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Permit (136) CITY OF TIGARD ELECTRICAL PERMIT P 2 Permit#: ELC2017-00275 '> COMMUNITY DEVELOPMENT Date Issued: 04/20/2017 -ff0A R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109AB18000 Jurisdiction: Tigard Site address: 13205 SW HOODVISTA LN Project: Karussos Subdivision: HIGHLAND HILLS ESTATES Lot: 9 Project Description: Installation of(1)AC stand alone battery:(1)5.01 to 15 kva and(5)branch circuits. Contractor: SOLARCITY CORPORATION Owner: KARUSSOS, STACEY&HEIDI JOINT 6132 NE 112TH AVE REVOCABLE LIVING TRUST PORTLAND, OR 97220 13205 SW HOODVISTA LN TIGARD, OR 97224 PHONE: 503-894-6903 PHONE: FAX: 866-445-7459 FEES Quantity Description Date Amount 1 ea 5.01 to 15 kva 04/20/2017 $133.56 Specifics: 5 crt Branch Circuits wo/Purchase 04/20/2017 $85.86 Service or Feeder Type of Use: SF 1 ea 12%State Surcharge- 04/20/2017 $26.33 Class of Work: ALT Electrical Type of Const: Occupancy Grp: Total $245.75 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. AT TION: a egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 -0010 through OA" 95 ••'-..•0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 4 Iss d B 0 Permittee Signat, r��_ 1�IL� -`= s' Y 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' , y/7,4,07Date: �7 LICENSE NO. 5-. 73 `3 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. q I Electrical Permit AppIlea 1 • . - 4 aivEn ,..),,,()„ ,,.,: ,, ()\I 1 City of Tigard Reccived Date/B ' 1/ ,9-0 /7 Mil Permit No: eke.,.....40,/7...6563...2..7 III i , 13125 SW Hall Blvd.,Tigard,OR 916143 R 1 8 2017 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Other Permit: Inspection Line: 503.639.4175 CITY npT"cA DrDate Ready/By: WM See Page2 for Internet: www.tigard-or.gov NottficdRvIethod: Supplemental Information i ' 1 - ;q t . ,-----41.1.0. el. ,..,----_..-'4 '',-, '-.-'1----- 41 , 747.',;•' *Ile ,-:,--II,,,i[F' ,Ilit. ''1'...- -'-',74111 .-=-.1--vabv'' ,;, •---•1‘..'.' ' INT.... .--',' ---, 0 New construction S Addition/alteration/replacement Please check all that apply(submit 1 sets of Mem wiitems checked below); IT 0 Service or feeder 400 amps or more 0 Building over three stones. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.rds. 7-- eaeedsi0,000rnpsat1507or EIlomingboiin°. exceeds 14 : Commercial-useagrcu ltural t.74. 1-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 PIMP' 0 Installation of ISO KVA or o Emergency system. larger separately derived system. "q'r '-'4 i:'7.:,-1'i-7:-..:1.:,ii-•ItNi4mItOPP' ' :1,,,t,Tig.,,,,•!N 1-,,,I!4-01.,,,,-., .., El Addition of new motor load or 0"A","E","1-2-,"1-3", 100HP or more. occupancy. Job no.:9723622 Job site address:13205 Sw Hoodvista Ln osia or more residential units. 0 Recreational vehicle parks. City/State/ZIP: Portland, OR 97224 0 Health-care facilities. 0 Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name:Karussos 0 Service or feeder 600 amps or more. Cross street/directions to job site: Description Ow. Frt. 'Total * New residential single-or multi-family dwelling unit. Includes attached garage, Subdivision: Lor no.; 1,000 sq.ft.or less 168.54 4 Ea,Will 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESC!I ' rfr:74,j-::::±y1,1 , '::1):'1 rtz. fj!I, with above s..ft.) Limited energy,multi-family 75.00 2 XXX.190V,UOMPTX residential(with above sq,h.) Renewable Energy f... See Pagel AC Stand alone Battery Services or feeders installation alteration,and/or relocation 771.7."'----Tif.