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Permit (64) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2017-00740 13125 SW Hall Blvd.,Ti Date Issued: 10/05/2017 TfaR. and OR 97223 503.718.2439 9 Parcel: 2S106DB04500 Jurisdiction: Tigard Site address: 17253 SW GRANITA LN Project: CAMERON Subdivision: RIVER TERRACE NORTHWEST Lot: 45 Project Description: (1)branch circuit for NC unit. Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: CAMERON, JAMES ANDREW& LESLIE G 402 VALLEY AVE NW, SUITE 106 17253 SW GRANITA LN PUYALLUP, WA 98371 SHERWOOD, OR 97140 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 $163.72 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You maybtbtaaiiinn a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. [ Issued By: ,t Permittee Signature: �G�! 610/�!7} OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Electrical Permit ARplication rou or1KCL USE ONI.A City of Hall Blvd, OR 97223 Permit tt: rL.6~_zt�/7 y� 4 13125 SW Hall Blvd.,Tigard, ,n,-, plan Review Phone: 503.718.2439 Fax: 503.598.1960 i s 1 may. RelatedPeru,itr G�90/?-c ' Inspection Line: 503.639.4175H See Page 2 for Internet Ti G A R U Ready Date/By: kris:wwwtlgard or.gm' 14or Sed/Method ' f • boa '': ''-2�N ._j'i.4 iL3Z,.-. , } f. -- i°� _ '" Y' ai, ,'tytr!S:-S c .., `=il-,+-=i,-,..v.`.. ' p,A r&,'13_!5',• Supplemental 'formar-::;;I ''$ ®New construction^ 0 Addition/alteration/replacement Please check all that apply(subrmtIsets of plans w/iten's checked): 0 Service or feeder 400 amps or nuns 0 Building over three stories. ❑Demolition ❑Other :'•a�4-g-,-',- r9:-',-'_..-,-i b 1'2 . .�� ?� ��t4iMi.`4 `1OVI.iL(K`-y:5-,5 2._. ' `� ,7,::-i:-.-±Z tr2- exceeds 10,000 amps att150%olts or ©Floatincurrent 0 g end ands build ®!-and 2-family dwelling 0 Commercial/iridustrial 0 Accessory building less aground,or exceeds 14,000 0 common:at-ase agrioultura1 ❑Multi-family 0 Master builder 0 Other: for aft other iostallateons. buildings. mill s r` 0 Fire pump. 0 Installation of 150 KVA or -0,16'4.7' '', t•thy 13 t ': is ©Emergency system. larger separately derived Job#: Job site address:E l 2.53�� &rt i t-±tin/. 1:3 Addition of new motor load of system. 1001-IP or more. ❑"A",");","I-2","1-3", City/State/2Z:Tigard,OR 97224 0 Six or more residential units. occupancy. ❑Health-nem facilities. 0 Recreational velticleparics. Suite/bldg./apt.#: Project name: er TvVI((A(L No(S t-W._ 8Hazardoaa looataoass 0 Supply votta a for mom than t Vl comae ar feeder 6811 amps a•more 600 volts nouuaal. Cross street/directions to job site lr ;.Z 4vr.Pd Jls 11'1' C 'A i Descriptton Qtr• Each Total = n� New residential single-or multi-family dwelling unit. Subdivision: l`�.Jtila T a.(.f A)w hujes - I Lot#: 11 Includes attached garage.. Tax map/parcel#: �i 1.000 sq.ft or less 168.54 4 La add'!500 sq.ft.or portion 33.92 f 1. ft 4t:i8 s'; ,:vf•ril: x 17Y4- •1r "...-,:14,1-L-,17.="1,-', Limited energy,rcaidential 1 t / ,.O05-g. (with above sq.ft.) 75.00 2 Limited energy,multi-fancily 75.00 2 0 4. } residential(withve sq.ft.)7. a T1 �`7=7-�r.1..�i s-S�ieft.no.�i. ?�.t✓^�^ 3 yi i 4_" ^F" r7z Renewable Energy SeePage2 Services or feeders installadou,altercation,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/Slate/Z1F:Scottsdale,AZ 85258 601 amps to 1,000 anis 307.04 2 Phone:(602)694-4031 I Fax:( ) Over 1,000 amps or volts 552.26 ..2 Email: 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 59.36 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 ::;:1,..„..!„..,,J.. k %..513 r ErttC f S, c,4 ,,,S: fX?.4o-r?- '.-c, dm x zgz,41, ;•? ;1'r "rte s z, ' ,:.1 Branch etrcwits-ieew,alteration,or extcasion,per panel � � A.Fee for breach cacuiffi with 1 � Business name:William Lyon Homes,Inc. above service or feeder fee, * i j each branch circuit ?42 2 Contact name:. i J 1 c at ( 1 B.Fee for branch circuits without t feeder fisefirst Address:`1 OI b�l .r `�� 1 St [�,si t branch cservkxOrrcuit , f 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add']branch circuit 7.42 2 Phone:(360)695-770!1 Fax: 60 Miscellaneous(service or feeder not included) :(3 60)693-4442 Each manufactured or modular Email \ , it i ,, pip .1 4, .1> RReconnect coal ceand/or fender 67.84 2 x r a � ,.ralr�l Y 67.84 2 Pump or irrigation circle 67.84 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 �: L) itr i,' panel,alteration, or extension. 0 See Page 2 2 a��y �W ., s1A�L�'�. � �} panel,alteration,orwdension. City/State/ZIPNkl,U/11vCl �J�1 Each additional inspection over allowable In any of the above ^� 1Additional inspection(!lirmin) 6625/lir Phone: 'J. Ito JF-i Fax:( ) investigation(1 Iambi) 90.00/hr Email:bdaniels( gwensa.com 1 lndustriel plant(1 hr rein} 78.181 hr CCB tic.; CI158 Electrical Lie.: 208174 .JT Inspections for which no fee is listed �4 hr,min) 90 00i hr Sngrv.Lica: 44965 ,k.1„�,,� Suprv.Electrician signature,required: ' Mil l t" ,... Subtotal: Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): - State surcharge(12%of pemsit fee): - - -< TOTAL PERMIT PEE: _ Authorized signature: This permitapptieation expires if a parmitis not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days atter It has been accepted as complete. obergiPermlislBLC_PermltApp„ELIZ EStE.dec Rev 06/17/201 S * Number of inspections allowed per penn{4 460 d61r1(11 OS/(OM,wEa City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17253 SW GRANITA LN, SHERWOOD, October 26, 2017 at OR, 97140 11 :01 :15 AM Record Type: Record ID: Residential - Electrical ELC2017-00740 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor