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Permit (252) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2016-00888 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2016 Parcel: 2S 108DB06500 Jurisdiction: Tigard Site address: 15396 SW THAMES LN Project: Polygon at Bull Mountain,Lot 63 Subdivision: POLYGON AT BULL MOUNTAIN Lot: 63 Project Description: (1)branch circuit for A/C. Contractor: ALAMEDA ELECTRIC Owner: POLYGON WLH LLC 3415 NE 44TH 109 E 13TH ST, STE 200 PORTLAND, OR 97213 VANCOUVER,WA 98660 PHONE: 503-319-2192 PHONE: FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 11/17/2016 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 11/17/2016 $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 -001-0090. Ye" 0ou 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: 64/ ,'e/e 770 _,/ 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 A tical oP City ofTigard NJ a V 14 2016 »iiiisminsimmmial...., ; �r//(.//�v , amu' i/! cICJ0' J 111 1312,5 SW}'£a11 Rh-&Tigard,OR 97223,8Man Reser Ply 503718.2439 Fax- 503-5 t✓1 t y OF'" 1 1GAl`5D weft" iblialcd Pomo /+6'`2279 inspection Low 503.639.4175 _ W j Internet: Www.tagud-or,gov BUILDING l\/ISI Ni See PageSuppleme3Inr formanon -. , ,: ; ,%?. �; '7:::' ; 7,;.. 7.,1E7::-;12,..-::::::,,c.;-:',7,1_,',.':.7,- s lry ',"4-,:;::,-,2_:: e =' . ' tt;:i New construction 00 Addition/alteration/replacement Mime d o an that (mita sats plans wt cheeped)" tJ Demolition Other CiSeevice or feeder 400 amps or more O +aro wee trains . t 2 ..- ., where the available fault current © am boatyards ,: : r,,:7: i: Z_ ... '' q moms 10,000 entre at 150 votes ur C Flowing lankbaga >-< I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 O Commercial-use amps ,4 dditifen amother ter installations buildings. u ctnn.g a'❑Nulq-family 0 Master builder ❑Other: OF ©le f ISO KVA or " ,3;;;Z‹,:73:-'274-'... r' ..'� - 7;� a ev> 7ay argersParatelY clawed Job#: Job site address:/53 q/o s1Aa neJ 44/012, ttOKPmrof new, mnaladcf D"A",-E',-1-2-.1-3-, City/State,ZIP:Tigard,OR 97224 O Six more residential units. nouiPaneY 01 -cue facilities, 0 Recreational vehicle per. suite/bldgJapt.#: 1 Project name Ph i(g pi let u M DuniuA o 11a7cdp.us iocaasons. 0 s,tpply v far moue t� Cross street/directions to Job site: 1 J Q Service or feedw 600 amps or mace, 600 volts narnin . a Deaeriptioa Qt?. tads Term �y�Q���� n� }.,� New residential single-or multi-family dwelling unit Subdivision:K4404 W to I v6 Y 1 H lvJ Lot#:(j)3 Includes attached garage. 1 rJ Tax map/parcel 4: 1,000 sq,ft.or less I 168,54 4 PqMM�,,, ,:::77:41-;:;-;,,;:;,,,,,::::-,;:7:::;:;-, 7,:„! �;,` = Ea win S00 sq.ft.ar pruner 33.92 1 t� Limited energy,residential (with above sq.t1.) 75.00 2 ., a _ ,�, , energy,multi-family75 Lunttd .00 2 " .o :e ffi y 41" ' ���� 4 '' :. ' residential(with above sq.ft.. � � � b�w`'w�� : � fit.� r��4..::::./4::::.;;3°..: ) Name;ADVL Land Holdings,LLC Renewable Energy O See Page 2 Address:7600 E Doubletree Ranch Road Services or feeders installation,alteration,and/or relocation City/State/ZIP:Scottsdale,AZ 85258 200 antes or 100.70 2 Phone:(602)694-4031 I Fax:( ) 201 amps to 400 amps 133.36 2 Email: 401 amps to 600 amps 200.34 2 Owner installation:This installation is being made on property that I own which is not 601 amps to 1,000 amps 301.04 2 intended for sale,lease,rent,or exchange,according to ORS 447.449,670,and 701. Owner s1 attire: Over 1,000 amps or volts 55226 2 gn Date: �� ® � ' Temporary services or feeders installation,alteration,and/or 4: ., aft , '" .. t7 t,;A; '. � a,, ?.� "? relocation Business name:William Lyon Homes,Inc, 200 amps or less 5936 1 Contact name:Angela Grajewski 201 amps to 400 amps 125.08 2 Address:109 East i3th Street 401 amps to 599 amps 168.54 2 City/State/VP:Vancouver,WA 98660 Branch circuits-new,alteration,or extension, panel Phone:(360)695-7700 1 Fax::(360)693-4442 A.Fee for branch circuits with above service or feeder Ice, 7.42 2 Email:Angela.Grajewski®polygonhomes.com each branch circuit .-*:....:77.-',!'21-7!..1::777:::' wa *a' "7 � B.Fee for obranch clerfcixsfwlou f s6.1s zbranch circuit name:slanted*electric Address:3415 ate 44th Each add'l branch circuit 7.42 2 1 Miscellaneous(service or feeder not included) City/State/ZIP:s / / !1'/2- /f 47 2 a /3- Eads manufactured or modulo 6744 dwelling,service and/or feeder 67.84 2 Phone:(503)3192192 Fax:( ) Reconnect only 67,84 2 Email:solarpdx@ntt.eom Pump or irrigation circle 67.84 2 CCB Lic.: 199188 Electrical Lic,: c923 Suprv.Lic.: /f7/..> Suprv.Electrician signature,required: / Sign or outline lighting 67.84 2 Print name: t f /.d Signal l enationt(s),or limited-energy t J/ ❑SeePage 2 . t !G i�„ �aa Date: parxl,alteration,or extension. _ Each additional inspection over allowable in any of the above ' Authorized signature: Additional inspection 11 hr min) 66 25,`bnr i I . IPrint name: 4 Date s/23/1 investigation(1 hr min) 900;1'lir t 1bX.C_ _Et.a_;FRE.Om Raw oewt 732015 440-46151111/051COMIW91-