Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2013-00659
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2013
Parcel: 1 S136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE#
Project: Pacific Northwest Properties Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Installation of solar photovoltaic system to service entire building
Contractor: NORTH LAKE CONTRACTORS Owner: PNWP LLC#2
12900 NW LOVEJOY CT PNWP LLC
PORTLAND, OR 97229 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-709-0985 PHONE:
FAX: 503-641-3168
FEES
Quantity Description Date Amount
1 ea 15.01 to 25 kva 11/14/2013 $200.34
Specifics:
72 ea Each additional kva over 25 11/14/2013 $534.24
1 ea 12%State Surcharge- 11/14/2013 $88.15
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $822.73
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 0 001-0 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 .198 / 1.80 . .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.
. .
OCT- 1-2l13 11:31 FROM:PORTLAND GOLF CLUB 5032032569 TO:5035981960 P.1/3
Electrical Permit Applicatio 4)
- ,ECEIVED , ,0.1 4,, 1 it I 1 s I 1 1\1
City of Tigard Received
_c-1-4--
DuttiB : ,6 WI= Pan*No,: •—•--: / ...,• ...iii
,..-_-- I 3125 SW Hall Blvd.:11prd,OR 97223,1 C T 31 2013 ...pianR,......... , , .th,v, 111111 . .., pc n.a:
•
. Phone: 503.718.2439 Fax: 503.598.1961) v r A
Inspection Line: 503.630.4175 Data itaady/By: „ /.., Ma GI See Page 2 for
116..\iti) Notified/Method:"--/Z--—/ , 5rapplemenral Information
Internet www tigard-nr gnv ciTY OF TIGARD
Please cheek all that apply(subtnit a iota of plata;wiitome chocked below):
0 New construction 181 Addition/alteration/replacement
El service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marines end boatyards.
.'. ' .:.",.';''.''....•;''',.!..:',''',.'''-CATEGORY,,Or-,CONSIfilitleil.10N.".'-',P•r'>•Y ''''' .:•:-'''•' Qiccab 10.000 amps at ISO volts or a Floating buitt
ild
lass to ground.or exceeds 14,000 0 Cuutnacraial-un agricultural
_ . .
1:1 1-and 2-fiunily dwelling 0 Conunercial/indusulal 0 Accessory building amps ror all other installations. buildings.
0 Multi-farnily 0 Master builder 0 Other: 0 Fire pump. CI Installation of 150 KVA or
"--, .. . larger swankily derived system
. ::, : ;.',.•::,.‘::'....- 3!?'_ .!, ii[k.*Otilt'Sft04;Ott.1.11.0P.,:iP040100 :'''''':''..' ..'', ',.:`,'.:,:‘!,':H''' CI Addition of new motor load of 0"A",it% 2
- 100HY or more, occupancy.Job no.:00264 Job site address:11850 SW 67th C)six Of more residential units 0 Recreational vehicle parka
—
City/Stute/.ZTP:Tigard Or 97223 CI Ilcallh-care facilities. CI Supply voluige for more than
0 Hazardous Incationa. 600 volts nominal.
SUite/bidg./apt.no.: I. Project name:PNWProp.LLC LI Service or feeder 600 amps or more.
FEE.SCHIIDULI1::.':.:.'-' ,7.'_'•::''', ..-.';';1`',':‘,..."`
Cross street/directions to job site: "o.r___Ier.L.,..
- I Q0.1 -Pea: I 'rata , 1 • ,
New residential single-,or muld-famlly dwelling unit.
Includes attached garage. ....
Subdivision: 1 Lot no.: 1,000 sq.It.01 11135 _ 168.54 4
ea rTgrii500 sq.R.or portion 1
Tax map/parcel no.: Limited energy.residential 75.00 2
. •.':. ...:?..:`,...,. .---::':,"•;,!:r.:.;.:;•i;.4,,:',,...:;,1.::-.11,ESCRIP1300r. vORK ,....i..'....4'. ,..,.; :-'::::•'.. . . ..-...±: ::-:::::::: with ahovc m,4.)
• " "- '— ' ' ' • . •• - . . -- - Limited energy,multi-family
75.00 2
Solar Photovoltaic roof mount installation residential(with above sq.IL) .
Rencwahle Energy , 0 See Page 2
Services or feeders Installation,alteration,and/or relocation
1 ..••:,: 51..,i'.1tC4T:itikt*O*Ori*,:),4.1;:.:,. ::;:••i,F:',..::',..4:".'.,.r.'..:.'',.:..:.:::',.Citi*".r4irr:•:...::...?./. .:,',..',.:•:.:. , 20'BITIP5 ar III" .. 100.70 2
. " 201 amps to 400 amps 133.56 2
Name:Pacific NW Prop LLC
401 amps to 600 amps 200.34 2
Address:6600 SW 105th eve Suite 175 601 amps to 1,000 amps 301.03 , 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP;Beaverton OR 97005 Temporary services or feeders inatalliltion,atterailon,and/or
•
Phone:(503)626 3500 1 Pax:( ) ,. -relocation - .
