Permit IN CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00136
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/24/2011
Parcel: 2S103BA00111
Jurisdiction: Tigard
Site address: 12005 SW ANN ST
Project: PUGH Subdivision: LERON HEIGHTS Lot: 11
Project Description: Solar Photovoltaic system.
Contractor: SOLARCITY CORPORATION Owner: PUGH, THOMAS R AND BARBARA J
6132 NE 112TH AVE 12005 SW ANN ST
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 03/24/2011 $100.70
Specifics: amps or less
1 crt Branch Circuits w /Purchase 03/24/2011 $7.42
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 03/24/2011 $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. 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. ATTENTI on law r >• ires you to follow the rules adopted by the Oregon Utility Notificati•• enter. Those rules are set forth in OAR
952- 001 -0010 t rough OAR 2 -r t -009i. may obtain a copy of the rules or direct questions to OUNC by callim..I 232.1987 or 1.800.332.23 .
Issued By: - •. ∎/ 4 iiL 1 A Pe rmittee 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 k ()HI( r 1 l ' l (1 \ l V'
�
City of Tigard �� ,, � v �� Received i Permit N
13125 SW Hall Blvd., Ti ard, 01 7 .Y�./ Date B : �� o.: �_ — (7U l
Il i
g�§§ Plan Review
Phone: 503.639.4171 Fax: 503. 60 � � Date'B : Other Permit / 2
D Inspection Line: 503.639.4175 Ann y Date Ready /By: ® See Page 2 for
Internet: www.tigard or.gov �' \F` r ` 0 � Notified :Method: `j Supplemental Information
YPE OF WOMNt ` PLAN REVIEW
❑ New construction dition /alteratt6J " Pacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑ Other:
❑ Service or feeder 400 amps or more ❑ Building over three stories
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural .
r1- 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 INFORMATION IC)N S1tIl LOCATION ❑ Emergency system. larger separately derived system
❑ Addition of new motor load of ❑ "A ", "E ", "1- 2 ". "1 -3 ",
Job no.: 6172 Job site address: 12005 S h/ Ann s�. 1001-1P or more. occupancy.
0 to ❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: d , Oto q 7 223 ❑ Health-care facilities. 0 Supply voltage for more than
❑ Hazardous locations. 600 volts nominal
Suite/bldg. /apt. no.: I Project name: Puy h ❑ 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: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add] 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
(with above sq. fl.) 75.00
IIL�;t't2II'TIC)'S OF OA ORK ( 9
r . F M o U.n t PV Jtjsfe m a
Limited energy, multi-family
�. 2 K WQ residential (with above ove sq. q. ft.) 75.00 2
Services or feeders installation alteration, and/or relocation_
200 amps or less , 100.70 J(,&" 70 2
❑ PROPER F1' Od'f 14F12 l 0 TEN k.N'b 201 amps to 400 amps / 133.56 2
401 amps to 600 amps 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over ],000 amps or vol 552.26 2
z �1 Temporary services otr feeders installation, alteration, and/o
City/State/ZIP: ress r
(.5 relocation
Phone: ( ) Fax: ( ) ‘' ei �i t � 200 amps or less 59.36 1
�► ( 201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property at I own which is of
intended for sale, lease, rent, or exchange, according to ORS 447, 4 670, and 701.
401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with t
❑ APR A( iC f, NT ` l_I C ONT F.0 I PERS above service or feeder fee, 7 42
each branch circuit 2
Business name: c'Olar IL//��� L Ce» v r �/V! `-, B. Fee for branch circuits withour
service or feeder fee, first 56.18 I 2
Contact name: C M-te� HMS branch circuit
/� Each add') branch circuit / f 7.42 I 7 .L1 2
lX
Address: 13 Z NE / / Z "K' i • Miscellaneous (service or feeder not included) —
City / State/ZIP: P ttaktd / D q 7220 6V 3 Each manufactured or modular 67.84 dwelling, service and/or feeder 67. 2
Phone: ( $ 0 3 ) gsLe '0 UM Fax:: ( 503) 35 to. /05/3 Reconnect only 67.84 2
E -mail: /i D 1 e y@ solarci • Ci/}'�/(i Pump or irrigation circle 67.84 2
C ` J Sign or outline lighting 67.84 2
CONTRAS R Signal circuit(s) or limited - energy
Business name: V O' ` tet n �,R F ArrQA/ panel, alteration, or extension. Page 2 , 2
h( � [ / / /� TTT ` rrr+++"' y t �� t ► Each additional inspection over allowable in any of the above
Address: 6, pt / Y ! Additional inspection (1 hr min) 66.25/ hr
f 0 9 ,z Investigation min) 66.25/ hr
City / State/ZIP:
Industrial plant t (1 1 hr min) 78.18/ hr
Phone: (V) ? QLi 8' !' Fax: (O3) 926 - 9/0 / Inspections for which no fee is 90.00 / hr
specifically listed (% hr min)
CCB Lic.: /80! S Electrical Lic.: C Suprv. Lic.: 520 t 5 EI.ECTRiC'AL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: Mr sal/ a)$. V.
• Plan review (25% of permit fee):
Print name: �R�< aorp Date: 3 /�U/ / State surcharge (12% of permit fee): Ar '' [ ' IV
�✓ ` Y TOTAL PERMIT FEE: �� a
Authorized signature:
This p ermit application expires if a permit is not o• tined within 180
d ays after i it has been accepted as complete.
Print name: �� . / ' `^ Cron /� Date. 3 /� hi Number of inspections allowed per permit.
