Permit a CITY OF TIGARD ELECTRICAL PERMIT
.7 1 COMMUNITY DEVELOPMENT Permit #: ELC2010 00469
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/02/2010
Parcel: 2S112CCO3700
Jurisdiction: Tigard
Site address: 8020 SW CHURCHILL CT
Subdivision: Lot: 0
Project: Elliott
Project Description: Installation of photovoltaic system.
Owner: FEES
ELLIOTT, RANDALL Quantity Description Date Amount
8020 SW CHURCHILL CT
TIGARD, OR 97224 1 ea Services or Feeders - 200 09/02/2010 $100.70
amps or less
PHONE: 1 crt Branch Circuits w /Purchase 09/02/2010 $7.42
Service or Feeder
1 ea 12% State Surcharge - 09/02/2010 $12.97
Contractor: Electrical
MR SUN SOLAR ENTERPRISES WEST
6125 NE PORTLAND HWY
PORTLAND, OR 97218
PHONE: 503 - 222 -2468
FAX: 503- 245 -3722
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $121.09
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 actor— = with ap 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. ATTEN •N: Oregon law requir- •u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -001 • through OAR 952 -001 -0 1 . You may • • in a copy of the rules or direct questions to OUNC by calling 503.246.66.9 • r 1.800.332 344.
Issued B • � _ _ ! ��� �_ %� ►_ b Permittee Signature: k !/-
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'
__-..."...2." — Date:
/1i ( , -...
LICENSE NO.
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 I'eritllt A')�)IIC11t1O I FOR OFFICE USE ONLY 4-
A
, 11�• 11f "� Tigard ? .Z .e, (/ I'rlmn \„ 00
l ^ 13125 ? 1 5 SW 1lall Ithd . 11 ;od. U1t '1122 I
Pllnne 5U_ 639 -1171 I';I\ 5113 ")N 1'1611 1 )a1i 14, I 1 ):16, I'e
ncnRo Inspection Inspection line 5113 639 .1175 I 1 )a1i k,:•61 , I(, I i ,,,, ` ® See Vat's 2 for
11111: 1:1 \,(„\ ligard -01 _o� \,gillrJ \1116 Supplenu•nial InGmm :Iln�n
— — — 'I OF WORK PLAN REY•IE V
r 1'1 1x• check all ilia! .q,pl■ I.u1 2 so, 01 plan, ,, items checked 1,,..1,.., ❑ \i \ \' conslruelion dtlilil , n,alleration /rrplacrnlrnl
❑ Set lee or ree.lo !1111 amp, nl more ❑ iuddmg over 'Mee .I01.r
❑ I)CII ❑ !)Idler: \,Mery the :Ra11a1,1e laud' runcnl ❑ marinas and boatyard..
CA'I h( "OR1' OF CONSTRUCTION c\ceeds 111.0011 amp. in I :n soli,. [ Floating buildings
I0.10 110111141.„ c,cccd.11 0 1 .',m n urriml- 11x•agn(uh
'Q and 2- hanlil■ d\■elling ❑ Commercial/industrial ❑ Accessory huilding :1111 : lo, .11olh -I nlaall.n,n,- hnddm
❑ \'lulli-I:Illlll \' ❑ II \'I ;sier builder ❑ Other: ❑Li plug, LI Iustallaonn o1 7, K \'A ,n
01 111 - lem luget sep :ualel\ dew ed...
.JOB SITE INFORMATION ION AND Lo(:ATION ❑ \ddwnn nt iii, 111,11„I „ „I ❑ A I 1 ' I
Inh sift, addt'eSS. � � / � 1n16 ',•1 I .. nccupaue,
1116 I„
V O 42 - at) U/✓ - ❑ \1, ,n ,,,,,, I ,a,. li..1 unit. ❑ Rcoca11,•na1 ,chide pm I.-
C II\ 'SI :Ilei /.I P: - ]' 7 yl,, ❑I la -c.uc I, ,lnlr• ❑ >upp1■ ,nli;Te In1 n1,nc ,o., 1 �✓ (51 � I L. /� ' ` ■ ❑ I I :Ii :u 41, 111. „eau „n. I■IIU „4111 mamn: l
Suite /bldg. /;I'll. 1111.: I 'rofeel I „ M lle: e_t 1, . 4- ^�, / ❑,r1,Irr „i 1rn_': nnll.nnp.,,1 mole
1 v
FEE S(:III•:DIILE
Cross street/directions to jot) site' nr.�n I 1 F,•,,. I 1 ,
\e„ resideulial :in nr in iilli-jamil■ d,n'11in2 unit.
Includes apache,! e.ara_e.