„- -7.: 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name:Stace Karussos 401 amps to 600 amps 200.34 2 Address: 13205 Sw Hoodvista Ln 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP; Portland, OR 97224 Temporary services or feeders installation,alteration,and/or Phone:( relocation 503)312 782 Fax:( ) 200 amps or less 59.36 1 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 s to 599 amps 168.54 2 Owner signature: Date: Branch circuits-,new,alteration,or extension,per panel ;.,1);;;•.-4,-- -----f-pr-r,,------wirc. , ,',,..s,, ' --..:=1:17r g:_rcir, r"„tr„.7--,;,,:;,..,:r b31,41,ikif r, ;,..," 7:1--;471 A.at'eorsebrrvareechoerirreziitserwreireh, 7.42 9.6 g 2 Business name:SaiaTC11V Corp. each branch circuitB.Fee for branch circuits without Contact name: Melissa Farias service or feeder fee,first i Jor 56.18 01.a.1 2 branch circuit Address: 6132 NE 112th Ave Each addi branch circuit 7.42 2 Miscellaneous service or feeder not included City/State/ZIP:Portland. OR *7220 Each manufactured or modtdat 67.84 2 Phone:(503) 894-6903 1 Fax::(1866) 445dwelling,service and/or trader -7459 Reconnect only 67.84 2 E-mail:melissa.Farias@SolarCit .corn"Fsb PI ck,f,p g.:14- 4tA,fr 44 6, P ump or ird8ation circle 11111 67.84 1.11111.113 :,:1----'-'?ii-1,,.. signer outline lighting 67.84 2 Signal circuit(s)or limited-energy See Business name: si.is. i s a panel,alteration,or extension. Page 2 2 Address: 6132 NE 112th Ave Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/Z1P:p, .I 4 0t tryct *_.4.../._4,4..v, _ „_ Investigation(1 ht min) 66.25/hr Phone:(•.,-.) atr.3 894-6903 I Fax:(1866) 445-7459 Industrial plant(1 hr min) 78.18/ht Inspections for which no fee is 9000/hr CCB Lie.:180498 Electrical Lic.: C562 Suprv.Lie.: 58735 s,,,,-ificall listed 'A lir min) .. _,......, , ''...7.4k. ';7.171- ' 'AM.,1-4-fii:II:,' Suprv.Electrician signature,required:ilkilli ,., Subtotal: — / .• ------ Print name: Nicholas Armstront Dak:04.10.17 Plan review(25%of permit fee): State surcharge(12%of permit fee): • •. S Authorized signature: Irr-v * , a TOTAL PERMIT FEE: ,. S. 75 Ibis permit application expires it a permit is not obtained within 180 Print name: Melissa Faria- ',,,..:) Date:04.10.17 days after it has been accepted as complete. * Number of inspections allowed per permit JABuridingAPermits1ELC_PermitApp_ELR_ERE.doe Rev 55/21/5011 0046151(1 L/05/COWWEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: SOENTIA�.W��UI�L�if. ::. •: Fee for all residential systems combined $75.00 neserintios 1 t,. [ Pre .J Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 1 133.56 133.56 2 ❑ Audio and Stereo Systems* 15111 to zs kva 200.34 [ 2 111 Burglar Alarm Wind generation systems in excess of 25 kvn: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26_ 2 5 I00 kva(fee in accordance With 552.26 2 ElHeating,Ventilation and Air Conditioning OAR 918-309-0040) System* Solar generation systems in excess 0125 kva; Each additional kva over 25 7.42 3 0 Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional incpectiun over allowable in any of the above: © Other: Battery system Each additional inspection is charged al. heady(1 hr min) 6G.251 hr 1 an inspections for which no fee is haat('h hr90.00.hr CO ERC :WORK OIC:'.. specifically isl yrnin) Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT PEE: ❑ This permit application ospirrs if a permit is o01 obtained within 180 Audio and Stereo Systems days after it has been accepted as complete. " Number of inspections allowed per permit. ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC Fl Instrumentation Intercom and PagingS ❑ stems Y ❑ Landscape Irrigation Control* ❑ 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 lAlleilde15tpo i>Es.C.permiinpp Cl.K IiREAtnC xea 05/21/2513 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13205 SW HOODVISTA LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Electrical ELC2017-00275 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor