Permit CITY OF TIGARD ELECTRICAL PERMIT
`'7 S COMMUNITY DEVELOPMENT Permit#: ELC2021-00081
T F G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/29/2021
Parcel: 1 S 136DC00300
Jurisdiction: Tigard
Site address: 11600 SW 72ND AVE
Project: 72nd&Baylor Apartments Subdivision: Lot: 19
Project Description: Electrical for a roof mounted photovoltaic system.
Contractor: POLARIS ELECTRIC LLC Owner: CDP DEVELOPERS LLC
22380 NW SELLERS RD ATTN PAINE, ERIC
BANKS, OR 97106 126 NE ALBERTA ST STE 202
PORTLAND, OR 97211
PHONE: 503-681-8013 PHONE: 347-218-0242
FAX: 503-647-9099
FEES
Quantity Description Date Amount
1 ea 15.01 to 25 kva 04/08/2021 $200.34
Specifics: 13 ea Each additional kva over 25 04/08/2021 $96.46
Type of Use: MF 1 ea Plan Review Electrical 04/08/2021 $74.20
Class of Work: NEW 1 ea 12%State Surcharge- 04/08/2021 $35.62
Electrical
Type of Const:
Occupancy Grp:
Total $406.62
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 re ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throuah OAR 952-001-009 . You may tain a coov of the rules or direct auestions to OUNC by callina 503.232.1987 or 1.800.332.2344.
Issued By: ✓ Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being mad on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC'N 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.
r
Electrical Permit Application
RECEIVE B Received � �
City of Tigard vatey: ?it L7zi' '
permit:+: �
III
13125 SW Hall Blvd.,Tigard,OR 97223 PlReview
RelatedPermitIt:Phone: 503.718.2439 Fax: 503.598.1960 Cp , f_
Inspection Line: 503.639.4175 FEB 1 8 2021 Ready Date/By 0 See Page 2 for
I i 1 .:1 1-:I) Internet: www.tigard-or.gov Notified/Method:11/7/21 � junilE Supplemental Information
TYPE OF WORIFY OF TI,GARb( J�i�i6wtt ��, PLAN REVIEW
RI New construction DiAddition/alterat3�l<1jCt�I V I SIONf Please check all that apply(submit 2 sets of plans w!items checked):
0 Service or feeder 400 amps or more PMtilding over three stories.
❑Demolition ❑Other where the available fault current 0 Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less tonurtd or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
i [i]Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION O Emergency system. larger separately derived
Job#: ' lob site address: e nd 'i i ❑Addition of new motor load of system.
C�� 5 ,1 -731, 100HP or more. ❑ A», E»,`l-2» 1.3»
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard,OR Ci-7 pZ ,1
❑Health-care facilities 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:the ViPwfuldgr ❑Hazardous locations. ❑Supply voltage for more than
,r ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description l Qty. I each J Total I •
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'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK limited energy,residential
roof mounted 38 kW photovoltaic project (with above sq.ft.) 75.00 2
limited energy,multi-family
residential(with above sq.ft.) 75.00 2
® PROPERTY OWNER 1 0 TENANT Renewable Energy e Page 2
Services or feeders installation,alteration,and/or relocation
Name: C A vykmar m 0eA/60i)r/i1/�� Po 200 amps or less 100.70 2
Address: la.‘ ( Atb2rk S . �a 201 amps to 400 amps 133.56 2
1(� 401 amps to 600 amps 200.34 2
City/State/ZIP: Po,C.�.rpyy occ "1 /a,k 601 amps to 1,000 amps 301.04 2
Phone:(Sit ) 5 33.- 7 L f t.', l Fax:( ) Over 1,000 amp;or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:W ® f�45Yvlt+MUY1 i (�$\f OQC ..�2.rS, (—or', relocation
Owner installation:This installation i 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. 203 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,Rer panel
A.Fee for branch circuits with
Business name: ()okay\S �'ee r t above service or feeder fee, 7 42 2
each branch circuit
Contact name: Q Ql at0.tce B.Fee for branch circuits without
service Address: a2-3 gt !.j J SPlIu s' s t feederfee,first
branch circuit 56.18 2
City/State/ZIP: 16 oenV.5 0'(. 1�- 1 Each add'l branch circuit 7.42 2
1 Miscellaneous(service or feeder not included)
Phone:(t503 ) L%l-. Q\3 Fax: :( ) Each manufactured or modular 67.84 2
dwelling service and/or feeder
Email: b`n \(1/1(ti C�L. Reconnect only 67,84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: P re El C 4c't c, Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address: a�,3 8D N Se.lke,c 5 IZ panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: 13 or .S p C(Z 91 1®C."' Additional inspection(1 hr min) 66.25/hr
Phone:(503) c6 I ..- 130;3 Fax:( ) Investigation(1 hr min) 90.00/hr
, Industrial plant(1 hr min) 78.18/hr
Email: dale_{-b lc 1 -42.- \t• cAvwx Inspections for which no fee is
specifically listed(Yz hr min) 90.00/lir
CCB Lie.:)C``Q`6_ Electrical Lic.:Cs, g�o� Suprv.Lie.: S3/6
/ ���� �,/�� ELECTRICAL PERMIT FEES
. Suprv.Electriciatlk1igni[tit'C,required: i ,NT (: ��V - 111Y Subtotal: lr.
Print game: 0Gt (C '� 0 f .le e Date: , Li /a1€i O Plan Review Required(25°k of permit fee): �L(, 70
/ ( State surcharge(12°io of permit fee): 35-4,,.,,
Authorized signature:/jet r ---•— TOTAL.PERMIT FEE: hot. ��
b This permit application expires if a permit is not o ai within 180
Print name: Oc 0 I(� R Date:a/Cj/�`7a days after it has been accepted as complete.
* Number of inspections allowed per permit.
LsBuildingPaniiteT C_PermilApp_ELR_ERE.doe Rev Oen7/2015 440-4615Ttt I/OS/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
Description •
Fee for all residential systems combined: $75.00 I �r I met, I Toad Renewable ble electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva / 200.34 0:-.) t 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva tr, 301.04 Agni 2
ElGarage Door Opener* (fee50.01 to kva 552.26 2
`100 kva(fe in accordance 552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 3 7.42 9 6 9C 3
❑ Vacuum Systems* 100 kva no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n O• ther: 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(!i hr min)
COMMERCIAL WORK ONLY:
ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): di((IF
y s Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n B• oiler Controls
❑ C• lock Systems
n D• ata Telecommunication Installation
El F• ire Alarm Installation
n H• VAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
n N• urse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ O• ther:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Buildin g\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
Branden Taggart
From: Branden Taggart
Sent: Wednesday, April 7, 2021 4:36 PM
To: daletblake@gmail.com
Subject: 72ndf& Baylor Apartments Solar Permit: ELC2021-00081 - 11600 SW 72nd Ave.
Attachments: Invoice.pdf
Hi Dale,
The solar Electrical permit for 72nd & Baylor Apartments is ready to issue now. The balance due is$406.62, and I have
attached an invoice above for you to reference. The fees can be paid online now at https://aca-
prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number ELC2021-00081 under the Building
tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this
permit and make it available for pick up. We will send you another email when this permit has been issued.
Thank you,
Branden Taggart
City of Tigard
I ■; Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
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