Permit CITY OF TIGARD MASTER PERMIT
111111 a COMMUNITY DEVELOPMENT Permit#: MST2021-00296
Date Issued: 08/24/2021
T I GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA12600
Jurisdiction: Tigard
Site address: 16640 SW DESCHUTES LN
Subdivision: RIVER TERRACE EAST Lot: 126
Project: Banks
Project Description: 7.98 kW solar install
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: $21,000.00 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 Drains: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Bckllw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 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
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add!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 N
Other: Y Other Description: Roof Top Solar PV System 7.98 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
BANKS LIVING TRUST ENERGY SOLUTIONS LLC Required Items and Reports(Conditions)
BY BANKS,BRANDEN&KATIE TRS PO BOX 887
16640 SW DESCHUTES LN BEAVERCREEK,OR 97004
BEAVERTON,OR 97007
PHONE: PHONE: 503-680-3718
FAX:
Total Fees: $358.19
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 equires,you to ollow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc _an1_an1n rhrnnnh ,—x- oc _nn _anon I nil mnti nhtnin `�rlirc t nncctinnc to ni INr.by neninn c 749 10A7 nr 1 Ann 219 71,14d ��j�
Issued By: / . . '4�,�4...U���.�iAt& -ermittee Signature: r ✓W'' " is
Call 503 .39.4175 by 7:00 a.m.for the next available inspection date. L �
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 lob site at the time of each inspection.
ar
Building Permit Applicatiol fECEIVED — -7/2b 12',
Residential Or,
Iuitt>It it I 1 >i ttvll
ul; 2 0 Received
City of Tigardmay: —71 .21 1av Penni,N°:m52oz1-002(I(n
1312 S 03.718?A39 Tigard,
503.598.19d0ITY OF TIGARD Plan/ByKw 7/27/ ) <
�1,' Olhcr Permit:
i ,. 17 Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: /! �(/um: El See rage 2fer
Internet: www.tigardor.gov onfied/Method: [ Supplemental Information
*rot
�5��3 . Vyyyi Ole, y
0 New construction ❑Demolition Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
tEl Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
l - s, work indicated on this application.
L\ 1-and 2-family dwelling 0 Commetvial/industrial Valuation: $ fJcO
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
'i` * Total number of floors:
Job site address: k(a fF 4.O Su..) ptS t.Xnu -S l n New dwelling area: square feet
City/State/ZIP: 1.1.G,„„y4/A-t,vt 02, C)- ,-i- Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ff.)_ t'So•,1lei—eS Covered porch area: square feet
Cross streetidirections to job site: Deck area: square feet
Other structure area: square feet
Subdivision: I Lot no.: Permit fees'are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
( 00<,Ilf*X.. work indicated on this application.
'1 . er8 LA) Qn-sc.(.te Vo-'-e. S Olt 4-r I .1 yI'-c ll Valuation: S
t7 � — Existing building area: square feet
r
New building area: square feet
Number of stories:
NamC: [Sf.ntkevt .34n4+ S Type of construction:
Address: 1 Occupancy groups:
City/State/ZIP: e_,,e,j</4 Gti cii- 4—roil— Existing: I
Phone:(503) cis 7, vk12,C, Fax:( ) New: 1
tr►l '.?il . . . $ .r►.
Business name: _ '' '` ,..
�'��`jy 1 Si) I `�"^s ) of Structural plan review fee(or deposit):
Contact name: Lfor{ LAAci0,`�.1
Address: p v i o, 8b ?- 1 J FLS plan review fee(if applicable):
r-� V Total fees due upon application:
City/State/ZIP: .l> ,,trLr- {h- (�, CJ"t
Amount received:
Phone:(56) (o ,,-3-4.1 el Fax::( ) f
E-mail: q f�N Q. �5p1 v°i.,,s- c Pl9 i'OV,t#4�A Gl x t .9YS .$ `,
`J .0.c. Commercial and residential prescriptive installation of
,,, ' . . roof-top mounted PhotoVoltaic Solar Panel System.
i>ne f J Submit two(2)sets of roof plan with connection details
Business name: a 1 4 1
�� \O�rj and fire department access,along with the 2010 Oregon
Address: f O -Fj(�X OUR- Solar Installation Specialty Code checklist.
City/State/ZIP: ,..,�,�Gr„`, ci'l'LIUg Permit Fee(includes plan review $180.00
(��) and administrative fees):
Phone: Co So. ' /0 Fax:( ) State surchargepermitfee):
fee: $21.60
CCB tic.: "2 0Z06--z_ Total fee due upon application: S201.60
Authorized signature: This permit application expires ifs permit is not obtained
within 180 days after it has been accepted as complete.
Print name: (tro "Fee methodology set by Tri-County Building Industry
�k n� ate: I ZD�"L07i l Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 0 4/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling I I.R ol I I1 i i ,1 ()" 1
City of Tigard Received
D- , , . Permit No.:
III a 13125 SW Hall Blvd.,Tigard,OR 97223 As ;atedpemia;
Phone: 503.7182439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical CI Plumbing CI Mechanical
i '`' '.r I' Internet: www.tigard-or.gov O Other:
1 II1'. 1 01.1,O\\ I\(; I I I:AI' \RI Ri..o. IRF:I) I (►R I'I.AN Rl1\ ll 1V ` ., `"
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ • U
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. U ❑ m
3 Verification of approved plat/lot.
4 Fire district approval required. Name of district: • —
5 Septic system permit or authorization for remodel. Existing system capacity . IIT
6 Sewer permit.
7 Water district approval. •
8 Soils report. Must carry original applicable stamp and signature on file or with application. ■
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ■
9 NI
basin protection,etc.
10 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ 0
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator,lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 ❑
furnace,ventilation fans,plumbin' fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 ❑
floor,wall construction,roof construction, More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ 0 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required E R 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0
architect licensed in Ore on and shall be shown to be a licable to the 'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20 and 22 above.
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑
26 `Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,(hiplines, 0 0 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
Electrical Permit Applicat CEIVE® I ,„t ,,, , ,, , , ,, ,,,, ,
Cityof Tigard , ? r3 Received
Date/B : Permitu:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Pkm Review
g Phone: 503.718.2439 Fax: 503.598, OF TIGARD Date/B : Related Permit rl:
Lin
e:ne: 503.639.4175 Ready Date/By: IMO 0 See Page 2 for
Internet: www.tigard-or.gov i UILDING DIVISION Notified/Method: Supplemental Information
Ov .Mgxy1 •~ 1,.
❑New construction p.Addition/alteration/replacement Please check all that apply(submit 2 sets of plans widens checked):
❑Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available faun current 0 Marinas and boatyards.
. , 1. s.
r r "�' � - �a�- 4,,,'•* exceeds 10,000 amps at 150 volts or 0 Floating buildings.
,n l-and 2-family dwelling 0 Commercial/industrial 0 Accessory building tees to ground,or exceeds 14,000 0 Commwcial-use agricultural
amps far all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or
- .^,:.. . 10.. •t :OW ,. '';,:. 1,7 , :, ❑Emergency system. larger separately derived
N ❑Addition of new motor load of system.
Job#: Job site address:
l(ob 0 Sw De 5 cArtu-k-e 5 1 1001P or mote. ❑4A„.e t_2 -la„
City/State/ZIP: f „ e2 � ❑Six or more residential units. w r-
❑Health-cart facilities. 0 Recreational vehicle pants.
Suite/bldg./apt.#: Project name: vS _ 11-- CI Hazardous locations. 0 Supply voltage for more than
�VL S 0 Service or feeder 600 snips or more. 600 volts nominal.
Cross street/directions to job site:
nacri Mien r OW. 1 Fmk I Tend 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#:
i�ma sr r *. ,, Ea.add'1500 sq.R or portion 33.92 I
F , ' A' `}nn.ag. ". , ---' : Limited energy,residential
g,4(g lei,)' Soio r S.•t 54-e t lee_.-t e.'-t (with above sq.ft.) 7s.00 2
p>n Limited energy,multi-family 75.00 2
i„p residential(with above sq.@.)
r t Renewable Energy 0 See Page 2
., :4. : • ..` -` •� ,' 40t.'r `,..Tt- Services or feeders Installation,alteration,and/or relocation
Name: --1- 4-,,.,(i4,, 12,..,vt IL-5 200 amps or less 100.70 2
01 amps to 400 amps
Address: I (:..)(0,014 5 L�u�-e 4 200
S Li-. . 2
401 amps to 60D amps 200.3434 2
City/State/ZIP: ,...4 i 9 'o 1- 601 amps to 1,000 amps 301.04 2
Phone:(lj(i3 ) 4 5 .sI try 9 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
p� a -- I Breach circuits-new,alteration,or extension, r panel
... A.Fee for branch ci iaib with
Business name: Vv.1,4_i y Cm\ vy}s�s (,L.- above service or feeder fee, 7.42 2
r..n 1 �tNr3•,' -( each branch circuit
Contact name: � B.Fee for branch circuits without
sAddress: f o l70 c- b: e 7- branchvice circuitfu fur first
branch 56.18 2
City/State/ZIP: j,e_G,pc/ Gf-4-h_ D2 5- -0D1 Each add branch circuit 7.42 2
Miscellaneous(service or feeder not Included)
Phone:(5)3 ) (AO, -s'- ( g Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: .v�k@ esdt.A tow.5-or t c...6..., on Reconnect only 67.84 2
- ... . . Putrrp or irrigation circle 67.84 2
Business name: C l,,C Gw 4 s g t tG+Ir e_ Sign or outline lighting 67.84 2
p Signal circuit(s)or limited-energy 0 Page See 2 2
Address: 7 0 -g O 1< 5 t panel,alteration,or extension.
City/State/ZIP: )� �,�/� Each additional inspection over allowable In any of the above
I��-�( �-e-L�L CA- GI l'W y Additional inspection(1 hr min) 66.25/hr
Phone:(Co) 632_, 2,iZ0 Fax:( ) Investigation(1hrmin) 90.00/ht
Email: 11 -- Industrial plant(]hr min) 78.18/hr
.G C �_ L,4 G 4t-�/�3 4e--(.e C r-r r 4_ . C-cp,t 2 j iInspections for which no fee is
CCB Lie.: (Lj I ej - Electrical Loc.: b04 G Suprv.Lie.:(STD,` ( S specifically Iistcd1/s hr Min) 90.00/hr
Suprv.Electrician signature,required: f/
X. 1'1,3r Sb
Print name S L d t( \ U�r S�y y Date: ' I L L-y rr i ID Plan Review Required(25%of permit fee): ,
0 ,V Authorized signature: yJ11,4�/nl State surcharge(12%of permit fee): ( � '1, � ,V TOTAL PERMIT FEE: (till,5y
This permit application expires If a permit Is not obtained within 180
Print name: I..f7\t sr f
I4,..L..o,,,-i Date: 170(-tyzi days after it has been accepted as complete.
• Number of inspections allowed per permit
I:tBuildiag\PermitaaELC_PenmtApp_E[.R_ERE.doc Rev 0 611 7/2 01 5 4464615T(11105/COM IWEB
f
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Dwvbnun r Qty. i Each I Total I •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved: 5.01 to Is kva l 133.56 i33$6 2
❑ Audio and Stereo Systems* 15.01 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 552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning solar generation system in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100kva-no additional charge 0.0 3
Each additional inspection over allowable in any_of the above:
Each additional inspection is 662si hr 1
El Other: charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
a�ecificallKlisted('h hr mm� .
Fee for each commercial system: $75.00 Subtotal l ate`on rage 1) 1
y • Number of inspections allowed per email.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ C• lock Systems
❑ D• ata Telecommunication Installation
D Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ 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
I:\Beilding\PamddELC_PnmsAPP_ELK_ERE doc tte5,,06/47/2015