Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 00516
-T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/21/2010
Parcel: 2S114AB15400
Jurisdiction: Tigard
Site address: 9300 SW DURHAM RD
Subdivision: Lot: 0
Project: Whitney
Project Description: Installation of 2.16 KW photovoltaic grid tied system
Owner: FEES
WHITNEY, ERIK & ALAN Quantity Description Date Amount
9300 SW DURHAM RD
TIGARD, OR 97224 1 ea Services or Feeders - 200 09/21/2010 $100.70
amps or less
PHONE: 1 crt Branch Circuits w /Purchase 09/21/2010 $7.42
Service or Feeder
1 ea 12% State Surcharge - 09/21/2010 $12.97
Contractor: Electrical
ELECTRIC NORM INC
1365 SE 10TH ST
WARRENTON, OR 97146
PHONE: 503 - 861 -1688
FAX: 503 - 861 -2159
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 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 th
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are s - in OAR
952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.23 • •
Issued By: Permittee Signature: I
rlw
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
7- SIGNATURE OF SUPR. ELEC' Date:
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 Permit App I . '' -' 0 . . EIVED , n ,; , , , , I I I 1 I 1\1 ,
City of Tigard C 1 2 010 / /0 :4 140 -: & Co2, /0 — OoS/
� 13125 SW Hall Blvd., Tigard, o�
Phone 593639.4171 Fax : p �8 Odra Permit
!, i , Inbpectionime so3.639.a11I Y �r I t>ateReady/er a See Page :for
Internet: """`"•ti UILDING DIVISION Suppkm`°""°
TYPE OF WORK PLAN REVIEW
❑ New construction Additiodalteration/replatxaneat
Please deck all that apply (submit a sea ofplans wfite nc chedmd below):
❑ Demolition El Other: DSaviee or feeder 400 amps emote 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION or weeds 10,000 amps at 150 volts or 0 FloatinTrbuildinp.
lass to grow& or exceeds 14.000 O Cam®acial.use estimative'
al. and 2- fam dwelling ❑ Comltnercia1industrial ❑ Accessory building
amps for all other installations. buildkrgv.
❑ Multi 6mi1y ❑ Masten builder ❑ Other: a Fee puny. a lesUlladem of 75 KVA or
JOB SITE INFORMATION AND LOCATION ° Ad of Dew system. *A". E , "1 - 2 "," 1 4 " d system
[]Aeldiaon of momrkmd of (] "A " ". "E", "l-2 ". "1 -3 ".
Job no.: I Job site address: 43 00 i aj/ t "I . &c lam oraooR. o ey.
A tow O Sc or mom residential wits. El ike eatioal vehicle parlor City/State/ZIP: City/State/ZIP: , 7) 7 2 y D H a Steaks. 1] Supply voltage for mine than
T's G/G 1 dcua loeadom 600 volts nominal.
Suite/bldg./apt no.: I Project name: eA , ti, 4/ D service or fender 600 amps or snore.
