Permit RECEIVED
SEP 2 S 202;
City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENTCITy OF TIGARD
q
Ns " Request for Permit Action BUILDING DIVISION
1-1(;A►:n 13125 SW Hall Blvd. •Tigard,Oregon 97223 •503-718-2439 •www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax; 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor ❑ City Staff
Check(V)one
REFUND OR Name:
INVOICE TO: (Business nr Indi'klU5t) TML International LLC
Mailing Address: 6405E Mill Plain Blvd
City/State/Zip: Vancouver,WA 98661
Phone No.: (360)836-1729
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED(1):
❑ a . _ OID PERMIT APPLICATION.
a REFUND'e RMIT FEES(attach copy of original receipt and provide explanation below).
• i E FOR FEES DUE(attach case fee schedule and provide explanation below).
Permit#: MST2021-00400
Site Address or Parcel#: 13380 SW Village Glenn
Project Name: McQuilken
Subdivision Name: Unknown Lot#:
EXPLANATION: Permit Tech from Tigard sent the incorrect fee sheet.The permit above is for a different solar company.
I need a refund,please and thank you.Attached you will find the receipt from the transaction.
&f A /0-0 `'Ia
Signature: Date: 9.28.21
Print Name: Maggie Ludden for ML International LLC
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
I t)it ()I f It I I st ttNI
Route to Sys Admire: Date By Route to Records: Dare By
Refund Processed: Date/erg,/r/ By Invoice Processed: Date By
Permit Canceled: Date mac//4- B6 Parcel Tag Added: Date By
IA Building \RecPermitAction_126518.doc
/ z
TIGARD
{ City of Tigard
October 13,2021
TML International LLC
Attn: Maggie Ludden
7405 E Mill Plain Blvd
Vancouver,WA 98661
Re: Permit No. MST2021-00400
Dear Applicant
The City of Tigard has processed a refund for fees on the above referenced permit(s) as
follows:
Site Address: 13380 SW Village Glenn
Project Name: McQuilken
Job No.: N/A
Refund: ® Check#240777 in the amount of$428.42.
❑ Credit card"return"receipt in the amount of$
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account"deposit"receipt in the amount of$
Comments: Customer was invoiced for the wrong permit in error and refunds 100%of
the fees paid.
If you have any questions please contact me at 503.718.2430.
Sincerely,
D. L. Ory La's
Dianna Ornelas
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
71 ,-- 14
CITY OF TIGARD RECEIPT
$ • 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: McQuilken Solar Install
Site Address: 13380 SW VILLAGE GLENN CT
Receipt Number: 437135 - 10/23/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MST2021-00400 $-428.42
Total: $-428.42
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 240777 DHOWSE 10/23/2021 $-428.42
Payor: TML International LLC
Total Payments: $-428.42
Balance Due: $428.42
Page 1 of 1
41
CITY OF TIGARD RECEIPT
1 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: McQuilken Solar Install
Site Address: 13380 SW VILLAGE GLENN CT
Receipt Number: 436651 - 09/24/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MST2021-00400 Solar Photovoltaic System 230-0000-43104 $180.00
MST2021-00400 Info Process/Archiving-Sm $0.50 (up to 230-0000-43135 $6.00
11x17)
MST2021-00400 12%State Surcharge-Building 100-0000-24001 $21.60
MST2021-00400 Branch Circuits wo/Purchase Service or 220-0000-43103 $63.60
Feeder
MST2021-00400 12% State Surcharge-Electrical 100-0000-24001 $23.66
MST2021-00400 5.01 to 15 kva 220-0000-43103 $133.56
Total: $428.42
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 8312799 PUBLICUSER389 09/24/2021 $428.42
Payor:
Total Payments: $428.42
Balance Due: $0.00
Page 1 of 1
III
® " City of Tigard
L 1 GARD
Accela Refund Request
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: TML International LLC DATE: 10/3/2021
6405 E Mill Plain Blvd
Vancouver,WA 98661 REQUESTED BY: Dianna Ornelas
TRANSACTION INFORMATION:
Receipt#: 436651 Case#: MST2021-00400
Date: 9/24/2021 Address/Parcel: 13380 SW Village Glenn
Pay Method: CreditCard Project Name: McQuiken
EXPLANATION: City invoiced fees to wrong customer in error. Refund 100% of fees paid.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $ Amount
Building Permit Fee 230-0000-43104 $180.00
Electrical Permit Fee 220-0000-43103 197.16
12%State Surcharge 100-0000-24001 45.26
Info Process/Archiving Fee 230-0000-43135 6.00
TOTAL REFUND: $428.42
APPROVALS: SIGNATURES/DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager ,/,) ,/VPI-e
If n u der$25,000 Department Manager
If under$100,000 City Manager
If over$50,000 Local Contract Review Board
FOR ACCELA SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: /0/2 3/2.7 By: .cil O.
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
. . ._ -.111 is
a CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit#: MST2021-00400
Date Issued: 10/12/2021
T I G A t D 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439 Parcel 2S102CA00933
Jurisdiction: Tigard
Site address: 13380 SW VILLAGE GLENN CT
Subdivision: VILLAGE GLENN Lot: 33
Project: McQuilken Solar Install
Project Description: 7.03 kW rooftop solar
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value. $10,194-00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 500 sf: 0 201-400 amp: 0 201-400 amp- 0 W/O Svc/Fdr: 2
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All N
Other Y Other Description: Roof Top Solar PV System 7.03 kW Ecompasing
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
MCQUILKEN,TONI M ION DEVELOPER LLC Required Items and Reports(Conditions)
MCQUILKEN,KEVIN G 3214 NORTH UNIVERSITY AVE
13380 SW VILLAGE GLENN CT 503
TIGARD,OR 97223 PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $902.10
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
059-nn9-nnln}hrniinh Mil?QR9-nnl-011on Vnii mt./nhfnin n rnnv of}h.rnlcc nr,Iircrf niiceffnne In(1i IMC by rmliinn R11'3 919 1QR7 nr 1 Rnn RR7 91d21
Issued By: Hatty Va-w D2 Wege Permittee Signature: Ow Arm
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.
