Permit MST202Z- 00 tab
'PI City of Tigard
Building Division RECEIVED
13125 SW Hall Blvd,Tigard,OR 97223 �' 2
3
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIG ARD
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION
www.tigard-or.gov
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 10060 SW 72nd Ave
City: Portland Zip: 97223
Owner's Name: Rhonda Newell Date: 5/4/2023
Contractor's Name: ION Developer LLC CCB #: 230394
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? x❑ No OSSC or ORSC for
design requirements.
Is the wind exposure 0 Yes es If"Y "
Wind Exposure , qualifies for
"C"or less? ❑ 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 ❑x 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 ❑
No
1
I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
Is the construction
material wood and does El Yes
Type of If"Yes", qualifies for
the construction qualify
Construction as "conventional light ❑ No the prescriptive path.
frame"construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. ❑ Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
If"Yes", qualifies for
Nominal lumber. El Yes the prescriptive path.
❑ No
Is the combined weight n Yes
of the PV modules and If"Yes", qualifies for
racking less than or ❑ No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation
layout in accordance 0 Yes
with Section 305.4(3) of If"Yes", qualifies for
the 2010 Oregon Solar ElNo the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
Roofing Check the type of ❑ of wood one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
❑x of composition
shingle.
Is the roof mounted x❑ Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
ElblockingNO the prescriptive path.
to the roof framing or
directly?
2
L•Building/Forms/Photovoltaic-Checklist02-01-11.docx
•
Is the gauge 26 or less? ❑ Yes If"Yes", qualifies for
❑ No the prescriptive path.
115 lbs for 60 inch
spacing or less?
El Yes
"Yes", qualifies for
Yes the prescriptive path.
❑ No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes", qualifies for
O Yes the prescriptive path.
❑ No
Attachment of
roof mounted Minimum 24 inches If the spacing falls
solar systems Spacing of clamps? within 24 inches and 60
directly to 48 inches Maximum 60 inches inches, qualifies for the
standing seam prescriptive path.
metal panels Width of roofing If the width of the panel
panels? 18 inches or less
is less than 18 inches,
1.40 inches qualifies for the
prescriptive path.
Minimum #10 at 24
inches o/c?
Size and spacing of If"Yes", qualifies for
fastener? Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. t/2"thickness, X❑ Yes
decking connected to If"Yes", qualifies for
framing members ❑ No the prescriptive path.
w/min. 8d nails @
6"/12" o/c?
Is the height less than or
Maximum 18 inches equal to 18 inches?
Height of the from the top of the If"Yes", qualifies for
solar modules module to the roof ❑x Yes the prescriptive path.
surface. ❑ No
3
I:Building/Fonns/PhotoVoltaic-Checkiist02-01-11.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:
4
I:Building/Fors/PhotoVoltaic-Checklist02-01-11.docx
CITY OF TIGARD MASTER PERMIT
II 2:. ~ COMMUNITY DEVELOPMENT Permit#: MST2023-00196
Date Issued: 05/25/2023
TIGGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136A600201
Jurisdiction: Tigard
Site address: 10060 SW 72ND AVE
Subdivision: METZGER ACRE TRACTS Lot: 3
Project: Newell
Project Description: Rooftop solar PV system 8.8 kW.STRUCTURAL UPGRADE REQUIRED.
BUILDING
Floor Areas Required Setbacks - Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $6,160.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Drains: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!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 N
Other: Y Other Description: Roof top solar array 8.8 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
NEWELL,CHRISTOPHER T&RHONDA EION DEVELOPER LLC Required Items and Reports(Conditions)
10060 SW 72ND AVE 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: 888-781-7074
FAX:
Total Fees: $386.19
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. ATTENTIO : Ore on law leguires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
Qc9-nn1-nn1n thrni,nh n Qri9 1-Q0Qn nil maw nht a rnnw ofthe r nr rlirart ell mctinne to(ll ink-.by Tallinn cn't 919 1QRQR7r 1 Ann''29 91.1ddd 5
`'
Issued By: A/ PereSignature: �C�nr—�� 45�[,�3'� ec;i9 �/J1 1r
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.
