Permit CITY OF TIGARD ELECTRICAL PERMIT
{ COMMUNITY DEVELOPMENT PERMIT #: E 3/2008 00193
.`� DATE ISSUED: 4/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103C D -01300
SITE ADDRESS: 13705 SW FAIRVIEW CT ZONING: R -4.5
SUBDIVISION: HOLLYTREE LOT : 019 JURISDICTION: TIG
PROJECT: SPANG
Project Description: Installing (1) branch circuit for hot tub.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
ADAM SPANG OLIVERS PRECISION ELECTRIC CO
13705 SW FAIRVIEW CT 17035 SW HIGH HILL LN
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: 503 - 341 -0829 Contact #: PRI 503 - 579 -7747
FAX 503 - 579 -5907
FEES
Description Date Amount Reg #: ELE 34 -52IC
[ELPRMT] ELC Permit 4/3/2008 $46.85 LIC 41435
[TAX] 12% State Surchar 4/3/2008 $5.62 SUP 2539s
Total $52.47 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You ma obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By �� _ ! _ - ._ Permittee Signature: .@2
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'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
■
; Permit Application FORM—TICE USE ONLY
City of Tigard Date.By: -( , C)i / Penrrit Nu.: e-c— a. t. F _ „ I li7
^ 13125 SW Hall Blvd., Tigard, OR 972 Plan Review (f(J "(�
' Phone: 503.639.4171 Fax: 503.598.11960 %iii a Other Permit:
T I G A R D inspection Line: 503.639.4175 R W% 1‘‘j Date RndypBv: ]uric: Ed See Page 2 for
Internet: www.tigard -or.gov Y ttfied/114ethod: Supplemental Information
A
�� ti ' " N
TYPE OF WORK _ ,, t „t" :1?.. .,_. ae5l014 PLAN REVIEW
❑ New construction ❑ Additionfalteration %rep �
'r� `t Please check all that apply (submit 2 sets of plans w:ritems checked below):
� 7 k L t .'4 ❑ Service as feeder 400 amps or more ❑ Building over three stories.
® °'t
E Demolition Other: hot tub i, ,, { k where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings,
less to ground, or exceeds 14,000 ❑ Conwretciai -use agricultural
® 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder El Other: ❑ Fire pump. ❑ installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION . ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of' ❑ "A ", `E ", "1 -2 ", "1 -3 ",
Job no.: Job site address: 13705 SW Fairview Court v IoOHP or more. occupancy.
❑ Six or more residential units, ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, OR ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 jolts nominal
Suite/bldg. /apt. no.: Project name: 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street /directions to job site: Descriplion l Qq. I Fee. i Total I "
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: .—
Limited energy, residential
DESCRiPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 7 -
circuit for hot tub residential (with above sq. 51)
75.00 2
Services or feeders installation, alteration, and /or relocation
200 amps or less . 80.30 2
❑ PROPERTY OWNER 0 TENANT 201 amps to 400 amps 106.85 2
Name: Adam Spang 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 13705 SW Fairview Court Over 1,000 amps or volts 454.65 ' 2
City/State/ZIP: Tigard, OR Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)341 - 0829 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name:
13. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
first branch circuit
Address: _ Each add'I branch circuit 6.65 2 j
Miscellaneous (service or feeder not included)
City /State. /ZTP: Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Phone: ( ) Fax: : ( )
Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: Oliver's Precision Electric Company Signal circuit(s) or limited -
energy panel, alteration, or
Address: 17035 SW High Hill Lane extension. Describe: Page 2 2 •
City /State /LIP: Beaverton, OR 97007 Each additional inspection over allowable in any of the above
Per inspection 1 62.50
Phone: (503) 579 -7747 Fax: (503) 579 - 5907 Investigation per hour (1 hr min) I 62.50
CCB Lic.: 41435 Electrical Lic.: 34-521C Suprv. Lie.: 2539S Industrial plant per hour 1 73.75
/� J ELECTRICAL PERMIT FEES
tx
Suprv. Electrician signature, required: r /�7 / �/4/� Subtotal: 46.85
Print name: () 1 v /J r / Date: 16 Plan review (25% of permit fee):
1 (- / State surcharge (12% of permit fee): 5.62
Authorized signature: TOTAL PERMIT FEE: 52.47
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:/ Building ',Pennits\SLC- Pemritapp.doc 05f13106 4444615T(11/05COatWEB
t- L069 C09 JDA11O eue1G 0E9:20 So 00 .tdd
CITY OF TIGARD
A
BUILDING DIVISION PERMIT #: ELC2008-00193
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 Jrlt
INSPECTION WORKSHEET FOR DATE: 4/7/2008 TIME: 7:01AM PAGE: 17
SITE ADDRESS: 13705 SW FAIRVIEW CT CLASS OF-WORK:
SUBDIVISION: HOLLYTREE. LOT #: 019 TYPE OF USE:
PROJECT NAME: SPANG
DESCRIPTION: IndalIing (1) branch circuit for hot tub.
OWNER: SPANG, ADAM PHONE #: 503-341-0829
CONTRACTOR: OLIVERS PRECISION ELECTRIC CO PHONE #: 503-679-7747
Inspection Request Scheduled For: Date: 4/7/2008 Pour Time:
Code # Inspection Description Cohfirn Contact # Message
150 Hot tub/spa/pool 067982-01 503-970-0369
Corrections/Comments/Instructions:
4 ■ L.-AL s €3, S
i■liECTRAL c.o4D,f0 6a. /0
\\O "If 0 6 Nol
I I PASS 111 PARTIAL APPROVAL Ell CANCEL El NO ACCESS
n, FAIL X CALL FOR INSPECTION Li ADDITIONAL FEES ASSESSED
Inspector: QT 14 €: , Date: M j , Phone #: (503) 718-14%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00193
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/3/2008
Phone: (503) 639 -4171 4 7 4,1i yf jl�
Inspection Requests (24 Hrs.): (503) 639 -4175 .
INSPECTION WORKSHEET FOR DATE: 55//312008 TIME: 7:02AM PAGE: 4
SITE ADDRESS: 13706 SW FAIRVIEW CT CLASS OF WORK:
SUBDIVISION: HOLLYTREE LOT #: 019 TYPE OF USE:
PROJECT NAME: SPANG
DESCRIPTION: Installing (1) branch circuit for hot tub.
OWNER: SPANG, ADAM PHONE #: 503-341 -0829
CONTRACTOR: ()LIVERS PRECISION ELECTRIC CO PHONE #: 503-579 -7747
Inspection Request Scheduled For: Date: 6/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
150 Hot tublspafpool / 019818 -01 503.970-0369 N
Corrections /Comments /Instructions:
N
\
r....
V J /`
A PAS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cr 1 V b`�L-�' Date: 1 3 1 , 6/ Phone #: (503) 718-