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Permit (33) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2017-00306 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/01/2017 Tf't � R L g Parcel: 2S106DC01500 Jurisdiction: Tigard Site address: 13740 SW SILENT FOX TER Project: Polygon at West River Terrace,Lot 15 Subdivision:POLYGON AT WEST RIVER TERRACE Lot: 15 Project Description: (1)circuit for A/C unit addition for New SFA. Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: WILLIAM LYON HOMES INC 402 VALLEY AVE NW, SUITE 106 BY POLYGON WLH LLC PUYALLUP,WA 98371 109 E 13TH ST VANCOUVER,WA 98660 PHONE: 253-872-6051 PHONE: FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 05/01/2017 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 05/01/2017 $6.74 Type of Use: SFA Electrical Class of Work: OTR 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 9 2-001-0090. 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: ./ . a �i� G Permittee Signature: SCC Alp), e 75 /7 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. } ECEIVED : ....!:.,.,-..,,,:.:;/;:,.::::.:„ Electrical Permit Applacati+ FOR OFFICE USE ONLY City of Tigard ry , Received>1 /7Pr' Permit s:1E 0)—OD 3� - u 13125 SW Hall Blvd,Tigard,OR 97223 AY _ C 11 Plan Review ' Phone: 503.7182439 Fax: 503.598.1960 Date k: Related Pem"t s7/'.,U/li�e2 Inspection Line: 503 639.4175 `f Read 1)atelB mtn See Page 2 for T1GI�RD Internet www.ti,gard-or.gov y " � ��� • did Y •' / PPlemeatalFnfo»nation x oe- 3'5:".:5: 3.x`4.'-'"k .i'. ''5,V',=::'':4:x-&„® ').3.1'.ti4�1 it''''.1:',L; i }.2. >.:'=* ... $6y�,9 -' a kereP I: h 1:1y c75 a tW3?'"` .. .r. ®New construction 0 Addition/alteration/replacement Please check ail that apply(submit 2 sets of pians w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stdries. Demolition [J Other. where the available fault current ❑Marinas and boatyards. :"v i- i6frct: `41,NO ..;6 G -0a,...*,.' `;;'s " O, x w`5s.s; y„. exceeds 10.000 amps at 150 volts or ❑Floating buildings. ' r 1-and 2-family dwelling IDCommercial/iridastrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agrieuitural amps for all other installations. buildings.• " ,Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 1501 CVA or z a�.y + " ,*€,a y�Ajyr o-(y� ry�� ' 'e.r„' war.x" "' ❑Bra one system. largo anpw etcly derived iaci,qfi. . z.�'Z'.�.tOt NI'41 .v.K tit itS:li `:q l,lEftNt7.bv-�:.t -- ',`` Sit?16 y ' [�Addition of new motor Load of system. Job#: Job site address:l 1X10 SVV ) rp1/t' .�i t 100HP Dimers. ©„A„,"E”,'I-2""1.3„ City/State/ZIP:Tigard,OR 97224 Q Six or snore residential units. occupancy. ©Health-care facilities. CI Recreational vehicle parks. Suite/bldg./apt.#: ! d I Project name:Polygon at West River Ter Cl Hazardous locations. 0 Supply voltage for more thou 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: r"~ ¢ ," , `: r 3 r-47;.1 Description Esth Tom I " ' New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace I Lot#: /5 Includes attached garage. 1,000 sq.R or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sqIt or portion 33.92 1 ,) i., s - i Z+ a g� r0 , .:„` CA----. F. 'T ="e. •,g Limited energy,residential I 1 (with above sq.ft.) 75.00 2 �� Limited energy,multi-family 75.00 2 residential(with above sq.ft.) r /1 r �/t�/ -"fes_/% Renewable Energy ❑See Page 2 tY,C;. 9.•%44:a' ''''os a J" ;.;�.",, = °' Nf. ''i.4''..;•°°' * Services or feeders instnliation,alteration,and/or relocation Name:ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 Fax:( ) ; Over 1,000 amps or volts I 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 t.D w 'kW� „, nr,; s m A ,i,,;,1,.44 Branch circuits—new,alteration,or extension,per panel i'� .S s -..+ +�^: -'_. v.,�,. •u-�..x, , -. - A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder fee, 9.42 2 each branch circuit Contact name:Angela Grajewski B.Fee for branch circuits wilhotd service or feeder fee,first V56.18 2 Address:109 East 13th Street branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'I branch circuit 7.42 12 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' I Fax::(360)693-4442 Each manufactured or nodular Email:Angela.Grajewsk,a®polygonhomReconnect dwelling,service and/or feeder 67.84 2 only 67.84 2 M £a �'0t...,gtkat�.�.�.:,-�.F.. .P<�",�. Y,3 ,..-1'117.,'„''''';'1.,,,r-V:4 Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting — 67.84 2 :. Signal circuit(s)or limited-energy ! Address:6101 NE St Johns Rd panel,alteration,or extension- ❑ See Page 2 2 City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.0W hr Email:bdaniels®gweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/ler CCB Lie.: CI1S8 Electrical Lic.: 208174/ .1 SS/u�pprv..Lic.: 4496S specific: listed(%a ter min)4taMtstftlfeattg_ / Suprv.Electrician signature,required Subtotal: Print name: JoanP Albert Date: 4/26/2016 OPlan Review Required(25%ofpermit fee): r - - State surcharge(12%of pertnit fee): •,'•';',,...., • "•. � - TOTAL PERMIT FEE:'`' Authorized signature: ______. -------- ,:%%,.:.•• i1 This permit application expires if a permit is not obtained within x80 j - Print name: Bill Daniels Date: 4/26/2016 days after it has been accepted as complete ' • Number of inspections allowed per permit :••t :; I:1Bu0dias1Yermits\Ei.CiermitApp RIREltadoc Rev 06/17/2015 440-4615T 1/05/COM/WED City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13740 SW SILENT FOX TER, SHERWOOD, OR, May 4, 2017 at 11 :20:07 AM 97140 Record Type: Record ID: Residential - Electrical ELC2017-00306 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Electrical final for AC ok. Violation Summary: Inspector Contractor