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Permit (157) CITY OF TIGARD ELECTRICAL PERMIT 111 -. COMMUNITY DEVELOPMENT Permit#: ELC2018-00808 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2018 T t i ;k l:C7 g Parcel: 2S106AD05000 Jurisdiction: Tigard Site address: 16654 SW AUTUMNVALE LN Project: River Terrace East,Lot 157 Subdivision: RIVER TERRACE EAST Lot: 157 Project Description: Adding(1)branch circuit for NC unit. Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: WILLIAM LYON HOMES INC 402 VALLEY AVE NW, SUITE 106 703 BROADWAY ST STE 510 PUYALLUP,WA 98371 VANCOUVER,WA 98660 PHONE: 253-872-6051 PHONE: 360-695-7700 FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 12/12/2018 $56.18 Specifics:, Service or Feeder 1 ea 12%State Surcharge- 12/12/2018 $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 OAR 2-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .1987 or 1.800.332.2344. Issued By: '� �/ '� 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. Elect ..;Permit.Anolllca> o.I; _ n ;fD,3C1ti ( 1. t4 fsi 'e '1 11,11 City of Tigard ,2 , IV Received ,.► ' �) y 7 ,-- 13125 SW Hall Blvd.,Tigard,OR 9 Datemy:,� ��L ���yl T� /LO �/� �� Phone: 503.718.2439 Pax: 503.598.1960 Plan Review Inspection Line: 503.639.4175 12' 2018 ecdy : ,�. l rl Ufor 3 s ,r 1' Internet www.tigard-or.gov DECNotified/Method: a°� i�See Pace 2l for _ y� ,�,�.isliti {�/�. j�•Y(`t � ,Ri!�++►' Supplemental I�tornt do ®New construction 0 Addition/aitetn 1vi,iii � , . r ;.:. V: ;'ire•; ., ksse oheok ail that appy •(submit 1 sets of plans a riterueaheeked)• Q Demolition 0 Service Cr 400 amps or more 0 Building over es r +s: 0Other' where thea a current ❑Marinas and boat a •:` . '' i*Y o:' ;i ., exceeds 10,000 amps at 150 Nits or ❑Floating buildings ®I and 2-family dwelling 0 Commercial/Industrial 0 Accessory building less to grotmd.or exceeds 14,000 n Commereiat-use agricultural r Q Multi-family • Q Master builder 0 Other ❑F for all other installations. Installation �,�„ Fire pump. IDI Oatiott of I50 KVA or.'7 $.'1'. RM Ti�(J1. AND .;Wal triN } : ❑Emergency t�m' larger separately derived Job# Job Site address: ID Addition of new motor load of system. �I,tsAl Sw iNixt'yALs44, tooliPormore. ©»a», »,"1-2 "�_3", 3City/State/ZIP: ' Vx1�17) Vt ) Dn 9 OO [Six or more residential unite ❑Featih cars facilities. occupancy. Rec eatioromt vehicle parks. Suite/bldg./apt.II: Project name:Polygon at 24 Vrt2'15 ❑Hazardous locations. ❑Supply voltage for more than Cross street/directions to job site: � D LLS ^ ©Service or feeder 600 amps or mare, 600 'lamina. V Dercrteder` r. (.. :'sad `f` Total `,,'S.-.a`. New residential single-or multi fantlly dwelling unit. Subdivision:Polygon at NrE R4 --_r ,2 Q Cs, J rot#: 1 Tom: 9. Includes attached garage. Tax map/parcel#: ' '�- Lowft ex less [6&54 4 ,. , �. •;.-. add'1500 sq.ft.or portion 33.92 ::.1,iD ' 4.0.0..WORK. -. Limited e /' energy,residential �'b I i4Ces- Ala AO-- (with above sq.ft,) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft) d '..I a, "c":;' r:.a. Renewablees '111!C#a`'?. ,. Services Name:Polygon WLH,LLC ree<l�a installation,alteratlen10.7relocation 200 amps or less OO 70ti 2 Address:109 Fast 13th Street 20I amps to 400 amps 133.56 .. 2 401 amps to 600 amps 20034 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 ems 301.04 2 Phone:(360)695-7700 I Fax:( ) over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or i • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less I 59.36 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 e 1 tines to 400 amps 125.08 2 ! Owner signature: Date: 401 amps to 599 amps 168.54 2 ' ,v..01SATO:Mittit:;:n°.:..,,,..,,:..t;.:.•:�.:'� '`.7•:r:�ii,,.�.Mie '..�T; .. alts nt�,al hra[1o9,o xtenslon,Pel'panel •;�' •� Branch circ ' A.Feefor branch Business name:Polygon WIZ,LLC 'i 'f above services or feeder fee, Contact name: l ngefrt 0 ewsAcf each branch circuit 7.42 2 ' t i-i-C,/rstN B.Fee for branch circuits without ,I Address:109 East 13th Street service or feeder fee,first ! 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 2 Phone:(360)695=7700 Miscellaneous(service or feeder not included) I Fax::(360)693-4442 Each manulhetured or modular Email m4,/v4.(1,..„ dwelling,service and/or feeder 67.84 • 2 . fie; y� L 0-s4,..::„,1„ (u Recorutect way EN mon .:''a S l Z'. 'iebL•�'�'.FJ=$7:`-Y'�•'::TM:ri4�..`i7 if �•1 r r .. _ 2 .' j+ni` r^ Pump or Irrigation circle 111111 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signal cirreis)or limited-orgy 0 See Page 2 2 i • panel,alteration,or extension. City/State/ZIP:Puyallup WA 98371 Each additional Inspection over allowable in any of the about Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801. Ia vtstigation(I hr min) 90.001 hr i Email:bdanle}sQgweusa.Com ee��Si� Industrial plant(1hrmin) 78.18/hr CCB Lic.: H Electrical Lic,: IInspections which no fee is 90.00!hr G�•1.98,.V 1 ._. Suprv.Lia• 44965 s> cificeily:, listed(54 h`r•m-in . , ir ::'<< :;s,Su rv.Electrician signature,required: �,ypi �lv Subtotal: I Print name: Joan P Albert Date: 0 Plan Review Required C25%of permit fee): r > State surcharge(12%of permit fee): ll Authorized signature: _ TOTAL PERMIT FEE: This permit application expires if a permit is net obtained within 180 Print name: Bill Daniels Date: days after it has been accepted as complete. itild ' Number of inspections allowed per permit. LiBt iag�PmmitstEtC Pc mltApp nLa BRtidoo Rev ado asisr(ttrosrcoMf►vLs 1 i • I