Permit (18) IICITY OF TIGARD ELECTRICAL PERMIT
• • COMMUNITY DEVELOPMENT Permit#: ELC2022-00464
T f[;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/8/2022
Parcel: 1 S 126DC00901
Jurisdiction: Tigard
Site address: 9660 SW GREENBURG RD
Project: Terrace Glen Apartments-East Building Subdivision: TERRACE GLEN APARTMENTS Lot: None
Project Description: Electrical for 173 KW roof mounted solar photovoltaic system.
Contractor: IMAGINE ENERGY LLC Owner: GETHSEMANE EVANGELICAL
5506 SE INTERNATIONAL WAY LUTHERAN CHURCH
MILWAUKIE,OR 97222 9640 SW GREENBURG RD
PORTLAND, OR 97223
PHONE: 503-477-9585 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea 15.01 to 25 kva 07/21/2022 $200.34
Specifics:
75 ea Each additional kva over 25 07/21/2022 $556.50
Type of Use: MF 1 ea Plan Review Electrical 07/21/2022 $189.21
Class of Work: OTR 1 ea 12%State Surcharge- 07/21/2022 $90.82
Electrical
Type of Const:
Occupancy Grp:
Total $1,036.87
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 requires you to follow the rules adopted by the Oregon Utility Notification Center. Tho rules re t forth in OAR
952-001-0010 throuah OA 52-001-0090. ma obt i a cony of the rules or direct auestions to OUNC by callina 5 . 1987 or 1.80 .2344.
r !` 1
Issued By: �� 77 1 X Permittee Signature: J�
OWNER INSTALLATION ONLY G/
The installation is being made 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.
DocuSign Envelope ID:0A36A4ED-3D49-4C0A-927F-3CCF0A9047AF
Electrical Permit Application - .
City of Tigard 4� i 1 0 +� q9 Receivyd ? /3 fr Peret fl / ) ) Lf6,
IPIIJ MP DateB ` l/�y"
4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196Oj'h/OF TIGRR DateBy7//'f/2L ' j J 01, _.2-
, O/77
Inspection Line: 503.639.4175 r� I t� A Ready Hate/By: ans li3 See Page 2 for
I I( ARl 9U!L lIN fINI�'Internet: www.tigard-or.gov yln" otified/Method: 4/ Supplemental Information
TYPE OF WORK PLAN REVIEW
El New construction ®Addition/alteration/replacement Please check that apply(submit 2 sets of plans w/items checked):
NI Service or feeder 400 amps or more in Building over three stories.
❑Demolition ❑Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 ❑commercial-use agricultural
amps for all other installations. buildings.
O Multi-family ❑Master builder ❑Other: 0 Fire pump. 20 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: I Job site address:9660 SW GREENBURG RD. 100HP or more.
City/State/ZIP:TIGARD, OR 97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
r ❑Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt.#: Project name:TERRACE GLEN — G T
y ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: EAST OF SW 92ND AVE FEE SCHEDULE
Description I Qty. I Each I 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'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
173 KW SOLAR PHOTOVOLTAIC SYSTEM, PHOTOVOLTAIC MODULES
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
INVERTERS, FLUSH MOUNT SOLAR RACKING residential(with above sq.ft.)
El PROPERTY OWNER
I ❑ TENANT Renewable Energy See Page 2
Services or feeders installation,alteration,and/or relocation
Name:TERRACE GLENN HOUSING PARTNERS, LP-Kent Usher(Contact) 200 amps or less 100.70 2
Address:208 SW FIRST AVE. 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:PORTLAND OR. 97204 601 amps to 1,000 amps 301.04 2
Phone:( )503-222-4375 I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:kusher@walshconstruction.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 I ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,Per panel
A.Fee for branch circuits with
Business name:IMAGINE ENERGY LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:MARY LAUGHLIN B.Fee for branch circuits without
service or feeder fee,first Address:5506 SE INTERNATIONAL WAY branch circuit 56.18 2
City/State/ZIP:MILWAUKIE OR 97222 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )971-207-2494 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:M.LAUGHLIN@IMAGINEENERGY.NET Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:IMAGINE ENERGY LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:5506 SE INTERNATIONAL WAY panel,alteration,or extension. 0 See Page 2 2
City/State/'LIP:MILWAUKIE OR 97222 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( )503-477-9585 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:M.LAUGHLIN@IMAGINEENERGY.NET `U /�/L L Industrial plant(I hr min) 78.18/hr
—DocuSianed by: ! Inspections for which no fee is
J specifically listed('/hr min) 90.00/hr
CCB Lic.:167963 Electrical I,ic.:Cl17 Supr Ac.:�Og7 Pe Y
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 48EF99E260D94BE Subtotal: 756.84
Print name:GRANT R LAUGHLIN Date:7/13/2022 E Plan Review Required(25%of permit fee): 189.21
State surcharge(12%of permit fee): 90.82
TOTAL PERMIT FEE:
Authorized signature: 1036.87
This permit application expires if a permit is not obtained within 180
Print name:MARY LAUGHLI Date:7/13/2022 days after it has been accepted as complete.
* Number of inspections allowed per pennit.
fVBuilding\Permits\ELC_PermiApp_ELR IRE doc Rev 06/17/2015 440-4615T(I1/05/COM/WEB
DocuSign Envelope ID:0A36A4ED-3D49-4C0A-927F-3CCF0A9047AF
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 Desewan may. Earn Iota,
y Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to25kva 1 200.34 200.34 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 7.42 556.50 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(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page I): 756 84
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
n Clock Systems
n Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
n Instrumentation
Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ N• urse Calls
n O• utdoor Landscape Lighting*
n 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