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Permit (100) 1111 CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit*: ELC2017-00648 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/31/2017 Parcel: 251060001000 Jurisdiction: Tigard Site address: no address Project: River Terrace East Park Subdivision: None Lot: None Project Description: Temporary electrical service for a park located at the corner of River Terrace Blvd.and Snowdale Street. Contractor: WILLIAM LYON HOMES INC Owner: POLYGON WLH LLC 703 BROADWAY STREET, SUITE 510 109 E 13TH ST#200 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Temp Services or Feeders- 08/31/2017 $59.36 Specifics: 200 amps or less 1 ea 12%State Surcharge- 08/31/2017 $7.12 Type of Use: COM Electrical Class of Work: NEW Type of Const: Occupancy Grp: Total $66.48 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 001- 090. 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: /' ___ Permittee Signature: e)Ai ,1.'7� e 47-/04// 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 ApplicataEG EivEFO12 OFFICE USF.ONE)' City of Tigard t�Zt",2e:/7 er76 � ' Received ■ 13125 SW Hall Blvd.,Tigard,OR 97223 natrlay: �� /7 r r�► t 1 ' ®' Phone: 503.718.2439 Fax: 503.598.196A UG 3 0 2017 Ilan 1101" Related Permit//: Inspection Line: 503.639.4175 � y D TiGACiD 0 See Page Zfor Internet: www-tigard-orgov Oily f'` r` Dt Date/By: kris! � 4t t i `✓� i�"'�a� p e � Supplemental lnformatiou is F:" tom c .:K_a, p t`a,Z .i< --?...°7_-_,-k_-1, 2,.,,,-.,. �. - 44::' R?n,. } .y, !" ®New construction tom•' .. ���`� �"''.P.,-11'.11-;,0 S��,�-=� ,�-�: z ,��` t l Addition/alteration/replacement Please aleck all that apply(submit 2 sets of plans wIllems checked): ❑Demolition Other: • 0 Service or feeder 400 amps or more 0 Building overtire stories- t r r' 3 where the available fault current ❑Nterinas and boatyards. �,,,1 i- ,e,5 r 3 k? it a) ,-ilia91 1 Meth. exceeds i 0,000 amps at 150 volts or 0 Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 D commercial-use agricultural - - ti maps for alother installations. bofd❑Multi-family 0Master builder. 0 Other 0Fire pump. d Installation o150 CYA Prt7 ZY S ` 1 ,:','i3: , G°.:— y.. 'r x: _�>;:n ❑Fmergency system. larger cepatateJy dorived. Yob : JOb Site atld[CSS:aSvc! -t^ D Addition of new motor load of system. �Nete 1 P Y1r z,''.e b\u& tc. WOW'or more, ❑"A",V',"1-2","1-3", City:Tigard,OR 97224 5w i/j verf—D Six or more residential units. occupancy. ©Health-aetefaoititios. DRe�eationaivolualeparks. Suite/bldg./apt,#: 1 Project name: L Ut r Te-rc't ice ei D Hazardous Wagons, D Supply voltage for more than Cross street/directions tojob site: ElService cm-feeder 600 amps or more. 600 volts noosing ic ":.,,'. .4`.,`4"1,/:Pe'1,170f .I.60l .:.psi--.. : y lei Detestation I Qty. Each Total .,:z. t �-- New residential single-or multi-family dwelling unit. Subdivision:t",•t i i0(-QCc,East_ j Lot#: Includes attached garage. Tax map/parcel#: 5'10(, l 00 t,00a sq.R()Hess t6s.s4 4 Ea.addl 500 ft.or portion <:_- ✓' - a ` i `.:Ale I 1.0)1--t-M*('g : -' r a r s ,w a tel- P 3392 j �" s ,_ Limited energy,residential T�,rra ce Gast- 7s.oti 2 (z.,Ne.,r PO`Ertrrip ►t► (tedxabogy,m lti��.. Limitedetlexgy,multi-family 75.00 residendai(with above sq.ft.) 2 Renewable Enc i=k,ii 4D9;rl fiit..g <+ ea'n Com- . n. t. 1 '' C E'S ;'wk 33--;....'7;,;.'f ti 13 See lOagCz v servicesor feeders installation,afters' n,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 City/State/ZIP:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2 60l amps to 1 ,0 00 amps 301.04 2 Phone:(602)6944031 I Fax:( ) O� -f,OOOttamps or volts 55226 2 );rrlail' (i eo Porary ces or feeders installation,alteration,and/or Owner installation:This installation is being made on property that I own which is not 200 amps or less59.36 I 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 �r 168.54 2 , :,,.,sr a r? .!....-,::.,,,?,4:0 , to r A ?1,: ,, o i 1e,l, 2: .6. Branch circuits-new alteration or extension, ,er panel ._: ' �-'�`�''��' `'�"'X' A.Fee for branch circuits with :� Business name:William Lyon Homes,Inc. above serviceor feeder fee, each branch txrcuit 7.42 2 Contact name: tchOk Tho ''`` D.Fee for branch circuits without Address: 10� [r-Ot ut S•- Suite_ cit V service ci cuit `fust 56.18 2 City/State/Z1P:Vancouver,WA 98660 Each add'l branch circuit 7.42 2 Phone (360)695-7700 Fax: (360)693-4442 1V7iscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Email: dwelling,service and/or fheder LA 1,41 ) i 0.141, ► it 1,1, ct only 67.84 24.:-,,,27-'-,_:,:,,;%!-.:z2.. - : r- Gi t ,F , c ^ y :7. r - Pump or irrigio citric 67.84 2 Business name:Garner Electric Washington,LLC • Sign or outline lighting 67.84 2 e,4, . Address:6101 NE St Johns Rd Signal circwt(s)to limited-energy panel,alteration,or extension. El See Page 2 2 City/StateJ7IP:Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 hr thin) 66.25/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 brmin) mow hr Email:bdanielsa(3gwensa coos " Industrie/plant(I hr min) • 78.18/lir Inspections for which no fee is CCB Lic.: C1158 Electrical Lic.: 208174 j Suprv.Lica: 4496S specif listed `hhrmm hr _ z Suprv.Electriciansi store Hired -. x j w : 1tt,£�P11 vac a,#2`,crF:Al. fiV ~},�i y signature, • Subtotal: Print name: Joan P Albert Date: 4/26/2016 D Plan Review Required(25%of permit fee): f --, State surcharge(12%ofpermit fee): Authorized si -77.'.- .. �� ^ TOTAL,PERMIT FEE: I. Print name: Bill Daniels This permit application expires if a permit is not obtained within 180 Date: 4/26/2016 days after it has been accepted as complete, ilildhrgtPennhsWCC g Rev 06/17/2015 44tM615T{t,u51COMAVEB * Number of inspections allowed per permit