Permit CITY OF TIGARD ELECTRICAL PERMIT
I • COMMUNITY DEVELOPMENT Permit#: ELC2014-00607
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/22/2014
Parcel: 25101 DC00200
Jurisdiction: Tigard
Site address: 13535 SW 72ND AVE 100
Project: Pacific NW Properties Subdivision: 72ND BUSINESS CENTER Lot: 13
Project Description: 72.10 KW solar photovoltaic system.
Contractor: NORTH LAKE CONTRACTORS Owner: PNWP LLC#2
12900 NW LOVEJOY CT BY PACIFIC NW PROP LTD PTNSP
PORTLAND, OR 97229 PO BOX 2206
BEAVERTON, OR 97075
PHONE: 503-709-0985 PHONE:
FAX: 503-641-3168
FEES
Quantity Description Date Amount
1 ea 15.01 to 25 kva 10/22/2014 $200.34
Specifics:
48 ea Each additional kva over 25 10/22/2014 $356.16
Type of Use: COM 1 ea 12%State Surcharge- 10/22/2014 $66.78
Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $623.28
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 o..-r 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 • k is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce er. hos=/ules are set forth in OAR
952-001-0010 ough OAR ' 2-001-•1• Y•u may obtain a copy of the rules or direct questions to OUNC by calling 503.232. -.80•. 3 .2344.
Issued _at 0 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:
CONTRAACT/OR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' �'� U�?G� �� �'� 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.
,Electrical Permit Application
City of Tigard R /A
■ 13125 SW Hal{Blvd.,Tigard,O' � +a'
Plan Review Other Permit: / _
a Phone: 503.I t 3.2 i3! Fax: 50 1. Date/pv: O Ji4 o O
Inspection Line: 503 639 4175 1 ` '�Q�
Date Ready/By: 0 See Pap 2 far Internet www.tigatd-or.gov OC� y NotificdllAethod Fclfflill Sappla.eaael tafsrmaYae
TYPE OF WORK ,. O.101 run MINIM
®New construction ❑Addition/alt -,,t,! 1\45\v` Please dna all that apply(submit j sets of plans whams checked below):
N•a s ' ❑Service or feeder 400 amps or more ❑Building over three stories
❑Demolition ❑Other iV where the available fault current ❑Marinas and boatyards
CATEGORY OF exceeds 10,000 amps at 150 volts or ❑Floating buildings
less to ground,or exceeds 14,000 ❑Commercial-use agricultwal
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations buildings
❑Multi-family ❑Master builder ❑Other: ❑Fire pump ❑Installation of 150 KVA or
❑Emergency separately derived system
JOB SITE INFORMATION ANA LOCATION 0 Addition o f n ew motor load of ❑"A","E"."1-2"."I-3"
Job no.:002 Job site address:13535 SW 72a"Avenue ❑y a residential units 0 Recreational n vchiclo parks
City/State/ZlP:Tigard Oregon 97223 ❑Health-care facilities ❑Supply voltage for more than
❑Hazardous locations 600 volts nominal
Suite/bldg./apt.no.:na Project name:PNWP Tigard Corp Center ❑Service or feeder 600 amps or more
FEE SCHEDULE
Cross street/directions to job site:217/72nd err r tw•p I QtY• I r«. I 'anal I --
New residential single-or multi-fancily dwelling unit.
Includes attacked garage.
Subdivision: Lot no.: i,000 so ft or Less 163 54 , 4
Ea add'I 500 sq ft or portion 3392 I
Tax map/parcel no.: Limited energy,residential
DES ION OF WORK (with above sq ft) 7500 2
CRWI •
Limited energy,multi-family 7500 2
install 72.10kW solar photovoltaic system residential(with above sq ft)
Renewable Energy I CI See Page 2
Services or feeders inatallatlon,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100 70 2,
201 amps to 400 amps 133 56 2
Name:PNWP LLC#2 401 amps to 600 amps 20034 2
Address:6600 SW 105th Ave 601 amps to 1,000 amps 30104 2
Over 1,000 amps or volts 1 552 26 1 2
City/State/ZIP:Beaverton Oregon 97008 Temporary services or feeders installation,alteration,and/or
Phone:(503)6263500 Fax:(na) relocation
200 amps or less 59 36 1
Owner installation:This installation is being made on property that I own which is not '
207 amps to 400 amps 125 08 2
intended for sale, se rat, r exchange,according to ORS 447,449,670,and 701. 401 snips to 599 amps 168 54 2
Owner signature: Date: I 6-9-1q Branch circuits—new,alteration,or extension.per panel
® APPLICANT I ® CONTACT rEiSon A Fee for branch circuits with
above service or feeder fee, 7 42 2
Business name:PNWP LLC#2 each brand'circuit
B Fee for branch circuits without
Contact name:Brad Stern service or feeder fee,first 56 18 2
branch circuit
Address:6600 SW 1051h Ave Each add'i branch circuit 7 42 _ 2
City/State/ZIP:Beaverton Oregon 97008 Miscellaneous(service or feeder not included) _ -
Each manufactured or modular 67 84 2
Phone:(503)626 3500 Fax::(na) dwelling.service and/or feeder
Reconnect only 67 84 2
E-mail:Brad.Stern@pnwprop.com Pump or irrigation circle 67 84 2
CONTRACTOR _ Sign or oudine lighting 67 84 2
Business n o t1 Nog 1 og bud 64 f,wifig V P Signal circuits)or umited-energy See
panel.alteration,or extension _ Page 2 2
Add GCi& 154.` 7e Each additional inspection over allowable In sn of the above
Additional hr mm) 6625/hr
City/StateZIP-En nn e cis o'nta - tlg00 N W` ,J( er I nvetigti on(1 hr min) 66 251 hr
_
Phone:( Fax:(na) POM
01. gy L L I industrial plant(1 hr min) 78 18/hr
Inspections for which no the is hr
CCB Lic.:41180$6 (5t11- Electrical Lic.: C,,, j Z� Suprv.Lic.: .4. ��` _5 specifically listed(h hr min)
p�/ � ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: C�ILW.Y►�'r^` Subtotal:
Print name: // ' ' Date: G Plan review(25%of permit fee):
C,Z1 a�C)•—� � (�}Y I l utv�S ( /13/f State surcharge(12%of
permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expiry if a permit is net obtained within ISO
Print name: Date:
oars after it has been accepted es complete.
• Number of inspections allowed per permit
1:IauildieglPermdstELC_Pere itApp ELR_ERE doe Ron 05/21/2013 4404615Th I/05l'COM/WEa
Electrical Permit Application—City of Tigard
* .. Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. i_ Each I Total i
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva / 200.34 420(1,34/ 2
Wind generation systems in excess of 25 kva:
7 Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
I I Garage Door Opener* >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 k y 7.42 556.ke 3
• Vacuum Systems*
>100 kva—no additional charge ct y 0.0 3
Each additional inspection over allowable in any of the above:
Other: additional inspection is 6625/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(V:hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1): 1
Fee for each commercial system: $75.00 • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
I Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
Fire Alarm Installation
I HVAC
I I Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
7 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.docx Rev 04/21/2014
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13535 SW 72ND AVE 100, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00607
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13535 SW 72ND AVE 100, TIGARD, OR, 97223
Commercial - Electrical
299 Final inspection
PASS - No C of O
ELC2014-00607
Jeff Grove
Violation Summary:
Inspector Contractor