv.Electrician signature,required: Sign outline lighting 67.84 2 1 // /� Signal circuit(s)or limited-energy •' Print name: it/I�,. /210,94"C f3atC: y �if" panel'allefatlOrl.OI extemian. u see Page -2 Fetch additionti inspection over allowable to any of the above Authorized signature: s // Additional inspection(1 lir min) 66.25''hi Print name: e Date, ,./- 1st' igatitxa(P hr mina) 90 00 hr t kits era gev06✓a7'2ois 440-toisri1inns,064(wEB 66,. jg 4-'9 ;,4-- •�a