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Permit (106)MEM CITY OF TIGARD ELECTRICAL PERMIT m' ' COMMUNITY DEVELOPMENT Permit#: ELC2018-00701 Date Issued: 10/22/2018 T f(.;',1<.i 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AD05600 Jurisdiction: Tigard Site address: 16609 SW FRIENDLY LN Project: River Terrace East,Lot 163 Subdivision: RIVER TERRACE EAST Lot: 163 Project Description: Adding(1)heat pump. Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: WILLIAM LYON HOMES INC 402 VALLEY AVE NW, SUITE 106 703 BROADWAY ST STE 510 PUYALLUP,WA 98371 VANCOUVER,WA 98660 PHONE: 253-872-6051 PHONE: 602-694-4031 FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 10/22/2018 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 10/22/2018 $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 I. requires you follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 95 r I -0090 ou ma i,btain a copy o he rules o. ,-=-••• • s o••I by calling 503.232.1•=7 or 1.800.332.2344. oor Issued By: / Permittee Signature: ` ��---- Iv OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. l OWNER'S SIGNATURE Date: 10/ 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. IVE CE Electrical Permit Applicatiol, E FOR OFFICE I IJSI!ONLY City of Tigard U C i 2 2 2018 Date/8 MIA Permit#: 2'Received %'00 0 111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plen Review Phone: 503.7182439 Fax: 503,598.19(ZOp�- '' i-�/ ��GAR I Date/B : "11W . ''' I♦ 11 T1Gn[tD Inspection Line: 503.639.4175 Urn/l i v dyDate/By: lurk: BI See Paget or Internet: www.tfgerd Otgov BUILDING D \JtS_I ' tiSed/Method: Supplemental Information �M P ,.•tt-;,s,,y 1 x'.m ? s"'-s "14 s O k1r,91,,i:?;. ---:4 .. y '2- -ATI- !.4r1 , $ s :r.:MiP er A,p i i. i4r g.- .1*''':":a' ®New construction ❑Addition/alteration/replacement Please cheek all that apply(submit I sets of plans w/Items checked): ❑Demolition Other: 0 Service or feeder 400 amps or more 0 Building over three Miles. where the available fault current ❑•Marinas and boatyards. Yrog m, > f`,.i sem':,,,'V-:AMOY t e1 t.L90(e €Ss"�;a1 x _','' -. . "4. exceeds 10,000 amps at 150 volts or ❑Floating buildings. ®1-and 2-family dwelling 0 Commercialliridtistrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family - 0 Master builder 0 Other: Fin forallother installations, buildings.- _ ❑Firo pump. 0 Installation of ISO KVA or "it xi €..; .`".''" Emer stem. largerseparately derived r'�'.w.�,'�''V�',�;�..w 2� .�������', � n� 4`g ��-:".;,'`,r � `'s",ufi}d�•u-n,�y ❑ g�Y sY P Y Job#' Job site address: 11'^fI. p ,5W r ❑Addition mfore.new motor load of system. • l W W O \ T fir'_I en 1b. L.0 Ln 100HP or store. ❑'A, E, 1_2", 13>', City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occupanoy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:' 'r'AS' River Ter 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site "+i„—- > Description I Qty. I Each Totals _ New residential single-or multi-family dwelling unit. Subdivision' 113+-"3"C River Terrrace Lot#: 1‘,-5 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#1: y st -,-:.z4:7 Ea add'I 500 sq.ft.or portion 33.92 1 '*'''!',;''e2',';'6?:. rr.s ,,411. iD V � -i.: " ..,_ . :_ Ns Limited energy, residental 75'00 2 CJ ^VeC� C—/l� f / z `7��� � (with above sq.R} Limited energy,multi-family 75.00 2 residential(with above sq.ft.) .- ',+1,-.1--e ,- c Renewable Energy ❑ See Page 2 - Services or feeders installation,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 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 'rte, ,> , :t .-,,,ii.,-&�, ¢ ,s Branch circuits-new,alteration,or extension,per panel `".` �- t,,..-...-:: '" :� ,..,-.'4,.:, ._ �'a a.:.,��a��� .;�� � A.Fee for branch circuits with Business name:William Lyon Homes,Inc. above service or feeder the, 1 each branch circuit 7.42 2 i Contact name:Angela Grajewski B.Fee for branch circuits without i service or feeder fee,fust Address:1103 roe a i - 5(l7 branch circuit 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7,42 2 Miscellaneous(service or feeder not included) Phone:(360)695-7700 ' ` Fax::(360)693-4442 Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:Angela.Grajewslo®polygonhomes.com Reconnect only 67.84 2 ' ^` �.7S. t s i3..�h,g�© 1.7:- os(oJ „=a,t: :-. r 3.P s z Pump or Irrigation circle 6784 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 .r... 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(I hr min) 6625/hr Phone:(253)320-1657 Fax:( ) Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa / Industrial plant(1 hr min) • 78.18/hr IG/ Inspections for which no fee is 90.00/Iv CCB Lie.: CUSS Electrical Lie.)2081 4 I Suprv.Lica: 4496S • � n -, 40.'x::1 al ,, i R Mll'^� 4 -s a',M3 Suprv,Electrician signature,required: t Subtotal: • Print name: Joan P Albert • Date: ,p'22 1 f' ❑Plan Review Required(25%of permit fee): - _ State surcharge(12%of permit fee): Authorized signature: ' TOTAL PERMIT FEE: This permit application expires if a permit Is not obtained within 180 ; Print name: Bill Daniels Date: 10 122.! ("- days after it has been accepted as complete. -- * Number of inspections allowed per permit :;2 1:iBuildinnTermitslfii-C PermitApp ELK FREdoe Rev 06(17/2015 440-4615T(11/05/COM/WEB