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Permit CITY OF TIGARD ELECTRICAL PERMIT .54 a COMMUNITY DEVELOPMENT Permit #: ELC2010 -00470 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/02/2010 Parcel: 1S134CB12400 Jurisdiction: Tigard Site address: 12212 SW MILLVIEW CT Subdivision: MILL VIEW Lot: 24 Project: Simer Project Description: Installation of photovoltaic system. Owner: FEES SIMER, MARTIN & JENNIFER Quantity Description Date Amount 12212 SW MILLVIEW CT TIGARD, OR 97223 1 ea Services or Feeders - 200 09/02/2010 $100.70 amps or less PHONE: 1 crt Branch Circuits w /Purchase 09/02/2010 $7.42 Service or Feeder 1 ea 12% State Surcharge - 09/02/2010 $12.97 Contractor: Electrical MR SUN SOLAR ENTERPRISES WEST 6125 NE PORTLAND HWY PORTLAND, OR 97218 PHONE: 503 - 222 -2468 FAX: 503 - 245 -3722 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 accord... : ith 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. ATTE •N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -00 r through OAR 952-0e -01'' You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.: 0.332.2344. Issued • • 4. -1 a� /. iLt -.L.• Perm ittee Signature: . i ce_ 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 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 14 City of Tigard Received Q Date /By: 7 /Q / Permit No.: Eh, / -ere 7d e 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 17 : • Phone: 503.639.4171 Fax: 503.598.1960 Date /By: Other Permit: T I GA R D Inspection Line: 503.639.4175 Date Ready /By: lulls ® See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked belu,v). ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.01)1) amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14.000 ❑ Commercial -use agricultural 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for an other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation ot'75 KVA or ❑ Emergency system. larger separately derived system JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ °A" "E" 'I - 2" I.3" a �/� 1 •' ` 1001-1P or I1101e. occupancy. Job no.: Job site address: ���7 n L) 1 �' 1 1 V ie.C) Cal ❑ Six or more residential units ❑ Recreational vehicle parks. City /State /ZIP: 1 `�cu,a c . ' 1 Z23 ❑ flealth -care Iacilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /hldg. /apt. no.: Project name: k yyke c — p v ❑ Service or feeder 600 amps or more. � !v FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Toad 1 New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. R. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 DESCRIPTION OF WORK (with above sq. ft.) - Limited energy, multi - family 75.00 G 1 .,, C/y L 4c9 1 / FV S i _._ _ residential (with above sq. ft.) ' ' �/( Services or feeders installation, alteration, and /or relocation 200 amps or Tess / 100.70 / w • Tb 2 0 PROPERTY OWNER 1 ❑ TENANT 201 amps to 400 amps 133.56 - 401 amps to 6(10 amps 200.34 2 Name e_Vj • Y t y - 3 V 601 amps l0 1,000 amps 301.04 2 Add 's S 1 7 J / ' � C L...... k 1 VI e C4- Over 1,000 amps or volts 552.26 3 v Temporary services or feeders installation. alteration, and /or City /Stale /ZI P:T n ,, 1 , . ` , t' ' 1 2 � Oil 2.2_.,9 relocation Phone: ( ) ` I Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: "' •s installation is being made on property that I own which is not intended for sale ;Ise. or exchange, according to ORS 447. 449. 670. and 701. 40) amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, per panel Owner signat • Date: A. Fee for branch circuits with / ❑ PPLICANT ❑ CONTACT PERSON above service or feeder tee / 7.Q2 7 h4- 2 each branch circuit ` Business name: ' v y S 4 4 , LA,✓ B. Fee for branch circuits trilhnul service or feeder fee, first � V Dr h IBC -�,1c1 56.18 2 Contact name: branch circuit 1 Each add'I branch circuit 7.42 Address: l S �c Nr r ' Miscellaneous (service ur feeder not included) /� Each manufactured or modular City /State /ZIP: w " , ` © �� 01 -7Z� dwelling, service and /or feeder 67.84 �� ���, ���, / Reconnect only 67.84 Phone: (93 222_ 2_4_ ' I Fax:: ( 24� 37'L2 - :_ � /(�� �(_ Pump or irrigation circle 67.84 E-mail: - t - V\ Air S LA-vi --� to_ l•-• ,C-dl/t4 Sign or outline Iighting 67.84 _ CONTRACTOR Signal circuit(s) or limited- energy Business name: M Y panel, alteration, or extension. Page 2 f�/ ! 1 t!( Each additional inspection over allowable in any of the above Address: 6 ( s-- �� y/ Additional inspection (1 hr min) 66.25/ hr City/State/ZIP: 1 t� © " 2 1 �✓ [ Investigation (1 hr min) 66.251 hr Phone: lb) ZZ� al, • Fax: V 3 2- r 2, Industrial plant (1 hr min) 78.181 hr CCB Lic.: 33-1 I El ectrical Lie.: ' > Sr p Lie : Inspections for which no Ice is s V / u 90.00i hr i specifically listed ('/z hr min) Suprv. Electrician signature, requ �� �_` '/�r ELECTRICAL PERMIT FEES � Subtotal: 70g. /2 Print name: / _ _ '/4 Date: a /�� --0--, + ' -e / y /� _ Plan review (25% of permit fee): Authorized signature.. , ,ir o i ��r / State surcharge (12% of permit fee): /a_ 97 •I i - L'L i . i TOTAL PERMI FEE: /P/ • °9 Print name: , y// / tt . Date: o= ' Artie • 1.\ Buildin \t'ennits \ELC- PermitApp doc 07/01/10 440 - 41,151'111/05 /CON /w Eli String #1 String #2 (5) Sanyo (5) Sanyo HIP-200BA3 HIP-200BA3 rifi !di Sample Photovoltaic Electric System ..._ mill NEMA 3R Combiner Box 111 ------ -MB • - + Each lead termintates DC 1 AC at 2-pole 20 amp breaker in main service panel. Square D 1 1 A Fuse Equipment grounding DC Disconnect conductor continues 600V, 30 Amp _ to earth ground. NEMA 3R Box Itron 240V Meter Fronius IG2000 Inverter Panel Max Input:500VDC 200 Amp service Max Output: 150VAC 7 (_ ....... _,-.AL_ Mr. Sun Solar