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Permit
INI CITY OF TIGARD MASTER PERMIT ^^!! v COMMUNITY DEVELOPMENT Permit#: MST2023-00003 T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/17/2023 Parcel: 2S104CD09700 Jurisdiction: Tigard Site address: 13718 SW TRACY PL Subdivision: HILLSHIRE ESTATES NO.2 Lot: 96 Project: Collins Project Description: Solar photovoltaic system. 5.775 kW BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 Height: 0 sf Left: 0 Parking Spaces: 0 9 Bathrooms: 0 Second: 0 sf Garage: 0 g sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 0 sf Value: $2,000.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 LaundryTrays: 0 Y Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 0 Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 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 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 am 0 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/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: Y Other Description: Roof top solar array 5.775 kW N Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 0 Owner: Contractor: COLLINS FAMILY TRUST PRO STAT SERVICES LLC Required Items and Reports(Conditions) 13718 SW TRACY PL 1721 NE 64TH AVE STE 120 TIGARD,OR 97223 VANCOUVER,WA 98661 PHONE: PHONE: (360)859-3749 FAX: Total Fees: $363.19 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days, ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR o59-nnLnnln thrn$h 1AR oc9-nn�t`vn„ nhfaln a rnm,of nca Hove nr rerort ni inctinnc to cm ANC hu rani,8n4 919 loft]nr I Ann TV)9'1dd Issued By: Permittee Signature: ~)af "�pp I , {-E1.�f"�. Call 503 39.4175 by 7:00 a.m,for the next available inspection date. 1 This permit card shall '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. • glectrical Permit Aanlica rCElVE Ho[z orrlcl: I°s>':o.i.s City of Tigard Irl LReceived Date/By Permit#: III13125 S50 Hall Blvd,Tigard,O3. )( 9 '�OZz Plan Review i. Phone: 503.718.2439 Fax: 503.598.M98. Date,/By: Related Permit 0: Incaution Line: 503.639.4175 Ready Da2/BY: mete ' ®See Page E for i GAKP Internet: v,ct: ww.tigard-or.gov CITY OF�IG�`H� Notified/Method. Supplemental Informative TYPE OIr kWV9ItlC•G DIVISION PLAN REVIEW apply-. 0 New construction ®Addition/alteraliotl/replacemenY Please check all that a a or �7 sets of plans whams checked): 1 0 Service or feeder 400 amps or mote ❑Building over three stories. i ❑Demolition 0 Other: where the available holt current 0 Marinas and boatyards. 1 CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 vohs or D Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less 10 S ound or exceeds I4,000 p 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 ❑Emergency system larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 13718 SW Tracy Place Tigard,OR 97223 10011P or more, ' Ciry,StatelZlP: Tigard,OR 97223 0 Six or more residential units. occupancy. p Health-care facilities. 0 Recreational vehicle park& Suite/bldg apt.#: Project name: COLLINS,RICK 0 Harardma location`. 0 S00 Supply voltage e far more than p Service or feeder 600 amps or more. al. Cross street/directions to job site: FEE SCHEDULE narrfptias I Qis. i Each I Taal I New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax maplparcel#: Ea.add'I 500 sq.8.or portion 33.92 I P` DESCRIPTION OF.WORK - Limited energy,residential fd y�y t t t ,/ ^� (with above sq.ft.) 75.00 2 1/46 1S�ii.. Lr�"1 I Limited energy,multi-family 75.00 2 5.775 kW residential(with above sq.ft.) ® PROPERTY OWNER tt 0 TENANT Renewable Energy 0 See Page 2 I Services or feeders installation,alteration,and/or relocation Name: COLLINS,RICK 200 amps or less 100.70 2 Address: 13718 SW Tracy Place Tigard,OR 97223 201 to aw amps 133.56 2 401 amps to 600 amps 20034 2 City/State/ZIP: Tigard,OR 97223 601 amps to 1,000 amps 301.04 2 Phone:( 503-979-3381 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 16834 2 .CONTACT PERSON Branch circuits-new,alteration,or extension,per panel �`AP/gyy�CANT H t.r fi` r y�A e f A.Fee for branch circuits with Business name: t 1157 7 1 r�f V l" - above service or feeder f«, 7.42 2 ��( I each brunch circuit Contact name: �til.AA- t�s .. B.Fee for branch circuits without w ' v" *� service or feeder fee,first 56.18 2 Address: 11 K Ass �l. .wr^'4J,. branch circuit City/State/ZIP: VB► >M La q , Each add.'branch circuit 7.42 2 J Miscellaneous(service or feeder not included) Phone:(643) c 3Q .7 Z?'Li Fax::( ) Each manufactured or modular 67:84 2 dwelling,service and/or feeder Email: alit. ..V..rtrra jor ccraetCaSi": V1/442...k Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67,84 2 Business name: ((- ,I%M_ i ,1�- Sign or outline lighting 67.84 2 , n ` 9 t qt 1 Sigel.alteration, or limited-energyx 0 �Page 2 2 Address: 1 i/� Yvi panel.alteration,or extension. i Each additional inspection over a©owabk in any of the above City!State(ZIP: (J h- --j (� ��t Additional inspection(l ter min) 66.25/hr i Phone:( 33 i 71 Fax:( ) Investigation(1 he min) 90.00./hr 1 _ rµ1.. Industrial plant(I ter min) 78.18/hr Email: �(�" ` 4.{ �+ [ w`��ar7 aL{, Inspections for which no fee is specifically listed('h hr min) 90.00/hr CCB Lit.: I�j �� Electrical :� Suprv.Lie.: � p p y It EE � ELECTRICAL PERMIT FEES jos Suprv.Electri signature,requ Subtotal: Print name: ea- r •AA) Date: 12/27/22 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: ,,. ,..--- F This permit application expires if a permit is not obtained within IRO Print name: Date: 12/27/22 days after it bas been accepted as complete. -- ' Number of inspections allowed per permit. LtauiidinioPennes'.ELC ParmiIApp_ELR_ERE.doc Rev OS:17,2015 e40-6615T(1 l/05/COM/WEB •• 1 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description <1,9. Each I Total I ' Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 1 e z 5.01to15kva V 133.56 2 0 Audio and Stereo Systems* 15.01 to 25 kva .34 2 Wind genet ation systems in excess of 25 kva: ❑ Burglar Alarm 25.o1 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 9I8-309-0040) 0 Heating,Ventilation and Air Conditioning Solar generation systems in excessof25 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(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) y ' Number of nupections allowed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: 0 Audio and Stereo Systems ❑ B• oiler Controls ❑ Clock Systems 0 Data Telecommunication Installation ❑ Fire Alarm Installation ❑ H• VAC 0 Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ N• urse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations tlauildlegTermits\Et.C_PermitApp-EI.R_EREaoc Rev 0611720t5