Permit (261) arh . CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2016-00758
TLCGAR 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2016
Parcel: 2S 101 DA00101
Jurisdiction: Tigard
Site address: 13190 SW 68TH PKWY
Project: Tigard Corporate Park II Subdivision: VARNS ACRES Lot: 9
Project Description: Building 2-Roof mounted solar photovoltaic system.
Contractor: TICE ELECTRIC Owner: PACIFIC NW PROPERTIES LIMITED PA
5405 N LAGOON AVE. STERN FAMILY LIMITED PARTNERSHIP
PORTLAND, OR 97217 STERN, HELEN R REVOCABLE TRUST
6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-872-8230 PHONE: 503-626-3500
FAX: 971-230-3330
FEES
Quantity Description Date Amount
Specifics: 1 ea 15.01 to 25 kva 10/28/2016 $200.34
31 ea Each additional kva over 25 10/28/2016 $230.02
Type of Use: COM 10 crt Branch Circuits wo/Purchase 10/28/2016 $122.96
Class of Work: ALT Service or Feeder
138 Plan Review-Electrical 10/28/2016 $138.33
Type of Const: 66 12%State Surcharge- 10/28/2016 $66.40
Occupancy Grp: Electrical
Total $758.05
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 952-001-0090. You may obtain a copy ules or direct questions to OUNC by calling 503.2..2.12 or :,.,?<..344.
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 Application ,Ki_ . . FOR OFFICE LSE ()NEN
City of Tigard ,.� . r "i ,.4)a Received
DateB : AIM== Permit#: ,• _ _ r - 1
I a 13125 SW Hall Blvd.,Tigard,OR 97223
' C Phone: 503.718.2439 Fax: 503.598.1960 -I- Date Review Alms'Related Pernut a: �L,aP v 1� A ,
Inspection Line: 503.639.4175 0 'ear a ate7B ,�i, —
TIGARD Y Y . I See Page 2for
Internet: www.tigard-or.gov Notified/Method: lis . (, )s_ jr Supplemental Information
TYPEOF � ` 'Of i.th -
���" �!*, PLAl+l.-
E New construction 0 Addition/altergi AL ad�ti /SIO Please check all that apply(submit a sets of plans w/items checked):
❑Demolition 0 Other: r feeder 400 amps r more ❑Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY'OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ID Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND:LOCATION 0 Emergency system. larger separately derived
Addition of new
Job#:80.7528 Job site address:13190 SW 68th Parkway ❑1001IP or more.motor load of ❑"Asystem.
E","1-2","1-3",
City/State/ZIP:Tigard.OR 97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Triangle 2 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: IEE SCHEDULE
Description I Qty. l Each 1 Total I
*
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential '
ADDING SOLAR ARRAY ON ROOF (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
RenwEg �e ge 2
0 PROPERTY OWNER 0 TENANT Services
eorable feeders installation,alteraSeetion,Paand/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
` CONTACT,P Branch circuits—new,alteration,or extension,per panel
APPLICANT CONT SON A.Fee for branch circuits with
Business name:TICE ELECTRIC COMPANY above service or feeder fee,
each branch circuit 7.42 2
Contact name:KEVIN SHANNON B.Fee for branch circuits without
Address:5405 N LAGOON AVE service or feeder fee,first ' 56.18 56,16--2
branch circuit
City/State/ZIP:PORTLAND/OR/97217 Each add'l branch circuit 7 7.42 G L.7P
Miscellaneous(service or feeder not included)
Phone:(503)341-7317 Fax::( ) Each manufactured or modular
Email:kevins@ticeelectric.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:TICE ELECTRIC COMPANY Sign or outline lighting 67.84 2
Address:5405 N LAGOON AVE Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:PORTLAND/OR/97217 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)872-8230 Fax:(971)230-3330 Investigation(1 hr min) 90.00/hr
Email:theresah@ticeelec.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 166 Electrical Lic.: 26-126C Suprv.Lic.: 3940S specifically listed(%hr min) 90.00/hr
ELECTRICAL PER I' ' FEES
Suprv.Electrician signature,required L Subtotal: ,5"3. 32.