Building Permit Applicatioq LIMED 13- 91 t3121
Residential e i o OFEICE USE ONLY3 Mt
City of Tigard RDate/By: -11\(AZ\ k'1v Permit No.: 2)24-
1,1 13125 SW Hall Blvd.,Tigard,OR 97223 .r)I Y OF-I IGARD
•
g Plan Reviewy
• Phone: 503.718.2439 Fax: 503.598.1, 1 ILDING DIVISIQI�! Date/B �� � Other Permit:
1 1 C ;1 h t) Inspection Line: 503.639.4175 Date Ready/By: �r 6/1See Page 2 for
Internet: www.tigard-or.gov Notifi ethod: / 1/'� -7
J Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ID Addition/alteration/replacement ®Other: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
$l 1-and 2-family dwelling Valuation: $ 10194
IEl
f ❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13380 Southwest Village Glenn Court New dwelling area: square feet
City/State/ZIP: Tigard, Oregon, 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: McQuilken Solar Install Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of solar panels on existing residential roof. 7.03kW Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Toni McQuilken Type of construction:
Address:13380 Southwest Village Glenn Court Occupancy groups:
City/State/ZIP: Tigard, Oregon, 97223 Existing:
Phone:((904)536-0340 Fax:( ) New:
IZI APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ION DEVELOPER LLC (Please refer ro fee schedule)
Structural plan review fee(or deposit):
Contact name:Bonnie Leslie
FLS plan review fee(if applicable):
Address:4801 N University Ave#900
Total fees due upon application:
City/State/ZIP: Provo, UT 84604
Phone:( 801 ) 326-0959 x8760 Fax: :(801 ) 607-6826 Amount received:
E-mail: permits@ionsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ION DEVELOPER LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4801 N University Ave#900 Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP: Provo, UT 84604 and administrative fees): $180.00
Phone:( 888) 781-7074 Fax:(801 )607-6826 State surcharge(12%of permit fee): $21.60
CCB lie.: 230394 Total fee due upon application: $201.60
Authorized signature: Baru/Lie,LQ ',e This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Bonnie Leslie Date: 9/9/21 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling Foli OFFICE USE O\l.l
City of Tigard Received
g y: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
Associated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing El Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW es y° yi k
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. ❑ ❑ 0
4 Fire district approval required. Name of district: 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0
6 Sewer permit. 0 0 0
7 Water district approval. ❑ ❑ 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage; impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 ❑ 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0
architect licensed in Ore Ion and shall be shown to be applicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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Electrical Permit Applicatilit E C E
re FOR OFFICE USE ONLY
City of Tigard Received Permit#:
Date/B
U 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 3 LUG`, Plan Review
0 Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 CITY OF TiGARD Ready Date/By: Juris: ® See Page 2 for
f I GAlt D Internet: www.tigard-or.gov Notified/Method: Supplemental Information
11J1DING DIVISION
TYPE OF WORK PLAN REVIEW
0 New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition ®Other: PV Solar 0 Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
I-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
® ❑ ❑Accessory building
Multi-familyMaster builderamps for all other installations, buildings.
❑ ❑ ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 13380 Southwest Village Glenn Court I00HP or more. ❑"A","E","1-z","1-3",
City/State/ZIP: ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:McQuilken Solar Install 0 Hazardous locations. 0 Supply voltage for more than
O 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#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Installation of solar panels on existing residential roof. 7.03kW
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
Addition of(2) 0-30A circuit(s) residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Toni McQuilken 200 amps or less 100.70 2
Address:13380 Southwest Village Glenn Court 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:((904))536-0340 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: mcquilkt@gmail.com 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
I APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: ION DEVELOPER LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Bonnie Leslie B.Fee for branch circuits without
service or feeder fee,first 1 56.18
Address: 4801 N University Ave#900 branch circuit 56.18 2
City/State/ZIP: Provo, UT 84604
Each add'I branch circuit 1 7.42 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 801 ) 326-0959 x8760 Fax: :(801 )607-6826 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: permits@ionsolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: ION DEVELOPER LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 4801 N UniversityAve#900 0 See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Provo, UT 84604
Additional inspection(1 hr min) 66.25/hr
Phone:(888 ) 781-7074 Fax:(801 )607-6826 Investigation(1 hr min) 90.00/hr
industrial plant(1 hr min) 78.18/hr
Email: its ionsolar.com
perm @ Inspections for which no fee is 90.00/hr
CCB Lie.: 230394 Electrical Lic.: C1524 Suprv.Lic.: 6098S specifically listed(V2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 2 " Subtotal: 197.31
Print name: David S Conrad C Date: 9/9/21 0 Plan Review Required(25%of permit fee):
,, 7 State surcharge(12%of permit fee): 23.68
Authorized signature: 3ow�,e'Le,LI,e TOTAL PERMIT FEE: 220.99
This permit application expires if a permit is not obtained within 180
Print name:Bonnie Leslie Date: 9/9/21 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
FEE SCHEDULE
Descri don I Qty. Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.5E 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ 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 552.26 2
with OAR 918-309-0040)
n H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
n 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 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/:hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I).
y * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n A• udio and Stereo Systems
❑ Boiler Controls
n C• lock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n M• edical
n N• urse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015