Permit II CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit a: MST2021-00360
Date Issued: 09/14/2021
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S110BB01600
Jurisdiction: Tigard
Site address: 14465 SW HAZELHILL DR
Subdivision: AMES ORCHARD Lot: 9
Project: Hanna
Project Description: Install 9.1 kW solar roof mounted PV 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: 616,253.00 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
Bckflw 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: 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: 1
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 9.1 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
HANNA,BRIAN L F NEIL KELLY CO INC Required Items and Reports(Conditions)
14465 SW HAZELHILL DR 804 N ALBERTA ST
TIGARD,OR 97224 PORTLAND,OR 97217
PHONE: PHONE: 503-288-7461
FAX:
Total Fees: $417.61
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
0c9-nf-nmi n fhrn,inh fAp QS9-nnl-noon V n,n mnu nMnin n rnnu of fha Wane nr Aire,.nuaefinnt m r l IAIC ku eerlinn SO'i 9'19 10117 nr I Ann Q49 94dd
Issued By: 1-frilly Vae )P/WPfte Permittee Signature: 0 ry A pp Licattan
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 ApplicatioRECEIVED & - /,IZI
Residential l OR OFFICE USE ONLY
SEP 1 Nil Received
City of Tigard G� 7� PemutNo .�� ���3�®
III • 13125 SW Hall Blvd.,Tigard,oR 97223r;,1r(OF TIGARU plan R vview / LJ
' t Phone: 503.718.2439 Fax: 503.598.I I Date/B : 4(i ftt�'� OurrPemur.
l;r,t:a Inspection Line: 503.639.4175 tILDING DIVISION Date Ready/By: _ I / J5 7 ®See Page 2 for
Internet: www.tigard-or.gov 'fied/Meth.i / _ ( i J�y' Supplemental information
Ilaiirrad A_. .dL%
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Di,*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: equipment,materials,labor,overhead,and the profit for the
/ CATEGORY OF CONSTRUCTION work indicated on this application.
Eif I-,and 2-family dwelling 0 Commercial/industrial Valuation: $ «JZ"l'5
1 ❑Accessory building 0 Multi-family Number of bedrooms: 5
❑Master builder 0 Other: Number of bathrooms: 3
JOB SITE INFORMATION AND LOCATION Total number of floors: Z
lob site address: \L,G`t0 cs ` ) N Z{i,. \\ �\ , New dwelling area: square feet
City/State/ZIP: --i---yarn O 7_, T 122GI Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 13ntlyli \-Vr.),JVv\CA...-. 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
equipment,materials,labor,overhead,and the profit for the
Ntc...6/4)DESCRIPTION OF WORK work indicated on this application.
IY1SZr_l-lKAZ -=o1cur fc‘oc rne,-) k t� e1 Valuation: $
Existing building area: square feet
New building area: square feet
tl PROPERTY OWNER ❑ TENANT Number of stories:
Name: Bi-(_,(-, ylv\. Type of construction:
Address: 1.44\ It SW W -'.Q A\ Di, Occupancy groups:
City/State/ZIP: ^�r1\/ /A iii-A f D 1 1-''27�1 V Existing:
Phone:(5) `fl"1fj -.g'.l4- > Fax:( ) New:
lizi APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*.
Business name: 1„,1 6 1U (Please refer to schedule)
Structural plan review fee(or deposit):
Contact name:
Ro rt- v,�J.vl, \„,....._Address: St Li k`12,e FLS plan review fee(if applicable):
City/State/ZIP: .�,O MO t/t 6).(Z c1-i 21`} Total fees due upon application:
�,�X (t` ' 1/� 1 I Amount received:
Phone:( ), 3- (LjS`1Lt J Fax::( ---)--
` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
r6 r Y a ebf r1,(1 i'k.-11.(-..d I4.Q)I)e-k,i 1 U ' (CrtnCommercial and residential prescriptive installation of
CONTRACTOR (JJJ roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 14 0 \ I`�e.1 ` Submit two(2)sets of roof plan with connection details
� tl and fire department access,along with the 2010 Oregon
p
Address: O uA ,V N\ i ACk_ So!ar Installation Specially Code checklist.
