Permit 'rr'F1VED e-«Iial2o
.i,lectrical Permit Application FOR OFFICE USE ONLY
a
Received
City of Tigard rug 1 2020 Pemt f 7 /q
III • 13125 SW Hall Blvd.,Tigard,OR 97223 DateB : MSr/(lZ6 ,03 r /
g i;Y11'T' TIGARD Plan Review
Phone: 503.718.2439 Fax: 19bO1" Related Permit ft:
Inspection Line: 503.639. 15 r- -- i'l i/'`�p Ready Date/By: RI See Page 2 for
I'I Ci A It I) p ''-' . . .v.. `ti.'1 y. Notified/Melhod: Supplemental Information
Internet: evww.tlgard-or g � _ I I
TYPE OF WORK PLAN REVIEW
❑New construction ❑x Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/item.,checked).
❑Service or feeder 400 amps or more ❑Building over tluee stories.
E Demolition ❑x Other: Solar where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
Q 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: 2176 Job site address: 7650 SW Cherry Dr. I00HP or more. ❑"A","En,"I-2".°1-3".
City/State/ZIP: ❑Six or more residential units. occupancy.
ty Tigard,OR 97223 0 Recreational vehicle parks.
❑Health-care facilities.
Suite/bldg./apt.#: Project name: Mayer-solar ['Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more_ 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I "
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Fa.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK . ',- Limited energy,residential
(with above sq.ft.) 75.00 2
Installation and hook-up of roof-mounted 8.845 kW solar system. Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
❑x PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Janice and Ken Mayer 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 7650 SW Cherry Dr. 401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( 503 )358-7985 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: janice@bso-pdx.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 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 168.54 2
Ill
\PI'I,IC.1\T ® CONTACT PERSON Branch circuits—new,alteration,or extension, ler panel
A.Fee for branch circuits with
Business name: Green Ridge Solar above service or feeder fee, 7.42 2
each branch circuit
Contact name: Hilary Conway B.Fee for branch circuits without
service or Address: 19450 SW Mohave Ct. branch c rcu tde fee,first 56.18 2
City/State/ZIP: Tualatin,OR 97062 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 503 )349-5182 Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: operations@greenridgesolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Green Ridge Solar Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: 19450 SW Mohave Ct. panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Tualatin,OR 97062 Additional inspection(1 hr min) 66.25/hr
Phone:( 503 )395-1943 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
operations@greenridgesolar.com EI Inspections for which no fee is
I Sy 90.00/hr
CCB Lic.: 210450 Electrical Lic.: C1490 Su 4785 specifically listed(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,requl . Subtotal:
Print name: Brian Butterfield Date: 11/10/2020 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: �y�/�/ �s�� TOTAL PERMIT FEE:
'`^'`�J`'/� �•�r_'�-A�-y/�/�/'' This permit application expires if a permit is not obtained within 180
Print name: Hilary'Conway ` t/ f! Date: 11/10/202o • days after it has been accepted as complete.
Number of inspections allowed per permit.
l:1BuildingrPermilstELC_PerrmtApp_ELR ERE.doc Rev 06,17/2015 4404515T(I I/05/COM/WEB
•
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 �"°" Ian. Each I ToolR
y Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 00.70 2
5.01 to 15 kva I 133.56 2
❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is 90A0'hr
specifically listed('h hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
*
(SEE OAR 918-309-0000) Nmnber of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
E Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
Il Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:Building\Permit$ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
Bra nden Taggart
From: Branden Taggart
Sent: Thursday, December 3, 2020 9:26 AM
To: operations@greenridgesolar.com
Subject: Solar Permit for Janice & Ken Mayer:MST2020-00319 - 7650 SW Cherry Dr.
Attachments: Invoice.pdf
Hi Hilary,
Our staff incorrectly invoiced plan review fees for you to pay online. I applied your plan review payment of$338.05 to
the correct fees, and the remaining balance due is$21.14.
The permit for Janice and Ken Mayer is ready to issue now. I have attached an invoice above for you to reference. The
permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on
the Building tab, enter the permit number(MST2020-00319) in the Record Number field, and click Search. Once paid,
please notify us at TigardBuildingPermits@tigard-or.gov, and I will place this permit in our open Permit Center
conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are
closed on Fridays.
Thanks,
Branden Taggart
III a.q City of Tigard
) : Sentor Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(593)718-2449
brandent@ttgard-or.gov
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