FEE SCBIS
Cross street/directions to job site ^ t,. 1 Fen 1 total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft or lees 168.54 4
Ea. add9 500 sq. ft or portion 33.92 1
Tax map/ /parcel no.:
DBSCRIPITON OF WORK 1� above 75.00 2
J } J . "diets* s* a'J 7. 16 /l4� rev a above s4 f.) - 75 .00 2
Orr C r ` � /) ) 040,1 Services or feeders installed° alteration, and/or relocation
amps or less / 100.70 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 a 133.56 2
Name: 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
City/State/ZIP: Temporary scrvises or feeders Installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or leas 59.36 1
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
h
intended for sale, lease, tent, or exchange, according to ORS 447, 449, 670, and 701. 401 stops to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature Date: A. Fee ibr branch circuits with
(�APlI.I / G c N7 1 � above service or feeder fee, CONTACT PERSON each branch circuit / 7.42 2 •
Business name: J ,F74 y ✓co / tea' S B. Fee for branch torrents without '
service or feeder fee, first
Contact nitre 41.0 / frCa/ 44 `, r? 46 , branch circuit 5618 2
/ Each add'i branch circuit 7.42 2
Address: 3 i 3a W 144 e y Miscellaneous (service or feeder not induded)
Each manufctored or modular
City/State/ZIP: i go j Ca t9 i7Z Oi dwelling, service and/or feeder 67.84 2
Phone: (5'5 %at ye I Fax: : ( ) • Reconnect only 67.84 , _ 2
Pump or irrigation circle 67.84 2
E-mail: 4 i✓4.w∎4p g4vtw� } gy cif d r,, e , tier••• Sign outline lighting 67.84 2
CO 7' Signal circuits) or limited -energy
Business Dame /.e( . C /vt�y ✓.ate !� n e panel, alteration, or extension. - Page 2 - - 2
y Each additional Inspection over allowable In any atilt above
Address: (3 , r /( /" (" - Additional inspection (1 hr min) 66.25/ hr
City/State/MP: ✓4.40 Gn ,s ->/T 9V 97/ % Investigation (1 hr min)) 66.28/ hr
KJ^ Industrial phmt (1 hr min) 78.18/ hr
Phone: (V 2) . ( / 6 a e ( Fax: ( ) j(G /• L/ r" hupecttans for which no fee is 90.00/ hr
specifically listed ('b twain)
CCB Inc.: 306.4 required: 4.6 Elet:h'ical Lic.: y/ Suprv. Lic.: VS' MIT . ELECTRICAL PER FEES
Suprv. Flrxtricidt ' r f -, / /0 /// ' SSubtotal: : e U . 4. Plan review (25% of permit fee):
Print name A � - l Date 1 - Q 1 State surcharge (12% of permit fee): ia
Authorized , : y �� ° t �� wrAL PERMITFEE: jai, o 9
Tbls permit application expires I f s permit t s sot obtained W a i n 180
Print mine: kk complete. .
e: :e -- 1-- -ux.r ✓l I ' ( 0 • Nrmrberofimpxdoa allowed per perm it. as
L 07/01/10 440.46157111103/C014'WEa
- - - TO:5035931960 22110/10/13 02:19 PG:i
-.7
..
Electrical Permit Applicatio ' ( 6 ii(2 !
,,(,,,,),..i.,(•,.. l `i I'. ON1.N
Received
City of Tigard 6 ( 1 4y1 et^ Date/Hy: Permit No.:
, • 13125 SW Hall Blvd., Tigard, OR 97223 ' Plan Review
' II Phone: 503.639.4171 Fax: 503. ' 7 960 Date/By: Other Pennif
1 1 l • A It li Inspection Line: 503.639.4175 i Date Ready/By. lure: El See Page 2 for
Internet: www.tigard . Pt s NotifierliMethod: Supplemental Information
. .. , ri:**0 ,... , ..;ii i:;:F...:A.5,- ::;.--
0 New construction Addition/alteration/replacement "
Please check MI that apply (submit 1 sets of plans whtcir checked below):
El U Service or fccdcr 400 amps or more 0 Building over three stones.
0 Demolition D Other: where the available fault cunsm 0 Marinas and boatyards.
7 ... ...,..... 9 . , , ,H.i , ; ,:= . :: : :::':i ' F exceeds 10000 amps at 150 volts or 0 Floating buildinp
..,......: 4.. ..„--, „.-„: -, ,i.av,:...r,earetritc+5firE.":fl'e'n . f,Irglf:k! ....... , i-'..-7.... - :'' :::':'"Y'' ' - '''''''' .' ''''''''''.-- '' 'a less to ground, or exceeds 14,000 0 Commettial-use agricultural
16 I - and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for ail other installations. buildings.
0 Multi-family 0 Master builder 0 Other: ire PurliP. CI Installation of 75 KVA or
larger sepamtcly derived system.
'...,:W,7„......r.:*.fijiii4(11:4004,1111):(0,4*(pk:;:A;:i:',ii:;i::;',:i. .:,- ['Addition of new motor load of
I 00HP or more. occupancy.
Job no.: Job site address: ci 30 0 5, („) /),.... h ,,,,,, A
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/7.1P: / o(r 1 O 2 € 7 ? - 2 2. V ollealth-care facilities.
CI Hazardous locations. 0 Supply voltage for more than
6(X) volts nominal.
Suite/bldg./apt. no.: Project name: IA/ A , j k e .. ' Service or feeder 600 amps or more.
