Permit a n CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
; COMMUNITY DEVELOPMENT Permit #: ELR2009 -00100
Date Issued: 04/06/2009
'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S112A600100
Jurisdiction: Tigard
Site address: 7330 SW LANDMARK LN
Subdivision: Lot: 0
Project: TVT Die Casting and Manufacturing
Project Description: Install limited energy for voice /data.
Owner: FEES
SUMMIT PROPERTIES INC Description Date Amount
5550 SW MACADAM BLVD #205 Restricted Energy Permit 04/06/2009 $75.00
PORTLAND, OR 97201 12% State Surcharge - Restricted Energy 04/06/2009 $9.00
PHONE:
Contractor:
E C COMPANY
PO BOX 10286
PORTLAND, OR 97296
PHONE: 503 - 224 -3511
FAX: 503 - 295 -3012
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: Boiler Controls:
CCTV: Clock Systems:
Data & Telecommunications: Y Fire Alarm:
HVAC: Instrumentation: Total $84.00
Intercom /Paging: Landscape /Irrigation:
Required Items and Reports (Conditions)
Landscape Lighting: Medical:
Nurse Calls: Protective Signal:
Security Alarm: Other:
Other Desc:
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 -0100 You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I� r�1 •. n
Issued By: ` - C��ck� \�� \ �S: N \9 /S..J\ Permittee Signature: Q Q 4 J l \ ())
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.
API'. 2. 2009 1:33PM RECEIVED No.4367 • P. 1
tieCiiical Permit Application . • FOR OFFICE is E ONLl"
125 SW Hl Blvd., Tigard OR 97223 APR - 2 200 .
- '_ ; . City of Tigard Received !h Permit N„.: E 0
13al, .... _
; 1.. Phone: 503.639.4171 Fax: 503.598.1960 CITY OF TIG ' 4 Other Permit:
TIGARD u w • . 0 (E2 .
h
Inspection Line: 503 639,4175 BUILDING DIV IS ItIr ,
Juri: El Sec Page 2 for
Internet www.tigard-or.gov rquiiried/meikuit: 1 1 Ct) Supplemental information
. . . . .. .
;: ., . OF .WORK : .'.' : ' i ..,. • ::::•'.:..:: . '::: .. •:...".` : ::::::; ..!.:... . ,.:• ,• ' : PLASI;:itiVIEW:: .:•.: ":.:':?.: :: ::;: j. :::..•
0 New construction [E] Addition/alteration/replacement Piesie check ail thai ripply (ubfflit 2 sem O r plans w/ilerns chucked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyard*,
cATEGttv OF:Cokstlitiettort , 2.::,.. , '...:1:'.'',, .::,., exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 ID Commercial-use agricultural
0 1- and 2 -fami ly dwelling El Commercial/industrial 0 Accessory building 4 (Or all Qtlier installulion, hoildinyx
El Multi-rah 0 Master builder D Other: ID Fire pump. ' 0 Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION iargOr sepumtely derived system.
lob no.: 73469 lob site address: 7330 SW Landmark Lane 100H? or more. occupancy.
0 Six or more residential units. 0 Recreational vehicle parlo.s,
City/Slate/ZIP: Portland, OR 97224 0 Health facilities. 0 Supply voltage for more than
.,, 0 Hazardous lks:atimi, COO volts not» inai
Suite/bldg./apt. .
no.- —I Project 1 roject name: TVT Die Casting & Mfg. D Service or feeder 600 maps or more.
,' .F0
Cross street/directions to job site: De . scriptio li
n Zt E .,...
ee..." I ' Taint I
....
New residential single- or multi-family dwelling unit. 4
, . Includes attached garage.
,.,,.
Subdivision: Lot no.: 1.000 sq. ft. or less
.----.— 145.15 4 1.
Hi. add'l 500 sq. ft. or portion 33.40 El 1
Tax map/parcel no.:
Limited energy, residential III
III .
75.00
',...:- .:.iy with above -.. ft. .-
Limited energy, multi-family
Fiber & Copper bldg inter connect with copper & fiber. (5) new voice & data residential (with above sq. ft.) 75,00 2
—, —
Services or feeders installation, att51 and/or relocation .
outlets.
200 amps or less 80.30 MU
:. .':'...:.. '' . , ':' '! , '' '''' ' .:Er(trs1.610'..' .•:''.:':''''''.''.:/' '.• 201 amps to 400 amps MI 106.85
Name: TVT Die Casting & Mfg. 401 amps 00 600 amps, III 160.60
601 amps to 1,000 amps 240.60 2
Address', '7330 SW Landmark Lane Over 1,000 snips or volts 454.65 2
-- - i
City/State/ZIP: Portland, OR 97224 Temporary services or feeders instillation, alteration, and/or
relocation
„..
Phone: (503)639-3850 Fax: ( ) 200 amps or less 66.85 1 ,
a
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2 I
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 signaturc: Date: A. Foe for branch circuits wills P.
- . . .... .
4011 .„,„;j,.,: , ., :::.,;:.::::,:. ,,.,,::::.11::.eliotii(tt:10;sW.q^....,,:';:: above service or feeder fee,
6.65
each branch circuit
Business name: EC Company R. Fee For branch circuits . 1
l
wilhoul service or feeder fee,
Contact name: Kathy Kelley . 2
first, branch circut
—
Address: PO Box 11)286 Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included i
City/State/Z1P: Portland, OR 97296 Each manufactured or modular l
dwelling, service UndiOr f 90.90 Ceder
Phone: (503) 224-3511 Fax: : (503) 295-3012 Reconnect only 66.85
— ._ .-..
E ksthykge Pump or irrigation circle 53.40
(-1.)1V*MeT0it' . "7,77077.7.77.70 ;;:.::::,..,,•,:: :::,. :.:.,, Sign or outline lighting =I 53.40 a 1
Signal circuit(s) or limited-
Business name: EC Company i
energy panel, alteration, or
75.00
Address: PO Box 10286 extension, Describe; Page 2 ,
Data Telecom 1
City/State/ZIP: Portland, OR 97296 Each additional insieetion over allowable of the above
Per inspection 62.50 .,
Phone: (503) 224-3511 Fax: (503) 295-3012
1
Investigation per hour (1 hr min) _ 62.50
am Lie.: 49737 - Electrical Lie 26.
.,4.15•10 - i•I. 0 1 Suprv. Lie.: 29505 industrial plant per hour 73.75 I
• Suprv. Electrician signature, required: „ :ze '2 7 ,.1% Subtotal: 75.00 .1
— —
Plan review (25% of permit fee):
- - - Print Date: 4/2/09
State surcharge (12% of permit fee): 9,00 :.
• "
Authorized signatur TOTAL PERM"( PEE: 84.00
--- ----,----- --'
This penult applitlon esp■re4 if a permit is not obtained within 150
Print name: Andrea Stinger Date: 4/2/09 days. after it has been accepted as complete, 1
* Number of iTIR(,eeliOffic allowed per permit,
I \PermitAt-:1 r-PermitAnn tine 55/25)(16 440-4AI 5T/ I I losicrosuturn