•
Building Permit Applicati a ,r D
Residential L-
FOR OFFICE USE ONLY
Cl of Tigard ( £ 28 Received 5II 12 23• p►p (�IST2a23_() I
g P'' `{ r '7U� DateBy: PermitNo.:
13125 SW Hall Blvd.,Tigard,OR 97223
= Plan Review A
Phone: 503.718.2439 Fax: 503.598 A� Date/By: '�j Other Permit:
Inspection Line: 503.639.4175 � ��'xD
l I ;A K I) p I l D�� ; D I V S i# N Date Ready/By: 7uris: ® See Page 4 for
Internet: www.tigard-or.gov C� tii it iV Notified/Method: S a� Supplemental Information
(e44
TYPE OF WORK REQUIRED DATA: AND 2-FAMILY DWELLING
❑New construction ❑Demolition- - Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement ❑■ Other:PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION = r" work indicated on this application.
1-and 2-familydwellingValuation: $6 160.00
❑ ❑Commercial/industrial
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
/�'� Job site address:10060 SW 72nd Ave New dwelling area: square feet
V City/State/ZIP:Portland, Oregon, 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Newell Solar Install Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: PV Solar square feet 469
REOITIRED"DATA.COMMEI CIAL U E=CHECKLIST]
Subdivision:M ETZ M ETZG E R I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1 S 136AB00201 / R277863 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
INSJALI ATION OF UTILITY INTERACTIVF PHOTOVOLTAIC Valuation: $
SOLAR SYSTEM; 8.1 kW DC & 6.38 kW AC PHOTOVOLTAIC Existing building area: square feet
SOLAR ARRAY 0 �I( �VL.0"`rG. Ipts,f),,j,fht_New building area: square feet
SI PROPERTY OWNER �-'j, q`�ii'LT'ENA ,- Number of stories:
Name:Rhonda Newell Type of construction:
Address:10060 SW 72nd Ave Occupancy groups:
City/State/ZIP:Portland, Oregon, 97223 Existing:
Phone:((503)998-2067 Fax:( ) New:
IN APPLICANT ; ❑■. CONTACT PERSON
BUILDING PERMIT FEES* "
Business name:ION Developer LLC
� IeasewrI�.roleeschedul}.
Structural plan review fee(or deposit):
Contact name:James Poplin
FLS plan review fee(if applicable):
Address:4801 N University Ave #900
Total fees due upon application:
City/State/ZIP:Provo, Utah, 84604
Phone:888-781-7074 Fax::801-607-6826 Amount received:
E-maikpermits@ionsolar.com PHOTO, VOLTAIC SOLAR PANEL SYSTEM FEES* '
° " Commercial and residential prescriptive installation of
CONTRACTOR '" '"" ,"" roof-top mounted Photo Voltaic Solar Panel System.
Business name:ION Developer LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:4801 N University Ave #900 Solar Installation Specialty Code checklist.
City/State/ZIP:Provo, Utah, 84604 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(888-781-7074 Fax:i801-607-6826 State surcharge(12%of permit fee): $21.60
CCB Iic.:230394 Total fee due upon application: $201.60
Authorized signature: ct P+., l.__ This permit application expires if a permit is not obtained
f (J�Jt tiY. within 180 days after it has been accepted as complete.
Print name: *Fee methodology set by Tri-County Building Industry
James Poplin Date:S/4/2023 Service Board.
I:\Building\Pennits\BUP-RESPennitApp.doc 01/25/2023 440-4613T(1 1/02/COM/WEB)
Building Permit Application Checklist
One— and Two—Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
ll t i Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 II
C Phone: 503.718.2439 Fax: 503.598.1960 AssocAssocated permits:
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical
IIGARC)
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews.
