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Permit CITY OF TIGARD ELECTRICAL PERMIT • Is • COMMUNITY DEVELOPMENT Permit #: ELC2010 -00058 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/04/2010 Parcel: 2S 112AD00501 Jurisdiction: Tigard Site address: 14600 SW 72ND AVE Subdivision: Lot: 0 Project: Rogers Machinery Project Description: (3) 200 amp or less services and (42) branch circuits for 80.85 kW photovoltaic system. Owner: FEES ROGERS MACHINERY COMPANY Quantity Description Date Amount INC, PO BOX 230429 PORTLAND, OR 97281 3 ea Services or Feeders - 200 02/04/2010 $302.10 amps or less PHONE: 503- 639 -0808 42 crt Branch Circuits w /Purchase 02/04/2010 $311.64 Service or Feeder 1 ea 12% State Surcharge - 02/04/2010 $73.65 Contractor: Electrical DYNALECTRIC 5711 SW HOOD AVE PORTLAND, OR 97239 PHONE: 503 - 226 -6771 FAX: 503 - 226 -7720 Type of Use: COM Class of Work: ALT Type of Const: • Occupancy Grp: Total $687.39 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 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: S� o J (� ('ik � � l I W Permittee Signature: n oa 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 REC FOR ( FFICE USE ONLY 51111 City of Tigard FEB 0 3 2010 Date/By: Permit No.: E(.-.2O 0 . 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review _+�+v C Phone: 503.639.4171 Fax: 503.598.1960CITY OF TIGARD Date/By: Other Permit: gp ci l v 00002_ TIGARD Inspection Line: 503.639 BUILDING D IVISI ON Na f ed /M ethod: Juris: Supplemental s Page 2 for Internet: www.tigard or.gov �_TT Information TYPE OF WORK PLAN REVIEW ® New construction ❑ Addition/alteration/replacement 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 CONSTRUCTION exceeds 10,000 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 all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: 109104 Job site address: 14600 SW 72 Avenue IOOHP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /"LIP: Portland, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: Rogers Machinery Solar ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Corner of SW 72" Avenue & Bonita Rd Description I Ott. 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.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 67.84 2 80.85 kW Photovolaic System Limited energy, multi - family 67.84 2 y residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 3 100.70 302.10 2 ® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2 Name: Rogers Machinery 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: 14600 SW 72 Avenue Over 1,000 amps or volts 552.26 2 City/State /ZIP: Portland, OR 97224 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)639 -6151 Fax: (503)639 -1844 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 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 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 ❑ APPLICANT - I ® CONTACT PERSON above service or feeder fee, 42 7.42 311.64 2 each branch circuit Business name: Dynalectric B. Fcc for branch circuits Contact name: Mark Olson without service or feeder fee, 56.18 2 first branch circuit Address: 5711 SW Hood Avenue Each add'l branch circuit 7.42 2 Miscellaneous (service or feeder not included) City/State /ZIP: Portland, OR 97239 Each manufactured or modular 67.84 2 dwelling, service Phone: (503) 572 -1597 Fax:: (503) 484 -0217 Reconnect o only and/or feeder Reconnect 67.84 2 E -mail: molson @dyne- oregon.com Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: Dynalectric Signal circuit(s) or limited - energy panel, alteration, or Address: 5711 SW Hood Avenue extension. Describe: Page 2 2 City/State/ZIP: Portland, OR 97239 Each additional inspection over allowable in any of the above • Per Phone: (503) 226 -6771 Fax: (503) 484-0217 inspection 66.25 per hour (I hr min) 66.25 CCB Lic.: 66793 Electrical Lic.: Suprv. Lic.: 1 453 S Industrial plant per hour 78.18 w � k ELECTRICAL PERMIT FEES el l Suprv. Electrician signature, required: o Subtotal: 613.74 Print name: -- x tk g� Da a �\`p Plan review (25% of permit fee): ,\ State surcharge (12% of permit fee): 73.65 Authorized signature: TOTAL PERMIT FEE: 687.39 Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\ Building \Permits\ELC- PermitApp.doc 10/01/09 440-4615T(11/05 /COM/WEB .rY1 ' ra;u dsilrZor. 48 02z.7 0 On \-Q_&