Permit �, ar
CITY OF TIGARD ELECTRICAL PERMIT
71 ! .' COMMUNITY DEVELOPMENT Permit#: ELC2017-00012
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/05/2017
TIGARDg Parcel: 1 S 126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD 400
Project: Aerotek Subdivision: None Lot: None
Project Description: (13)branch circuits for TI.
Contractor: R C COSTELLO ELECTRICAL CONT INC Owner: WISCO REAL ESTATE EQUITY FUND I
PO BOX 336 1501 SW TAYLOR ST STE 100
AURORA, OR 97002 PORTLAND, OR 97205
PHONE: 503-982-7400 PHONE:
FAX: 503-982-7400
FEES
Quantity Description Date Amount
13 crt Branch Circuits wo/Purchase 01/05/2017 $145.22
Specifics: Service or Feeder
1 ea 12%State Surcharge- 01/05/2017 $17.43
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $162.65
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 obt.'• - ..y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: // ..`.. r -- Permittee Signature: ,✓�---C� 21
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.
hiectrical Permit Application 1 OR 01 i I( 1 t SI 0\11
City of Tigardif ,'Ri=ved• /AiiAlErrilFZZEIVIVIJMEIrlial
.11 11 13125 SW Hall Blvd.,Tigard,OR 97223 (vrfit\I ' Plan Review 1
Ill Phone: 503.718.2439 Fax: 503 598.1969-%I .., .4-,--,, ' Date/13
Milli--iiiiiiiall6174,1Vallijain- 1N
Inspection Line: 503.639A175 r -
. ItA m ' , --I Ready Date/By: kris: RI See Page 2 for
Internet: www.tigard-or.gov 1.„ 7)3'1 t Noufled/Method: --.3:76 Supplemental Information
,\..\ ,..1 ......
/TYPE OF WORK Jr NAN REsuw
- A .:5r; if ,t4
0 New construction DICAddition/alteration/re.plasienienit: .. '1 V.-:-' -,. Please check all that apply(submit 2 sets of plans w/items checked):
- , - , :-'., - 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: - 1 1‘ 'i):
where the available Exult current 0 Marinas and boatyards.
CATEGQRY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 1-and 2-family dwellingILVCommereial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. biuldings.
0 Multi-family 0 Master builder 0 Other: El File pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ID Emergency system. larger separately derived
s i 4 lit, &,,,...),,...:-.241]Additionofonreew motor load of System.
Job#: I Job site address: (30 2.0 st,J Luc, 6 i
0"A","E","1-2","1-3",
'' 0 Six or more residential units. occupancy.
City/State/ZIP:
0 Health-care facilities. 0 Recreational vehicle parks.
C;1i2bIdgiaPt#: LI 4 IA Fl. I Project name: ige ro+:e 0 Hazardous locations. 0 Supply voltage for more than
600 volts nominal.
0 Service or feeder 600 amps or more.
Cross street/directions to job site:
FEE SCHEDULE
Description I Qtr. I Eacb I Total l .
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'!500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
(with above sq.R.)
ranc h el rc,.,i 4"-c -R:or I —I Limited energy,multi-family
residential(with above sq.IL) 75.00 2
Renewable Energy I3 See Page 2
0 PROPERTY OWNER 1 0 TENANT
Services or feeders installation,alteration,and/or relocation
Name:
200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:
601 amps to 1,000 amps 301.04 2
Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 I
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 I I 168.54 2
0 APPLICANT I 0 CONTACT PERSON liraFenect fircuit-.nev.v':ration,orextension,per panel
Business name:
above service or feeder fee,
7.42 2
each branch circuit
Contact name:
B.Fee for branch circuits without
service or feeder fee,first
I56.18 5(01 2
Address:
branch circuit
City/State/ZIP: Each addi branch circuit ra, 7.42 S .014 2
Miscellaneous(service or feeder not included)
Phone:( ) I Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:
Reconnect only 67.84 2
,
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:-F,0 Co z.,,-14 c /J c E.lecir ca / C ,,-/ ..74 .. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 see page 2
2
Address: ?:0, Bo x- 7,3 6
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: igu fjf,i.:, OR q-:'00-2-
Additional inspection(1 hr min) 66.25/hr
Phone (:;,13)..'::;04/- 4.' S-8 Fax ( ) Investigation(1 hr min) 9000/hr
Industrial plara(I Iv min) 78.18/hr
Email: rcos.l itleiec a 0 0/, 64 iv? Inspections for which no fee is
90.00/hr
CCB Lic.: 8-7 q 0 2 Electrical Lic.:3-3 1-itic Suprv.Lic.: -.(Cf 3 1-1€- ,,- specifically listed CA hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: :: ----.7 _.• ...- _
Subtotal: I q 5.2.2.
Print name: KocAep C2, ,,,e,//4„. Date: I Ill I 1--) 0 Plan Review Require.d(25%of permit fee):
State surcharge(12%of permit fee): I.-)•ti 7
Authorized signature: TOTAL PERMIT FEE: J Cf)Z ec
This permit application expires ifs permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
IABuikling\Pennits\ELC PamitApp ELR ERE.doe Rev 06/17/2015 440-4615T(11/0S/COMPNEB
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
9020 SW WASHINGTON SQUARE RD 400,
TIGARD, OR, 97223
Record Type:
Commercial - Electrical
Inspection Type:
199 Electrical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
ELC2017-00012
Inspector:
Jeff Grove
Contractor