Permit (103) 1F CITY OF TIGARD ELECTRICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: ELC2017-00831
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2017
Parcel: 2S 106DB00500
Jurisdiction: Tigard
Site address: 13545 SW CALABASH TER
Project: River Terrace Northwest,Lot 5 Subdivision: RIVER TERRACE NORTHWEST Lot: 5
Project Description: (1)branch circuit for NC.
Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: WILLIAM LYON HOMES INC
402 VALLEY AVE NW, SUITE 106 BY POLYGON WLH LLC
PUYALLUP,WA 98371 ATTN GAST, FRED
109 E 13TH ST
VANCOUVER,WA 98660
PHONE: 253-872-6051 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 11/08/2017 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 11/08/2017 $6.74
Type of Use: SF Electrical
Class of Work: ALT
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 064552-001-009 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: %' _. Permittee Signature: eA' (Y/9/-4-:
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 PermitApplicati j„^'v' , 2017 rim 0 F ILL 1 sr 0N11
Cityofdas ra • /.�/7 4, I,6163, /7 0P-3r
13125 SW FLA Bl Tigard.,Olt yt
1 • Phone 503.7182439 Fax 503 3 r v,r ' L r,a,°.'\ ew Related PermLLY:
inspection Linc~ 503.639 4175 '"�" Ready grrealy: Inde
I G.;t:ll Interact rower-a an l-or g4Y NoHSed/Methid: S Bea Pace 2 for
upplementalWong/dim
®New construction 0 Addition/alteratio laceroent Pteaseaback all the apply(submit j,sera ofplaaswruems cheekKe
❑Demolition ❑Other i❑Service or feeder 403 amps or more ❑Bw7ding over ltroe st W m.
a vel cue o available Fantc o mf [)Mantes and bodyude
_
C' - _,...,1.,..v., L}ti.7:L,:::„.,-,x,! is,,,a,� 'ti,i Itq x 10,000 amps al 160 wlk a QPlaing
®1-and 2-family dwelling 0 Commercialfindtistrial ❑Accessory building lora In grovad.or exceeds 14,000 ❑tbaemmoialmse agrimaeval
amps- - .-. . . ror0 oder inaf9nations 6m7dlgc.CI Multi-fenmIy 0 blaster bider 0 Other: Onto owns. Q l
d
I 'u' �fri3 :17-h.1 ta--- � t �1 Y"�"�i'tAJc�rr �� � 'racerx �.?..T+ QPmgeey system. isnot
44Parlt]y derived
Job#: Job site address: 3 s-3'V 1Ajuh Tett ❑Additionmamotaload of
10014P rumors. elmmm.
A:13";"12;`1-3', 1
Sr
City/State/ZIP:Tigard,OR 97224 Cl xarmmcresidmeulmnrs omepanoy.
13HalmomafaeAit;as. ❑Ramadimelvehicle pada.
I SaitelbldgJapt#: 1 Project name:.�M,- / fr ate N (:IM locations. 0 t m=Ilam
Gross street/directions to job site: i� ❑service aseder 600 amps anima
1 Qt. bit sum •
�j y�
New residential single-or mold-family dwelling Wait
Subdivision:�'Y'r l iC-e d Vora o 1 Lot#: S Includes attached garage.R cres
Tax map/parcel#:
V t,tw0 sq. s 168.54 13
i) 7 E;� Ea.add'1500 sq.R orportital 33.92 11
,:..a=n ,-�- _.... A, ]a f _:_ .Iesldoetial 75.00I
44 (7— f'7-, 1-/C-- (With above so.R)
Limited et am mehl-hurt7y 7500
residential(with above Sq.ft)
Renewable Zn ,- ❑SexP._ 2
_ 1 -s l U --`E 11 r.:t`e �s y tkrM s rA.._: Services or feeders installation,alteration,and/or relocation I
' Name:ADVL Land Holdings,LLC �=` 200 amps or less 100.70 2 I
Address:7600 E Donbietree Ranch Road 201 amps to 400 amps13356 2
401 amps to 600 snips 200.34 2
City/State/UP:Scottsdale,AZ 85258
601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Fax( ) Over 1,000 amps orvolls 55226 2
Email: Temporary services or feeders Installation,alteration,and/or
relocation
Owner installation:This installation is being made on property Run own which is not 200 amps or leas 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,end 701. 201 romps to 400 amps 125.08 2
Owner signature: Dom: • 401 amps to 599 amps 16854 2
` -.i 4 d:5-1:::1:,,: r._ F ,,, -.jr- I ..-,:-.1r0,_-:, f Brandtdreulb—new alteration oreYtendon „a •:net •
' A.Fa for brooch circnifs wfth
21
Business name.William Lyon Homes,Inc above sua feeder eder it
each branch circuit
Contact Dame Angela Grsjewsttl B.Pee ibr branch t3tadts wfihold
III
Address:109 East 1311 Street Moth weeder fee,fast
launch chunk
City/State/EP:Vancouver,WA 98660
Miscellaneous(servtee or fader not included)
Phone:(360)695-7700 • • ' Fax:(360)693-4442 Eadb atatoi5a paned or models' 67.84 2
and/or feeder
Email:Angela.GrajewsU@polygonhomex-com &vain,E°evic°
lb:connect only 67.84 2
_�cl -, c) _ :- _ Pomperhrigatioaeirde 67.84 2
Business name:Garner Electric Washington,LLC Signor online lighting 67.84 2
Signal e)or
Address:6101 NE St Johns ltd pend,altexafioa,orermeylsiem. ❑See Page 2 2
City/State/MP:Vaneoriver WA 98661 Each attention!inspection over allowable is any of the above
Additional inspection(Ihrmin) 66.251hr
Pima(253)320.1657 I Fax:( ) Investigation(I Imin) 90.00fbr '
Industrial Email:i..1aniels I..wema.co® plaid ) • 78.18/hr
Ions forwltiehno foe is
' 90.00.,hr
CCB Lie.: C1158 Electrical Lit.: 208174 Suprv.Lice: 44963 �,. .. , listed lar •
_
,' t- - .._:....-z-, _._ _
-51prV Eld�rlgffi signature,required: Apt,. Ada ' j Subtotal:
Vi. Printnum= Joan?Albert Date: 4/26/2016 ❑PhmReview Required(25%ofpew*fee):
lig:,-..,,
: Stetesmeba ge(12%ofpeemitfix):
; .,
`
- -
_ �atl► TOTAL NOWT FE 3' • A»tbo<iud signalize:
-Stei:::
Ibis permiitappahttornh qdr sifapaeeaitiraota ��.dwifMn :,
kir; Print name:BffiDaniels Date: 4/26/2016 J dmatxrritiuebrnaeeept.act,eampler
kj"i * Number ofaeped:1amalowedparpi�it.
t•'iA.�.metiainevneaamc PmWtAPp_ma EU doe aero 06n7r201S MW6t3701/aSICOM/pR8
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13545 SW CALABASH TER, SHERWOOD, November 9, 2017 at
OR, 97140 11 :17:27 AM
Record Type: Record ID:
Residential - Electrical ELC2017-00831
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor