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Permit (63) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2017-00739 A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2017 Tft' g Parcel: 2S106DB04200 Jurisdiction: Tigard Site address: 13161 SW AUBERGINE TER Project: River Terrace Northwest,Lot 42 Subdivision: RIVER TERRACE NORTHWEST Lot: 42 Project Description: (1)branch circuit for new A/C unit. Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: SIDDHARTH BANSAL 402 VALLEY AVE NW, SUITE 106 13161 SW AUBERGINE TER 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 Occupancy Grp: State Surcharge 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 9 2-001-0090. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.222,,3444.//'V Issued By: — _ C� Permittee Signature: 4CCZh� 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 Applicatic ti ,? . "_t. ���`roR of•1 HA,t•sr ON1,A, City of Tigard r. ?; /7 / Permit t;: c_ei, 2 ? 11..__ 13125 SW Hall Blvd.,Tigard,OR 97223° • _ pmn (/�J 9 Phone: 503.7I8.2439 Fax: 503.59L1960 Date/3y Related Permit fl: ee.,10/,_40, Inspection Line: 503.639.4175 ,-i, `a - Read Date/B .ig lil for t1CI.Iti Internet www.tigard-or.gov = -', Notified/Method: S pplemeenntae linformation "? ,___.. ......l---'...---"C.r..a._1i-i-R9-,.. .?(M../-t-V...-_-.<.� ". t;,Iu 5 q..,. -fr .'x3 3 a ,.-:Ti: '�v.. 'r } ni..k 'Wr ,-.- .5.s 'c �. ,e .��.....��..�._ ..��.�n�.-..� ..xz� , � � � _ �.�i *rte, �s^ 7`�`a�'� n..�n.:v ®New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans means checked): ❑Demolitice 0 Other: 0 Service or feeder 400 amps or more ❑Building over time strides. 4 5 )rami , sea E a _ where the available Wait current ❑lvfad sus and boatyards. .1 x fay 0314' •_ -3 ' ,r exceeds 10,000 amps at 150 volts or El Mooting buildings. ®I-and 2-family dwelling 0 Commercial/uidtistrial 0 Accessory building Lets to ground,or exceeds 14,000 ❑Commercial-use agricultural El Matti-family 0 Master builder 0 Other: ampsforother installations. buildings. • 0 Fee pump. CI Installation of 150 KVA or e:4 " ' ;,z ;; ,IB -IfS :`u 1:/-V, o,P'+1p t-7i}eq::s} a.; 4'? z`$ 13PanergencY mem. larger seperately derived D Addition of new motor load of system. Job#: Job site address:!/ _ 11 1,• i /, ',4[ i , 10011P or more. CI"A", ,'1-2a,41-3", City/ :Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Boalth-c re facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:?Ayer r Te7.a(�N NACons locations. ©SePPtY voltage for more than 0 Service or dallier 600 ansa or more. 600 vola nominal. Cross street/directions to job site: , -..xn.-,�r,�,� i '�•,a•,;..r';�.r'clittRti6t. -VL"z"`:Fz,'-"TY,. Desntpdon Qty. I Rath Toed ) New residential single-or multi-family dwelling unit. . Subdivision: RtJtx m-a "ret.e,. •N u lt•'mes+- I Lott qfq i Includes attached gara. Tax map/parcel#: 1.000 sq.ftor less 168.54 lIl Ea.add'1500 sq.ft.or portion 33.92 '�, ,; ...�" '..-2.514 .Lt 7..� '+T t.�.• .a-'.1.:. �. til 4'.. t" A gy.residential Lmuted a er 75.00 III T t t01, (with above sq.fl.) Limited energy,multi-family residential(with above s,.ft. 75.00 `"` s Renewab�eEn� Ci Seel) •e2 �� Services or feeders instnilatlon,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 B Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/I�IP:Scottsdale,AZ 8525$ 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 I Fax:( ) over 1,000 amps or volts 552.26 2 Rvwil Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being rude on property that I own which is not 200 amps or less 59.36 i 1 intended for sale,lease,rent;or exchange,according to ORS 447,449,670,and 70I. • 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits-new alteration or extension ,er ,anel ..E,,. .. ..., E t d�T; y,zLt,�,s,� ' SY.r�"� �r�`.�3��t�:i4�. � `��4}.,.Ls.._'3 5� ..., .._�..,.__..,..-.,.�',� �k r...J�., ��' �..�.,.w.,.;�.�.,�'� �no i t '� a .-. A Fee for branch circuits with Business name;William Lyon Homes,Inc. above service or feeder fee, . 1111 each branch circuit 1. 7.42 Contact name:. J ichOk„ a( B.Fee for branch circuits without •Address: 0 service or feeder fee,first In g 1. , -_ -'- - -S l -- '+ Munch circuit 56.18 2 ' City/State/ZIP:Vancouver,WA 98660 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 • I Fax::(360)693-4442 Each manufactured or modular 67.84 z Email: ' Al) V' ` dwellin;_service and/or feeder #A • N J is ./.111 T�.�5+ TA^S _ -� El . , .. _ '':2�-f t c r:.A Z4 >- f�, -- ,.,,. .,--"''`-'4 Pump or irrigation circle 67.84 11111 Business name:Garner Electric Washington,LLC Signor outline lighting 67.84 C Signal circult(s)or limited-energy ag Address: �, V Q � V1/4_14_,LU*U.1�'C. n el altered.. or extension. ❑ Seem e 2 City/State/ZIP: „ ` i �1' i`-k 4Each additional ins,cellon over allowable in as of the above Ult/ti W P TiAdditional inspection(1 br min) Ill 66.25/1mPhi:' ' •..6, "�tounTe-Al Fax:( ) Investigation(]brmin) 90.00/hr .� Email:bdatliels(a3gweusa.com Industrial plant(I lir min) 1111 78.18/hr 1111 CCB Lie.: C115$ Electrical Lia: 208174 Suprv.Lie: 44965 Inspections for which no fee is s, listed 44.lar min 9000/br _ max; , x� s� Sun+.Electrician signature, ',( A _ /. J�,e , tL"-° . • �v.._a o t t a ct. �:.K a:S� ' prequired t J /�,�1.. ." Subtotal: IIII Print name: Joan P Albert • Date: 4/26/2016 O Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: c - - --�—'� TOTAL PERMIT FEE: _ This permit application expires if a pertains not obtained within 180 Print name: Bill Daniels T Date: 4/26/2016 days after It has been accepted as complete. • Number of inspections allowed per permit a. ABOdinipermA,wl a PmmitAppj•ZitJERs doe Rev 06117t2015 441146157(1ro5/ n City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13161 SW AUBERGINE TER, SHERWOOD, October 20, 2017 at OR, 97140 12:06:26 PM Record Type: Record ID: Residential - Electrical ELC2017-00739 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor