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Permit q CITY OF TIGARD ELECTRICAL PERMIT 2 , ' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00343 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07(26/2011 Parcel: 2S102DB01600 Jurisdiction: Tigard Site address: 9340 SW HILL ST Project: Stewart Subdivision: BURNHAM PARK Lot: 10 & PT Project Description: Solar photovoltaic system. Contractor: SYNCHRO SOLAR LLC Owner: STEWART, RANDY 1111 E BURNSIDE SUITE 308 9340 SW HILL ST PORTLAND, OR 97214 TIGARD, OR 97223 PHONE: 503 - 208 -4786 PHONE: FAX: 503 - 232 -3479 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 07/26/2011 $100.70 Specifics: amps or less 1 crt Branch Circuits w /Purchase 07/26/2011 $7.42 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 07/26/2011 $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 ecordance with oved 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. AT NTION: Oregon law uires ou to follow the rules adopted by the Oregon Utility Notification Center. Those Ales are set forth in OAR 952 -001 010 thro h OAR 952- 001 -009 ou y obtain a copy of he rules or direct questions to OUNC by calling 503.232.1987 or 1.:: Issue 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 ,...,- ') ` , ra FOR OFFICE USE ONLY , '> .a s Received Permit IN , City of Tigard l \ / n 13125 SW Hall Blvd., Tigard, OR 97 4 No.: Plan Review ,' Phone: 503.718.2439 Fax: 503.598.1 6 w\ Other Permit: T1 G ARD Internet: www.tigard or.gov Inspection Line: 503.639.4175 Jv �� iv. Ready/By: See Page 2 for O S otified/Method: Supplemental Information ,:� �., .,. ��;".� -•. .,: �• � � \ v T �j %�-..<3•.� P�O� s ;� �� \ � „� �:; 1 ,PLAN RI+J YII ; W .: �.•�;. �� ���t ❑ New construction ® Addition /alteration/re i, + „:.t6ent Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more El Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. 73 y :', exceeds 10,000 amps at 150 voila or ❑ Floating buildings. ” ` ° '" ` "''�` less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building am p s for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or N , - y .:. o . o,..:....,. ❑ Emergency system. larger separately derived system. :.- OB ,,, .. , ' '4A. - AND I OCA ON ,,,:,„:44„.z,,,-.- A of new motor load of ❑ ' A" "E 1.2 1.3 Job no.: Job site address: 9340 SW Hill Street 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: Tigard OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Stewart Residence ❑ Service or feeder 600 amps or more. ' �-F' ?< ��� FEEDS @HED'CJi.E: � . - -� Magi Cross street/directions to job site: Description I Qty. 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'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: _ residential :>�• v 75.00 2 ; Limited re en DESGRIPTIONr , > \. �:•;> (with above sq. ft.) Limited energy, multi - family 75.00 2 Roof Mounted 5.5 kva Photovoltaic Installation residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less ' 1 100.70 ‘9 d IQ 2 �"�' :°- : �,c WN'E 'K E- ' ° 201 amps to 400 amps 133.56 2 - . � < ❑::P,R ©PERTY U R, °'„ ,.�. ,w, _ ,,.,. ANTS � ,. 401 amps to 600 amps 200.34 2 Name: 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 - 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with V AV % i i e above service or feeder fee r� • 2 ` '\ 1 �AIsPI:ICA )] GfTNTACT %PERS(JN each branch circuit 7.42 Business name: Synchro Solar B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: Jennifer Hall branch circuit Each add'! branch circuit 7.42 2 Address: 1111 E Burnside Street, Suite 308 Miscellaneous (service or feeder not included) City/State/ZIP: Portland OR 97214 Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: (503) 609 - 0215 Fax: : (503) 232 - 3479 Reconnect only 67.84 2 Pump or irrigation circle - 67.84 2 E - mail: jeni @synchrosolarnw.com Sign or outline lighting 67.84 2 �_ ,1 „... ✓ 4. M,..�,� °� �, .,r..�0 ,RV a ...,. .. PF Si circuit(s) or limited- energy Business name: Synchro Solar panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 1111 E Burnside Street, Suite 308 Additional inspection (1 hr min) 66.25/ hr City/State /ZIP: Portland OR 97214 Investigation (1 hr min) 66.25/ hr Industrial plant (1 hr min) 78.18/ hr . Phone: (503) 208 - 4786 Fax: (503) 232 - 3479 Inspections for which no fee is 90.00/ 1r specifically listed ( hr min) CCB Lic.: 188766 Electrical Lic.: CLR14 • Suprv. Lic.' L 1 E0 FEES Wit 2 d / 7 t 1 I( Subtotal: Suprv. Electrician st required: Plan review (25% of permit fee): Print name: Sarah Freel Date: 06/21/2011 State surcharge (12% of permit fee): Authorized signature: /\ TOTAL PERMIT FEE: . This permit application expires if a permit is not oh al e 180 • days after it has been accepted as complete. Print name: Jennifer Hall ('� Date: 06/21/2011 * Number of inspections allowed per permit. 1 :\ Building \Permits\ELC- PermitApp.doc 07/01/10 440-4615T(11 /05 /COM/WEB