2 Zoning. Flood plain,solar balancepoints,seismic soils designation,historic district,etc. n
3 Verification of approved plat/lot. El Ti
4 Fire district approval required. Name of district: . I 711117
5 Septic system permit or authorization for remodel. Existing system capacity . El nn
6 Sewer permit. n n n
7 Water district approval. n n ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 7 n n
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if U U U
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 CI
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0
architect licensed in Oregon and shall be shown to be a licable to the project under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ow
CI
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. n _j1 El
27 "Drawn to scale"indicates standard architect or engineer scale. El A A
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions,
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:ABuilding\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
'� • Date/B Permit#:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
'I 1 G A R D Inspection Line: 503.639.4175 Ready Date/By: Juris: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE.OF:WORD".:; PLAN":RE` IE4Y `,,
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition x❑Other:pV Solar 0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION f exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El 1-and 2-family dwelling ElCommercial/industrial El Accessory building less to ground,or exceeds 14,000 0 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
Job#: Job site address: 10060 SW 72nd Ave ❑Addition of new motor load of system.
]ooHP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: Portland, Oregon,97223 ❑Six or more residential units. occupancy.
O Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Newell Solar Install 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: �v "-� FEE SCHEDI/J E „r
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: METZ METZGER Lot#: Includes attached garage.
Tax map/parcel#: R277863/ 1 S 136AB00201 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
_, . DESCRIPTION OF WORK ; Limited energy,residential
(with above sq.ft.) 75.00 2
INSTALLATION OF UTILITY INTERACTIVE PHOTOVOLTAIC Limited energy,multi-family
SOLAR SYSTEM; 8.8 kW DC&6.38 kW AC PHOTOVOLTAIC SOLAR residential(with above sq.ft.) 75.00 2
AR-K-P,q121 PROPERTY OWNER _. £. Renewable Energy ❑ See Page 2
TENANT Services or feeders installation,alteration,and/or relocation
Name: Rhonda Newell 200 amps or less 100.70 2
Address: 10060 SW 72nd Ave 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Portland, Oregon, 97223 601 amps to 1,000 amps 301.04 2
Phone:(503 )998-2067 Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
rhondanewel12016@gmail.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
:: '' Branch circuits-c new,alteration,or extension,per panel
® APPLICANT` � CONTACT PERSON
A.Fee for branch circuits with
Business name: ION Developer LLC above service or feeder fee,
each branch circuit 7.42 2
Contact name: James Poplin P B.Fee for branch circuits without
Address: 4801 N Universi Ave#900 service t feet
fee,first
`.r branch circuit 56.18 2
City/State/ZIP: Provo,Utah, 84604 Each add'1 branch circuit 7.42 2
Phone:($$$ )781-7074 Fax:: 801 607-6826 Miscellaneous(service or feeder not included)
( ) Each manufactured or modular
Email: permits@ionsolar.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: ION Developer LLC Sign or outline lighting 67.84 2
Address: 4801 N University Ave#900 Signal circuit(s)or limited energy ❑ See Page 2 2
panel,alteration,or extension. g
Each additional inspection over allowable in any of the above
City/State/ZIP: Provo,Utah, 84604
Additional inspection(1 hr min) 66.25/hr
Phone:(888) 781-7074 Fax:(801 ) 607-6826 Investigation(I hr min) 90.00/hr
Email: permits@ionsolar.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie,: 230394 Electrical Lie.: C1524 Suprv.Lie.: 6098S specifically listed(V2 hr min) 90.00/hr
;
ELECTRICAL.. iPERMIT. E
Suprv.Electrician signature,required: �}-,A //rr .
"�'�Lsy+�-� Subtotal:
Print name: David Conrad Date: 5/4/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: Tex w,,.4,popi; TOTAL PERMIT FEE:
J •.rr This permit application expires if a permit is not obtained within 180
Print name:James Poplin Date: 5/4/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 4404615T(1 I/05/COM/WEB
's
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for allresidential systems combined: $75.00 Dese Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 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
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>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 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
0 Other: pV Solar Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is
90.00/
specifically listed CA hr min)
fir
0M r WHO 0Nlev r, LECTk CAL°P
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
(SEE OAR 918-309-0000) * Number 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
Li Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015