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Permit d-P5/// / L I'N +e-j tU i'N c f K UAva / c CITY OF TIGARD ELECTRICAL PERMIT 1111111 2 COMMUNITY DEVELOPMENT Permit #: ELC2010 -00705 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010 Parcel: 1 S134BD03000 Jurisdiction: Tigard Site address: 12025 SW SPRINGWOOD DR Project: Davies Subdivision: ENGLEWOOD NO. 2 Lot: 118 Project Description: Photovoltaic system. 2/23/11 added (1) branch circuit per Gary Noble. BT. Contractor: SOLARCITY CORPORATION Owner: DAVIES, BRIAN 6132 NE 112TH AVE 12025 SW SPRINGWOOD DR PORTLAND, OR 97220 TIGARD, OR 97223 PHONE: 503 - 964 -0489 PHONE: FAX: 503 - 926 -9101 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 12/22/2010 $100.70 Specifics: amps or less 1 crt Branch Circuits w /Purchase 12/22/2010 $7.42 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 12/22/2010 $12.97 Electrical Type of Const: 1 crt Branch Circuits w /Purchase 02/25/2011 $7.42 Occupancy Grp: Service or Feeder 1 12% State Surcharge - 02/25/2011 $0.89 Electrical Total $129.40 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 OAR 52- 001 -0090. You ma • • -'r a copy of the erect questions to OUNC by calling 503.23 .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. /a/ / Y v'cd ,Y,; , Nam d nom/ C; i 1 CITY OF TIGARD ELECTRICAL PERMIT 2 ' COMMUNITY DEVELOPMENT Permit #: ELC2010 -00705 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010 Parcel: 1S134BD03000 Jurisdiction: Tigard Site address: 12025 SW SPRINGWOOD DR Project: Davies Subdivision: ENGLEWOOD NO. 2 Lot: 118 Project Description: Photovoltaic system. 2/23/11 added (1) branch circuit per Gary Noble. BT. Contractor: SOLARCITY CORPORATION Owner: DAVIES, BRIAN 6132 NE 112TH AVE 12025 SW SPRINGWOOD DR PORTLAND, OR 97220 TIGARD, OR 97223 PHONE: 503 - 964 -0489 PHONE: FAX: 503 - 926 -9101 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 12/22/2010 $100.70 Specifics: amps or less 1 crt Branch Circuits w /Purchase 12/22/2010 $7.42 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 12/22/2010 $12.97 Electrical Type of Const: 1 crt Branch Circuits w /Purchase 02/25/2011 $7.42 Occupancy Grp: Service or Feeder 1 12% State Surcharge - 02/25/2011 $0.89 Electrical Total $129.40 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. Ceen Those rules are set forth in OAR 952 - 001 -0010 through O:' 52- 001 -0090. You may obtain a cosy of the rules • - t questions to OUNC by calling 5 — 87 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. a CITY OF TIGARD ELECTRICAL PERMIT 1.11111 a , COMMUNITY DEVELOPMENT Permit ft: ELC2010 00705 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010 Parcel: 1S134BD03000 Jurisdiction: Tigard Site address: 12025 SW SPRINGWOOD DR Project: Davies Subdivision: ENGLEWOOD NO. 2 Lot: 118 Project Description: Photovoltaic system. Contractor: SOLARCITY CORPORATION Owner: DAVIES, BRIAN 6132 NE 112TH AVE 12025 SW SPRINGWOOD DR PORTLAND, OR 97220 TIGARD, OR 97223 PHONE: 503 - 964 -0489 PHONE: FAX: 503 - 926 -9101 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 12/22/2010 $100.70 Specifics: amps or less 1 crt Branch Circuits w /Purchase 12/22/2010 $7.42 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 12/22/2010 $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. ' II 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 - more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T.. e rules - set • - in OAR 952 - 001 -0010 through OA 2- 001 -0090. You •.a 0. . J• py • r he ru t questions to OUNC by calling 503.2 0.3 . - 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. Electrical Permit Application '9 ` UU FOR OFFICE USE ONLY C ity of a CV :e ived /r / /` Permit No.: (�• 7Gl Other Permit: IN a/BY: b . L'((1 1. ` 13125 SW Tig Hall Bl vd., Ti OR 9 1 Review CL = Phone: 503.718.2439 