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Permit (2) 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 I Qty. I Each I Toth I Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva l 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to100 kva 552.26 2 >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 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(1 hr min) Inspections for which no fee is 90.00/hr specifically listed( i hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) 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 1:18uiWing\Pe'mils1ELC PermitApp ELR_ERE.dac Rev 06/17/2015 City of Tigard n Building Division ' - 13125 SW Hall Blvd,Tigard, OR 97223 RECEIVED Phone: 503.718.2439 Fax: 503.598.1960 T I GARD Inspection Line: 503.639.4175 JUL 15 2023 www.tigard-or.gov CITY OF TIGARD BUILDING DIVISION 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 16653 SW Darwin Loop City: Tigard Zip: 97224 Owner's Name: Sivakumar Mohan, Lakshmy Sudhakaran Date: 6/23/2023 Contractor's Name: Pro-Stat Services LLC CCB #: 189902 Design Parameters of the Property/Structure If"Yes", does not Is the installation uali for the Flood Hazard © Yes q fy Area Located in a flood prescriptive path, follow plain/flood way? 0 No OSSC or ORSC for design requirements. Wind Exposure Is the wind exposure Yes If"Yes", qualifies for "C"or less? Q No the prescriptive path. Installations on detached Is the Ground Snow single/two-family Load 70 psf or less? dwelling/single/two- If"Yes", qualifies for family townhomes 0 Yes the prescriptive path. and/or their accessory Ground structures. ® No Snow Load Is the Ground Snow Installations on all Load 50 psf or less? structures other than If"Yes", qualifies for Yes the prescriptive path. above 0 No I:Building/Fonns/PhotoVoltaic-Checklist02-01-11.docx Submittal Documents required for Prescriptive Installations Show the location of the PV system in relation to buildings, structures, property lines,and,as applicable, flood hazard areas. Site Plan Details must be clear and easy to read. Minimum size of the plan is 8.5 x 11 inches. Attach a simple structural plan showing the roof framing(rafter size,type, and spacing) and PV module system racking attachment. System must be shown in sufficient detail and clarity to assess whether it Structural Plan meets the prescriptive construction requirements as listed earlier above in the matrix. Minimum size of the plan is 8.5 x 11 inches. PV Modules Manufacturer: Silfab Model Number: SIL 400HC+ Listing Agency: UL 4 I:Building/Forms/PhotoVoltaic-Checkiist02-01-11.docx