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Permit nIll CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00452 Date Issued: 11/03/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S134CD06800 Jurisdiction: Tigard Site address: 11756 SW SUMMER CREST PL Subdivision: BURLWOOD NO.3 Lot: 28 Project: Lhotka Project Description: Rooftop Solar PV 7.77 kW. 5/5/22: REPRINT to add (1)200 amp service. 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: $11,267.00 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 Other Fixtures: 0 Drywell-Trench Drain: 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: 1 0-200 amp: 0 W/Svc or Fdr: 2 Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 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 7.77 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: LHOTKA,CRAIG A&COLLEEN A ION DEVELOPER LLC Required Items and Reports(Conditions) 11756 SW SUMMER CREST PL 3214 NORTH UNIVERSITY AVE TIGARD,OR 97223 503 PROVO,UT 84604 PHONE: PHONE: (888)781-7074 FAX: Total Fees: $529.59 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 I requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9_nn1-nnln thrni inh n c9_nn on nil mast nhtain nnv of th ac nr rlirnrt ni lnctlnne to nI INC by Tallinn Fn4 10R7R7 nr 1 Rnn 119 9zaa f`/b/, Issued By: � ----._ Permittee Signature: e( ( 7///((i� 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 lob site at the time of each inspection. FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T 1 c,A k D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Plan Review DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: Natalie Nielson [APR 2 0 ';;., RD COMPANY: Ion Developer LLC UlLOTY NO r \"SlQ �U1C.DING�,',,i'S1C'.I� Aik PHONE: 888-781-7074 By EMAIL: permits@ionsolar.com RE: 11756 Southwest Summer Crest Place, Tigard, Oregon, 97223 MST2021-00452 (Site Address) (Permit Number) Lhotka Solar Install (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 1 Revisions: Design Change Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. gobEngineer's calculations. Other(explain): AdA �/ ✓t.C-� REMARKS: Upgrade the service to a new 200A meter socket and relocated the meter socket. FO 7FICE USE ONLY Routed to Pert itTechnician: Date: y 22 Initials:Fees Due: Yes ❑ No Fee Descript : Amount Due: $ fro ).k 171,i re C.c-il i,e2 $ /LE - $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Don Applicant Notified: Date: ��5—IS Initials. t IICITY OF TIGARD MASTER PERMIT IIICOMMUNITY DEVELOPMENT Permit#: MST2021-00452 Date Issued: 11/03/2021 T(GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S134CD06800 Jurisdiction: Tigard Site address: 11756 SW SUMMER CREST PL Subdivision: BURLWOOD NO.3 Lot: 28 Project: Lhotka Project Description: Rooftop Solar PV 7.77 kW 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: $11,267.00 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 iELECTRICAL 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'I 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 7.77 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: LHOTKA,CRAIG A&COLLEEN A ION DEVELOPER LLC Required Items and Reports(Conditions) 11756 SW SUMMER CREST PL 3214 NORTH UNIVERSITY AVE TIGARD,OR 97223 503 PROVO,UT 84604 PHONE: PHONE: (888)781-7074 FAX: Total Fees: $426.42 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 oc9-nnl-nnln thrni inh(1AP oc9-nnl-nnon Vni I mat,nhtnin a nnnv of fhe ndoc nr rlirn+nilacfinne rn(11 Inv-h„nallinn FfQ 949 1027 nr 1 Ron'rig 92d11 Ho-lLy Va.w Pe-Wege, Issued By: Permittee Signature: Ow Apv-b.e..4.4-i-o-vt 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 Application Residential J� FOR OFFICE USE ONLY ,/ City of Tigard RECEIVEDDate/By: /v/�/ 02/ 7• permit No.:gt r / exX157, 111 II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 OCT I a 202.1 Date/By: Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: / i s 65 See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD No' d/Method:/D .� Supplemental Information BUILDING DIVISION ` TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ®Other: PV Solar equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. I-and 2-family dwelling ElCommercial/industrial Valuation: $ 11267 ❑Accessory building El Multi-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11756 Southwest Summer Crest Place New dwelling area: square feet City/State/ZIP: Tigard, Oregon, 97223 Garage/carport area: square feet �/J Suite/bldg./apt.no.: Project name: Lhotka 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. 7.77 kW Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Craig Lhotka Type of construction: Address: 11756 Southwest Summer Crest Place Occupancy groups: City/State/ZIP: Tigard, Oregon, 97223 Existing: Phone:( 503)969-7463 Fax:( ) New: Igj APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: ION DEVELOPER LLC (Please refer to 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: permltS@IOnSOIaf.