Permit CITY OF TIGARD ELECTRICAL PERMIT
rils COMMUNITY DEVELOPMENT Permit#: ELC2017-00079
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 02/21/2017
TIG Alt_t� 9
Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 400
Project: Aerotek Subdivision: None Lot: None
Project Description: Sign lighting for(1)internally illuminated wall sign.
Contractor: MEYER SIGN CO OF OREGON Owner: WISCO REAL ESTATE EQUITY FUND I
15205 SW 74TH AVE 1501 SW TAYLOR ST STE 100
TIGARD, OR 97224 PORTLAND, OR 97205
PHONE: 503-620-8200 PHONE:
FAX: 503-620-7074
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 02/21/2017 $67.84
Specifics:
1 ea 12%State Surcharge- 02/21/2017 $8.14
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75.98
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 issuan - 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 . e er. Those rules are set forth in OAR
952-001-0010 t ugh OAR 2-001-•.•0. •u may obtain a copy of the rules or direct questions to OUNC by calling 503. '2.1's 87 or 1.800.332 44.
Issued B • , �/� 9 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 503.639.4175 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.
Electrical Permit Application FOR OFFICE 1'SE()NLI'
City of Tigard Received sliemermiffilimminginfir
a 13125 SW Hall BEd..Tigard,OR 97223 Pla
Phone: 503.718.2439 Fax: 503.598.1960 Plann R Review
Date/B Related Permit#: /' i � 7_ v t�
T t G A RD Inspection Line: 503.639.4175 " Ready Date/By: r4 See Page 2 for
, Internet: www.tigard-or.gov Notified/Method: _ Supplemental Information
TYPE OF W r .
�-1�I I•' 3��. "i `�.�ut"`' PLAN REirIEW
❑ New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑ Demolition El Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault cunwent 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or
❑Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground.or exceeds 14.000 ❑Commercial-use agricultural
amps for all other installations. buildings.
Multi-family ❑Master builder ❑Other: ❑Firei.um
P I 0 installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address:9020 SW Washington Sq.Rd. ❑Addition of new motor toad of system.
I OOHP or more. 0"A' -F".
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
El locations. 0supply voltage for more than
Suite/bldg./apt.#: Project name:AeroTek
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
FEE SCHEDULE .
Description � Qts. I Each I..;. Total I '£
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add']500 sq.ft.or portion 33.92 ]
DESCRIPTION OF WORK. Limited energy,residential
Connect 1 internally illuminated wall sign to existing electrical. (with above sq.ft.) 75.00 2
Limited energy.multi-family
residential(with above sq.ft.) 75.00 2
PROPERTY OWNER'. Renewable Energy ❑ See Pa e 2
TENANT g
Services or feeders installation,alteration,and/or relocation
Name:Wisco Real Estate Equity Fund 200 amps or less 100.70 2
Address:Wyse Investment Service Co.810 SE Belmont St.#100 201 amps to 400 amps 133.56 2
City/State/ZIP: Portland,OR 97223 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone: ( ) Fax: ( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
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
►t APPLICANT - " 1M:CONTACTPERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Meyer Sign Co.of Oregon above service or feeder fee.
each branch circuit 7.42 2
Contact name:Tony McCormick B.Fee for branch circuits without
Address: 15205 SW 74th Ave. service or feeder fee,first 56.18 2
branch circuit
City/State/ZiP:Tigard,OR 97224 Each add'1 branch circuit 7.42 2
Phone: (971)232-5021 Fax: : Miscellaneous(service or feeder not included)
( ) Each manufactured or modular
Email:permits@meyersignco.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Meyer Sign Co.of Oregon „
g Sign or outline lighting 1 67.84 � Ty,/ 2
Address: 15205 SW 74u'Ave. Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP:Tigard,OR 97224 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(971)232-5021 Fax:( ) investigation(1 hr min) 90.00/hr
Email:permits@meyersignco.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 64014 Electrical Lic.: 20190CLS Suprv.Lie.: 569 SIG specifically listed(y2 hr min) 90.00/hr
Suprv.Electrician signature,required: ®.0 .,.ELEOT ticAL..PERMITr FEES
��J Subtotal: /-7,3-1
Print name: Todd Barcla 7
ate: 2/2/17 0 Plan Review Required(25%of permit fee): IP
�y State surcharge(12%of permit fee): J
Authorized signature: ��
67/ ,
TOTAL PERMIT FEE:, '7 :q�
This permit application expires if a permit is not obtainwithin 180
Print name: Anthony C McCort ck Date: 2/2/17 days after it has been accepted as complete.
Number of inspections allowed per permit.
1:AttuildingVPermits\lit,t.'_PcrmitApp_1i1.I2_IiRl:.doc Res 00/17/2015 440-46IST(I 1/05/COM/NA
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9020 SW WASHINGTON SQUARE RD 400,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00079
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor