Permit n CITY OF TIGARD ELECTRICAL PERMIT
III m . - COMMUNITY DEVELOPMENT Permit#: ELC2013-00593
T J G;ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2013
Parcel: 2S 112AB00100
Jurisdiction: Tigard
Site address: 7330 SW LANDMARK LN
Project: TVT Die Casting Subdivision: 1992-007 PARTITION PLAT Lot: 2
Project Description: (1)branch circuit for latte machine.
Contractor: E C COMPANY Owner: SUMMIT PROPERTIES INC
PO BOX 10286 5550 SW MACADAM BLVD STE 205
PORTLAND,OR 97296 PORTLAND,OR 97201
PHONE: 503-224-3511 PHONE:
FAX: 503-295-3012
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 10/03/2013 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/03/2013 $6.74
Type of Use: COM 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 OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. \
Issued By: g 2 " m� Permittee Signature: c42° ��
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.
Sep. 30. 2013 3:08PM No. 4003 P. 1
RECEVED
Electrical Permit Applications,* FOR 3 0 2013 FoR OFFICE uSE°NE.V
City of Tigard R ed eiv
--a 13125 SW Hall Blvd.,Tigard'503.5141 OR V OF TIGAR D Plan Review, ` " Ochs Permit •
Phone: 503.639.4171 Fax: !960 //'� B1I ��yyp� DatdB
'r I r. tin
Inspection Line: 503.639.4175 DDB ®�4�DIVISION SIO\! Date Ready/0y: ID See Page 2 for
Internet: www.tigard-or.gov NotifcdMethod: ` Supplemental rn[ormatloo
.-, v: `ir `,;4'44417.01Z� t, "t ' +--!V o _ - q :
❑New construction ®Addition/alteration/replacement Please cheek all Mar apply(submit 2 sets of plans w/hems checked below):
[]Demolition O Service or ftcder 400 ampler MOM ❑Building over three stories.
❑Other. where the available fault caneot ❑Marinas and boatyards.
�, `a .C";:F-,":-F:'Cottidt) . 0 a :!.-C>!!talt ;:'.�:, :--r-- .r ' .,7 exceeds 10,000 ❑Flowing buildings.
�`-:, ..� ..� amps at x50 volts or
❑I-and 2-family dwelling ®CommerciaiIindustrial ❑Accessory building amps ons. ❑Comings. .uatagitculNral
amps[or all other installations. buildings
❑Multi-family ❑Master builder ❑Other: ❑Fin pun". ❑Installation 0t75 KVA or
��; $i7-,,...� - ❑Fourgeacy s anew in larger separately derived system.
' ! _:70 9 'X ':5,� �tr- :4�., .= w ❑Addlimanewcantor Load of 0"A".
Job no.:7x983 20 Job site address: 7330 SW Landmark I00HP or more. �panry•
❑Sic or more residential units. ❑Recreauooal vehicle psrtts.
City,/State/zIP;Tigard OR 97224 0 Health-care facilities ❑Supply vohaga for more thin
❑Hazardous locations. 600 volts nominal.
Suite/bldg.apt.no.: I Project name: TVT Die Casting ❑Swiceor[eeder600 amps ormom.
— •t'. . :aW ', ..'q YASC1 DULW:;,=Q�..
Cross street/directions to job site: Descrlpuon Qtr. Fee. Total •
New residential single-or multi-family dwelling unit.
Includes attached garage.
—
Subdivision: I Let no.: 1.000 sq.R.or less 168.54 a
Fa.add'I 500 sq.(t or portion 33.92 I
Tax map/pared no.:
•:..: F Limited energy,residential
ntial
75.00 2
,r'�,,: �i M;si 4;_� � .>� 7r_ 0�O �b�,i" 4, NA-T:,q 'v :"�?;`�x""`
� (with above sq. L)
Limited energy.multi-thmily
One new circuit for a latte machine residential(with above sq.IL) 75.00 2
Services or feeders Installation alteration and/or relocation
t-t 200 amps or less 100.70 2
'� .JJ PROPEIY i:4ViNxii;y .' ':- :gif.'`.',y b TENANT J .. 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: -601 amps to 1.000 amps 301.04 2
Address: Over 1.000 amps or volts 552.26 2
Temporary services or feeders Installation,alteration,and/or
City/State/ZIP: relocation
Phone:( ) I Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on prtoptrty that I own which is not 401 amps to 599 amps 168.54 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
Branch circuits—new,alteration or extension r panel
Owner signature: Date: A.Fee for branch circuits with
' '11 above service or feeder fee,
® APPLICANT ❑:CONIAGT:PEIiSON ;u.• 762 2
each branch circuit
Business name: EC Company B.Fee for branch circuits without 1 56.18
service or feeder fee,first 56.18 2
Contact name: Kathy Kelley branch circuit
Each add'I branch circuit 7.42 2
Address: PO Box 10286 Miscellaneous(service or feeder not Included)
- Each mannfacNted or modular
City/State/ZIP: Port land, OR 97296 dwelling,service and/or feeder 67.84 2
Phone:(503) 224-3511 FF ::(503) 295-3012 Reconnect only 67.84 2
Pump orimgalioacircle 67.84 2
E-mail: kathyk®e-c-co,Com
-T,, r: �, Siprtor outline lighting 67.84 2
. . . .::CONTRACT'OR'.'`?'%°, , .= 4;4: Signal circuit(-)or limited-energy
Business name: EC Com any panel,alteration,or extension. Page 2 _ 2
Each additional Inspection over allowable In any of the above
Address: PO Box 10 2 8 6 Additional inspection(l hr min) 6625/hr '
City/StateIZEP: Portland, OR 97296 Investigation i(Ihrm) 6625/hr• Industrial plant(1 hr min) 78.18!hr
Phone:(5 0 3) 224-3511 I Fax:(5 03) 2 9 5.3 012 lnapoctions for which no fee is 90.00/In specifically listed b to min)
CCB Lie.: 49737 I Electrical ' .2 - 5 I Suprv.Lic.:23L)5-s ' ' Ef:PC17tICAI;,PERAkI' `Ir Il
Suprv.Electrician signature,required: Subtotal: 58.18
Plan review(25%of permit fee):
Print name: Ron Coffman Date: 9-3 0-2 013 State surcharge(1245 of permit fcc): 6.74
TOTAL PERMIT FEE: 62.92
Authorized signature: �k Th11 permit application expires If a permit is not obtained within 180
days after Ii has been accepted as complete.
Print name: Anna Het t I Date; 9-30-2013 • Number of inspections allowed per permit,
i)ini laingWornih\F.1.C-PemiLAppdoc 070I/10 4404615T(1b0S'COMIWEB