200 amps or rase 5936 I
Owner installation:This inst. lation is being made on property that 1 own which is not 201 amps to 400 amps 125(MI 2
intended for sale.lel -- 4, 'r exchange,according to ORS 447,449,670, 70 .
401 amps to 599 UM* 168.54 2
-
Owner signatu . Al !.....,__. _ Date: i• 7''' Rrnnch circuita—new,alteratiOn,at extension,Derpa nel
' '':.'.',:::::•:".:',,.,'''',-;trO.Ptift;OrtA;;%1;;; :•-;.),M1;•-,T..iiY,',11.;i:;',-;:;tiii:scostriat4).gitsoi,t. "W A.Foe for branch circuits with
7.42 2
Business name:NW Photon Energy T.LC catil branch circuit
ii Fee t'or branch circuits withow
Contact name;Kirk Cameron service or tboder the,first 56.i 8 2
• branch circuit _
Address:10720 SW Moapa Ave Each addl branch circuit 7.42 2
City/State/?JP:Portland Or 97219 ' Misiellancoas(service or fccdc;'stat includeal , ,.
Each mtmufectured or modular 67.84 2
Phone:(503)697 4482 ero 5-yoy4, Fox:;( ) . dwelling,service and/or feeder -
Reconnect only 67.84 2
.
E-mail:kirk@nwphotonenergy.com Pump or irrigation circle 67.84 2
.,''',.., .....:e:::7 ,3ii;? cctIrilERAgro.R'fl-? :, 'x,,, .:-.. ''•.': .'.',';'.'' Sign Or outline lighting 67.84 2
1 ,
Business name:NorthLake Contractors Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address: /Zq00 N4-4 tiPV "Sl3`if c ' Each udditional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/Stater/JP: P09.4- • Nib 0 f ,
Investigation(1 hr min)
66,25/hr
■
Phone:(509 -7 ol,ocfac Fisx;( ) Industrial plant(1 hr min) 78.18/hr
_ -
Inspections for which no fee is -
CCB Lic.:iS y/-7g 1 Electrical Lie.: C,I 3 I Sum.Lic.:ef-g-p ....s specillcal listed OS hr min) 90.00/hr
. /ja(Ag /6 / if, - ..,,;,...,.. :;::,.. ,...:..E114V1111qAllt.',":',PF11141117411 ..i:-.;'/;;''': :.,!.."F',;'-';.",•';;;''''',,,`
Suprv.Elect ci sighaturc,required: 7 / / LIU
, Subtotal:
Print name: 4,...et,, .c „Jill;A 1,,s Date:/a —&,,, ..,G Plan review(25%of permit fcc):
Authorized signature: •,- tr`Cat- State surcharge(IrA of permit fee):
TOTAL PERMIT FEE:
Print name: Au.. i.t L._ Lttke, --- i Date:,0/3 illy I 'fhb permit application)taping ir 0 permit Fa ODi Obiainad*Wilts ISO
days otter It bat boen steepled as complete.
• Number of inspections allowed per permit
lAntillehtalParaiuAELC.yerrohAaptILSLIIRO.doo Rev 0521/2013 440-46 i 5T(1 I MS/COMMIS
,_
OCT- 1.--2013 11:33 FROM:PORTLAND GOLF CLUB 5032032569 TO:5035981960 P.1/1
Electrical Permit Application. City of Tigard
Page 2—Supplemental Information
Limited Energy,Permit Fees: +� ! Renewable Energy Permit.Fees:
t ihl'�i�i`,.74r7FkW1JB''` '
Fec for till,residential systems combined........ $75.00 Description yw. ree �ah�
Renewable electrical energy systems:
Cheek Type of Work Involved: 5 kvn or Ices 100.70 2
5.01 to 15 kva 133,56 2
p Audio and Stereo Systems* 15.01 to25 kva • 200.34 200.34 2
Wind generation systems In excess of25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
3'100 kva(lee in secordaoce.with 552.26 2
❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation warms in(was at'ZS kva: 53111
Each additional kva over 25---.._.I 72 7.42 3
❑ Vacuum Systems* >100 kva–no additional charge IF— 0.0 3
❑ Each additional inspection over allowable in any of the above;
Other: Each additional inspection is
charged at an hourly(I hr min) 66 15/hr
Insaections for which no fee is 90.00/hr
1.CO s ifical listed %hr min
O p �.1V�, a h,y 1tL 14R1CA4 -PERART:I ES
Fee for each commercial system $75.00 Subtotal: 734.58
(SEE OAR 918-309-0000) Pian review,if required(25%ofpermit lee): /
State surcharge(12%of permit thee): 8835
Check Type of Work involved: TOTAL PERMIT FEE: 822.73
Thla permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after It has been accepted as complete
• Number of inspections allowed per paean.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
0 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
hhuildinglramltslllLC PamaApp_mrt l:ati,doc aeo 05/21r201J
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11850 SW 67TH AVE STE, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
2013-12-23 (null)
ELC2013-00659
PASS - No C of O
Violation Summary:
Inspector Contractor