Permit CITY OF TIGARD ELECTRICAL PERMIT
ili
' '7 8 ': COMMUNITY DEVELOPMENT Permit#: ELC2022-00466
Date Issued: 9/12/2022
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S126DC00901
Jurisdiction: Tigard
Site address: 9650 SW GREENBURG RD
Project: Terrace Glen Apartments-West Building Subdivision: TERRACE GLEN APARTMENTS Lot: None
Project Description: Electrical for a173 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:
PHONE: 503-477-9585
FAX: FEES
Quantity Description Date Amount
1 ea 15.01 to 25 kva 09/12/2022 $200.34
Specifics: 75 ea Each additional kva over 25 09/12/2022 $556.50
1 ea Plan Review Electrical 09/12/2022 $189.21
Type of Use: MF o 09/12/2022 $90.82
Class of Work: OTR 1 ea 12/o State Surcharge-
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
160 days. ATTENTION: Oregon I w requi es 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- 009 ' may obt ' a coov of the rules or direct questions to OUNC by callina 503.2 .1987 or 1.800,332 223 v"
Issued By: Permittee Signature: j� ,/i-I' ��
OWNER INSTALLATION ONLY O
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.
r DocuSign Envelope ID:0A36A4ED-3D49-4C0A-927F-3CCF0A9047AF
Electrical Permit Applicationt�EC Folz oFFlct_ t SE o��l.'t
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Lr .ti tHms,
City of Tigard Received
7 /Li 22- //' ., ' C)) eaJ4/
III • 13125 SW Hall Blvd.,Tigard,OR 97223 9 4 Plan Review
._..
• Phone: 503.718.2439 Fax: 503.598.1960 " 1 `i r711 Date By: Y�J 1 i� �
Inspection Line: 503.639.4175 ('str-., r,r--r :, 'eady Date/By: 1 A •
!IS'. S e for
I I('AR11 Internet: www.tigard-or.gov - ' � •i•ed -od:% / Supplemental Information
TYPE OF WORK' „ .. 0�" PLAN REVIEW
❑New construction ®Additiomal
r Please check a I that apply(submit 2 sets of plans wlitems checked):
teration/replacement
®Service or feeder 400 amps or more ®Building 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 ®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: ❑Fire pump. 19 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Addf
Job#: I Job site address:96615SW GREENBURG RD. ❑1001-I on more.motor load of system.
00HP or more.
City/State/ZIP:TIGARD,OR 97223 05Cr 0 Six or more residential units. occupancy.
ty 4-17i /ihr ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:TERRACE GLEN -- '! / 0 Hazardous locations. 0 Supply voltage for more than
I ) ❑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 it: 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 1
.t DESCRIPTION OF WORK Limited energy,residential 75.00 2
1 'KW SOLAR PHOTOVOLTAIC SYSTEM, PHOTOVOLTAIC MODULES (with above sq.ft.) •
Limited energy,multi-family 75.00 2
INVERTERS, FLUSH MOUNT SOLAR RACKING residential(with above sq.ft.)
Renewable Energy n See Page 2
El PROPERTY OWNER ( ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name:TERRACE GLENN HOUSING PARTNERS, LP-Kent Usher(Contact) 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address:208 SW FIRST AVE.
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 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 1 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 0 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
sAddress:5506SE INTERNATIONAL WAY branche circuit
fee,first
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 I 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
Address:5506 SE INTERNATIONAL WAY pinealateation(s)orlixlensionergy ❑ SeePage2 2
panel,alteration,or extension.
City/State/ZIP: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 J Fax:( ) Investigation(1 hr min) 90.00/hr
Email:M.LAUGHLIN@IMAGINEENERGY.NETT Industrial plant(lhrmin) 78.18/hr
f----bocusipned b: CUl(/2 Inspections for which no fee is 90.00/hr
CCB Lie.:167963 I Electrical Lie.:Cl1^ Sup ic.S-0e� specifically listed(4 hr min)
' �'"� T ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ‘'.--48Er99E260094BE... Subtotal. 756.84
Print name:GRANT R LAUGHLIN ' Date:7/13/2022 lEl Plan Review Required(25%of permit fee): 189 21
State surcharge(12%of permit fee): 90.82
Authorized signature: TOTAL.PERMIT FEE: 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 permit.
I.lnuilding\Permits\ELC_PermitApp ELR_ERE.doc Rev 06/17/2015 4404615T(I I/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
Description *
Fee for all residential s y stems combined: $75.00 RenewableQtr• I Ea<E i T°ta1 1 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 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 fj 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 1
charged at an hourly(I 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 1). 756 84
(SEE OAR 918-309-0000) Numbe of inspections allowed per permit.
•
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
L\Euilding'PermitftELC PermitApp_ELREREdoc Rev P6/17/2015