Permit CITY OF TIGARD ELECTRICAL PERMIT
_ COMMUNITY DEVELOPMENT Permit#: ELC2015-00533
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2015
Parcel: 25101 BA00500
Jurisdiction: TIGARD
Site address: 7600 SW DARTMOUTH ST
Project: Walmart Subdivision: HERMOSO PARK Lot: 8
Project Description: Installation of roof mounted solar photovoltaic system.
Contractor: SOLARCITY CORPORATION Owner: WAL-MART REAL ESTATE BUSINESS TR
6132 NE 112TH AVE BY PROPERTY TAX DEPT STORE 5935-00
PORTLAND, OR 97220 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-894-6903 PHONE: 479-273-8344
FAX: 866-445-7459
FEES
Quantity Description Date Amount
1 ea 15.01 to 25 kva 08/10/2015 $200.34
Specifics:
75 ea Each additional kva over 25 08/10/2015 $556.50
Type of Use: COM 1 ea 12%State Surcharge- 08/10/2015 $90.82
Electrical
Class of Work: ALT 189 Plan Review-Electrical 08/10/2015 $189.21
Type of Const:
Occupancy Grp:
Total $1,036.87
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. h e rules are set forth in OAR
952-001-0010 through OAR 2- - 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 . 8 or .332. .
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 Applicat' yANY.AV hint(4,1 i( 1_l'S .(1.l l
City of Tigard Received ill
hate/05 /S Permit No.: kpog0/5-e9 533
13125 SW troll Blvd.,Tigard,(3R 97223
111,-. Plan Review ..e
Phone; 503.718.2439 Fax: 501598 r0 ` 9 2015 UsicA3r: Odic(rental: pcky5-- �4
t 16,r\1..(4 Inspection Line: 503.639.4175 101. Date Ready/By:,- lens: 63 See Pa=e2 roe
Internet. wu•w.tigard-or.gov ' Not.OaVMetMd: ��i / I Rugpkmennl taforentton�� '1Yi'E OI av PC:AN I v1t�V
_O, ❑Newconstruction ElAdelilion/alter i{ Ct Pl�necfrtk all that apply(aubmifj setter plans W/enuchcckedbcknv):
v X1,1 ❑service or feeder 400 amp or more 0 Auitdiag neer three stories.
❑13cmolitinn ❑OIhen where the mailable 6ruI1 cionatt ❑Marina and boatyords.
CATEGORY OF cO Sr RLIC l3(?h exceeds I0,000 amps at I$0 yobs or ❑Float mg buildings.
O less to grand,.ar exceeds 14,0170 ❑Comoxrcinl-vac agricultural
®1-and 2-family dwelling ❑Coinlnereial/industrial Accessory building loops an an other iaatanatlaas. buildings.
II,w( 0 Multi-family El Master buiider ❑Other: ['Fire pump. ❑Installation of IS0KVA or
V, • IDtEmergencysystem. largersepnntelydcrivedsystem.• IOW-BITE-1.:VPORRIA:r ION AND LOCATION ❑Addition of stew motor load of•
Job no: 9722646 Job sllcaddr>ss: 7600SW DARTMOUTH ST loourormam occupancy.
G Six or noon residential units. 0 Rcuteroinnal vehicle Parks.
City/$1"1e/21P; l l GARD OR 97223 ❑llualtlt-ca o fa/Adios. 0 S reply voltage for mom than
�- ❑Random locQl o,,s. 600 votes..mine[.
Suite/bldg/apt,no.: Pro je nAme:
WALMART ❑Service orfecrkr6Ml amps w more.
- R a34'11 nlihE '
Cross street/directions to job site: Oarntten I Orr. 1 Fr.. l rand I
Nkw residential single-or multi-fatnily dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq R.or less 161154 4
La add l 500 Sq.R,tx portion 33.92 1
Tax map/parcel no.: Limited energy,s residential
Di$dn1P'lONl OF WOW( (with above sq.It.) 75.00 2
Limited energy,sushi-family 75.00 2
PV ROOF MOUNT residential(with above sq.f.)
