Permit .Ili ! n
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00422
Date Issued: 10/05/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DD08600
Jurisdiction: Tigard
Site address: 15800 SW HIGHLAND CT
Subdivision: SUMMERFIELD NO.6 Lot: 302
Project: Sorden
Project Description: Rooftop Solar PV 6.46 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: $2,000 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'I 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 6.46 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:
SORDEN,DANNY JOE PRO STAT SERVICES LLC Required Items and Reports(Conditions)
15800 SW HIGHLAND CT 1721 NE 64TH AVE STE 120
TIGARD,OR 97224 VANCOUVER,WA 98661
PHONE: PHONE: (360)859-3749
FAX:
Total Fees: $356.69
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
oC9-Ml-nnln thrni inh nGA oS9-nni.nnon Vni1 mw nhtnin n rnnv of the ndoc nr rlirort ni!pet inne to rll INC by rollinn cn'2 919 1CI�RR77n11r 1 Ann 119 9'2dd
Issued By: I�o- (y Va n.De,�n/Pge Permittee Signature: 0t t'A I',,�1'" ' N
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 iob site at the time of each inspection.
Building Permit APPlicatiolR V Ir / e
Residential 1 t,lz ()I l l( i I ,I. >vI 1
�+ ��, Receieed
Ci of Tigard t 't4' .202/ .7)r PermitNo.:KSr2021-061(2�
`J � Date/R e �t
13125 SW Hall Blvd.,Tigard,OR 97223/�� Plan Re rew
C Phone: 543.718.2439 Fax: 503.598.19b>i I OF 1IGAH� ?ja el Datel3y: /Z1 �/A'
Other Permit:
! It;1RI) Inspection Line:503.639.4175 BUILDING DIVISION teR.eadyBy: / J°' SeePagc2Cor
Internet: www.ti ard-or.gov fNotified/Meth riiii i Al 4ec Supplemental tnforma kin
TYPE OF WORK REQUIRED D•'TA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ®Other:SOLAR equipment,materials,labor,overhead.and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $2,000
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
1 JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15800 SW Highland Court 'Tigard,OR 97224 New dwelling area: square feet
City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:SORDEN Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
requipment,materials,labor,overhead,and the profit for the
I DESCRIPTION OF WORK work indicated on this application. _
SOLAR PV INSTALLATION Valuation: $
6.46 kW Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:SORDEN,DAN Type of construction:
Address:15800 SW Highland Court Tigard,OR 97224 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(360)624-8526 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:PROSTAT ELECTRIC
Structural plan review fce(or deposit):
Contact name:DALE KRUEGER
FLS plan review fee(if applicable):
Address:1721 NE 64TH AVE
City/State/ZIP:VANCOUVER,WA 98661 Total tees due upon application:
Phone:(503)539-7772 Fax::( ) Amount received:
E-mail:dalc.krueger@comeast.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:PROSTAT ELECTRIC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1721 NE 64TH AVE Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
' City/State/ZIP:VANCOUVER,WA 98661 $180.09
and administrative fees):
Phone:(503)539-7772 Fax:( )
State surcharge{l2%ot permit fee): $21.60
CCB lie.:189902
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:DALE KR GER Date:9/17/21 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildinglPemiitslBUP-RESPemutApp.doc 02/24/2011 440-461 3T(1 1/02/COM/WEB)
1 I
1,
Electrical Permit ApplicagCEIVED
City of Tigard Keceiv,d OFFICE
Pl)alan'1123eiew
. I a. Phone: 503.718.2439 Fax: 503.59U1Frni Date/By:
SEPO1F7TIGOAZIRD
. . 13125 SW Hall Blvd.,Tigard,OR 97223
;1111 Pemnt e: srgelkez 2z....,
Related Perm
Inspection Line: 503.639.4175 Ready Dateliy: See Page 2 for
Internet: www.tigard-or.gov 3UILDING DIVISION No Juxis;..rig titicdtMethod: 1 I( Supplemental Information_ii
TYPE OF WORK PLAN REVIEW
i Please cb.colt all that apply{submit 2 sets of plans K./items checked):
i [2 New construction dditio eration e cient
0 Scrvicc or feeder 400 amps Of more El Building over three stories.
0 Demolition jJ Other: where the available fault current 0 Marinas and boatyards
CA &WRY F CONSTRUCTION exceeds 10,000 amps at ISO volts or a floating buildings.
Q1 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14.000 a Colosnercal-UP:agricultural
amps for all other installatiom, buildiniv
t 1 0 Multi-family r_ji Master builder 0 Other: 0 Fire pump. 0 installation of 150 KVA or
i
I JOB SITE INFORMATION AND LO 'ATiON 0 Emergcmy s),,teni. larger separately&rived
'
lob 4: ; Job site address: cil St,3 t 'tAAPAt...• 0"- o Addition or nen rootor load of system.
100ifP or mom
Cl ity'State!-ZIP: k C-20-(L ) 0- Y7 22-' ' °Six or more residential units.
01-Ica/lb-wit facilities. occupancy.
a Recreational sehicte paltS.
Suitelbldgiapt.4: ; Project name: ......9Qt14, 60...-- 0 Haunioas locations. 0 Supply voltage for more than
°Service or feeder 609 amps or more 609 volts nominal_
ICross street/directions to job site: FEE SCHEDULE
Descriottaii li Qty. I Each I Total 1 s_
'..
I New residential single-or multi-family dwelling unit
i Subdivision: Lot 4: 1 Includes attached garage.
1,000 sq.Ct.or less 1 168.54 f 4
Tax map./parcel#: Ea.add:15005g.It.or portion 1 I 33.92 I
DESCRIPTION OF WORK Limited energy,residential
75.00 2
„x/ Li„,,,,,„,_, (with above sq.ft..)
Limited enerp,multi-family
(C). L \) residential t with above sq.ft.) 2
Renewable Energy 0 See Page 2
1
El PROPERTY OWNER i 0 TENANT
Services or feeders installation,ialteration,and/or relocation
Name: 200 amps or Icar 100.70 1.
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:l, ) Fax:( ) Over i pot)amps or volts I 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 alum;or less I
i 59.36 I I I
intended for sate,lease,rent,or exchange,according to ORS 447,449.670,and 701. 201 amps to 400 amps
125.08 2
Owner sianature: Date: I 401 amps to 599 amps I 168.54 2
, ----I AP .--
CANT I XCONTACT PERSON Branch circuits-new,alteration,or extension,.er tamed
if
A.Fee t'or linineli circuits with , 1
Business name: Sllec j4e6 CtLt-- above ser.ice or feeder fee, I
7.42 2
ClICil bnuich circuit ___..._
1 Contact name: 0-- $sLA 4-11t----- I 13.Fee for branch circuits nithow
service or feeder fee,first
I 56.1S Address: LILA. ASS. (sL.1, 44.)e— branch circuit ___ 2,
I City/Stat&ZIP: VoteVCCAM.0141--1 LA A ctmi% Each add',branch circuit T.42 2
Miscellaneous(service or feeder not included) ,
Phone:(6-)3 ,l <-.53ci.... 7 7/1 - Fax:;( ) Each manufactured or modular ; ' 67.84 i 2
&telling.survicc and/or fecder
11 Email: - %,t r cr11,01.4 1/4-- 042.2k Reconnect only 67.84 2
A CONTRACTOR _ Pump or irrigation circle 67.84 2
4
Business name: liRkXXM-' _AJC5C,:crt-t4--- Sian or outline lighting 67.8 . 2
Signal circuit(s)or litniied-cncrgy 1 ,--1 See 2 1 1 2
Address: kl.:1A ( _k___, A q‘.________ _Te--- ___ _panel.adoration.or extension. `-' Page
Each additional inspection over allowabk in any of the above
City/State/Z.1P: VCIAACA140"----) (Z N q (a\IA Additional inspection(1 hr min) 66.25'hr I
i
Phone:( ..93
-- --------.3y,..... 1-77 ,.... i Fax:i
1 / ) Investigation(I hr min) 90.00,br
Industrial pima 11 ht min) 78.18;hr 1
Email: ac,..v_. 11/44.4,60t.st...r. e c.,b-,.....c..s.- A i. s. , - - • i
, lnspochons,tor which no roc i5
; 90.00 lit 1. . ., .
,- ; ,
CCB Lic.: 1 artit 4z, 1 Electrical CS'.: I ) Suprv.Lie.: 1 21„ 5 i s itic411 listed 91"1 -hr
' ELECTRICAL PERMIT FEES
Suprv.Electric:n siLmature,requi ed:," ,, , :
. ' Subtotal:
Print name: Date: l. j( 0 Plan Review Required(25%orperrait fee): ,
Ii I
— 1 State surcharge(12%of permit fee): . _
Authorized sigtaturc: .,, - ..........,---- L TOTAL PERMIT FEE;hi de.4
I
This permit application expires if a permit is not o within ta0 1
Print name: - k044-Z eNeleL-- I Date:91 1 1(7o. t 1 days alter il has been accepted as complete. I
' Number of inspect tons allowed per permit.
LLIStildr.tr.Pc.-mits,..LC_PcrenttApp_ELRERE.doc Rc,04117(20i! 630-451:511 I 1.95:CON(TWE Ft •
Electrical Permit Application-City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY:
FEE SCHEDULE
Description Lt 5 o
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70
Check Type of Work Involved:
s.oi to 15 kva
133,56 )55 %._:,
I Audio and Stereo Systems* 15.o1 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
E 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 918-309-00401
U Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7 42 3
Vacuum Systems* 100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
Ej Other: Each additional inspection is
66.25,hr
charged at an hourly t 1 hr mini
Inspections for which no fee is 90.00/hr
specifically listed 1'fi hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):
Number of itt5pections allowed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
I— A• udio and Stereo Systems
— B• oiler Controls
E C• lock Systems
r D• ata Telecommunication Installation
ri F• ire Alarm Installation
FIV AC
- Instrumentation
- Intercom and Paging Systems
- Landscape Irrigation Control*
- Medical
Nurse Calls
Outdoor Landscape Lighting*
1-1 Protective Signaling
LI Other:
Total number of commercial gysterns:
*No licenses are required. Licenses are required for all
other installations
L'Suildmi,Permes,ELC_PermitApp_ELR_ERE.doc Re06174013