Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00108
Date Issued: 05/19/2022
T I(-;A R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DA05401
Jurisdiction: Tigard
Site address: 13405 SW 107TH AVE
Subdivision: None Lot: None
Project: Blair
Project Description: Rooftop Solar PV 9.12 kW
BUILDING
Floor Areas Reouired 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: $18,149.00 Rear. 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Math: 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 0
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/vok: 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 PV 9.12 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:
DEVEYRA,MARINELLE DYNAMIC POWER INNOVATION LLC Required Items and Reports(Conditions)
BLAIR,NATHANIEL 20345 SW PACIFIC HWY STE 103
13405 SW 107TH AVE SHERWOOD,OR 97140
TIGARD,OR 97223
PHONE: PHONE: 503-857-0412
FAX:
Total Fees: $474.47
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. ATTENT ON: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
o59-nn1_nnln fhrn.m AR oc9-nn1-nn-noon Nen,Iam�ew nhfoin a rnnv of the.n doe nr rlirarf n.iaefinnc fn rii mNC by rollinn 6M' 1 QR7 nr 1 af](11199
l Vim`-�C,.V' /// K
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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.
. - C
Building Permit Application`"C E I V L,
Residential APR 1 8 2022 FOR OFFICE USE ONLY
Cityof Tigard Received 1' 191 2, T E Permit No.: �� 2Z'M'OQr
g LI 11 OF (�UN1f{�l Da,e/By: a{ w V
III 5 SW Hall Bigard,OR 7,j Plan
t Phone:1312 503.718.2439lvd.,T Fax: 503.597298.I ILDING DIVISION. Da,e Review By: �" lg 2Z Other PenniC
Inspection Line: 503.639.4175 Date Ready/By: �- See Page 2 for
TIGARD Internet: www.tigard-or.gov ..t tified/Method: ,I (.. Supplemental Information
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. equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $18149
® 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
ID Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address:13405 SW 107th Ave. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Blair Covered porch area: square feel
Cross streetldirections to job site: Deck area: square feet
Other structure area: 470.9 square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
9e Subdivision: I l,ot 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 9x!;'. ? work indicated on this application.
Install 9.12k1'F rooftop solar system Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Nate Blair Type of construction:
Address: 13405 SW 107th Ave. Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT . 0 CONTACT PERSON BUILDING PERMIT FEES"
(Please refer to fee schedule)
Business name:DPI Solar
Structural plan review fee(or deposit):
Contact name:Erik Beeman
FLS plan review fee(if applicable):
Address:20345 SW Pacific Hwy,Suite 103
Total fees due upon application:
City/State/ZIP:Sherwood,OR 97140
Amount received:
Phone:(971)990-1924 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:erik@dpisolar.com
,,.,- Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:DPI Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:20345 SW Pacific Hwy,Suite 103 Solar Installation Specialty Code checklist.