City/State/ZIP: C. Permit Fee(includes plan review
ty /ZIP: `'C t�,(�`�� ) �� �r � and administrative fees): $180.00
Phone:(FS06) '()3-- 10E7 CI Z) Fax:( .)- State surcharge(12%of permit fee): $21.60
CCB tic.: 1 to Lei 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: / ` i 1C 0�j n6Y eic n y� ,,I Date: Q-3'- 2_I *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24 011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
Daffy Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
i nil - • Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
TIGARD Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Vrs No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ (],
3 Verification of approved plat/lot. 0 Q III4 Fire district approval required. Name of district: El Illli R/
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0'
6 Sewer permit. ❑ 0 0
7 Water district approval. El 0 El/
/
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ El0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ El (3'
basin protection,etc. /
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ [
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
there is more than a 4-fl.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 ❑ ID (2
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ❑ []
fiunace,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- ❑ ❑ El]"
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. ❑ ❑ [Yl'
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
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 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 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 ❑ ❑ E
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 ❑ Ev
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
architect licensed in Oregon and shall be shown to be applicable to the •ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 DD/
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0
L�
25 Building plans shall not contain red lines or tape-ors. "Mirrored"building plans will not be accepted. 0 ❑ Eli
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. ❑ ❑ 0'/
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 El [ '
Street Tree List. �,/
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ID l/
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, ❑ ❑ Lid
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\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
DocuSign Envelope ID:CF2OFD6A-7DED-401E{�✓�1BCG�iiVED
Electrical Permit ApplicatidllL V 1— FOR OFFICE USE ONLY
City of Tigard SEP 1 Zfl21 Received Permit#: r
IN13125 SW Hell Blvd,Ti OR 972�}�/ Date/Ely: MS rgo i OD 360
_. Phone: 503.718.2439 Fax: 503.59�.Ib60 OF 71GARG Pa^Re�w Dale/By: Related Permit#:
Inspection 503.639.4175 !LDINC D�vISi n Read Date/By: kris ta See Page 2forTIG4RD
Internet: www.tigard-or.gov blotified/Method: I Supplemental Information
PE OF WORD,.. PL!iN'$EYAESS"
❑New construction NIP/Addition/alteration/replacement Please check all that apply(submit j sets of plans w/items checked):
❑Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition El Other:
where the available fault current ❑Marinas and boatyards.
!;:. . - -, 'CA 'SQ,R,Y,,OF..CONSTRT ON.. exceeds 10,000 amps at 150 volts or ❑Floating buildings.
Or 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations.
El Multi-family ❑Master builder El Other: Installation
❑Fire pump. ❑InvWllation of'ISO KVp or
_,JOB SiTE,INFORMATION,. jp LOCATION 0 Emergency systemr larger separately derived
1-11— O Job site address: I L,L1(o5. �k�i 1` V Ir ❑10011 Addition of new motor load of system
Job#:
2 / t 100HP or more. ❑"A""E' "t-2""I-3"
City/State/ZIP:`-1 g QYC�. / n —. I 122 ❑Six or more residential units. Recreation
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt#: j Project name: (1_, ar1Aflv\a, 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 60°volts❑ominal.
Cross street/directions to job site: FEE SCHEDT
Pmedpnoa (Qty. I Each I Total 1
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or leas 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 I
--ttstioryavoir.oRK
y,,,, l �7 pp �N� 1, - Limited energy,residential 75.00 2
Il SV�-1 ` D O JY_-W 31co \cl(C r r ooy-)A c (with above sq.ft.)
Limited energy,muhi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
ROPI inTY O)Y,NER Ell;i AINT Services or feeders Installation,alteration,and/or relocation
Name: '1N\G y .rv,..Lam_ 200 amps or less 100.70 2
r, `� , {a,7 e h`n•, \{ }-��, , 201 amps to 400 amps 133.56 2
Address: , j`y 4r t"l l� `( l? ` `l
401 amps to 600 amps 200.34 2
City/State/ZIP: ra. 6 12_ C"T'z2 L\ 601 amps to 1,000 amps 301.04 2
Phone:( 3) 4f p g2.63 Fax:( ----)— _--" Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: bi c.'IncuA el t r-)')a i/ , (�I���—? relocation
Owner installation:This installatbn 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
7 Branch circuits—new,alteration,or extension,per panel
LJYAPPLICANT ❑ CONTACT PERSON
1 A.Fee for branch circuits with
1
Business name: 16 I 4,1 ( u above service or feeder fee, 7.42 2
each branch circuit
Contact name: g^6 bu r r O YY1LLYl 1 Yl B.Fee for branch circuits without /J
Address: b1 r1 I V 1\11 ,1/�ya�- service or feeder fee,first
branch circuit >,/ 56.18 2
t r+
City/State/ZIP: ,r, kl At Each add'I branch circuit 7.42 2
V' i 1� ) �' , �' Miscellaneous(service or feeder not included)
Phone:(`J(). ��j_5 1q D Fax::( ) Each manufactured or modular
y� r LL dwelling,service and/or feeder 67.84 2
Email: FO .� . (;)�"7A r7,Y-1 .i I/�1"l I (Orr?1�!1 Reconnect only 67.84 2
c^*~ CONTRACTOR Pump or irrigation circle 67.84 2
Business name: N 0` e\'1 2 2 Sign or outline lighting 67.84 2
-
D 1 • Signal circuit(s)or limited-energy
Address: (� N �`\ panel,alteration,or extension. ❑ See Page
City/State/ZIP:'rrpc-Nayk ( 9-121 1 Each additional inspection over allowable in any of the above
�CJ(` Additional inspection(1 hr min) 66.25/hr
Phone:( )$ .66-4/U Fax:( ) Investigation(I hr min) 90.00/hr
n ni /n'n Y1. Industrial plant(I hr min) 7818/hr
Email:
Y2,t 1/ e I l b . (G Inspections for which no fie is 90.00/hr
CCB Lie.:J h 623 Eleetrical.Cic.. by' Suprv.Lie.: 5/2(0..S specifically listed(h hr rain)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
,, �y , •--eoru<r u<nouues...
Print name: l Ci, M e.-hvt n Date: 8-31_21 0 Plan Review Required(25%of permit fee):
/] /Q �/ y1�/f� State surcharge(12%of permit fee):
Authorized signature:
..6 1 ''v J j r' J/ TOTAL PERMIT FEE:
t 1�/Y I This permit application expires if a permit is not obtained within 180
Print name: aVP4 f)(e/") i Date: A i 3 1�'i days after it has been accepted as complete.
t,+l r� `1 r l-' " Number of inspections allowed per permit.
1:93uilding\erm^a1ELC PcrmitApp_ELI ERE.doc Rev 06/1720 3 4404615T(1 I/OS/COM/WEB
DocuSign Envelope ID:CF2OFD6A-7DED-401 B-8783-46B4801 B9212
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee fur all residential systems combined: $75.00 Renewableue Qm• I Each I Total
y electrical energy systems:
Check Type of Work Involved: 5 kva or leas l00.70 2
5.01 to 15 kva L. 133.56 MVO 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva 301.04 2
Opener*
50.01 to 100 kva 552.26 2
❑ GarageDoor >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
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(I hr ruin)
Inspections for which no fee is 90.00/hr
specifically listed('/,hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page I):
y
Fee for each commercial system: $75.00 ' Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
• Outdoor Landscape Lighting*
n Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:lnuilding\PermitaLC_PcrmitADp_ELA ERE.doe Rev 06/11/2015