Permit CITY OF TIGARD MASTER PERMIT
". (-" COMMUNITY DEVELOPMENT Permit#: MST2020-00236
T i G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Aug 24 2020 12:00AM
Parcel: 2S104DD07700
Jurisdiction: Tigard
Site address: 12874 SW MORNINGSTAR DR
Subdivision: MOUNTAIN HIGHLANDS NO.3 Lot: 35
Project: DOWERS
Project Description: Solar photovoltaic system.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $32,720.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0
Bckfw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
asin
Other: Y Other Description: Roof top PV system 11.7 KVA Ecom P 9: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor: _
DOWERS,KEITH A PREMIER SOLAR NW Required Items and Reports(Conditions)
12874 SW MORNINGSTAR DR 12399 NW WAKER DR
TIGARD,OR 97224 PORTLAND,OR 97229
PHONE: PHONE: 503-799-9042
FAX:
Total Fees: $505.08
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
952-001-00
estions to OUNC
Issued By10 throug 952-001-0090. You obtaincopy of the rules or direct
mutes Signature:hy calling503.232.1987
4-,/ .2p 3 0A_
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. P CA LP r
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.
Building Permit Application
Residential ^r��I\ J FOR OFFICE IISE ONLI"
t�C 1! Received
, City W Tigard -� / Penn"NIo _ p
-a 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By.
n Renew � � �
_: Phone. 503.718.2439 Fax: 503.598.1960 J U L 21 2020 natdAy, �¢j i ...: ermit
TiGARA Inspection Line: 503.639.4175 t7ateRa d11ty: iSrePaRe2(ar
Internet: www.tigard-or.gov CITY OF TICa t�? d. .lienMsthcxf; yet/pc) 'Vr v 7� a aceatat Information
1'ypr, OF" t'
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑X Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
4 work indicated on this application.
® I-and 2-family dwelling 0 Commercial/industrial Valuation: $$32,720.00
\ 0 Accessory building 0 Multi-family Number of bedrooms:
r Number of bathrooms:
❑Master builder 0 Other:
s 1 . . i t " ,, / lit
Total number of floors:
Job site address: 12874 SW Morningstar Dr. New dwelling area: square feet
City/State/ZIP: Tigard OR. 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Dowers Covered porch area: square feet
ICross streetldirections to job site: Deck area: square feet
Other shucture area: square feet
Subdivision: p %I 111 " Lot no.: Permit fees*are based on the value of the work performed.
s , Tax map/parcel no.: itkT,h Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
=t1 t work indicated on this application.
`p Adding 11.7 mrRoof Top Solar PV System valuation:
Existing building area: square feet
New building area: square feet
" „ � � ', ��/- :," Number of stories:
IName: Keith Dowers Type of construction:
Address: 12874 SW Morningstar Dr. Occupancy groups:
City/State/ZIP: Tigard OR. 97223 Existing:
Phone:(503 J04-9112 F.�:( New:
�, 1 54 APrLI('-A\I . .. 0" L' "I'4(1' I B'-.
Business name: Premier Solar NW
Structural plan review fee(or deposit):
,i Contact name: Robert M. Rathbone
Address: 12399 NW Waker Dr. FLS plan review fee(if applicable):
ACity/State/ZIP: Portland, OR 97229 Total fees due upon application:
Amount received:
Phone:(503-$28-9500 Fax::( )
E-mail: rrathbone@premiersolarnw.com
,,` .� � " a - z
Commercial and residential prescripfive installation of
. '-1 7t IRtE TOR.. ! ''
7 . rr s roof-top mounted Photovoltaic Solar Panel System.
n.
Business name: Premier Solar NW Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 12399 NW Waker Dr,
Solar Installation Specialty Code checklist.
City/State/ZIP: Portland, OR 97229 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503-628-9500 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 218826 i/..2/?.?
//���� Total fee due upon application: $201.60
Authorized signature: [t ,. ac This permit application expires if a permit is not obtained
v/f within 180 days after it has been accepted as complete.
Print name: Clifford Barry Date: 7/1 S/2O *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1.102/COM/WEB)
Electrical Permit Application 14� ,Q CEf d FoR oFrlct_t SI oyI.v
City of Tigard Date/By Permit R:
• 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 21 Plau Review
Phone: 503.718.2439 Fax 503.598.1960 Z�Z Wined tetmit s;.