City/State/ZIP:Sherwood,OR 9714D Permit Fee(includes plan review S180 00
and administrative fees):
Phone:(503)857-0099 Fax:( ) State surcharge(12%of permit fee): S21.60
CCB tic.:185494 Total fee due upon application: $201.60
Authorized signature — 'Y J This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Eril Beeman _ Date:3/15/22 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1BuildinglPermits\BUP-RESPermitApp.doc 02/24/2011�. 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
1114 g - Date/B Permit No.:
v 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
li Phone: 503.718.2439 Fax: 503.598.1960
-nGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical D Plumbing ElMechanical
Internet: www.tigard-orgov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0 ❑
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 [I 0 ❑
6 Sewer permit. 0 0 0
7 Water district approval. 0 ❑ ❑
B Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 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 ❑ ❑
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
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
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 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. ❑ ❑ 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ El ❑
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 ❑ El
architect licensed in Ore.on and shall be shown to be ap plicable to the 'm'eet under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item II above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ 0 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 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,(hiplines, ❑ ❑ ❑
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:1BuildinglPermits\BUP-RESPermitApp.doc 0224/2011 440-4613T(1 1/02/COM/WEB)
RECEIVED
Electrical Permit Application APR 18 nu FOR OFFICE IISE ONLY
City ofReceived
Tigard ''11 1 �] permit a:
11111 al 13125 SW Hall Blvd.,Tigard,OR 97223eI I OF II(.7l�nU Date/B w
Is Phone: 503.718.2439 Fax: 503.598.19 I LD I I'V G D IVI S I O PDate/B : J' pia
T 1 G A h.I) Inspection Line: 503.639.4175 Reedy Date/By: hrris: 65 See Page 2 for
Internet: www.tigard-orgov 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/tcros checked):
0 Service or feeder 400 amps or more ❑Building over three stories-
❑Demolition El Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ['Floating buildings.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 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 4: Job site address:13405 SW 107TH AVE. 100HPormore. ❑"A","B't"1-2","1-3",
City/State/ZIP:Tigard,OR 97223 El Six or more residential units. occupancy.
�' g ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.1/: Project name:BLAIR ❑Hazardous locations. 0 600 voltsnon Supply
voltage
for more than
['Service or feeder 600 amps or more.
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 tl: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel 4: Ea.add'I 500 aq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
75.00 2
Upgrade main service panel oil t1PC,% d�DF1 r rtt, with above sq.11.)
E Limited energy,multi-family 75.00 2
residential(with above sq.R.)
Renewable Energy 14 See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Nate Blair 200 amps or less 1 100.70 2
Address:13405 SW 107th Ave. 201 amps to 400 amps 133.56 2
— 401 amps to 600 snips 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) 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
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
Branch circuits-new,alteration,or extension,per panel
la APPLICANT ❑ CONTACT.PERSON
A.Fee for branch circuits arab
Business name:DPI Solar above service or feeder fee, 7.42 2
each branch circuit
Contact name:Erik Beeman B.Fee for branch circuits without Hwy -
Address:20345SWPacificSuite 103 service irfeeder fee,first 56.18 2
branch circuit
City/State/ZIP:Sherwood,OR 97140 Bach add't branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)990-1924 Fax::( ) Each manufactured or modular 67.84 2
dwelling.service and/or feeder
Email:erik@dpisolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:DPI Solar Sign or outline lighting 67.84 2
Address:20345 SW Pacific HwySuite 103 Signalnel aclteration(s),
or limited-energy
0 See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Sherwood,OR 97140
Additional inspection(1 hr min) 66.25/hr
Phone:(503)857-0099 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:erik@dpisolar.com Industrial plant(Ihrmin) 78.18/hr
Inspections for which no fee is 90 00/hr
CCB Lic.: 185494 Electrical Lie.: C1255 Suprv.Lie.: 5763S specifically listed(Yr hr min)
} �-l/ _ C ELECTRICAL PERMIT FEES. .
Suprv.Electrician signature,required:/ 1 f Jam-� S }6, e 5 Subtotal:
Print name: Michael Landauer Date: 3/14/22 0 Plan Review Required(25%of permit fee):
_ State surcharge(12%of permit fee):
Authorized signature 1 • TOTAL PERMIT FEE;
ei ,a- "F,''tij This permit applleadon expires if a permit Is not obtained within 180
Print name: Erik Beeman - Date: 3/14/22 days after It has been accepted as complete.
