Permit (39) CITY OF TIGARD ELECTRICAL PERMIT
7131: COMMUNITY DEVELOPMENT Permit#: ELC2017 00363
f GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2017
T-
Parcel: 2S1060001500
Jurisdiction: Tigard
Site address: 13486 SW BEACH PLUM TER
Project: River Terrace Northwest,Lot 204 Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple
Project Description: (1)branch circuit for A/C.
Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: ADLV LAND HOLDINGS LLC
402 VALLEY AVE NW, SUITE 106 BY FORSUM, MICHAEL
PUYALLUP,WA 98371 7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
PHONE: 253-872-6051 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 05/23/2017 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 05/23/2017 $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 2-001-0090. u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,(16� �1/Y 14'4(4Permittee Signature: z5.2o _ Gr e lil t"
y
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 Application RECEIVE r FOR OFFICF tiSC QMAI.:
City Hall
era MAY 2 2 2017 ,> /_��� ,.: ;
711 • 13125 SW Halt Btvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 ..
Fax: 503,598,1960 Date/B : �,� -
TIGARI7 Inspection Line: 503.639.4175 CITY OF TIGAR�' adyDate/13y: loris: 0 Ste Fagc2 for
= Intctnet wvnv.tigard•or.gov BUILDING DIVISI o affect/Method: Supplemental Information
e4=- 6144.0.xr, ter'i,. : �5E¢r_�9 ,a 4:LVJ 35 -ta g 1 g._ Tfw. Ata Vis':•s :'. '!s"^;
;,•.. ;,.�•'��rs•'�r._ :: '.,ria,:.Pwt•�U:�����.�..r�,�,�����;��F,u•�Sa''�`n�: �C`�aa ""'s,. e't ,:�fi� �fi;' ;.. ,,'fair,. .`�' � '-�• -'.�.- �v..�r.
^s.�?n...�.•r5,.r:i�c Y�`rits �,.'.i"* .�� ��.'���. .s.�..m.vY��xs�,:i-.�'� �%
®New construction [j Addition/alteration/replacement Please check all that apply(submit 3 sets of plans w/items checked):
❑Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stones.
whore the available fault current 0 Marinas and boatyards.
c y tati'tr '` ?`., E�Sfse() D '"• '�5 7� IZA: exceeds 10,000at ISO volts or Floating buildings.
:.c•e<•c.�ri•`as�:i'zx� 1 :�. "'"„"�,,,�.•y` `p� amps ❑ 8 t gs•
Il I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building tats to ground,or exceeds 14,000 0 Commercial-use agricultural
0 Multi-family 0 Master builderamps for all other installations. buildings.
_ 0 Other: dFite pomp. 0 Installation of ISO KVA or
;,. 4 gag ._ w..y..r,x.,.,.:
f'.. 2ss c�l ��,`Y.£ �.� ;y +y, `""',dil�.:o r•4wi-';>? ti.ir.( 'm`.:
r� � ,:'-c�;��*'-;krtRv,+�:���.r'".'.+�,�`�i ��`'�Y,+�*..�.,`C,.� �����'.1,'.}Y'.�Ul�'+;:,;'j.�r:c%.'r�^��r,:<�a�giav ,�fi.:`.... ❑Bmergoneysystem' larger sCparntalyderived
�s`:•:3t:�Y::
�10 mss,` , 'et..0_�_ J 0 100I Addition of new motor load of system.
Job#: I Job site address:�,3�, �ja0in'*i A� , • t11 1 oo1�1P or more. ❑"A'•"B,•`1-z""1_s„
City/State/ZIP:Tigard,OR 97224 more residential nulls. occupancy.
Health-ore facilities. 0 Reereational vehicle parks.
Suite/bidg/apt.#: [1.--q-1
` I-1 Project name:WiNke, ^'r,Ea nr ,t®�oeth. tm,fi••❑HazarrIons locations. ❑600pvolht nominal,more than
11ItA 1's�+W []Service or feeder 600 amps or more.
Cross street/directions to job site: r'�: rr j{ -•:ry
�F x':bu�:lt�' liy',+,yps�-1ST 7 U,-�`�:;3 �' •.
Dmedptton I Qty. 1 Each 1 Tutsi
New residential single-or multi-family dwelling unit.
