Permit CITY OF TIGARD ELECTRICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit #: ELC2011 00505
T I G AR D 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439
Date Issued: 09/16/2011
Parcel: 2S103DA04400
Jurisdiction: Tigard
Site address: 10630 SW PARK ST
Project: Noles Subdivision: FANTASY HILL Lot: 3
Project Description: Installation of solar photovoltaic system.
Contractor: 3D ELECTRICAL SERVICES INC Owner: NOLES, DAVID R AND
PO BOX 173 MARGARET L
OREGON CITY, OR 97045 10630 SW PARK ST
TIGARD, OR 97223
PHONE 503 - 657 -9173
PHONE: 503 - 620 -7553
FAX: 503 - 655 -7140
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 09/13/2011 $100.70
Specifics: amps or less
1 crt Branch Circuits w /Purchase 09/13/2011 $7.42
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 09/13/2011 $12 97
Electrical
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 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
952- 001 -0010 through O: r • - 001 -0090 You may obtain a co. -of- - ules or direct questions to OUNC by calling 503 232 1987 or 1 800 332.2344
Issued By: /_ ...-� Permittee Signature:
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' Date:
LICENSE NO.
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.
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RECEIVED - ri:P . 6y : c . q - /c/ —/ I
SEP 13 2011 � /c r,� y of nofr ,
TYPE OF WO' r D k. - k// / lS#7 %/PLAN ' EVIEW -
New construction dition/a]terati �,�. ' .RD • IVISIO Please check all that apply (submit Z sets of plans w /items checked below)'
,� � Y � Y. Service or feeder 400 amps or more Bwldmg over three stones.
Demolition Other: where the available fault current Mannas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts Floating buildings.
1 and 2 family dwellin: ommerciallindustrial Accessory building °L Commercial - use agricultural
less to ground, or exceeds 14.000 buildings
Multi - family Master builder Other: amps for all other installations. Installation of 75 KVA or
Fire pump. larger separately derived system.
JOB SITE INFORMATION AND LOCATION
Emergency system
ob no.: Job site address: 10630 SW Park St Addition of new motor load of occupancy.
100HP or more Recreational vehicle parks.
ity/State /ZIP: Tigard, OR 97223 Six or more residential units. Supply voltage for more than
Health -care facilities 600 volts nominal.
uite/bldg. /apt. no.: !Project name: Notes 3.24 kW Solar PV System Hazardous locations.
ross street/directions to job site: Service or feeder 600 amps or
more.
FEE SCHEDULE
Description 1 Qty. I Fee. I Total I *
ubdivision: 'Lot no.: New residential single- or multi-family dwelling unit.
ax map /parcel no.: Includes attached garage.
DESCRIPTION OF WORK 1,000 sq ft. or less 168.54 4
Ea. add'l 500 sq ft. or portion 33.92 1
3.24 kW Solar Photovoltaic System Limited energy, residential
(with above sq. ft.) 75 00 2
Limited energy, multi - family
PROPERTY OWNER TENANT residential (with above sq. ft) 75.00 2
Services or feeders installation, al erasion, and/or relocation
1 ame: David Notes
200 amps or less
/DO 7 0 2
• ddress: 10630 SW Park St 201 amps to 400 amps 133 56 2
ity/State /ZIP: Tigard, OR 97223 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
I' hone: (503) 620 - 7553 'Fax: ( ) Over 1,000 amps or volts 552.26 2
1 wner installation: This installation is being made on property that I own which is not Temporary services or feeders installation, alteration, and/or
ntended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. relocation
200 amps or less 59.36 l
Owner signature: 201 amps to 400 amps 125.08 2
11 ate: 401 amps to 599 amps 168.54 2
APPLICANT CONTACT PERSON Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
I: usiness name: above service or feeder fee, `'//
each branch circuit 7.42 7 `!'� 2
ontact name: B. Fee for branch circuits without
service or feeder fee, first 56.18 2
• ddress: branch circuit
ity/State/ZIP: Each add'l branch circuit 7.42 2
Miscellaneous (service or feeder not included)
I' hone: ( ) 'Fax: : ( ) Each manufactured or modular
dwelling, service and/or feeder 67 84 2
I - mail:
CONTRACTOR Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
I: usiness name: 3D Electrical Sign or outline lighting 67.84 2
• ddress: 20068 Hwy 213 P.O. Box 173 Signal circuit(s) or limited- energy
panel, alteration, or extension. Page 2 2
ity/State /ZIP: Oregon City, OR, 97045 Each additional inspection over allowable in any of the above
Additional inspection (1 hr min) 66.25/ hr
1' hone: (503) 657 -9173 'Fax: (503) 655-7140,„------....", Investigation (1 hr min) 66.25/ In
CB Lic.: 135234 'Electrical Lic.: 3 -460C C. Try. Lic.: 3793s_) Industrial plant (1 hr min) 78 18/ hr
/ ` I eci f c ony for which no fee is
■. uprv. Electrician signature, required. listed (%: hr min) 90 00/ hr
„.- ELECTRICAL PERMIT FEES
I' ' t name: Bill Dutton Date: 9/2/11 Subtotal: ',/). /.2
Plan review (25% of permit fee): —
....$ State surcharge (12% of permit fee): /A. 97
• uthorized signature:
✓ TOTAL PERMIT FEE: la/ , o 7
This permit application expires if a permit is not obtained within 180
Print name: Bill Dutton IDate: 9/2/11 days after it has been accepted as complete.
* Number of inspections allowed per permit
I \Budding \Permits\ELC- PeniutApp doc 07/01/10
RECEIVED
1 3 2011
CITY SEP OF TIGARD
Iir 1iLDINC D IVISIOty
WIRE SIZING SPECIFICATIONS
DC INPUT: 5.4A, 140', 1.56x SAFETY FACTOR, 1 5% LOSS
ALLOWABLE: 716' ON #10 CU '
AC INPUT: 12.5A, 20', 1 25x SAFETY FACTOR, 1.5% LOSS
ALLOWABLE: 232' ON #10 CU
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