Permit IL CITY OF TIGARD ELECTRICAL PERMIT
, y COMMUNITY DEVELOPMENT Permit#: ELC2022-00635
T[c;A R Ca 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2S10 11/9/2022
Parcel: S108CCD0300
Jurisdiction: Tigard
Site address: 15600 SW RIVER.TERRACE BLVD
Project Art Rutkins Elementary School Subdivision:ART RUTKIN ELEMENTARY SCHOOL Lot 1
Project Description: Rooftop installation of 200 KVA photovoltaic system.
Contractor: A AND R SOLAR CORP Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
19636 SW 90TH CT—BLDG 4 6960 SW SANDBURG ST
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503-420-8680 PHONE:
FAX:
FEES
Quantity Description Date Amount
175 ea Each additional kva over 25 ' 10/14/2022 $1,298.50
Specifics: 1 ea Plan Review Electrical 10/14/2022 $324.63
Type of Use: COM 1 ea 12%State Surcharge- 10/14/2022 $155.82
Class of Work: ALT Electrical
Type of Const:
Occupancy Grp:
Total $1,778.95
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the
180 days. ATTENTION: on-law require ollow the<rates adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throuah AR 2-001- m
m oobt�t''/c000v ffthe�rlesor direct auestions to OUNC by callina 503. 87 or 1.800.332.2344.
Issued By: -A !/ ,� Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC'N Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
Electrical Permit Application RECEIVE
g AN 1.$ 4OLG Received
Cl ofTigard t' Datei By: 151 I / Permit 4: �J � -an--- YY 2`'.-
i'rill 13125 SW Hall Blvd.,Tigard,OR 97223 plan RevieW/C� I Related Permit 5: x/�/JJ
Phone: 503.718.2439 Fax: 503.598.1960 Plan Rev w�/r`' D P �¢Q• //'�/D�92O2
Inspection Line: 503 639 4175 CITY OF TIGARD Ready DarelB . ' Avis: I� eS a Page 2 for
TIGARD g g BUILDING DIVISION 'A/f Supplemental Internet: www.ti and-or. ov NotifiediNethod Su /¢mental Information
TYPE OF WORK aFir,%,"4.1.4 cilia„ PLAN REVIEW
❑ New construction ❑� Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlitems checked):
❑Service or feeder 400 amps or more ❑Building over three storms.
❑ Demolition ❑Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.0W amps at 150 volts or ❑Floating buildings.
❑ I-and 2-family dwellino Commercial/industrialless to ground,or exceeds 14.000 ❑Commercial-useagricultural
g ❑ ❑Accessory building
amps for all other installations. mgs.
❑ Multi-family ❑ Master builder •Other: 0 fire pump. 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:
15600 SW River Terrance Blvd I00HPormore. ❑".A "E '1-2"."I-3
City/State/ZIP: Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Art Rutkins Elementary School ❑Hazardous locations ❑Supply voltage for more than
0 Service or feeder 600 amps or snore 600 volts nominal.
Cross street/directions to job site: NE of SW Townsville St and SW River Terrace Blvd FEE SCHEDULE
Description I Qty. 1 Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 2S108CC00300 1,000 sq.R.or less 68.54 4
E .add'I 500 sq.ft,or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
(with above sq.fl.)
Rooftop install of a 200 KVA photovoltaic system Limited energy,multi-family 75.00 2
residential(with above sq.It.)
✓I PROPERTY OWNER I TENANT Renewable Energy ❑� See Page 2
Services or feeders installation,alteration,and/or relocation
Name: Tigard-Tualatin School District 200 amps or less 100.70 2
Address: 6960 SW Sandburg St 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:( S03 )431-4016 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 I
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 ';,, _ sue° Branch circuits-c new,alteration,or extension,per panel
® CO _ nrvc.vstw s ( A.Fee for branch circuits wdh
Business name: A and R Solar SPC dba A&R Solar above service or feeder fee,
each branch circuit 7.42 2
Contact name: Lara Worcester B.Fee for branch circuits without
service or feeder fee,first
Address: 19636 SW 90th Ct.Bldg 4 branch circuit 56.18 2
•
City/State/ZIP: Tualatin,OR 97062 Each add-I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:
( 503 )420-8680 x 4 I Fax: :( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email: permits@a-rsolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: A&R Solar Sign or outline lighting 67.84 2
Signal circuit(s)or l
Address: 19636 SW 90th Ct Bldg4 limited-energy
panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: Tualatin,OR 97062 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66,25/hr
Phone:( 503 ) 420-8680 ext 4 Fax:( ) Investigation(I hr min) 90,00/hr
Industrial plant(1 hr min) 78.18/hr
Email: permits@a-rsolar.com Inspections for which no fee is
CCB Lic.: 207641 I Electrical Lic.: C1179 ( Suprv.Lic.: 54945
specifically listed(tr hr mini 90.00/hr
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required: --_ Subtotal -
Print name: Robert Nieman Date: 8/18/2022 a Plan Review Required(25%of permit fee): 11,63
State surcharge(12%of permit fee) a
Authorized signature: � !�f/ 2C z _t TOTAL PERMIT FEE: $
B This permit application expires if a permit is not o coned within 180
Print name: Lara Worcester Date: 8/18/2022 days after it has been accepted as comp/ . _
* Number of inspections allowed per permit. 7e r,d ��ye�'
C.Duilding(Permits\ELC_PernstApp_ELE_ERE dec Res 06/17/2015 4.0-4615T(I I/115/COM/WEB II I•V' /(/
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 Description Qty. Each Total
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or 00.70 2
5.01 to 15 kva 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
with OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* �!'1ff'SO
Each additional kva over 25 175 72 3
❑ Vacuum Systems* >100 kva—no additional charge O. 3
Each additional inspection over allowable in any of the above:
❑
Other: Each additional inspection is
charged at an hourly(1 hr min) 6625/hr 1
Inspections for which no fee is 90,00/hr
specifically listed(./hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEESSubtot
Fee for each commercial system: S75.00 allowed (Enter onPage I): }q�'
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
n C• lock Systems
n D• ata Telecommunication Installation
Fire Alarm Installation
I HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
El Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I\BuildingL Permits'ELC_PemvtApp_ELR_ERE.doc Rev in/172015