Renewable Energy I8i See Page 2
yd 351.54 KW Services or feeders installation alteration,a tulle relocation
PROPERTY QwN it I J] ')_ NAN'r. _ 200 amps or lus 100.70 2
' 201 amps to 400 amps
Name: WALMART-STORE#5935 401 amps to 600 amen 200.34 2
Address: 7600 SW DAR'I'MOU'l'li ST 601 amps to 1.000 amps 301.114 2
t city/StatdziP: TICARD OR 97223 Over 1,000 snips or vets 552.26 2
Temporary aervkes or feeders installation,alteration,and/or Opi ly
^ Phone:(479 ) 273 8344 Fax;( 200 not inn /�
ILA, 200 amps or less 59.36 1 J
Owner installation:This installation is being made on property that I own which is not 201 amps 1c400 amps t 25.08 I^ T
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
401 amps to 599 amps 168.54 2
Owner signature: Dale:_ Branch circuits-new.alteration,or et:tenelon,perpanoa - ✓y
APPLICANT' ® cor-rACT Pl?ltSC3 Y A.Pee for branch circuits wir6 `�
abets service m feeder he pc-- s p
l3usinessmune:SolarCity Corp. cachbrnnd.circait �,�/`5
B.Fee„,•r bassi cult a Dkrm
C�'YT Conlnct mnnc; service tar feeder fee,Sim
Melissa Farias branel,circail 56.18 2 4-!-
Address: 6132 NE 112th Ave Each add'l branch circuit 7.42 2
City/StalerLlP Miscellaneous(service or feeder nut included)
Portland, OR 97220 Eeei'matufaeturedtamodular 67.84 2
Phony (503) 894-6903 Fu: (1866) 445-7459 Jssslling,service grader fceda
Rcmnnectnal), 67.84 2
E-mail: Melissa.Fariasrl So]arCity.com Pump or irrigation circle 67.84 2
CONTRACTOR
Sign or outline 1'sghting 67.84 2
Business name: SolaratV ,9ID•
Signal circuit(a)or limited-energy Sec
(� panel,sherwinn,or extension, _ Page 2 . 2
V Addtess: 6132 NE 112th Ave Each additional taspcction over allow able In any of the almse
----' Additional inspection(1 hr min) 66.25/hr
City/5tale/ZIP: Pot t1and_Q1�.972 20 Investigation(1 hr min) _ 66,25/hr
Firms:( ) r {{ Vote Indtsattial plant I hr 78.18/hr
503,$J4-G9U3 ...__ I I]$661 445-7459 p ( )
tnapccnans for which no fce is 90.001 hr
CCB Lie.;18O4c�8 I Electrical Lic.: C562 Suprv.Lie.: 5873S setetfirallti listed(S fir mien)
ELECT1t1CAIL!' }tl' wEf8 _
Suprv.Electrician signature,required Subtotal:
kPrint"nine: Nicholas Arn strong Daces 07/07/2015 Pion review(25%arpcnnit fee): r
^� Slate surcharge(12%of p arm it fee):
AutIs ri.oed Slgnaltare: l/'1 �» TOTAL PERMIT FEE: 1
Print name: llllJJl/ 1 1 Date' - fits permit applknt Ion cspires if a perm Is not nhlalnrn wunsa;NU
Melissa Faria. -,a : 07/07/2015 day.after It has been accepted as ampletc.
' t.6amber or iaalroCtiona allawsxl per permit.
Edsu,WMevcrnastEt.C-PsmdnApp Cdde-Elth.dot I4r059112013 440-41.1 ST(1 141..VC(J JWFB
Electrical Permit Application—City of Tigard
Page 2- Supplemental Information
Limited Energy Permit bees: Renewable Energy Permit Fees:
..11E.SIDE14UI%4 WOii
Fee for,�11 residential systems combined........ $75.00 « (lw': fit,,.. 1 ter T„;; r•
Rant n a bk cicci rival allergy systems
Cheek Type of Work involved: 5 kve or lass 1110.70 2
5.01 lu 15 kva 133.56 7.
❑ Audio and Stereo Systems"
15.0110 zs l .r 1 - zda ss , . z
❑ Burglar Alarm generation systems in excess of I5 kvn:
25.01 to 50 kva 701.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26
1100 kva(fee le accordance with 55226
❑ Heating,Ventilation and Air Conditioning OAR 918,30200401 ,-� '
system* Solar generation systems hi excess 44 25 kva:
Each addilioimlkve over 25 7.42 s I
❑ Vacuum Systems* >I00 kva-noadditional charge 0.0 3
Erich additional insiocetion over oNnwabic in any of the abuves
0 Other: Each additional incpeclinais
642.51hr 1
cimr>;ad al.7t hreuly(I le min)
hsspectioos for width no fee is
�jtecificIhyhalal('h fir min) 9040.M
1�7E1V RClA>u;Vi!(}R;[C.11NIT :
t4ctalo.m,irotttrr refs r
Fee for Bach commercial system $15.00 Subtotal: J 75-6,4ef
(SEE OAR 918-309-0000) Plan rev:ow,ir regal n:d(255 5 ortfermii fra±): -1�Yj 9,
u a
Slob rcnarge(t2%erpennilIke). -IQ,7
Check Type of Work Involved: - rJrnl ri:RMrr rt i_;,
1•fts pc:mmil sppticoloo expires if o wadi is uoi obtained wilbia 1110
❑ Audio and Stereo Systems dap nnee:t l..h.,n uc rplea.tmap
• Nook/or insgmlo.x!Wowed pet p:rmn. /03
Boiler Controls
❑ Clock Systems
❑ Data Telecommunication installation
❑ Fire Alarm Installation
❑ 1•iVAC
❑ Instrumentation
❑ intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
CI Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
[] Other
Total number of commercial systems:
*Nu licenses are required. Licenses are required
for all other installations
onainstftraaw,Ezr I minpp ELK ji lIe.OSn1!2013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7600 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00533
Jeff Grove
Violation Summary:
Inspector Contractor