Silkily ISI„ Il:
1,o1 11, 1.: Loll .,I 11 01 le .s 168 54
—
La add 1 :on ..1 11 ■1 (':11111 33 ,)_'
TaN Inap /parcel no”
1 nnurd owl L,. Ii.nknllal
DESCRIPTION OF \YORK ( „ 1111 ;IN 11 I 711111
(irV �1 �ti� Kul LJ77LL�� Innned c ( •� cJY w / V I q L / /3 � /�! s g �� n a ��f tier, ices or revilers installation. alteration. auto /ur relocation
2116 amps or Icss 1 / 11111 711 /op .10
❑ PROPERTY '
OWNER I 1:=1 TENAN -I' 111 amps w 4111) arms 133 >6
d o E `/� to l ;imps 10 611 01111,,, 34 Nalne : / ,,, 1 /L a-,� roll amp. „, I :11111,. 3(11 64
Address: S 4 . 0 I.- 1 1 eI Lull() :11■11. ,,! \ oil, 552 26 iip,
-- 1 ,4 VIA 1 722—'( r Fempor;n', see, ires or feeders inslall:uion. alteration. ;
Lily/Slate/7 1 P: elurativa
I 1 1 KR: 1 1 '011 an :1 Ic.. :' t1,
:1 1 a1np. II, •111 apy 1'i OS
Owner insIallaliun: this installation is heirs_ midi on I)rol,rrl\ 111;11 1 0\\ n \\ hid, is 1101 •
1111 , „, :' ,n
” ' •y. , IaN 34
.Imp
intended 1111 sale. lease. rent, ore \clank. according to ()RS 447. -1.1 ). () O ;Ind 7111. l .
Branch circuits -- tic,,. alleralion, ur t•.tIt'nsiun. per panel
Owner signature: I )a A\ le: pie lnr NanaNana i ncml. n rob
-- - - - i --- -- -- - - - .Ih,,,.. t,,,c 111'cede /
lie ' 4/; ,
II
❑ APPLICANT I / ❑ ( :ONTACT I'ERSOI\ eaih b 'e '' ,,,,,,,I ! 7 •1'
Ii11Sille SS 1111111C: I S/ 4/ Cr �/•- fff/// / 11 Ice Ina hi-: ni ll iii ti ll. Irrdrrnrt
.��// v (((...w�WYV ., lie 01 belle! Ice. IL.I
Comic! name: ✓O ". hrani h i 11 i 111l :6l ,
P� Lich a,Jd l branch otcull 7 d'
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Address: : (J �� 0440 lisccllancous (service or feeder 11 11 ! included)
� � � � � � I knell m;m Imcd 1 1' f eed e r
C II\ /State /AII h7 S4
2 I„rlln,c..rl service 511„1 nr lrrd
a hu 2.45-- ^
Reconnect till, h7 8J
I nt : 1 j) 'Z � 2 � e� � ,(Jo � $ 1 ;Ix:: 1 l� [ 7Z2
J � �i K / U• ,y
rump,. In l�aoun cock 67 84
I:- I11alI: °�I (,1j/L � - �r�/� `Itat or nulllnc 11111110111 h7 S •
V �/� /� CON'1•RACTOR tilcnal incmu.l nI limited r_c\
IIS111CSS Milne: `v 1 n panel, a n I 1it:l Intt I'a
R 1
1./� / 50.-- S�� ICnrh additional inspectiuu 11 ,'er allo„able in any of the ah,o, , •
\J tlress: ` 1
(�� /� ^ e-- tT,1 Q a,g, \,IJI„nn :Il 111.111: Ilan I 1 111 1111111 06 2 3 h1
( lI /Stale / /.II':
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1 ! b6 2 hi
I'honC 1 ` r� •� c� / I' :I \: (` \' d 2_4( .. 1,0,,,,,,., nnn
l 111.11111 1 III 7N IS hr
CCU Lie.: `� 1 . Electrical ( Lie.. 7 ti n. : : - i , \61611„ Ice,.
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V3� `7v i� 1 '1l� I„ - . .
`is I `iulliall\ 111!1,! l': hI rill
sup,. I:Ieelrician signature. reyu,� :• ' -/ ,'� % /` I• :Lli( "fltl( : : \L PF :ItI \11 FF:F:S
a Sublolal /O$ ••
l'I - 1111 118IIIe. ' I )ale: // -7
1�_ "D "/y� Plan Ii(IC\, ",0 0lprnnlllir)'
Authorized signatt • Sr / / / state sorch 1 aige 1 I 2 1peroot lee). /2 -< C
7
/ �/ .1 ( :u a(�
rin r eta :: 1.21.2441 ��
Print name: � vANff'N.d2�p > - 1 1 )ale: /2�`j��
1 , nud,lu,g , 1'cnn, r.,A.I.('- 1',•:11, t: \19n 117 n1 111 1.m. 101 1111 „: ('101 \\ r
String #1 String #2
(5) Sanyo (5) Sanyo
HIP- 200BA3 HIP- 200BA3
r -- -- -- Sample Photovoltaic Electric System
+ r
+ .7- _
___. 7 ._____
mil
NEMA 3R Combiner Box
I ----- -- - - -� i
IF Each lead terminta es
+ DC I AC at 2 -pole 20 amp breaker
in main .
1A
Square D Fuse Equipment grounding
DC Disconnect
conductor continues
600V, 30 Amp INN sow to earth ground.
+ Itron 240V Meter
NEMA 3R Box
Fronius IG2000 Inverter Panel
Max Input:500VDC 200 Amp service
Max Output:150VAC
k ; 6 7 c . . . .
Mr. Sun Solar