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Permit (61) CITY OF TIGARD ELECTRICAL PERMIT r'1 a. -'£ COMMUNITY DEVELOPMENT Permit#; ELC2017-00743 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2017 T t,Ga' 9 Parcel: 2S106DB04900 Jurisdiction: Tigard Site address: 17291 SW GRANITA LN Project: River Terrace Northwest,Lot 49 Subdivision: RIVER TERRACE NORTHWEST Lot: 49 Project Description: (1)branch circuit for NC. Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: WILLIAM LYON HOMES INC 402 VALLEY AVE NW, SUITE 106 109 E 13TH ST PUYALLUP,WA 98371 VANCOUVER,WA 98660 PHONE: 253-872-6051 PHONE: FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 10/05/2017 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 10/05/2017 $6.74 Type of Use: SF Electrical Class of Work: ALT 90 Investigation Fee 10/05/2017 $90.00 Type of Const: 11 Investigation Mechanical 12% 10/05/2017 $10.80 State Surcharge Occupancy Grp: Total $163.72 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 95 001-0090. You m y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: --t" Permittee Signature: Owe GCA/f�LLeL/JL, 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 APDlicatip n OR; � f R orhlrrt'sE ONLY City of Tigard .. ReceivedDal /, , e!j 13125 SW Hall Blvd,Tigard,OR 9722'3 . . (- ` y: to 5--- �i Phone: 503.7182439 Fax 503.598.1960 Plan Review Related Permit N: 1>e Ready �CPZaI7-OG7(t Inspection Lice: 503.639.4175 '' E!bee Page 2 for 'r 1,„��;© �. + � •. Ready nu�sy: >�� Irtteniet www.tigard-or.govNotified/Method; Sappiementnl information. 'r•- 1-* . r i:Zi_n+ 10..+;t3,til J)0.ti.. - -'7•-' „a"--4gS�y V�^'=e .,1ry' A7�" '1:'z'�b,,yy errs �r `.,:. ..i,.a,s ® New construction ❑Addition/alteration/replacement Please check ell that apply(submit I2 sets of plans wrtams checked): 0 Service or feeder 400 amps or more 0 Building over three Maier.Delnolitlon ❑Other: :...s .. _ . r-- where theavailable0! D Mains a boatyards. ' '- ti .: , rAi r,. .13e1! �ti: ie- A -- ���� - *, exceeds t0 ,000 at 150 oohs or Q Pooingbnidnags ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 D Commercial-use agricultural ❑Multi-family 0 amps for all other installations. buildings.• Master builder �. < ��' y ()Fire P+�P• l�]tlatalfatioa of Iso iCVAor �: '' ;l1.* +:�.0 ....1 M,V 't eriNVO MMILO T(ti ©Emergencyeysiem larger separately derived Job#: Job site address:I Q j /+ y�� 0 Addition of new motor load of system. f 17.1 i �( r&_(/1,i I r, IoofnP oriole. ❑"A•',•E".`I 2". 1-3". City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. Oriental-oars facilities. 0 Recreational vehicle parks. Suite/bldg./apt. #: Project name:twer T (Af e.Nw w�t- DI:Iamrdons it"ti ms. ❑Supply00vo voltage for more than Cross street/directions to job site: D Service or feeder 600 amps or more 600 voila nommat k. zrci •"£i-"Flt`'nn,. �1.�:���....!�I.d4•1`)..a` ."'�c��"•T?s.• 5 '•r.?q 1' nectrrpons Qty. I each Total •V New residential single-or multi-family dwelling unit. Subdivision: R.t.tur reh r`a Lf.... 0 w-A-vt vo• s i-- 1 L°114; KL , Includes attached garage,. Tax map/parcel#: 1.400 sq.R or less i33 54 4 -:'-t-'''-''--3- .� y g-e' �.. );Zt,- h Ki ',r- �._,,,, : ..i r` 33.92 I t Ea add?500 sq.ft or portion Limited energy,resideotlal 75.00 2 STtd its-00: 9 (with above sa.R) Limited enemy;multi-family 75.00 2 �� G (with above sq.R) Renewable Enemy KY ❑ See P 'X._.%` b4:�;j��a).�iE �1� �^��tit st��..�" ��, r .r���..{,� t"��1 N,�N;�yJ C3{4.,r,_a.a;E.''F;.�.a.^-r'F",''.i azG 2i Services or feedersinstallation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 400 amps 133.56 2 City/State/23P:Scottsdale,AZ 85258 401 to 600 amps 200.34 2 [ 601 amps to 1,000 amps 301.04 2 I Phone:(602)694-4031 Fax:( ) Over 1,000 amps or volts 552.26 2 Feil: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 ' 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 .' { I :E r 7 y r, s •_ BTer.h circuits-new,alteration or extension per panel Y..�ft �,L .rS� aArG € F�, '`"" �� <.:i�-"''r -Yrl��;br�3�'����;#.: ��; � f Afor brancb circuits with i Business name:William Lyon Homes,Inc. above service or feeder fee, 7.42 2 Contact name:, !,, t each branch circuit , Cont 1 C T 101e WIC,, 1 B.Fee for branch circuits withotd service or feederfust Address:.103 0. ��t� J -S ..t k.uSIG 1 G branch circuit fee, 56.18 2 City/State/22P:Vancouver,WA 9^866'60 Each add')branch circuit 7.42 2 Miscellaneous( or feeder Phone:(360)695-7700 • •• ( Fax::(360)03-4442 Each manufactured or meodularr not included) Email:l ` {�1 ! ( (!�1 #Y1 i ,k r dwelling,service and/or feeder 67.84 2 �,�,,,, A1 Reconnect Only 67.84 2 Pump or irrigation circle 67.84 2' Business name:Garner Electric Washington,LLC • Signor outline lighting 67.84 2 Address: t. h !!. -_ WL.P� t,ti v Signal circuit(s)or limited tergy 0 Sea Page 2 2 -1 V 8l-M. 1GF 11 t�► W �, panel,alteration,a etamsime. City/Statel/Z.IP; ne i`� ��1 1 - Each additional inspection over allowable In any of the above tlY/►rT 1 1 Additional Inspection(1 br min) 66.25/hr Pbone: L...6 `' to 0c1 Fax:( ) Investigation(1 hr rain) 90.00/hr Email:bdanie lls@gvveJ usa.rnm Industrial plaint(1 hr main) • 78.18/hr Inspections for which no fee is t 90.00/hrCCB Lie.: CI258 Electrical Lic.: 208174 Suprv.Lica: 44965 specii- listed la min ';',-:''4,' .1--..!-:-"- . 906,0 _$E 3 ) vn v FSuv.Eiectriciart signature,required: _'l�J p t $' , . Subtotal: Print name: Joan P Albert Date: 4/26/2016 0 Plan Review Required(25%of permit fee): - State surcharge(12%of permit fire): Authorized signature: .- TOTAL P13ttMIT FEE: This permit application expires if a permitls not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after it baa been accepted as complete. i * Number of inspections allowed per permit :: alialdias1PermitaV C.C,,PennitApp ELL.L'kEdoe Rav 06/1712015 440-4615T(11/O5/C014/WB8 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17291 SW GRANITA LN, SHERWOOD, October 20, 2017 at OR, 97140 11 :59:14 AM Record Type: Record ID: Residential - Electrical ELC2017-00743 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor