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Permit CITY OF TIGARD ELECTRICAL PERMIT • ° v PERMIT #: ELC2008 - 00532 COMMUNITY DEVELOPMENT DATE ISSUED: 10/2/2008 T I G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 103DD - 01100 SITE ADDRESS: 13939 SW PACIFIC HWY ZONING: C -G SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: WALGREENS Project Description: Solar electric system. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: 2 MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 11 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: X Owner: Contractor: WALGREENS LOCAL ELECTRIC CO INC 200 WILMOT ROAD 9952 SE ASH ST SUITE B DEERFIELD, IL 60015 PORTLAND, OR 97216 Phone: 847 - 914 -2500 Contact it PRI 503 - 256 -0045 FAX 503 - 771 -3584 FEES Description Date Amount Reg #: ELE 37 -932C [ELPRMT] ELC Permit 10/2/2008 $303.25 LIC 153034 [ELPLCK] ELC Pln Rev 10/2/2008 $75.84 SUP 5201 S [TAX) 12% State Surchar 10/2/2008 $36.39 REQUIRED ITEMS AND REPORTS Total $415.48 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all o er applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, r if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Yo . • • - • : • •es of these rules or direct questions t• I UNC at 503.2; 6.6699 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'N: DATE: LICENSE NO: Call 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 Application FOR OFFICE USE ONLY City of Tigard �S Received Date/E1 : / A t = Permit No.: - _ l' �� 4 • 13125 SW Hall Blvd., Tigard, OR • • ` Plan Review . G . - : C . Phone: 503.639.4171 Fax: t i •.ar, . Date/B : / � O r � Other Permit: �(� .� - II G A R D Inspection Line: 503.639 �t ' . . Date Ready/By: El See Page 2 for Internet www.tigard or.gov 4 ‘61i 1 (�� ‘4 Notified/Method: / Q Supplemental Information E OF WORK 1 _ , A P LAN REVIEW 12 New construction Addition/altp� ��T�t k all t apply (submit 2 sets of plans w /items checked below): [`\ ❑ Service or fee er 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: VI `v where the available fault current ❑ Marinas and boatyards. CATEG9RY OF (pNSUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling gi Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pump. Alnstallation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. A ❑ Addition of new motor load of ❑ "A ", "E ", "1- 2 ", "1 -3 ", Job no.: I Job site address: (3c737 _ pqc i l ` y 100HP or more. occupancy. ❑ 1 ❑Six or more residential units. Recreational vehicle parks. City/State /ZIP: '7" V r ` OR 9 7 h ❑ Health -care facilities. ❑ Supply voltage for more than V ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Project name: Wei r � n S ((( J <' f Qr ❑ Service or feeder 600 amps or more. S FEE SCHEDULE ✓ Cross street/directions to job site: & qCi f � Q.' Description I Qty. I Fee. I Total I • 5'{ ,� r � /� A / New residential single- or multi- family dwelling unit. JvV / "I C�0�4� Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 Limited energy, multi - family 50(Qr dec -hric sy54eW� .6e �ns{alled on --(lie residential (with above sq. ft.) 75.00 2 Cs e i 5�, v/ Jc t R reeK3 Services amps or feeders installation, alteration, and/or relocation ` J 200 a or less I 80.30 / 80.2 2 ❑ PROPERTY O �/ ER I TENANT 201 amps to 400 amps 106.85 2 Name: v3:41 v'�-edl5 (6,1-4b144€ �/ 401 amps to 600 amps 160.60 2 -` 601 amps to 1,000 amps 240.60 2 Address: `W ( Mari - r Over 1,000 amps or volts 454.65 2 City/State /ZIP: D k? : L_ 6QQ15' Temporary services or feeders installation, alteration, and/or relocation Phone: ( ii-7 q ( .25 I Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel _ Owner signature: Date: A. Fee for branch circuits with ae APPLICANT I L' CONTACT PERSON above service or feeder fee, 1 1 6.65 13.15 2 c- each branch circuit Business name: (Sm.