Print name: Bob Richardson Date: 9/30/2016 ®Plan Review Required(25%of permit fee): r--
State surcharge(12%of permit fee): -----113..-1:2:Darle
Authorized signature: TOTAL PERMIT FEE: „�- ,43
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as com.1
* Number of inspections allowed per permit. 4 755,0_5-
I:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description Qty..,.;, Each I Total I *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva ( 200.34 2Qo.3112
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
El Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 3( 7.42 J5,0,6Z._3
El Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
El Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(/2 hr min)
COMMERCIAL;WORK ONLY!' ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): •�,
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
El Audio and Stereo Systems
❑ Boiler Controls
El Clock Systems
El Data Telecommunication Installation
El Fire Alarm Installation
El HVAC
❑ Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015
Electrical Permit Application roiz of i ici I si 0y1.1
Received Permit#:
City of Tigard Date/B : i F
■ 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
Phone: 503.718.2439 Fax: 503.598.1960UPI Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for
TI G A R I) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply(submit 2 sets of plans w/items checked):
❑New construction ❑Addition/alteration/replacement
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
El1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 100HP or more. ❑"A",`B","1-2 "1-3
❑Six or more residential units. occupancy.
City/State/ZIP: 0 Health-care facilities. 0 Recreational vehicle parks.
0 Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt.#: Project name:
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
0 APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with
Business name: above service or feeder fee, 7 42 2
each branch circuit
Contact name: B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: branch circuit
Each add'l branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('Vs hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB
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PHONE: 541-754-2001
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112191' CUSTOMER NAME: NWPE-Triangle Corparate Park II
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ADDRESS: 13010 SW 68th Parkway Tigard Ore 97223
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SDPM/ENGR: Tod L Shattuck WR: M2174993
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PHONE: 503-672-5466
3-PHASE SECONDARY LINE-LINE '..•ql!P!
FAULT CURRENT(RMS)
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TRANSFORMER DATA PAD MOUNT? YES
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XFMR Impedance(%): 5.32 % 3-PH UBMERSI YE
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TRANSFORMER SIZE: 1000 KVA xFMR? NO
Secondary VOLTAGE(L to L): 480 v WYE OH BANK? NO
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VAULT-->VAULT ( or Pole --> Pole) SECONDARY . ...
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Secondary Wire LENGTH: 200 Feet WIRE SIZE . ...
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.'2.- Number of SECONDARY RUNS: 5 Run(s)of: 350 QX UG ,.
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Secondary WIRE Resistance R: 0.0600 Ohms/1000'
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Secondary WIRE Reactance X: 0.0330 Ohms/1000'
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VAULT ( or Pole) --> PANEL SECONDARY (or Svc Drop)
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Service Wire LENGTH: 1 Feet WIRE SIZE
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Number of Service RUNS: 1 Run(s)of:
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Service WIRE Resistance R: 0.0180 Ohms/1000'
Service WIRE Reactance X: 0.0258 Ohms/1000'
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MAXIMUM FAULT CURRENT*. 18,445 Amps .,.,...,..
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e.:0,>*. Maximum fault current based upon transformers/conductors sized for 100% of electrical panel ratm9. 1......t•
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rek li, CONTACT: Nick Rowley REA
t.111 . PHONE: 541-754-2001 iitql,'
itue CUSTOMER NAME: NWPE-Triangle Corporate Park it
ADDRESS: 13010 SW 68th Parkway Tigard Ore 97223
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SDPM/ENGR: Tod L.Shattuck WR: M2174993
PHONE: -
503-672 5466
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"''''', 3-PHASE SECONDARY UNE-LINE FAULT CURRENT(RMS)
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- TRANSFORMER DATA PAD MOUNT? YES
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`,” XFMR Impedance(%): 5.32 % 3-PH SUBMERSI YES
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TRANSFORMER SIZE: 1000 KVA XFMR? NO
'.7 Secondary VOLTAGE(L to L): 480 v WYE OH BANK? NO
,, ,
''' ' VAULT--> VAULT ( or Pole --> Pole) SECONDARY
Secondary Wire LENGTH: 200 Feet WIRE SIZE
Number of SECONDARY RUNS: 5 Run(s)of: 350 QX UG
., .
Secondary WIRE Resistance R: 0.0600 Ohms/1000'
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JISecondary WIRE Reactance X: 0.0330 Ohms/1000'
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''' t VAULT ( or Pole) --> PANEL SECONDARY (or Svc Drop) ....„,„,-.
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,
.„, Service Wire LENGTH: 1 Feet WIRE SIZE
Number of Service RUNS: 1 Run(s)of: 4,
Service WIRE Resistance R: 0.0180 Ohms/1000' 4fieli
Service WIRE Reactance X: 0.0258 Ohms/1000'
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MAXIMUM FAULT CURRENT*: 18,445 Amps
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4
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13190 SW 68TH PKWY, TIGARD, OR, 97223
Record Type:
Commercial - Electrical
Inspection Type:
199 Electrical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
ELC2016-00758
Inspector:
Jeff Grove
Contractor