Permit CITY OF TIGARD MASTER PERMIT
INV COMMUNITY DEVELOPMENT Permit#: MST2021-00438
Date Issued: 10/12/2021
T I(;A R D 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103BA00201
Jurisdiction: Tigard
Site address: 11545 SW WALNUT ST
Subdivision: None Lot: None
Project: Nihill
Project Description: Rooftop Solar PV 13.3 kW
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: $33,000.00 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
Footing Drain: 0 Ice Maker 0 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 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
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'l 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 13.3 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:
NIHILL,GERALD T&DEANNA LYN CLACKAMAS ELECTRIC INC. Required Items and Reports(Conditions)
11545 SW WALNUT ST 16070 S RIFLE WAY
TIGARD,OR 97223 OREGON CITY,OR 97045
PHONE: PHONE: 503-632-2420
FAX: 503-632-2421
Total Fees: $378.19
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 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: F-lo-U 4 Va.w De,Wezie, Permittee Signature: Qrn,Ar-pt4,CO,(ip-u,
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.
Building Permit APDlicatinm
ll E C E IVE D $-91 ai 21
Residential I ,,I, ,,I II( I I si ,,vI v
City of Tigard fib! `� 0 2021 n�e/B (0 o ZUZI ;��� P tNo.:I��TZO2J IZ)`�3�
13125 SW Hall Blvd.,Tigard OR 97223.�I ' Plan Review
g Phone: 503.7182439 Fax: 503.598.19601 Y OF TIGARD DatelBy: (p 2) Other Permit:
Inspection Line: 503.639.4175 U!LDJNG DIVISION �t`OtecliNlethod:Z
Ready/By �i [[ ® �` ntailnrformaban
Internet: www.tigard or.gov 1 t aPP
in
❑New construction ❑Demolition` Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
fs Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
t rr .r* 4 K work indicated on this application.
Valuation: $
®1-and 2-family dwelling 0 Cornmercial/industrial ��t coo
❑Accessory building 0 Multi-family Number of bedrooms:
/� 0 Master builder 0 Other: Number of bathrooms:
(l ,11 S 11( '010 N 'N: 'z Total number of floors:
Job site address: t15 K5 c W W e(.„,.1.- 5.k.. New dwelling area: square feet
City/State/ZIP: i t G,,l,A [ 4 Z'L. Garage/carport area: square feet
Suite/bldg./apt.no.: ! Project name: Es _ N i>r,u Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
B Subdivision: Lot no.: Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
WO*K work indicated on this application.
l 3 k-w,3 l Q to c i ot,,e f e a 50 . f (rc c,(-4— Valuation: $
Existing building area: square feet
( New building area: square feet
ik; .� 1, 4, r,. t" i y• Number of stories:
Name: 7-N '.VI.lk Type of construction:
Address: i'5 y 5 S i cif 4)vc:/-- S 4. Occupancy groups:
City/State/ZIP: I,ei 4(Qk O q'�LZ) Existing:
Phone (9* ) f: )r c-,0 S Fax ( ) New.
Business name:
YNn n fi y COv `GL `1 1 lad-t-- Structural plan review fee(or deposit).
Contact name: 1
f 4.`^} t....,t t"(3''5\'`.. FLS plan review fee(if applicable):
Address: ID ipe, 8v`�--
�, Total fees due upon application:
Ciry/State/Z
�e. vcret�c4l. CD- ' -*DO
Amount received:
Phone:(SU3) (,)8(. -3-4 16 Fax::( )
E-mail: (41 4.1,4-a>°soL A-i t. 4 C r.C v.t.. - .,W.
Commercial and residential prescriptive installation of
= . _ roof-top mounted PhotoVoltaic Solar Panel System.
Business name:
6-v C Submit two(2)sets of roof plan with connection details
fta`� c0 1..k-`0 i^$ L) and fire department access,along with the 2010 Oregon
Address: pc, Ut c,s 8 '7- Solar Installation Specialty Code checklist.
City/State/Z�: Permit Fee(includes plan review $180.00
��tJCIGI+-<-1L C(14)04 and administrative fees):
Phone:( 9 ) 600 , 3-416 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: 2O-Z CX)'Z. Total fee due upon application: $201.60
Authorized signature: This permit application expires If a permit Is not obtained
within 180 days after it has been accepted as complete.
Print name: 6, ,-.- :,,A Date: et {Z,licit *FeeServimethodologyBoard. set by Tri County Building]nduslry
I:\Building\Permits\BUP-RESPermitApp.doc 02/24 201 I 440.4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling 1 t t 1; mil( 1 I `,I t 1`11
City of Tigard_ Permit No.:
111 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
a Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 Electrical Plumbing Mechanical
t' Internet: www.tigard-or.gov 0 Other:
III! I ( ll I O\\ l\(. 1 i 1. \IN \RV RI VI IRI I) 1 OR I'1 \\ RI \ Ii \\ ),,, \"
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. • 0 0
3 Verification of approved plat/lot. ii
I_i
4 Fire district a rovai uired. Name of district: ■ LJ
El
5 Septic system permit or authorization for remodel. Existing system capacity .
6 Sewer permit. 0
7 Water district approval.
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch-
basin protection,etc.
10 3 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 0 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 0
furnace,ventilation fans,plumbing 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 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendum showing foundation elevations with cross references are acceptable.
16 Wail bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ 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 0 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.p licable to the .ro•ect under review.
.11 I l'',l)I( 1 1O\ \I. ,l'I ( Ii I( "
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". III ■ ■
24 Two(2)sets each are required for Items 16,19,20 and 22 above. ■ ■ 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. Ei ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑
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,driplines, 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
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.
I:\Building\Petmits\BUP-RESPerrnitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
RECEIVED
Electrical Permit Application 1 (,i; ()III( 1 1 •••,1 (i 1,I 1
1 Received
City of Tigard SEP 3 0 202 Date/By: Permit it: 1,„,{ 1-202/-0c4.3s,
• 13125 SW Hall Blvd.,Tigard,OR 97223
Y OF TiGARD Plan Review
Related Permit g:
111 I Phone: 503.718.2439 Fax: 503.598.196bl Date/By:
Inspection Line: 503.639.4175 11,1ILDING DIVISION Ready Date/By.
huis: 1 iii See Page 2 for
www.tigard-or.gov NotcVMethod: Supplemental Informadon
;;;44.itl'. 41.;4--•;".;;,, ,':,..,,-.L.':•1;:ii-- . :1:1,40Mtvor!..1%keiWt'4.40M-IP.
El New construction ill Addition/alteration/replacement Please cheek all that apply(submit 1 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the imitable fault current 0 Marinas and boatyards.
' ''''',' -'''- '''.''''fiAlitintlioiligtraltiOOPMTVOCIIKOPUS -.:'''..;.'':.,:-.,.:''.- 1`.'.41',,•.'4, '.% rxrmis 10,000 amps at 150 volts or 0 Floating buildings-
, „
1-and 2-family dwelling Ci Commercial/industrial 0 Accessory building tess to ground,or excerAt 14,000 0 Commercial-nse agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
' -
S444 "7-441Wit 4WILL9r"*.Untl' 0 Emergency system.' :'' ' . ' ".' ' larger separately derived
0 Addition of new motor load of
system.
Job#: I Job site address: kks..A4 c„„ k,„,„%.„,„..k. s-4.. 100HP or more.
0 Six or more residential units occupancy.
City/State/ZIP: T‘i a 0 t1.- el 1- 1.-2.1 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bIdgJapt.#: Project name: 6s_ tv,L.k( 0 Hazardous locations. 0 Supply voltage for more then
0 Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site: i . -
descriptioa I Qty.1 Each 1 Total r•
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parvel#: Ea.add'l 500 sq.ft.or portion 33.92 1
I'',:.44:.,)..,;?-r,_,,i3Olg?Ilf0PE. '.'',,„.-; ,.;,.,,, 5' -, ,,.,, Limited energy,residential 75 2
(with above sq.ft.) .00
kl,:3 lc./ C vi../ i k. A t."••• /"47.4...... (co, Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
4'1-'4 4-‘^ eV I°,1 4-4rf.t• c4 t4
... ... Renewable Energy 0 See Page 2
. - • 15 . : Alltelf*CaL:-...,, ,-,:-- :,••'-' 14.4114trait's ".. r. .• ':'''.:;::Y:.:,, Services or feeders installation,alteration,and/or relocation
Name: 11_.
Ldri.hlok IR tx iv.A.Nell , 200 amps or less 100.70 2
201 amps to 400 turps 133.56 2
Address: I k 5"5 vi Ia.-it 1,,.,4- c 4-. .
401 amps to 600 amps 200.34 2
City/State/ZIP: T ,/ ...,„t ott- ct-1-tz...-2..3 601 amps to 1,000 amps 30t.04 2
Phone:( 43 ) (060.00i 4 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 5936 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
, m'" — •' " ' -..,.,'-''''' --f.)-6,:et.Life‘."4§..,''','Alla,,.'(enizitArv,-- 'Amiliihit- —''.,.,.-'.,--.._.,.. : Branch circuits-new,alteration,or extension,pr panel
Business name: LA-tings,5 above service or feeder fee, 7.42 2
each branch circuit
Contact name: 6,4-„, .k. Li—ci) l-e- B.Fee for branch circuits without
service or feeder fee,first
Address: fc i..,..,,, e,1.- j branch circuit 56.18 2
Each add'l branch circuit 7.42 2
City/State/ZIP: 11) uLf..4._e_tt_ 4 •-• oa 4 Miscellaneous(service or feeder not Included)
Phone:(50 3 )4,6 0.c 1 w eFak;c::( ) Each manufactured or modular
67.84 2
dwelling„service and/or feeder
Ernail: q t.-A-Q.csp k.... pits.I1-or• C 4'r.•''''' - Reconnect only 67.84 2
*.„.,1 ' i CONTRACMek- -., .';‘,-'. ' - '., , : . . ' Pump or irrigation circle 67.84 2
.... , ., , .
Business name: CA L..r.-.."-r....5 SA.4.c+4r4 4. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See page 2 2
Address: k(,0-1.0 S V--,C\-e_ k.i—,cl panel,alteration,or extension.
City/State/ZIP:
Each additional inspection over allowable in any of the above
O(,1 OA_ (., -k) o eL- -t-1-0 Li S Additional inspection(1 br min) 6625/hr
Phone:(5;13 ) cr, 2_.2_44 yo Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(I hr min) 78.t8/lir
Erna": eikt..4-( ci.,1„,......e,I.c 4-,-.c, ,C'44- Inspections for which no fee is
90.00/hr
CCB Lic.:(4,14 7,-5 Electrical Lic.: _0,4 1„, Suprv.Lic.: 44 k 5 sPeifically listed CA hr min. 4 . ..
1 - 1' "XLIKIINWAV!VOW RPM
Suprv.Electrician signature,required:)i Subtotal: vli.4 4,
Print name: sic''CV Jo Vt.-5 4e4-1.- Date: ati I-z I tut.( 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): t t„, t.)s
el
Authorized signature:)AAA ft1-1,‘,67.12,_ TOTAL PERMIT FEE: i ut St.4
piE
t
Date: (4 (--1 I Vic,2_1 This permit applicatioa expires Ifs permit is not obtained within 180
Print name: ktA_ (*I
days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:43 • ' ELC_PermitApp ELR_ERE doc Rev 06117/2015 44646157(11/05/COMAVEB
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 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 1 133.56 S;•Sb 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ B• urglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
0 Garage Door Opener* >100 kva(fee in accordance
552.26 2
with OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
❑ V• acuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
Each additional inspection is 6625/hr
El Other: charged at an hourly(1 hr min)
Inspections for which no fee is hrfically listed('hr min
"ieci
G iMME&CIA �� a s
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ A• udio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El D• ata Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ O• utdoor Landscape Lighting*
❑ Protective Signaling
❑ O• ther:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\EuddingtPerndts\ELC_PermitApp_ELR_EREdoc Rev 06/17/2015