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Permit (36) CITY OF TIGARD ELECTRICAL PERMIT III :': COMMUNITY DEVELOPMENT Permit#: ELC2017-00370 Tr CAR LD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2017 Parcel: 2S1060001500 Jurisdiction: Tigard Site address: 13494 SW BEACH PLUM TER Project: River Terrace Northwest, Lot 205 Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple Project Description: (1)branch circuit for NC. Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: ADLV LAND HOLDINGS LLC 402 VALLEY AVE NW, SUITE 106 BY FORSUM, MICHAEL PUYALLUP, WA 98371 7600 E DOUBLETREE RANCH RD STE 1 SCOTTSDALE,AZ 85258 PHONE: 253-872-6051 PHONE: FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 05/23/2017 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 05/23/2017 $6.74 Type of Use: SF 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 0 R 952-001-0.90. You may obtain a copy.f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: a �' S �J� , Permittee Signature: c GL ry 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. E Nk' E .. Electrical Permit Application ro12 OFFICE USE ONLY City to Ti and MAY 16 2017 Reeeited /7 Pennitl/: / �UU37� Data/8 : . I. lig • 13125 SW Rall Blvd.,Tigard,OR 97223ITY Plan Review Related Permit k v� �U Phone: 503.718.2439 Fax: 503.598.12 OF11GARD nm y: Inspection Line: 503.639.4175 BUILDING DIVISION ReadyDateBy: loris: Ed See Page 2for TiGARD Internet www.tigard-or.gov NotiSed/Methodt Supplemental information ::- 'r 7rk+' k2E'"6.s}+,;:. X41`., '7 `:4..' i^rrk f:.-''�t+r „k"",� vt>" :-1• a a Y-"^' .*m?.r` *, r8 ' r_._�:JyS� ='•r',:. ��:ifs:...,2'`-�t_•.-��.4Z�� �mr.`�`' v�' rtF.�^�:�..��;'�,'3'.^�-c.-,'-�. '.}.'�`.,'��stan+'�r5i."��s..ks-=�'�`'�'����S��.F+.'�x`.�s.�I��:�''�,ti'�i°'.:es ®New construction 0 Addition/alteration/replacement Please chock all that apply(submit 2 sets of plans w/items chocked): ❑Demolition 0 Other: 0 Service or feeder 400 amps or more 0 Building over three stories. t' ti y F My Y whore the available fault curtain ❑'Marines and boatyards. y Nget#1 w�,t iuWWtrQ' it '( i .' As!' exceeds 10,000 amps at ISO volts or C)Floating buildings. 1-and 2-family dwelling ❑Commercial/ilidiistrial 0 Accessory building toss to ground,or exceeds 14,000 ©Commercial-use agricultural Multiamps for all other installations, buildings.• o y D Master builder 0 Other: ©Fire pump. 0 Installation of 150 KVA or - 3uaw : t±!C 01 rF ^O..,- " -4Vyr: j ; z? • 0 Emergency system larger separately derived motor load Job#: Job site address: Z�[ +,' �',t,. pAddition ofnewof system. 13 7qL 15 A) Beath f wr►t :.Q. 100HP or more. City/State/ZIP:Tigard,OR 97224 Cl Six or mom residential units. occupsnoy. {'� "/ 0Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt,4: it J I Project name:` i P24-1 ���Or Wr- T" ardoos locations. ❑Supply voltage for mare than Service or feeder 600 amps or more. 600 volt7,1004181. Cross street/directions to job Site: "i'x� �;`�"✓,�="k'r`+',' y�:t'SY.'.�,,..fit` C" nu "`r'"" v;:�"�," "''ssv, .�:�tv..u"xy�GMSa .�` .�r^.�`^i..�uK.rtt.: �.. �?'?�p .�.'�r ��nsl,xr?, .. Description Qty. I Bub f Total 1 a New residential single-or multi-family dwelling unit. Subdivision "(j r ortincLot#: _Includes attached garage. Tax map/parcel 4: 1,000 sq.ftor less 168.54 a Ea add'I 500 sq.ft.or portion 33.92 1 '^�A % ,4Iiti�SNwt i'•_9a�.�e,' y�L��`�.;,»�:.a�.�l.;1�;.::t'c��a: t Limited energy,residential / 'a 1,. /ht7t-/, (with above sq.ft.) 75.00 2 et.i, / 1Ar f r l/ " Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ^ � t,a,, fA Renewable Energy O See Page 2 Services or feeders installation,alteration,and/or relocation Name;ADVL Land Holdings,LLC 200 amps or less 100.70 2 Address:7600E 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 552.26 2 Email: Temporary services or feeders installation,alteration,and/or . 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 uy v' `'''4oe E '- '�t . ,rlV. •Sit4s rhNe ru kOM ; 'W,. Branch circuits-new,alteration or extension rerpanel a '., s -.. e •NAPAwKiA°•w ..'S^xm-0., '"x" +.-••• ---"m1-h ra` A.Fee for branch circuits with . T Business name;William Lyon Homes,Inc. above service or feeder fee, 742 2 1 WV i"0�t --- each rch circ uit Contact name ici ..�. B.Fee for branch circuits without 1 Address;109 East 13th Street service or feeder fee,first i 56,18 2 branch circuit City/State/ZIP;Vancouver,WA 98660 Each add'I branch circuit 7,42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ' I Fax::(360)693-4442 Each manufactured or modular 67.84 2 ' 111°1144 dwelling,service and/or feeder Email °1 1()4 apt / b t' le Reconnect only 67.84 2 ,� 's'v "1-44121.t_ r RF c rr y AVIV; V. "o. �. d yyy-. `4''• ._2_ t.. u ; w ,.. k,;." d 3 Pump or irrigation circle 67.84 2 ''�"{�:.�:'.,.ice �'t _� i...5�`'�"p�^� 6�,' s Rut y� t•,._mow.';,+"4?.>7�. �t.i �`a Business name;Garner Electric Washington,LLC ' Sign or outline lighting 67.84 2 Address:6101 NE St Johns Rd Signall,circuit(s)or limited-energy Page panel,alteration,or extension. �See 2 2 Each additional inspection over allowable in any of the above City/State/ZIP;Vancouver WA 98661 Additional inspection(1 hr min) 66.25/hr Phone:(253)320-1657 Fax:( ) Investigation(1 humin) 90.00/hr _— Email:bdanielsaQgweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 4000/hr CCB Lie.: C1158 Electrical Lie.; 208174 Suprv.Lie:; 4496S specificallylisted(%humin) E Suprv.Electrician signature,req -0 .m- � rAla ; ' ; required. A•.- Print name: Joan P Albert • Date: 4/26/2016 0 Plan Review Required(25%of permit fee): "'- -77...-2.7.:..:7----- ,,, _ State surcharge(12%of permit fee): r� ' TOTAL PERMIT FEE: Authorized signature; 7,::__ --------------"— ,,.i6. ---------.--..— - "^-^"" -+� This permit application expires if a permit Is not obtained within 180 Print name: Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. _ '!i•. * Number of inspections allowed per permit ?-r? :•Multi irlPcrmitsaELC permitAPP_ETA ERE.doe Rev 06/17/2015 4404615111/OS/COMWka iVi 3 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13494 SW BEACH PLUM TER, SHERWOOD, May 30, 2017 at 2:35:43 PM OR, 97140 Record Type: Record ID: Residential - Electrical ELC2017-00370 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Electrical final for AC ok. Violation Summary: Inspector Contractor