Fax: 503.598.1960 1 �-O, 11,, Date/By: ii ii do 0 -� -� ;— T I G A R t) Inspection Line: 503.639 �O ' Date Ready /B n Julia: ® See Page 2 for Internet: www.tigard- or.gov e ( 10\A Notified/Method" , /P er 77c, Supplemental Information _ TYPE OF WO - ❑ New construction Addition/altera lacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF- - w exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or SOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. - - El Addition of new motor load of ❑ « «E„ <`1 -2 ", "1 -3" I �U) 5 ' UC Dv. 1001IP or more. occupancy. n Job no.: �� Job site address: c `"t721�. Tl ess: Si J �] � ��1�fJ ❑ Six or more residential units. ❑Recreational vehicle parks. City/State /ZIP: -Ti r t ( (\ `? 2 3 ❑ Health -care facilities. ❑ Supply voltage for more than 1 ` El Hazardous locations. 600 volts nominal. \ � J — Suite/bldg. /apt. no.: Project name: 'V t (/ l'L � 0 Service or feeder 600 amps or more. FEE SCHEDUL a" • Cross street/directions to job site: Description Qty. Fee. Total * New residential single- or multi - family dwelling unit. includes attached garage. A Subdivision: I Lot no.: 1,000 sq. fl. or less 168.54 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.92 I Limited energy, residential 75.00 D ESCRIPTION OF WORK - (with above sq. ft.) - 1 I ( A `, 1 Limited energy, multi - family 75.00 2 .02 k V V kuc) \A U \.l 1 C'\ 1 S kiSI e t0r � t residential (with above sq. ft.) Y X11 Services or feeders installation, alteration, and/or relocation 200 amps or less ( 100.70 1() 0 0 2 0 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 - Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: / State/ZIP: Temporary services or feeders installation, alteration, and /or ? h' relocation Phone: ( ) I Fax: ( ) 200 amps or less 59.36 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 V intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 Branch circuits - new, alteration, or extension, er panel Ig ure: Date: A. Fee for branch circuits with Owner signature: . above service or feeder fee, ` 7.42 1 r7 .4 2.. each branch circuit 1 Business name: B. Fee for branch circuits without service or feeder fee, first 56.18 '_ Contact name: branch circuit Each add'l branch circuit 7.42 2 v Address: Miscellaneous (service or feeder not included) Ci / State/ZIP' Each manufactured or modular 67.84 tY dwelling, service and/or feeder - Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 v E-mail: Sign or outline lighting 67.84 2 Al. Ili Signal circuit(s) or limited- energy Business name: 1 . panel, alteration, or extension. Page 2 2 \ ` • • A Al la A OA 11 t/ I v Each additional inspection over allowable in any of the abov M N., Address ko 1%2 N 1' 4A‘. Avt. /� /� Additional inspection (1 hr min) 66.25/ hr \' City /State/ZIP: Fordo nd 0 l Al 220 Industr p ( I mm) 78.28/ hr � Industrial plant (1 hr min) 78.18/ hr Phon Ck 5to • Ola. t 0 I Fax: (508) 5 3tQ . 1 _ 51 i) Inspections for which no fee is 90.00/ hr Y{ ificall listed % hr min) 13 CCB Lic.: , 8044 8 Electrical Lic.: I Suprv. Lic.: C5� wCAL PERMIT F 1" Suprv. Electrician signature, required: (� o Subtotal: ■ • . 7 0 �r 0, (5 44 Plan review (25% of permit fee): �: 2 1 State surcharge (12% of permit fee): � ?" „ Print name: V Duck, S . Cro ' 1 1 I i ` TOTAL PERMIT FEE: t 1 i,del Authorized signature: (r n, ,; 111, .. ` ��v This permit application expires if a permit is not ob ed within 180 Print name: C G lk wn \-10r619 Date: 2 I l 7 I ti days af allowed per permit. I:\ Building \Penmits\ELC- PermitApp.doe 07/01 /10 440- 4615T(11/05 /COM/WEB Electrical Permit Appilea,' ty : VB--D roR OFFICE [SE ONLY . C/� A t Received City of Tigard �O I� DateiB : '� I I� Permit No .: ge,z '�,e) •�' ? � 41 ; 13125 SW W Hall Blvd., Tigard, OR 97223 QC 1 4 Plan Review Phone: 503.639.4171 Fax: 50?G5 ?nit F DateiB : + Other Permit: • ; I <; A 1: n Inspection Line: 503.639.417 TIGARD Date Ready /By: iiiiill ® See Page 2 for Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: / •25/01, ' Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply (submit s of plans w /items checked below 00 y p below): 0 New construction *ddition/alterationtreplacement ❑ 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 10,000 amps at 150 volts or p ❑ Floating buildings. less to ground. or exceeds 14,000 ❑ Commercial -use agricultural 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE E INEORI.I:�TbO�I AND LOCATION 1 "iON ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ". "E ". "1 -2 ". "1 -3 ". Job no.: ��/�J Job site address: /2O2 iOOHP or more. occupancy. 9 T/'� 1 /L5 �� ❑ Six or more residential units, ❑ Recreational vehicle parks. City/ State/ZIP:, D\ 9 722:5 ❑ Health -care facilities. El Supply voltage for more than T. " ' ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: I Pro name: v'1 R5 ❑ Service or feeder 600 amps or more. ' FEE SCHEDULE Cross street/directions to job site: Description i OM I Fee I Total I * New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4 Tax map/parcel no.: Ea. add'l 500 sq. ft. or portion 33.92 1 Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) 2-1 •P \i �''����.� Limited energy, multi-family 2 G� /L-.� \ residential (with above sq. ft.) 75.00 Services or feeders installation and/or relocation • 200 amps or less / . 100.70 Mb ,70 2 ❑ PROPERTY OW NF•18 • I ❑ TEN .ANT 20] amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 • Address: . Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/State/ZIP: . relocation _ Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps I68.54 2 Branch circuits — new, alteration, or ex tension, per panel _ Owner signature: Date: . A. Fee for branch circuits with ❑ APPL iC ANT I ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: • B. Fee for branch circuits without service or feeder fee, first 56.18 p r , 2 Contact name: branch circuit Each add'i branch circuit / 7.42 7 4Z 2 Address: Miscellaneous (service or feeder not included) Ctt / State/ZIP: Each manufactured or modular 67.84 Y dwelling, service and/or feeder Reconnect only 67.84 2 Phone: ( ) I Fax: : ( ) Pump or irrigation circle 67.84 2 , E -mail: Sign or outline lighting 67.84 2 CONTRACTOR �C "COR Signal circuit(s) or limited - energy Business name: c ��-; ` / panel, alteration, or extension. Page 2 2 t J�RM Q �,�t�r�t fQN Each additional inspection over allowable in any of the above Address: 6,( /Y�_/, / LTV Additional inspection (1 hr min) 66.25/ hr City / State/ZIP: �7 ,vl / ?'' 2 Investigation (1 hr min) 66.25/hr Industrial plant (1 hr min) 78.18/hr Phone: ( 5 3) 9 0 d 5 Fax: ( ) 9�t0 - 9 /0/ Inspections for which no fee is 90.00/ hr specifically listed CA hr min) CC Lic.: ; V ' It Electrical Lic.: �( Suprv. Lic.: 5 o S EY.E(TRICAl. PERMIT FEES /; 17. Suprv. Electrician signature, required: Su fee) ri dt ip ___, _... +►tC.A Plan review (25% of permit fee): _ 4/ Print name: 10 „ _ I . p Date:/ �� 0 State stttrharge (12% of pen fee): �. TOTAL PERMIT FEE: Authorized signature: �- This permit application expires if a permit is not obtained within 380 G9 Print name: �,� ST�,AJ Date: � l2 ( days after it has been accepted as complete. t , j �, YY, YY —+ '� / Number of inspections allowed per permit. t: Building Permits ELC- PernitApp.doc 07 01 10 44 4°IST(I1.05 COM WEB This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. l ig a BUILDING DIVISION 0 [WARD TRANSMITTAL LETTER a TO:i 60 lry DATE RECEIVED: DEPT: BUILDING DIVISION 1U � � . FROM r A i +1)A) ! ' .I' e-( (!) yJ CITI OF TIGARD COMPANY: a) 1ckfC; . BUILDIN DIVISION l �� PHONE: 5d3 -q. 5(7 - ()(o to By: RE: (Site laws >V C) /3( L4 1 1 v -- Lj)— 7 Site