& ( B. Fee for branch circuits ' v without service or feeder fee, Contact name: • /1 A ( c .A.1 S ON first branch circuit 46.85 2 Address: 9 1 r 2, % A3 S 5_44 - (6 Each add'I branch circuit 6.65 • 2 Miscellaneous (service or feeder not included) City/State /ZIP: ( d og 9 246 Each manufactured or modular Q dwelling, service and/or feeder 90.90 2 � Phone: (503 )2-51) / t 2 Fax: : ( 503) 77/ / 3591 Reconnect only 66.85 2 E -mail: (/'e 5t.t c ,1 S O S t.f n e di' fa , [✓0141 Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 1 0 Cq Signal circuit(s) or limited - Business name: 1� ' et l�l G energy panel, alteration, or ^ Address: c 52 5 „ -J,p 3 extension. Describe: G Page 2 I$O. 2 ( r c! I 1 City/State /ZIP: 90 r,( -(QAd OR 972/6 Each additional inspection over allowable in any of the above / Per inspection 62.50 Phone: (5C5 ) 256 ' 0O'f 5 I Fax: (503 )7-71.35131/ Investigation per hour (I hr min) 62.50 CCB Lic.: 1630311- I Electrica 'c.:37 .732 I Suprv. Lic.: 5a0 1 S Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: 1`i\ pi [ 111 Subtotal: 303.25• Plan review (25% of permit fee): '] $, S y Print name: )er . C t Date: �( VOS State surcharge (12% of permit fee): 3 ( 31 Authorized signature: - TOTAL PERMIT FEE: y Y•ya V ) ��� This permit application expires if a permit is not obtained within 180 Print name: � n y Date: 1 $ days after it has been accepted as complete. �1 " p Crop • Number of inspections allowed per permit. I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(I1/05 /COM/WF.B Electrical Permit Application - City of Tigard r , _ • Page 2 .. Supplemental Information • LIMITED ENERGY PERMIT FEES: ( RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems ® Data Telecommunication Installation • ❑ ` Fire Alarm Installation ❑ HVAC Instrumentation ❑ Intercom and Paging Systems • ❑ Landscape Irrigation Control* ❑ Medical • -0-Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No 'licenses are required. Licenses are required . for all other installations I:\ Building \Permits\ELC- PermitApp.doc 03/23/06 tti,, 2oo$- 00632_ bgE 9-15 - OS . q•Ib.os Worksheet for PV System Plan Check . Supplied Diagrams Y Is a basic site diagram supplied with the permit package? Location of major equipment identified on plan. 110 Is a one -line diagram supplied with the permit package? o AR C3- 311- 009 0 Y 'Array configuration shown e, 3 Array wiring identified y E. 3 Combiner /junction box identified 3 Conduit from Array to PV Power Source Disconnect identified �I E , 1 Equipment grounding specified Disconnect specified "1 a .3 Conduit from disconnect to inverter identified `1 Inverter specified • Y v 3 Conduit from inverter to disconnect to panel identified E \ / e .3 System grounding specified Z E.3 Point of connection attachment method identified • Inverter Information e . Are cut sheets provided for Inverter? P P- 30 t< W -L.V Inverter model number Is inverter listed for utility interactivity (see CEC list of Eligible Inverters) :3o KvJ Maximum continuous output power at 40 °C 2 IS O `I D C Input voltage range of inverter PV Module Information rs - 9 m - s �.. Are cut sheets provided for PV modules? Are the modules listed? (see CEC list of Eligible PV Modules) 31- Open- circuit voltage (Voc) from listing label Maximum permissible system voltage from listing label 6,H • • Short- circuit current (Isc) from listing label 15 A Maximum series fuse rating from listing label 16 E k ° I'\ • O, \h✓ . Maximum power at Standard Test Conditions (Pmax on Label) 21x1 Voltage at Pmax from listing label 3Z Current at Pmax from listing label • Array Information \Z E • 3 Number of modules in series 10 t .3 Number of parallel source circuits 1 “ O Total number of modules L1 00.5 - of Operating voltage (number of modules in series x module voltage at. Pmax) '1 1 . 2 o c. Operating current b : (number of parallel source circuits x module current at Pmax) S V, Maximum system voltage (690.7) r:sa,.; (c11a 1 `i ° f z z � ) 111 •rn 5- Short- circuit current (690.8) Wiring and Overcurrent Protection Wire type is 90 °C wet rated Conductor ampacities are sufficient 1i Z, 12$- 8 9 A. Maximum PV source circuit current nI• 1.15: ►1\I 2,,s PV source circuit conductor ampacity 'i11 is ip Minimum PV output circuit conductor ampacity 8 SX i, 20 = 1!03,'1+ Minimum inverter output circuit conductor ampacity Source Circuit overcurrent protection is sufficient \ I If inverter is not listed for no backfeed current, does each sourc( circuit have overcurrent protection in compliance with the listed maximum series fuse? If inverter is listed for no backfeed current, overcurrent protectio is not necessary if only two parallel strings are connected to • )f the inverter. Overcurrent protection on Inverter Output Circuit is sufficient Point of connection meets provisions of NEC 690.64. Point of connection panel busbar rating 17 1—. • Roof Information (for rooftop systems) Are the conductors from the PV Array run through the house? . If yes, what method will be used to address the protection issues? • Weight of array for rooftop systems (pounds per square foot -- include mounting hardware) • Age of building (roof structure) (If building is under 30 years old and array weight is less than 5 lb/sq.ft., then engineering calcs unnecessary for roof loading) If roof structure is over 30 years old, describe structural elements: Rafters: Size of rafters (e.g. 2 "x6 ") Span of rafters (e.g. 14') Spacing of rafters (e.g. 24 ") Identify roofing type (e.g. comp shingle, masonry tile, shake, etc...) Is the detail of PV panel mounting attachment to the roof - framing members provided? Identify method of sealing roof penetrations (e.g. flashing, sealed with urethane caulk, etc...) Ground Mounting Structure (for around- mounted structures) Weight of array (pounds per square foot -- include mounting hardware) Are the details of the array supports, framing members, and foundation posts and footings provided , Is the information on mounting structure(s) construction provided? (If the mounting structure is unfamiliar to the local jurisdiction and is more than six feet above grade, it may require engineering calculations.) Is the detail on module attachment method to mounting structure provided? V • 18 CITY OF TIGARD .. BUILDING DIVISION - , • PERMIT #: EI_C2008- 006: 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2001:3 Phone: (503) 639 -4171 eoigpt i Inspection Requests (24 Hrs.): (503) 639 -4175 "II-I. INSPECTION WORKSHEET FOR DATE: 12/8/2008 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 13939 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WALGREENS DESCRIPTION: S electric system. OWNER: WALGREENS, PHONE #: 847- 914-2500 CONTRACTOR: LOCAL ELECTRIC CO INC itc4A6 PHONE #: 603 -256 -0045 Inspection Request Scheduled For: Date: 1218/2008 Pour Time: Code # Inspection Description Confirm #-- Contact # Message 199 Electrical final 078821 -01 503 - 266-0045 N. Y Corrections /Comments /Instructions: �\ 1 OS CP 0 c v►�1D Ap c, ,mh _ R M ,. ... ©l Lk. o , d L' . itr1►. ..4\ % fii. . 1, 0 4 ti ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cri N 601 Date: 1 1 44 Phone #: (503) 718- _I_4_____ CITY OF TIGARD • BUILDING DIVISION . ' - "` PERMIT #: ELC2008 00532 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2,2o011 Phone: (503) 639 -4171 it � fi Inspection Requests (24 Hrs.): (503) 639 -4175 I I.. INSPECTION WORKSHEET FOR DATE: 12/4/2008 TIME: 7:00AM PAGE: 31 SITE ADDRESS: 13939 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WALGREENS DESCRIPTION: Solar electric system. OWNER: WALGREENS, PHONE #: 847 - 914 -2J00 CONTRACTOR: LOCAL ELECTRIC CO INC c -GK + — PHONE #: 1iO3.2564045 Inspection Request Scheduled For: Date: 12141 2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 078748 -01 503256 -0045 Y Corrections/Comments/Instructions: Sc- - ` o ■\' ■ W- skci - Ai* MI Imt •)v ,, s_ mac,. - 9 Sii ALL Nrv\"P . A (V 1V 3 3 Pko.,1%%. a ' >1X-7 ►. ,L., CON) 154/ G`T% .' . =• L .. i Vk gLi> CD G-C6 4itt- tt fl. 1 Ci• . . CANV1NVF• tN6 LoN Iv c-o 'T iNvE_ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A FAIL Q' CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N(Se i-lir Date: 1 ' I Phone #: (503) 718- 2, • L .