Permit (106) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00832
Date Issued: 11/08/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106 D 8/2017600
Jurisdiction: Tigard
Site address: 13555 SW CALABASH TER
Project: River Terrace Northwest,Lot 6 Subdivision: RIVER TERRACE NORTHWEST Lot: 6
Project Description: (1)branch circuit for NC.
Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: WILLIAM LYON HOMES INC
402 VALLEY AVE NW, SUITE 106 109 E 13TH ST
PUYALLUP,WA 98371 VANCOUVER,WA 98660
PHONE: 253-872-6051 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 11/08/2017 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 11/08/2017 $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 y 2-001-0090. You� y obtain a copy of the rules or direct questions
Signature:calling 503.232.1987 /�C±��
Issued By: f •r G/ 'r`— Com'/V 6–'T
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.
Wit'' fit# - . ... ,,ir...,.
Electrical Permit ADUlicatii,.. role ori id:I,ci-oyI 1
of Tigard j 0 V t7 L°I Ir Rwelvedeagrpeon i 7
ppir , 13125 SW Hall Blvd.,Tigard,OR 972I3
Phone: 503.718.2439 Fax 503.5k-a'`t 1 }l` )i I a '-`' _ . :.-4'iiiiiiIIIIIIIIIIII Rallied Permit ii:
Lk=
TIG..1ill Inicalet cow- 8 X75 t .111-:'-«w.' -_._ .NaHBed/Mc&od: S &mPage Wllfor
hrtwset:W W W.fl ala �ppleo,mstd Information
®New c onslruelion ❑Addition/alteration/replacement Please check all thatapply(subrn1t x sets of plans wAtema checked);
❑Demolition ❑Olber DSc:viceorhaedw400amps nrmore ❑9ofidingoverthrewscada'.
, where lbs available fault=neat C i fa oas bed bomyads.
Yf--f ,�,- .,: _ ---':.74,:!1 ri''..'71J'� -. ti•_',It-•,401; = ^.-:"-t-,,,------., omeed&10.000=Ps at 150 was or CIPloatiagbarldings.
®1-and 2421ntly dwelling 0 Commereia]Puititistrial 0 Accessory building Sex.0 ground/or=seeds(4,000 D t3ommuolal-me agdoulamat
❑Multi-fataily • 0 Master builder 0 Other maps a mslallatioas. bmldia .
❑Fee pump. ❑IaaeaOaeloa of isO KVA or
-1.,..''''Z.-,-,,,,i,. ..•:-:_-.1/4"-fel..„-4,.., ae;;• v ,a�fxtZ; j. !�. is btWa. 3:i ,, z. e yL¢gefaepeeafeb,&rived
,�u ❑tlddcL'rmofnewmrimmorWadof
Job if: Job site address:f d55- S aV 600mish &rya- 100HP aroma. ❑''..k",,'E"."1-2:"i-3'.
City/StatrJZIP.Tigard,OR 97224 ❑six ormoresesidentiat units. may. _
Ig aDSupply voltage far more tt.aSuiteb t# Pm-lea �i.irc-rrQGG Ha uiti- ❑Hmam ,,,,„,...
WO%al um:dual
Cross street/dtrections to job site: t 2,_,i, ,� 1 t --
neseonee. I Ory. lea raw
New residenfiai single-or multi-family dwelling unit.
Subdivision:/.1761.-rerr44t, d/ I Lot* Includes attached garage.
Tax map/parcel# V s.tvl fn/dii `� l.000 sq.R orlesa 16s 54 4
Fa addl 500 sq.o33.92 1
_ _- tc)''ir. ,t'a1 - Z1- l'�:aT l t .
_—' Lideat;f ideatml 7500 2
C:(72•e-et( 'T- �. /9-/C.--- (with above e9.tt)
Limes oY't' lY 75.00 2
residential(with above m.ft.)
Re�ewableSuegy ❑SeePage2
''-l''''''-12''''):4
l ril a 5 i `� y,a ;•r _ `> $e , or feeders iastflatioo,alterabq aad/or relocation
Name:ADVL Land Holdings,LLC 200 amps or las 100.70 1 1 2
• Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 - I
401 amps to 600 amps 200.34 2
City/StetrIZlP:Scottsdale,AZ 85258
601 amps to 1,000 amps 301.04 2
Phone:(602)694-4031 Fax( ) Over 1,000 amps revolts 552.26 2
Temporary services or feeders Installation,alteration,and/or
Emit .relocation
Owner installation:This installation is being made on propertythatl own which is not 200 amps or las 5936 1
intended for ask lease,mart,or exchange,according to ORS 447,449,670,and 701. - 201 amps to 400 amps 125:08 2
OWner slgnattne: Date 401 amps to 599 amps 16854 2 •
1 F 7 a a tl a -n Branch circuits-new,allerafion,or extension,per panel
,-: _... W,._ ':: a ._ A.Fax for branch circuits with '•
Bt>9inessname:William Lyon Homes,Inr� �� w� u above service orfeederfee, 1
Contact name:Angela evpglcl each branch cheek 7.42 2 I
g R ilte forlxandc circuits without ,
Address:109 East 13th Street branch fee.f / 5618 2 , i
City/Stat P:Vancouver,WA':rr,{; 1'�t,r+r�.--c wit.--- 910 9
Ianeom(service or feeder not Wdnded)
Phone:(360)695-7700 • ' Fax::(360)693-4442 Bach maorfcaaedormodula 67.84 2
dwelling,service andfor feeder
Email:Angela.Grajewsid@polygonhomes.com
Rehresseet only 67.84 2
• - ,:s1,_`-' _ _c)•c _ _ _ pump relQigelioaewe 67.84 2
Bess name:Garner Electric Washington,LLC Sign ea outine lighting 67.84 2
.r-,,, Signal el,q�(s)erl; ,
Address:6101 NE St Johns Rd pmol,alieuatim,or extension. 0 See Pages 2
City/State!ltP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 brim) 6625/hr
Phone:(253)320.1657 I Fax:( ) Investigation(1 hrmia) 90.00/hr
Email!bdaniab�wensa.com Industrial phot(]brain) 78.18/la
Inspections for which no the is 900(t/hr
CCB Lic.: C1158 1 Electrical Lie.: 208174 Suprv.Lie,: 44963
Snply Electrician signature,required: j- ./.-Ptjdt
• stuem:a]
Print tattle: Joan P Albert Date: 4/26/2016 ❑Plan Review Required(25%of punk fee):
..: r __ — state surcharge(12%ofpermitfeex �v '
_ _- -
_ t. signature: TOTAL PERMIT FM
k.,..,: Authorized r"
*: *' 131s permltapplttadoa expires tfa permits'not obtained within ISO
91=:; Print nam=Bill Daniels !Date: 4/26/2016 days atterithes bean accepted as complete. i
-4"4:::•m aIZIMELC_ParmSApp Shat Sltlidet RA.osoussls 41W61S1(fUt>u4UWE3 JJ
` Namberofh allowed perusals.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13555 SW CALABASH TER, SHERWOOD, November 9, 2017 at
OR, 97140 11 :08:45 AM
Record Type: Record ID:
Residential - Electrical ELC2017-00832
Inspection Type: Inspector:
199 Electrical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor