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Permit (150) CITY OF TIGARD ELECTRICAL PERMIT Permit#: ELC2017-00160 : COMMUNITY DEVELOPMENT Tr C R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/08/2017 Parcel: 2S106DC05700 Jurisdiction: Tigard Site address: 13741 SW 172ND AVE Project: Polygon at West River Terrace, Lot 57 Subdivision: WEST RIVER TERRACE Lot: 57 Project Description: (1)branch circuit for NC unit. Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: ADLV LAND HOLDINGS LLC 402 VALLEY AVE NW, SUITE 106 7600 EAST DOUBLETREE RANCH RD, STE PUYALLUP,WA 98371 SCOTTSDALE,AZ 85258 PHONE: 253-872-6051 PHONE: FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 03/08/2017 $56.18 Specifics:, Service or Feeder 1 ea 12%State Surcharge- 03/08/2017 $6.74 Type of Use: SF Electrical Class of Work: NEW 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 952-001-0090. Yo in a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r Permittee Signature: �` �/ 0//: -007-/,(-•-t./ OWNER INSTALLATION ONLY v�r 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 503.639.4176 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. pw Electrical Perlmit AuAlieati011 ' ':`FOR OF HO:us1 oINL City of Tigard ^) s 1, : luotivbd _ Datem : h AC >. 'enmt p: - .C t 7-C.0 i - II i 13125 SW Hall Blvd.,Tigard,OR 9722`3 ' flan Review Phone: 503.718.2439 Fax 503,598,1960 , Dayygy Raided Permit d:M 2.1)1 `-cry 701 Inspection Line' 503639.4175lis See Page 2 for TIGARD NotWedMtDate/Br /uric Supplemental laformation Internet wlvw 6gard-or env 14Ott9etl/Mathod L. n^£` .5':.P 74'7•.,S-', "'rf j'_'s:.' 4t_e`�,,',:(4,;?.. ;.th grea1:1111:-X^ 4 . : UW '^.:11u c'gw+Y, ikit a :ern ®New construction 0 Addition/alteration/re lacement Please cheek ail that apply(submit sets of wfitems checked): 0 Demolition p 0 Service or feeder 400 aps or more ©ding over three sttirls& ��� where the available fault current 0 Marinas and boatyards. ? ,;c',,,cYy . -,4 4,,,r*s.sus,,,:::s nS;,sx `..,^pi.,,,o,_f&6.1:..SlyclpC `"i �,..✓k"s:... ' ,, :%!" exceeds 10,000 amps at 150 volts or ❑Floating buildings. e I-and 2-family dwelling 0 Commercia]Inidustria( 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agi cuttnrel 0 Multi-family El Master builder 0 Other amps for ell other installations. buildings. OFirepump. QInstallationof150KVAor WW1- „ .,^ s u.ii.. .' i..':i'e, :: ei 'VK .Lh3 MINA eh> ❑Emergency system. largerseparately .�.r8; :,a?�;a,-; �",; derived nvc ob it: Job site address' --7q C p / ) ❑Addition of new motor load of system. /� l 7 J V V l 100HP or mora. (3 system. City/StateJZTP:Tigard,OR 97224 El Six or more residential oaks” occapancY• ©Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.4: I Project name:Polygon at West River Ter ©Hazardous locations. 0 Supply voltage for more that Cross street/directions to job site: D Serviceor feeder 600 amps or more 600 vette nominal Inscriot)en Qty. Sieh Total • New residential single-or multi-family dwelling unit Subdivision:Polygon at West River 7'errrace ' Lot 4: Ci'} Includes attached garage. ��) 1,000 sq.ft.or less I68.54 4 sf ; i ..;.`';4 .'ef; City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13741 SW 172ND AVE, SHERWOOD, OR, 97140 March 10, 2017 at 9:22:19 AM Record Type: Record ID: Residential - Electrical ELC2017-00160 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Electrical final for AC ok. Violation Summary: Inspector Contractor