Address , ermit/Case Number) k/; ez j �G ; J v — - 7d5 (Projec name or sub ivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: FOR OFFICE USE ONLY , � o Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes E' Fee Description: Amount Due: ti $ 3/1 VI/ $ 3T. $ $ Special • Instructions: Reprint Permit (per PE): ❑ Yes [No one Applicant Notified: Date: Initials: I:\ Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07 • MODULE VOLTAGE RATINGS Voc: 33.2 VDC Vpmax: 26.6 VDC *MODULE CURRENT RATINGS ARE SHOWN AS In AND Imp IN THE DC 2 STRINGS OF 10 MODULES RECEIVED STRINGS IDENTIFIER OF THE SINGLE LINE DIAGRAM. (20) KYOCERA # KD210GX -LFBS ----- PV Module; 210W, 190W PTC ( 4 ) AWG #10, USE -2 /RHW -2, Black 8 7011 r (1)AWG , Stranded Bare Co er (N) ARRAY GROUND PER 6S NOTE: PER I t.n _ .n .n _ .a _ _ _ ��������� - - � CITY OFTIGARD � EXCEPTION N0. 2, ADDITIONAL ELECTRODE MAY NOT BE , _ _ _ _ _ _ I • Voc = 332 VD VDC C BUILDING DIVISION REQUIRED DEPENDING ON LOCATI OF (E) ELECTRODE. I I Dc. + p I 1 ` A' _ J 1 E E _ , GNO 1 • • Isc Vm = = 266 8.58 ADC i t ECi • Im = 7.9 ADC AWG #6, Stranded Bare Copper (1 )--� , - ids p Ground Rod; 5/8" x 8', Copper (1) ; : i _ , (1 ) SHOALS # STG.ICU.M4.F it lir L - J ; ; Connector; MC4 U -Joint Connector, Female I I ( 1 ) SHOALS # STG.ICU.M4.M Connector; MC4 U -Joint Connector, Male EGCDC - DC+ LOCATED UNDER ARRAY 1 (E) 200A MAIN ELECTRIC SERVICE PANEL NO MAIN BREAKER (1) STABLOK # NA225 FRONIUS # IG 4000 (1) - I I • (2)AWG #10, USE -2 /RHW -2, Black FEDERAL PACIFIC ELECTRIC PANEL 1410 -14 -200 Breaker; 25A, 2 -Pole Inverter; 4000W, 240V, 500VDC, 94% EFF. ; ; ri (1)AWG #6, Stranded Bare Copper EGC LOCATED AT END OF BUSSING (E) WIRES AND CONDUIT Q (1 )Conduit Kit; 3/4" EMT 1 (1) AWG #10, THWN -2, Black • Voc = 332 VDC / AC DISCONNECT g-- (1) AWG #10, THWN -2, Red r I I • Vmp = 266 VDC PER ART. 690.17 - (1) AWG #10, THWN -2, White NEUTRAL ; INVERTER I I I • Isc = 17.16 ADC ® BOTTOM OF BUSS GFP I L INE • Imp = 15.8 ADC - (1) AWG #6, THWN -2, Green GEC /EGC I , I I (E) LOADS �--�. a- - ( 1 )Conduit Kit 1/2 EMT ; N� = I� sA -, a '+ � • Vmp = 240 VAC ; + I . In , I I p I I , , i i i l_!. (1) SQUARE D # HU361RB } • Imp = 16.67 AAC I \ I I I I EGC' DC - I DC+ LOAD Disconnect; 30A, 600V, NEMA 3R II II . =� A I I I I I B I I I T. _ _ -- I r- 1 I TOP BOTTOM L1 I , IE'C_ _ _ J r Lz I PC- N N \oc+ G EGC/GEC �J EGClGEC I U Z - • _ _ (1 ) AWG #10, THWN -2, Black TO 120/240V ' (1) AWG #10, THWN -2, White _ I # JUMPER T _ SINGLE PHASE - - (1) AWG #10, THWN -2, Green EGC te UTILITY SERVICE 1 AC & DC - (1 )Conduit Kit; 1/2" EMT t I DISCONNECTS ARE • Voc = 332 VDC COOPER # B Line Meter Socket 011( 1 ) - INTEGRATED INTO • Vmp = 266 VDC 1 AWG #6, Solid Bore Copper (1 ) ' Meter Socket; 125A, 4- 14AWG, Ring Type THE INVERTER. • Isc = 17.16 ADC BOND (N) #8 EGC /GEC TO BOTH (N) GROUND • Imp = 15.8 ADC ROD AND (E) GEC WITH IRREVERSIBLE CRIMPS j PER ART 250.64(C) AND ART 250.66(A) Ground Rod; 5/8" x 8', Copper (1 in _ use mot: KO E& PR owe: Omar Joe rum .1,,...4. ,4 % RESI (20) KYOCERA # KD210GX -LFBS DAVIES BRIAN Nt t lY_HQ . DAVIES RESIDENCE J B- 972059 00 i„ M 10 caw LH MOONING SYSTEM: 12025 SW SPRINGW00D DR 4.2 kW ROOF MOUNT PV SYSTEM SO�aCG� ors L SOLARCITY CANOPY C AND RAIL , wn, T wM( D IN , TI GARD, OR 97223 DAB 393 Vintage Paris Drive, sum 140 12/6/2010 THE Y RI ( 1� FRONIUS # IG 4000 ME: SHEET: Er. Foster Er �` 65 ) , it � PAYMENT ME: 9716450489 PAGE T:(650) 638-1028 I F:(650) 638 -1029 PPA SINGLE LINE PV 5 A (888)- 501:CITY(765 -2489) I wwwsaaraty.can Electrical Permit Application - City of Tigard 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* Fl Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: MikaiRCRIC Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ 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 07/01/10