.,r..:f,:.:
Cross street/directions to job site: DLIMplIOCI I Qtr. I Yee. 1 Total 1 •
New residential single- or multi-family dwelling unit.
_ Includes attached garage.
1,000 sq. 11 or less 168.54 4
Subdivision: Lot no.:
Ea. add'l 50(1 sq. ft. or portion 33.92 1
Tax map/parcel no.: Limited energy, residential
75.00 2
- -:,:•':::-....,. - /1,iibiiiiiiiiiiiii (with above sq. ft.)
/ Z / Limited energy, multi-family
75.00 2
1/*/ i S/ r 4, / fe? ti 15 i e..., residential (with above sq. ft.)
/ Services or feeders Installation,alteration, and/or relocation _
6 4 .v. a7 /..
1 ..,,,...1).. e • ., ir.. s ...z /3,
,--.......- 200 amps or less (00.70 2
cr ,„,,,,001777: 7 tr„ i7t.77.7--,., .J.,,.,!:. ...,,...,-.: :..,...: .:; 201 umPs to 400 amps 133.56
... 401 amps to 600 amps 200.34 2
Name: A v s , c. , (;": . ).7,-,/ m , t )./.-/- 601 amps to 1,000 amps , , 301.04 2
Atidr •s: C L. d 2 0 / 0- 00 ci G Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/Stat • : _......-- relocation
-----
Phone: ( ) - MI ) 200 amps or less 59.36 I
-
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that 1 own which is not -
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or ettension, per panel _
Owner signature: Date: A. Fee for branch circuits with
, ..:„.7. ."-:,
!, , er; above service or feeder fee,
.. , , ........,.... ::1101.4tvecsalwx . ...."'. ' each branch circuit 7.42 2
Business name: .<14‘"%.' /.• - /S7 S e , f A c' e B. Fee for branch circuits without
service or feeder fee, first
Contact name: A e , c I r ,44/ k 4 4 0 : A 74 :1 '; branch circuit 56.18 2
Each add'I branch circuit 7.42 , _ 2
Address: 75 1 et (6; 7 7V*.e C Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: / e / 4-I ( VI t 1.7 el dwelling, service and/or feeder 67.84 2
Phone: (C ) '77 ? . V s C Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle , 67.84 2
E-mail: al-, ti , ‘,...- p 3 /.---, 0,-A./ ,., z .. ,..„,
„......„ Sign or outline lighting 67.84 2
;: q .:: ....;:.7:....::'.:,,,..:: ':
',N:. . : " ... . E .:...i .' '" . Signal circuit (s) or limited-energy
panel, alteration. or extension. Page 2 _ 2
Business name: i il.Q (c6) A 0 ,,,..,,
{,,,. c . r.
Each additional inspection over allowable in any of the above _
Address: 2 3 iq ,e . 1 2 fir .
Additional inspection (1 hr min) , 66.25/ hr
Investigation (1 hr min) 66.25/ hr
City/State/ZIP: 7c)ci -k ( ct. v. c\,, C.- .(- (2 ) (1 17 .g I Y Industrial plant (1 fir min) 78.18Par
Phone: 0-)3) (j 7() .. 9 z, 5 , r ( Fax: ( ) Inspections for which no fee is
siatx;ifically listed (1/4 hr min) 90.00/ hr
,
CCB Lic.:t 6?1 c..1 f.:lectrical Lic 4 I 6 Suprv. Lie.: 0 q 5 . :J'.. , :::,: , .: , :: , , ,,, , ,- : 7., .: , ::':Ectent** , :. , Plakft::100!* 1, - - :"
1:" Subtotal:
Suprv. Electr Ian tgnuture, required: 0 AL 10 I // ,
Plan review (25% of pennit fee):
A . I
Print name: p -, , , , ,,, .. piA c l.,6 Date: - / 2 - /..) State surcharge (12% of permit fee):
,
TOTAL PERMrf FEE:
Authorized signature: This permit application expires If a permit is not obtained within (80
days after It has Peso accepted as complete.
_
Print name: Date: . Number of impections allowed per pennit
1:11uildingTennits0,1C-Permit App.doc 0701■10 440.40 I 5T( 11 /05:CONVWEB