• Number of inspections allowed per peril.
llBuildingkPennita,Et.C_'r,mitApp_CLR_ERE.doc Rev 06/17/2015 440-461ST(I I105COMAVEB
i
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Deurietion ( Qty. t Each Total i •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: s kva or lass 100.70 2
5.01 to 15 kva 1 133.56 133.56 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)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7A2 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in an of the above:
❑ Fach additional inspection is
Other: 66.25i k 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90 00!6r
specifically listed(l5 lir min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT.FEES
I
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
*
(SEE OAR 918-309-0000) N usher of inspections aamved per permit
Check Type of Work Involved:
El 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:1auildingtPcnnits,ELC PetmilApp ELR ERE.dec Ray 06/17/2015
r
4 i `L. ` 'tla
Electrical Permit Application APR 18 2022 FOR OFFICE USE ONLY
Received
City of Tigard `� Deceiv : 4 ) Permit It:
'1 -° 13125SWHallBlvd.,Tigard,OR97223 CI Y OF Iat2HI�'a
g Phone: 503.718.2439 Fax: 503.598.19 - ; 'sated .ennit IJ;1►�wAt,�
Inspection Line: 503.639.4175 �3 UILDIN(a DIVISI(.• ady Datc/By: brie: WI See Page 2 for
"11GARU. Internet: www.ligard-or.gov Notiticd/Method: Supplemental Informs lion
TYPE OF WORK PLAN REVIEW
❑New construction ®Add it ion/alteration/replacement Please check all that apply(submit 2 sets of plans whims checked):
['Service or feeder 400 amps or more ❑Building over three stories.
❑DCIIlOhtlOn ❑OthCf:
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-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14.000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 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 It: Job site address: 13405 SW 107TH AVE. 10011P or more. 0"A•,"E","1-2","1-3",
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy.
Y gRecreational vehicle arks.
❑Health-care facilities. 0 P
Suite/bldg./apt.#: Project name:BLAIR 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross streeUdirections 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.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
Install 9.12k V rooftop solar system (with above sq.ft.) 75.00 2
-
Limited energy,multi-family 75.00 2
residential(wilt above sq.ft.)
Renewable Energy ®See Page 2 133.56
® PROPERTY OWNER I 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Nate Blair 200 amps or less 100.70 2
Address:13405 SW 107th Ave 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) 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
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 I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:DPI Solar above service or feeder fee, 7.42 2
each branch circuit
Contact name: Erik Beeman B.Fee for branch circuits without
Address:20345 SW Pacific HwySuite 103 brane or feederitfee,first 56.18 2
branch circuit
City/State/ZIP:Sherwood,OR 97140 Each ada'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)990-1924 Fax::( ) Earls manufactured or modular 67.84 2
Email:erikQdpisular,com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:DPI Solar Sign or outline lighting 67.84 2
Address:20345 SW Pacific HwySuite 103 Signal alteration,divuge)or extend-energy 0 See Page 2 2
panel, or extension,
City/State/ZIP:Sherwood,OR 97140 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(503)857-0099 Fax:( ) Investigation(Ihrmin) 90.00/hr
Email:erik(dpisolar.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/Iv
CCH Lie.: 185494 Electrical Lie.: C1255 Suprv.Lie.: 5763S specifically listed EA hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: �. 6 7-6,„,3 s Subtotal: 133.56
Print name: Michael Landauer Date: 3/15/22 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 16.03
Authorized signature: ,� . TOTAL PERMIT FEE: 149.59
r r 'Cit.-1."' This permit application expires if a permit is not obtained within 1E0
Print name: Erik Beeman Date: 3/15/22 days after it bas been accepted as complete.
* Number of inspections allowed per permit.
10kildingWennaslELC_PennitApp ELR EREdec Rev 06/17/2015 440-161 51 11 1/05/COM M
Electrical Permit Application-City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCIIEDULE
Descr •
Fee for all residential systems combined: $75.00 Renewable
I Qty. I End. Terei I
} Renewable electrical energy systems:_
Check Type of Work Involved: s kva nrless 10070 2
5 01 to 15 kva 1 133.56 133.56 2
El 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 55226 2
❑ Garage g Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 55226 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 an 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('h hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT':FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page l):
yNumber of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
El Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1.1BuitenglPermas1ELC_PermitApp ELR ERE.doe Rev 0 611 72 01 5