Subdivision:g1ve,y.--Terf'r lv ��1
b1 � Lot#'? Includes attached garage.
Tax.map/parcel#; a" 1,000 sq.R or less 168.54 4
., _ 3 _ _,u�, �, Pa.add'1500 sq.ft,or portion 33.92 1
" '2r:- Ww ORMO: ;,?O-i.'44',_-.Sak : a-RI L[Mited energy,residential
(with above sq.ft..) 75.00 2
Limited energy,multi-family 75.110 2
residential(with above sq.ft.)
�NONI„,• � , , J 114M4 v ads, t,n Rencivable Enemy ❑ See Page 2
SS ^�•V MO— " era a = Services or feeders installation,alteration,and/or relocation
Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2
Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2-
401 amps to 600 amps 200.34 2
City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2
Phone:(602)644-4031 Fax;( ) Over 1,000 amps or volts 552.26 2
Temporary set-vices or feeders installation,alteration,and/or
Email: •
, relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59,36 — 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, • 201 amps to 400 amps 125,08 2
Owner signature: Date: • 401 amps to 599 amps 168.54 2
` J[ " sr3 <iAk 1" Branch circuits-new,alteration,or extension,per panel
i-r� u Iz `' y
A.Fee for branch circuits with
Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2
each branch circuit
Contact name:A N `On ,�9 A ve B.Fee for branch circuits without A
`-'"t �s (I'1• service or feeder fee,first 1Y 56.18 2
Address:109 East 13th Street branch circuit
City/State/ZIP;Vancouver,WA 98660 Bach add')branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)695-7700 ' ' ' Fax::(360)693-4442 Each manufactured or modular
Ema[I f�/,/sL/� dwelling,service and/or feeder 67'64 2
,,/ J d i 0. I / die ...IPA Reconnect only 67.84 2
.� •, ,„-;S,"i� 1:: i'ira r.:;. 4 ti :b H i�� >0 L..,4n. .,TATO `'brl'a7' .°t', a rr7., - '
,t_ x �„s,„",',4„40 TPumporirrigation circle 67.84 2
Business name:Garner Electric Washington,LLC ' Sign or outline lighting 67.84 2
Address:610E NE St Johns Rd Signal circuits)or extension.
telergy
C)See Page 2 2 i
tesipanel,alteration,or extension. ,
City/State/MP:Vancouver WA 98661 Each additional Inspection over allowable in any of the above 1Additional inspection(liar min) 66.25/hr
Phone:(253)320-1657 I Fax:( ) Investigation(1 hr min) 90.00/hr
Email:bdaniels@gweusa.com Industrial plait(1 hr min) 78.18/hr
( Inspections for which no fee is 9000/hr
CCB Lie.: C1IS8 Electrical Lie.: 208174 I Suprv.Lica: 44965 speciiicaliy listed %a hrmia) i
Suprv,)3lectrsoian signature,required; t.A - M
A. .� ' . Subtotal:
Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee):
l- " State surcharge(12%of permit fee):
-'•:..:7'.---...:::::::3:4----- TOTAL PERMIT FEE:
Authorized signature: 7ti. —..--- -
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 complete. I -
* Number of inspections allowed per permit
{i(i i i)''.
: :.. 1.5aullding\Permits\ELC PermttApp ELR ERE.doe Rev 06117/2015 440461 ST(11/05/COM/wEB ,'
itetitnigiii:nii -- 1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13486 SW BEACH PLUM TER, SHERWOOD, May 24, 2017 at 1 :18:44 PM
OR, 97140
Record Type: Record ID:
Residential - Electrical ELC2017-00363
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
AC whip not installed.
Inspection to be scheduled when work is complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13486 SW BEACH PLUM TER, SHERWOOD, May 24, 2017 at 1 :18:44 PM
OR, 97140
Record Type: Record ID:
Residential - Electrical ELC2017-00363
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
AC whip not installed.
Inspection to be scheduled when work is complete.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13486 SW BEACH PLUM TER, SHERWOOD, May 30, 2017 at 2:33:40 PM
OR, 97140
Record Type: Record ID:
Residential - Electrical ELC2017-00363
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS - NoCofO
Comments:
Electrical final for AC ok.
Violation Summary:
Inspector Contractor