I. Building Permits PLC- PennitApp.doc 07 0011 1 1 NJ " 44-4615T(11 05 COM WEB
MODULE VOLTAGE RATINGS 2
Voc: 33.2 VDC ?/, , C1/ ,0 rJ'
Vpmax: 26.6 VDC
*MODULE CURRENT RATINGS ARE SHOWN AS Isc AND Imp IN THE DC 2 STRINGS OF 10 MODULES
STRINGS IDENTIFIER OF THE SINGLE LINE DIAGRAM. - (20) KYOCERA # KD210GX -LPU
PV Module; 210W, 189.8W PTC (4)AWG #10, USE -2 /RHW -2, Black
cr
r (N) ARRAY GROUND PER 690.47(D). NOTE: PER I _ . oc' _ _ `- (1) AWG #6, Stranded Bare Copper
EXCEPTION NO. 2, ADDITIONAL ELECTRODE MAY NOT BE ; - ii IA A ei VI A A A Voc = 332 VDC
`\ L REQUIRED DEPENDING ON LOCATION OF (E) ELECTRODE. I 1 - , • Vmp = 266 VDC
� L j GND� , • Isc - 8.58 ADC
P AWG #6, Stranded Bare Copper (1 ) c i 1 • Im = 7.9 ADC
Ground Rod; 5/8 x 8', Copper (1) ; I I
I (1 ) SHOALS # STG.ICU.M4.F
�L Connector; MC4 U -Joint Connector, Female
i i (1) SHOALS # STG.ICU.M4.M
I Connector; MC4 U -Joint Connector, Male
' AC DISCONNECT EGC Dc - : DC+ LOCATED UNDER ARRAY
PER ART. 690.17 1 i
(E) 150A MAIN ELECTRIC SERVICE PANEL
( 1 ) SIEMENS # 0225 FRONIUS # IG 4000 (1) - ( ) # /
(E) 150A/2P MAIN CIRCUIT BREAKER Breaker; 25A, 2 -Pole Inverter; 4000W, 240V, 500VDC, 94% EFF. i i g 2 AWG 10, USE -2 RHW -2, Black
(1 )AWG #6, Stranded Bare Copper EGC
SIEMENS PANEL LABEL INVERTER: A
Located in garage �) (1 )Conduit Kit; 1/2" EMT
(E) WIRES AND CONDUIT (1 )AWG #10, THWN -2, Black g g /
• Voc = 332 VDC
(1) AWG #10, THWN -2, Red r - I 1 • Vmp = 266 VDC
- (1) AWG #10, THWN -2, White NEUTRAL INVERTER I • Isc = 17.16 ADC
•R - (1) AWG #6, THWN -2, Green GEC /EGC i GFP i LINE • Imp = 15.8 ADC
(E) LOADS i p� G I� 1
- (1) Conduit Kit; 1/2" EMT , ; N Z �, ND 010 ,m 1 , /j7J
R 0 1c 1 i
III • �� Vmp = 240 VAC i I i i i (1 SQUARED # HU361RB
• Imp = 16.67 AAC I \ 1 l' i I i EGC Dc - DC
1� u A i I I i 1 , LOAD Disconnect 30A, 600V, NEMA 3R
B 1 I I Bi -wired to use full rating
/� TOP BOTTOM A L - - - I - - - - I r LEGC_ _ _ - I I Located in garage with inverter
/ , I
111 L2 I LDG J
N ^ N � DC+
p EGC /GEC _ - EGC /GECJ
,, 1 V Z . _ _ _, b (1) AWG #10, THWN -2, Black
TO 120/240V 1 .- (1) AWG #10, THWN -2, White
' -`. SINGLE PHASE #8 JUMPER T_ _ 1
- (1) AWG #6, THWN -2, Green EGC
7'' ., U11UITY SERVICE PV METER SUPPLIED BY UTILITY
AC & DC - ( )Conduit Kit; 1/2" EMT
DISCONNECTS ARE • Voc = 332 VDC
30 i COOPER # B Line Meter Socket 011(1 INTEGRATED INTO •
Vmp = 266 VDC
BOND (N) #6 EGC /GEC TO (E) COLD � Meter Socket; 125A, 4- 14AWG, Ring Type THE INVERTER. •
• Isc = 17.16 ADC
1. W ATER PIPE OR (E) GEC IN PANEL WITH I Located on exterior' near utility meter • Imp = 15.8 ADC
IRREVERSIBLE CRIMP PER ART. 250.64(0)
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IMARON HERON MARKET: MODULES PREMISE OWIER: DESCRIP11QN: JOB NUMBER: 7.116.51P.1°11
; ' YSEDFORTHE REST (20) KYOCERA # KD210GX -LPU PUGH, BARBARA PUGH RESIDENCE JB- 972066 00
SO N LARCITY INC., pE${CN: MOUNTING SYSTEM: ' S 0 ar C
" n++aE OR IN 12005 SW ANN ST 4.2 kW ROOF MOUNT PV SYSTEM DATE
nil maPIENrs A C SOLARCITY CANOPY C ON COMP SHINGLE
'' :ECTN)H �1H PROJECT MANAGER INVERTER TIGARD, OR 97223
c 1VRITTEN * (1) FRONIUS # IC 4000 3/2/2011
393 Vintage Park Drive, Suite 140
PAGE NAME: SHEET REV Foster ary, CA 94404
?. s-_- PAYMENT TYPE 5035902628 T.(650)638 -10281 F:(650) 638-1029
PPA SINGLE LINE PV 6 (888)-50L-CITY (765-2489) I www.soiarcity.com
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