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Permit (149) 1114CITY OF TIGARD ELECTRICAL PERMIT . ' COMMUNITY DEVELOPMENT Permit#: ELC2017 00157 T[ A;R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2017 Parcel: 2S106DC06400 Jurisdiction: Tigard Site address: 17289 SW JEAN LOUISE RD Project: Polygon at West River Terrace, Lot 64 Subdivision:POLYGON AT WEST RIVER TERRACE Lot: 64 Project Description: (1)branch circuit for A/C unit. Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: ADLV LAND HOLDINGS LLC 402 VALLEY AVE NW, SUITE 106 7600 EAST DOUBLETREE RANCH RD, STE PUYALLUP,WA 98371 SCOTTSDALE,AZ 85258 PHONE: 253-872-6051 PHONE: FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 03/08/2017 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 03/08/2017 $6.74 Type of Use: Electrical Class of Work: 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. 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 952-001-0090. You may obtain a co• of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �1 Issued By: --,i ....Mk- �- Permittee Signature: __rte � �--s+e-s-v 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 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. Electrical Permit Alie 4 i FOR OF•1 ICE USE ONLY City of Tigard Received , 1+ermit#: _ :111 13!25 SW Hall Blvd.,Tigard,OR 99 5 ?"" ; AateI: -•. r/ —(7°, ' Phone: 503.7182439 Fax 503.59$19.60 Related}'emsit#: Inspection Line: 503.639.4175es* /y f+ i'IGflR15 i 1tous d/Deeuio la piSee cent lInformationInternet: Notified/Method: Supplemental P .,...�;'.' rLir .(.' -.v?+<_:; ...c?47,' 4 ; • �?^. "v= p h ii*-Shift: M .,'u3A1-'a` �,,OA,.., :�.P.: 11 ff k:,...-,,,,r.,1?",, ,*Zl ®New construction ❑Addition/alteration/replacement Please check all that apply(submit2 sets ofpbaas w/items checked): ❑Demolition Q Other: ❑Service or feeder 400 amps or more 0 Building over three stories. whom the available fault current [)Marinas and boatyards. . rr:.'‘...:401V14',.-:0=I•.Y. 014C..7& 61E ii i.0 c 7 C�.latiAii:k rg 0..-, ,.'mss.: exceeds 10,000 amps at 150 volts or ❑Floating buildings. ►: 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-ase agricukural 0Mild-family ❑Master builder 0 amps for all other installations. buildings., `•-q ©Eire purEmergency ❑larg Installation of ISO KVArived or �.;.t:' '• S:t�'e�..,:,,-2„,6,-,:i..-a'M =�.���•��`�rfi.z;° :�,��` 0Hmugenaysystem. targerseparatclyderived w xw �5 Job# Job site address/7 t►q SW J# L)U ise /2` 0 Addition of new motor load of 100119 or system. d' ©••A'•,E, 1_Z, •l_3„, City/State/ZIP:Tigard,OR 97224 Ca Six or more residential units. occupancy. °Health-owe facilities. 0 Recreational vehicle parks. Suite/bldg./apt#: 1 Project name:Polygon at West River Ter El Hazardous locations. 0 Supply voltage for more than Cl Service or feeder 600 amps or morenominal. 600 volts Cross street/directionsFA-t _to job site: -i., 1 t:nit s,a% 13”.. ;;e. . neseriatiom Qtr. t Each I Totat • New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace 1 Lot#:(1;4 Includes attached garage. Tax map/parcel#: 1,000 sq.ft or less 168 54 4 —.- Ea.addl 500y1•ft. .of portion 33.92 !NT ' ` x" i"lkw tl?}, R54,70S Limited energy,residcnttal ill. 7500IIIII©,°/y -S FIZIO/ {1 72L1-5 7--. Lee 04 4) Limwlneri•.ft . t rxsidentlal with above•.. Y III ft. 75.00 -II .. : .5szyi= -,yJt,i 6I, N 0'M :fit y 0 ■ Set Pa;c2 Holdings, or relocation.' Name:A.DVL Land LLC 1/1013pS or less 100.70 II Irl E Donbletree Ranch Road 201 /i: 401 amps to ell amps 200.34 I' :Scottsdale,AZ 85258 601 amps to /il 301.04 /t- ,I , 1 • til . Email: ps or volts 552.26 2Temporary services or feeders installation,alteration,and/or 1 11 O'.• installation: t :1 YI being mule on property 1, r t which a 11 : 1 :I 1rent, rexchange, l i' 449, I . t tamps 1.1,mps ps or less , I l8 7 , Owner 401 amps to 599 amps 10111111333111111111111 t`r r`.',,,I. .? A t.b,l"7._21 lam°ti;. 011, 'z`.4•df"4Ys k r^f. I t or extension, I uw4 Business e: William lLyon Homes, 1 each branch circuit tunnel ennuit 56.18 2 t11name: s. i' .a'r MI=11=6LI _U IJfr .1 693-4442 EtiehMiscelmanbulufii"etwedus servtor mod"wularfeeder 11°t include 67.84 2 :-. service and/or feeder sCi1, t 1 1 I , ' 1111, Reconnect only 67.84 El Business 1e:Garner Electric Washington, ... • Signal circuit(s)or limited-energy f i See Page 2 2 1 8661 Each additional inspection over allowable in any of the above Additional inspection(1 brmin) 66.25/hr Investigation(I In mm) 90.0W hr 't: : r i,. .I, Industrial plant(1 hr fain) 78.lg/hr Inspections for whlcb no tee is Electrical208174 s,.-ifi. listed Ya he rain 90.00!hr ice" _ I. :,1 I Date: 4/16/2016 • gini 1Electricianrequired 1, .:,:: StateM�Z , surcharge(12%vrpermlt fes) :t: '. Authorized signature: `" '� TOTAL PERMIT triMill ;:t.;:; This permit application expires if a permit is not obtained within 180 ;�::.. Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as com '''1'' plete. - xr*,:.,"`I:{0ultd• 1YetmitsliI.0 erm't * Nuezbarofin gdonseilowodperpmmiC c 3xy:�.1; atS -k APp SLR ER1idoc Rau[16[19/2013 a4t4A5[S1'(ItWSICOMl4Y5n "v"�,Ya.- City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17289 SW JEAN LOUISE RD, SHERWOOD, OR, March 10, 2017 at 10:01 :34 97140 AM Record Type: Record ID: Residential - Electrical ELC2017-00157 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide access for inspections, house locked 10:00 am. R109.1 Violation Summary: Inspector Contractor