Permit CITY OF TIGARD ELECTRICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: ELC2019-00848
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/11/2019
TIGARD 9 Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY
Project: Pacific Star Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Roof top PV system.
Contractor: SYNCHRO SOLAR LLC Owner: PACIFIC REALTY ASSOCIATES LP
1339 SE 8TH AVE, STE B ATTN: N PIVEN
PORTLAND, OR 97214 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-208-4786 PHONE.
FAX: 503-290-1507
FEES
Quantity Description Date Amount
1 ea 5 kva or less 12/11/2019 $100.70
Specifics:
1 ea 12%State Surcharge- 12/11/2019 $12.08
Electrical
Type of Use: SF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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 ules adopted by the Oregon Utility Notification Center-. Those rules are set forth in OAR
952-001-0010 through OAR 95 -0090. Y ay in a co f the rules or direct questions to OUNC by calling 503.232:1987 or 1,800,33 .
Issued By: l _ 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.
x
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received . / illP
III II 13125 SW Hall Blvd.,Tigard,OR 97223 t O� `�, �•
■ Phone: 503.718.2439 Fax: 503.598.1960 RE C E I `' :PP �rb, �'j��l�/ r /�
Inspection Line: 503.639.4175 Ready Date/By: ins: H See Page 2 for
TIGARD Internet: www.tigard-or.gov SEP 18 2a 5 ified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
rr�ITY or TI CAfl I Please check all that apply(submit 2 sets of
0 New construction 0 Addition/alteration/replaae3ftent LNG DIVISIONmay plans w/items checked):
9S
U 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition ®Other:Relocation where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system, larger separately derived
Pkwy
0 Addition of new motor load of system.
Job#: Job site address:15055 SW Sequoia
100HP or more. ❑"A" ``E" "1-2" "1-3"
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:South of SW Bonita on SW 72nd FEE SCHEDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
Removal and reinstall of Solar PV System 8'to the west (with above sq.ft)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
El PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Pac Star 200 amps or less 100.70 2
Address:15055 SW Sequoia Pkwy 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97224 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
0 APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fcc for branch circuits with
Business name:Pac Star above service or feeder fee,
each branch circuit 7.42 2
Contact name:Jezell Halton B.Fee for branch circuits without
Address: service or feeder fcc,first
branch circuit 56.18 2
City/State/ZIP: Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)403-3000 x367 Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:jhalton@pacstar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Synchro Solar LLC Sign or outline lighting 67.84 2
Address:2870 NE Hogan Rd Signal circuit(s)or limited-energy ❑ See Page 2 2
g panel,alteration,or extension.
City/State/ZIP:Gresham,OR 97030 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)208-4786 Fax:(503)290-1507 Investigation(1 hr min) 90.00/hr
info@synchrosolar.rnm ,L Industrial plant(1 hr min) 78.18/hr
Email:
7(1Jam-z' 16'1) Inspections for which no fee is 90.00/hr
CCB Lie.: 188766 Electrical Lie.: C1129 4 Suprv.Lie.: 46785 specifically listed CA hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Richard Poudrier Date: 9/16/19 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ye, TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: John Kim Date: 9/16/19 days after it has been accepted as complete.
* Number of inspections allowed per permit.
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• Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Des *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 jt1/,�l) 2
Check Type of Work Involved:
5.01 to 15 kva 133.56 2
F1 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
B• urglar Alarm 25.01 to 50 kva 301.04 - 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener*
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
n H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
n V• acuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/z hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1): / 2
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
PI Clock Systems
T1 Data Telecommunication Installation
Fl Fire Alarm Installation
• HVAC
Instrumentation
Fl Intercom and Paging Systems
Landscape Irrigation Control*
n Medical
Fl Nurse Calls
n Outdoor Landscape Lighting*
P1 Protective Signaling
Other:
Total number of commercial systems: _
*No licenses are required. Licenses are required for all
other installations
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