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. City/State/ZIP: Provo, UT 84604 Permit Fee(includes plan review $180.00 and administrative fees): 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: A rt. 4.x iai Houle This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry 10/5/2021 Print name: Anastasia Heule Date: Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLI' City of Tigard Received Permit No.. Date/By: a 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits I Phone: 503.718.2439 Fax: 503.598.1960 ❑ Electrical El Plumbing El Mechanical 24-Hour Inspection Line: 503.639.4175 TICARD Internet: www.tigard-or.gov ❑ Other THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. Sec jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ 0 ❑ 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 0 ❑ 6 Sewer permit. ❑ ❑ 0 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 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 ❑ ❑ ❑ 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 0 ❑ ❑ 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 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- ❑ ❑ ❑ 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 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 ❑ ❑ ❑ 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 ❑ 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(Ireton and shall be shown to be a,ilicable 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 ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines. ❑ ❑ ❑ 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, ❑ ❑ ❑ 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\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Applicati CEIVE FOR OFFICE USE ONLY Received J� G City of Tigard 3 24 Date/By: Permit,: H .1 -QU 4%Z 13125 SW Hall Blvd.,Tigard,OR 97223 OCT1 1 E 2 Plan Review . i Phone: 503.718.2439 Fax: 503.598.1Related Permit#: Lf rY OF 1 IGARD Ready Date/By: Inspection Line: 503.639.4175 fl Ready Date/By: turfs: RI See Page 2 for i I(,O h l) Internet: www.tigard-or.gov `3UUU nite4 nll/lCinM Notified/Method: Supplemental information TYPE OF WORK PLAN REVIEW ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition ®Other: PV Solar ❑Service or feeder 400 amps or more ElBuilding over three stories. where the available fault current El Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. in1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Multi-familyMaster builderOther: amps for all other installations. buildings. 0 0 0 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 11756 Southwest Summer Crest Place 100HP or more. ❑°°A",°`E',"l-2",°`l-3", City/State/ZIP: Tigard, Oregon, 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Lhotka Solar Install ❑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#: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Installation of solar panels on existing residential roof. 7.77 kW (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 0 See Page 2 lgl PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Craig Lhotka 200 amps or less 100.70 2 Address: 11756 Southwest Summer Crest Place 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard, Oregon, 97223 601 amps to 1,000 amps 301.04 2 Phone:(503 )969-7463 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: mirtiff2000@yahoo.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 ® APPLICANT 0 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 Address: service or feeder fee,first 1 56.18 1 2 4801 N University Ave#900 branch circuit City/State/ZIP: Provo, UT 84604 Each add'I branch circuit 1 7.42 1 2 Miscellaneous(service or feeder not included) Phone:( 801 ) 326-0959 x8760 Fax: :(801 )607-6826 Each manufactured or modular 67.84 2 Email: dwelling,service and/or feeder permits@ionsolar.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle v 67.84 2 Business name: ION DEVELOPER LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 4801 N University Ave#900 panel,alteration,or extension. City/State/ZIP: Provo, UT 84604 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(888) 781-7074 Fax:(801 )607-6826 investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr permits@ionsolar.com Inspections for which no fee is specifically listed(%hr min) 90.00/hr s CCB Lie.: 230394 Electrical Lic.: C1524 Suprv.Lic.: 6098S p y ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Q Subtotal: $63.60 Print name: David S Conrad Date: 10/5/2021 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): $23.66 Authorized signature: rQ V4Pl.stAibt.Gii}EP.I.tle TOTAL PERMIT FEE: $220.82 This permit application expires if a permit is not obtained within 180 Print name:Anastasia Heule Date: 10/5/2021 days after it has been accepted as complete. * Number of inspections allowed per permit. C\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: RESIDENTIAL WORK ONLY: FEE SCHEDULE DescriptionI Fee for all residential systems combined: $75.00 Each Total *Renewable Qty.ble electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 1 133.56 1 2 ❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee 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 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 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(Yz hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I): 133.56 y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.\Building\'ermits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015