Inspection Line: 503.639.4175 r•rlr ✓v', : . ' 0 See Page 2 For
"ARI? 4-- t ' ? fi-_"t .i 1*s4 Internet: www.tigard-ocgov _. r" ,� �..." a. i Sap{deareartl Infornuottto
n r c 1 y+ t;&s' .
rinlee
❑New constriction J Addition/alteration/replacement Please check ail that apply(submit 2 sets of plans wlitems checked):
❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over twee stores.
where the available fault current ❑Marinas and boatyards.
.. '7 a .._,.. a
exceeds moon amps at 150 sobs or 0 Floating buildings.
(I I-and 2-family dwelling 0 Commercial/industrial El Accessory building can to g nand or exceeds 14,00o ❑Commem al-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
:.::: -... , ?::::. _„ . .` . . � ,,�_' ❑F;mergeney system. larger separately derived
Job#: Job site address:12874 SW Morningstar Dr. ❑Addaao of new motor load of ystem
910010 or more. ❑"A""FT"1-2""i-3".
City/State/ZIP: Tigard OR. 97223 ❑Siz or mo a residential uni s. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Dowers ❑Hazardous locations. ❑Supply vol age for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
nesvriottoo Oa, Sass real _-
New residential settle-or mold-ranaly lilltliblft nit.
Subdivision: I 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
a�
era ,,.-..... ,p „1 I-I::,tom',),;,,,r�,+�.- -' y ,. Limited energy,residential
Adding 11.7 kW Roof Top Solar PV System (with above sq.ft.) 7s.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
SiVISERenewable Energy ❑ See Page 2
f'' r t • it . • Services or feeders installation,alteration,and/or relocation
Name: Keith Dowers 200 amps or less 1 100.70 2
Address: 12874 SW Morningstar Dr. 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard OR. 97223 601 amps to 1,000 amps 301.04 - 2
Phone:(503 7304-9112 I Fax:( ) Over 1, 00 amps or volts 552.26 2
Email: kdowers@cyber-tech.net 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 I I
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
iniktatiffiyd ,, III„ , s. r;" .
� , , A.Fee forr branch Branch h circuits brancs—new,wterafion,or extension,per panel
- - witlt
Business name: Premier Solar NW above service or feeder fee, 7.42 2
each branch circuit
Contact name: Robert M. Rath bone B.Fee for branch circuits without
service or feeder fee,fast Address: 12399 NW Waker Dr. branch circuit 56.18 2
City/State/ZIP: Portland, OR 97229 Each add'I branch circuit 7.42 2
Phone: 503- 28-9500 Fax:: Miscellaneous(service or feeder not included)
( $ l ( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: rrathbone@premiersolarnw.com Reconnect only 67.84 2
VIRMIRRWW y v. ,. , ,. ' • ?• Pump or irrigation circle 67.84 2
Business name: Premier Solar NW signor outline lighting 67.84 2
Signal circmit(s)or limited-energy ❑ See Page 2 2
Address: 12399 NW Waker Dr. panel,alteration.or extension.
City/State/ZIP: Portland, OR 97229 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(50.3-628-955O0 Fax:( ) Investigation(t hr min) 90.00ihr
Email: cbarry@premiersolarnw.com Industrial plant(1 hr min) 78.18 hr
Inspections for which no fee is 90 00/hr
CCB Lie.:218826 Electrical Lie.:C1540 Suprv.Lie.:6533S s.eeificall listed i hi m r
".,„.::::::4ftitiatELECTRJL L P ` 1 3
&� ikl. , es Fr
Suprv.Electrician signature,required: Subtotal:
Print name: Tim Oliver Date: 7/15/20 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: I--` _' 17 TOTAL PERMIT FEE:
This permit application expires if a permit isout obtained within:ISO
Print name: Tim Oliver Date: 7/15/20 days after it bas beet accepted as:complete.
• Number of inspections allowed per permit..
k PerateME Perm !.Ft.a I!REalae atsoelm015 -E.S'rlt lt49a€; 1:Wfin
� I
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined: $75.00 am— r
y Renewal rketriral energy system:
Check Type of Work Involved: 5 kva nr less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 1501 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* 100 kva(fee In accordance
with OAR 918-309-0040) 552..E 2
❑ H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100kva—noadditionalcharge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
s.ecificalt listed(/hr min)
Subtotal(Enter on Page 1)~
Fee for each commercial system: $75.00 , Nanrbcr of iaspe ions al owed Pe pens t.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n L• andscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n P• rotective Signaling
C Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
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