Permit CITY OF TIGARD ELECTRICAL PERMIT
11 1 a COMMUNITY DEVELOPMENT Permit #: ELC2013 -00307
L G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Date Issued: 06/04/2013
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Parcel: 2S103AC07600
Jurisdiction: Tigard
Site address: 12930 SW 113TH PL
Project: Hu Subdivision: FONNER WOODS Lot: 12
Project Description: (1) feeder and (2) branch circuits for hot tub panel
Contractor: PRECISION NW ELECTRICAL Owner: DETOFSKY, ABRAM
12020 SE ANNA CT HU, YI -KANG
DAMASCUS, OR 97009 12930 SW 113TH PL
TIGARD, OR 97223
PHONE 503 -413 -9870 PHONE.
FAX 503 - 594 -2873
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 06/04/2013 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 06/04/2013 $14.84
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 06/04/2013 $13.86
Electrical
Type of Const:
Occupancy Grp:
Total $129 40
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 OAR 952- 001 -0090 You may obtain a co. of th - - or direct questions to OUNC by calling 503 232 1987 or 1 800.332.2344
Issued By: Permittee Signature:
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 503.839.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept Ina 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.
APR -17 -2009 14:27 From: �T To:5035981960 Page:1 /2
Electrical Permit Applicatio � rol. °l:i:IC1.: USE °NIA
City of Tigard MAY 3 0 2013 Received
7 Permit No.
13125 S W Hall Blvd., , Tigard OR 97223 p� �„ f CF:-
` j '�' " y — eft e Phone 503.718.2439 Fax: 503.598. Other Permn:
Qty OF Date/i3 •
T i r1 A K 1.? Internet www. inspection Line: 503.639.4175 B UILDING DNIS10 Date Ready/By Es See Page 2 for
t�gard -or.gov Notified/Method: Supplementalloformaeion
ci : •,rS: �`f_ ��.-.i":i%"' .•[t:.:v�: %X::i3L- . xe} •. ._ /w�'.�, [✓� . li �.�-, . _ �'�-G '` 4^_ - ;,, f ..`•l - =u xs�;F;3;:,�� rr. •w. _ ''Z -`, ,1 r+ - y 7 :
';
u •:.wi. •�: • k -;,', -.+��r "3' - -: - , — t' J to �._
.ti %r �, .�•�..���.� •`-�� ,,:. �"._ y,�� •t er,!': .� ,,•<ur ��'_�!•�;�r:.�, of ��� ri- o.'�� �. � �j i ���{ • j.i
�71btlGS. N� -7ISf1 - 'd� .s7 .�s,�`_ ��r `� � - t��l�f�-.�' •,��.�"S :i.:. ,i
,
❑ New construction 0 • ddition/altcration/replacement Please check all that apply (submit 2 sets of plans w /gems checked below)
❑ Demolition ❑ Other: ❑ Service w feeder 400 amps or more ❑ Building over three stories
where the available fault current ❑ Marinas and boatyards.
-•e-,, ^ j : Rs3r 'T ?`„ -� - Floating build in
w Kd V � : • . : r •. � ,'_ �s:IS . ;':,� -Y = _� less to ground, aBn ound or exceeds 14,000 [] Commercial use Cultural l
:i 1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings
• Multi- family ❑ Master builder _ ❑ Other: ❑ Foe ptmip ❑ Installation of 150 KVA or
4 '''''''':1":;1.-;740:45 v 1 '� ` =i . ❑ Emergency system larger separately derived system
.:4 `= 4 :. a •' e : i � a ° y x`4.7 -gw?� -' ' '- S "f ❑ Addition of new motor load of ❑ "A" "E", "1-
2 ", "1 -3 ",
Job no.: Job site address: 1 Zq 36 N 11
100HP or more occrrpa0cy.
y/ 1 r ' `�' 4r ❑ Sot or more residential units. ❑ Recreational vehicle parks
City/State/ZIP: •ter- /� C O Healih•cart Imbues ❑Supply voltage for more than
1 is 1 LJ� !� ZZ' ❑ Hazardous locations. 600 volts nominal
Suite/bldg. /apt no.: Project name: El Service or fader 600 amps or more
C � = �n+'Y
�+nsf• , a - - r ^�';;
: at ;±''rV: ( . "'J ; •_y
s >ti ;ie„i: :. � S
Cross street/directions to job site: �/ - Voiv IlEA nest - •dca C 1 .
J New residential single- or multi- family dwelJiag unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft or less 168 54 4
Tax map /parcel no.: Ea. add'I S00 sq ft or portion 33.92 1
Limited energy, residential 75.00 2
a"%k " `;r;�5 t ': s,
^or :,:�,r.,. :,N:`_1, (with above sq. R)
Limited energy mule -family 95.00 2
k - --e- cv {vi VINTrittb P A rs., 1, residential (with above sq. R
7.. 6rA N CM Y (.A. I k I Services or feeders installation, alteration, and/or relocation
�:'o-:�,4rig _ `P) ' ` 7— '. ;-4.1 Pk1 11;.ra ,r�' - 401 - , >;k < •:Rt X ;r7t "4' el/Ws ca tens 1_1_ 100 70 '09 :14 2
' - ' 201 amps to 400 amps ,. 133 56 2
Name: 401 amps to 600 amps 200 34 2
Address: 601 amps to 1,000 amps 301 04 2
Over 1,000 amps or volts 552 26 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/o
Phone; ( ) I Fax: ( ) relocation
200 amps or less i 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 an to 599 amps 168 54 2
Owner signature: Date;
• sit, Branch circuits- new, alteration, or rxtenston,Rer panel
A
''?''k . �". f:.; a . ;v: s_ e -n '•`•.•r A. Fee for branch circuit with 64,
above service or (ceder fcc, rl
Business name: each branch circuit L
7 42 1 4 2
B. Pee for branch circuits without
Contact name: service or feeder fee, first
- branch circuit 5618 2
Address: Each add'I branch circuit r 7.42 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Each manufactured or modular 67 84 2
Phone: ( ) I Fax :: ( ) dwell service and/or feeder
Reconnect only 67.84 2
E -mail:
Pump or irrigation circle 67 84 2
.
;` . . i _ z �,. : '
=•, , . , t. - y `. S∎c:z: .;biS:Siti' .: 1-":3 Y ` : �,.1 .. Q 7.3 Pr...-.1%'. 2,.. : : c� ` ,
� ., .. - • ;�,•.�,E:'_r_; . -, � ,iL�tr7•.�= 2k,. -�. s „� o , Sign or outline lighting 6784 2
Business n -t SI Co.) IAA) ---- C Signal ctrcuit(s) or limned -energy Sec
1� k E J 1 ' 4 �-t `L- ` panel, alteration, or extension P : • 2 2
Address: I202A.) 55. 4■"1/ A C 1- Each additional inspection over allowable In any of the above
Additional inspection (I hr min) 66 25/ hr
Ciry /StateJZIP: aftvm fsq CJ S , 0 e 1 0 c1 Investiganon (1 hr min) 66 25/ hr
Phone: ( Fax: 60 ) 141-6e, 2,1 Industrial plant (I hr mm) 78 18/ hr
pcctions for which no fee is 90.00 / hr
CCB Lie.: lu ng Electrical Lic.: C Suprv. Lic. 5031,g specifically listed (51 hr min) _
Suprv. Electrician W tilt - e € =� = ••: >:;.';•
. E ectrician ign ) , required y� A � � � � /� ,/� � ,� � � J i � T
' b” � t � � '��` r
�l v�JS C "� -/VyV' �/"�J Subtotal: - 1 (c . S
Print name: t,AAI. 9 ULC N 0 Date: 5 -30- + 3 Plan review (25 %of permit fcc)'
�
,� ,� f State surcharge (12% of permit fee): �^► •
Authorized signaturc: Y .) % �' �( ) TOTAL PERMIT FEE: 112.9. L - Q J
Print name: t A) P�.0 (j�,o Date:5 -30 — 1 j
days a ays a fter it has been accepted as com Hoa expires if a permit is not plee. obtained vritttiq 180
ays aplete.
Number of Inspec iow allowed per permit
11BuddiUS 'Pamit'iELCJ'etoutApp,ELR [RE doe Rev O5/212013 410- 4615T(11/05/COMtw®
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12930 SW 113TH PL, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
FAIL
ELC2013-00307
David Young
Provide bonding for metal framework of hot tub cover. 680.26
Provide listing for outdoor lighting within 5' of hot tub to check if bonding of metal
framework is required.
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12930 SW 113TH PL, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2013-00307
David Young
Corrections done by contractor.
Violation Summary:
Inspector Contractor