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Permit (65) CITY OF TIGARD ELECTRICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit#: ELC2017-00741 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2017 Parcel: 2S106DB04700 Jurisdiction: Tigard Site address: 17273 SW GRANITA LN Project: River Terrace Northwest,Lot 47 Subdivision: RIVER TERRACE NORTHWEST Lot: 47 Project Description: Installing NC unit. Installation of NC unit must meet manufactures requirements for placement. 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 Electrical 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 952-00 -0090. You may o taiin a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: (� �i j�,0L /;�� Permittee Signature: 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 .• FOII OFFI&E t.SF ONLY City afTigard RecpataB . ize j7-OU7y/ e i ,� q- DatolSy: /� Permit d: ;�tem 13!25 SW Flail Blvd..Tigard,OR 97223 (;?c r � ����� Phone: 503.718.2439 Fax: 503.598 1960 fan Rev'rew DateJByRelated Permit N:Ad Inspection Line: 503.639.4175 � /7� r T I G"•"R D Internet www.tigard-or.goV Reedy DaMltbo Anis: See ege 2 for ° hod Supplemental fnformadoa ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whims checked). ❑Demolition 0 Other: ❑Service or feeder 400 amps or more 0 Building over three stories. [ r Demolition i. e_ wham the available fault cuimnt ❑Marinas and boatyards. hi yrs;.r?, .a�Vt-.) ': fag•-1:, i]t.c.."4• 1n. ' ,- 4 „, •y-q_: exceeds 10,000 amps at 150 volts or 0 Floating buildings. 4 I-and 2-family dwelling 0r Cormercial uidust ial 0 Accessory building less to ground,or exceeds 14,000 D commercial-ase agricultural ❑ �� y -. 1 Master builder 0 def airs for all other installations. buildings. KVA.or Z--7.t- ;" 6. `iko.i 1;. M s��.;f,`t'o v`i'' a -„,,,,,,,..,,i,,,,,4 °Emer0 Ere anc ❑large separately rived .'' �";1 Q ❑Bmerg y sum• larger eepatstetydedvcd y , �'^, ❑Addition of new motor load of system. Job#: Job site address.f G+ 3 'MI l '7 t�� ]OOHP'otmore. ❑"A„,•�^„1.2w ul.g„ City/State/ZIP:Tigard,OR 97224 0 Six or more residential unitsoccupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldgJapt.#: Project name:� e� T e w�rJlr� n + _ ©Hauadona torxtions. ❑supply voltage far more than 1�J YL O sasvice er feeder 600 as pe or more 600 volts nomi• nal. Cross street/directions to job site: ;1, `icsa-1 '.>,7;? . RC1 i, i; * y r s ih Dmr ipaoa Qty. 1 Each rota) New residential single-or multi-family dwelling unit. Subdivision: fkatir T2.Vv-oat_ p tv-A- n vjeS+- I Lot#: '1 Includes attached garage. Tax map/parcel#: / 1.000 eq.LA.or less 168.54 4 N Ea.add'!500 sq.R or portion 33.92 Limited energy,residential 7500 2 M S f w�,M ()o °� (with above sq.it) ��v Limited energy,multi-family • !��i i t� ` residential(with above sq.ft.) 7SAD 2 a la^=T r •����.3 ) 3 ; l'.:.r,1d f . i ^' �;_"' '-;;-. 3.0:'-5 ..i'.;';F a 4k -'•-:::=4 .'t,�. Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 20Damps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2 603 amps to 1,000 amps 301.04 2 Phone:(602)694.4031 I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,rod/or •• relocation Owner installation:This installation is being made on property that I own which is not 200 amps mins I 59.36 I I 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 .! 3..,` y,,at,t,)i `-e 0,,4" ,L; _ l m, t` Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with ! i Business name:William Lyon Monies,Inc. above service or feeder fee, ' each branch circuit .77.42 2 Contact name:, *{1 Ch1�lt.-lif\pax B.Fee for branch circuits without •Address:`'f 03�" l] r 1 Sc_Stu! _ Sri V service or sit fee,first ( 56.18 2 V I i'C.t J 1 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7A2 2 Phone: 695-7700Miscellaneous(service or feeder not included) (360) I Fax::(360)693-4442 Each manufactured or modular $ ( 14 11 dwelling,service and/or feeder 67.84 2 ,..`-'-'''''7-----:' • _. Recoaid y 67.84 2 -K �,> r'©1�.it s 3y10 W '-'-..-`".:',:-`• ', :cPump orinigation circle 67.84 2 Business name:Garner Electric Washington,LLC (� ' Sign or outline lighting 67.84 2 Address: W W� ��. N V�.1 S u/l�^t. C Otp panel,alts)or 1rr itcd�nergy 0 Seer e 2 2 alteration,or actoatsitut. erg City/Stat: Cl, 1,e,- --ti Each additional inspection over allowable in any of the above _ C Additional inspection(I hr rain) 6625/Ir Phone:-'1.5' ,....e I i,OS] Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels@gweusac.cot» ' ` ledustrielplant(]hrmin) • 78.18/hr Inspections for which no fee is 90.00/hr CCB Lac.: C11S8 Electrical Lic.: 208174 Suprv.Lie:: 44965 3.- , listed i4 hr mm Stiprv.Electrician signature,required: L,'", ,. � .. � qtr a n a;ebt , , fit` Sdd xa R1 pc Subtotal: Print name: Joan P Albert •'. Date: 4/26/2016 ID Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: _ ..--�_1, _-- _ ---= TOTAL PERMIT FEE: This permit application expires if s permitis act obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days a ter lrhas tinea accepted as complete. 1Bo➢ ngtpeuoiutEC C Pad it * Number of inspections snowed per permit App HR ERE.doc Rev 06/17/2015 44e•4615'r()1/05/COMIWES City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17273 SW GRANITA LN, SHERWOOD, October 26, 2017 at OR, 97140 11 :01 :59 AM Record Type: Record ID: Residential - Electrical ELC2017-00741 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor