Permit CITY OF TIGARD MASTER PERMIT
`'�! - COMMUNITY DEVELOPMENT Permit#: MST2021-00506
Date Issued: 12/02/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111D601600
Jurisdiction: Tigard
Site address: 15500 SW ALDERBROOK CIR
Subdivision: SUMMERFIELD NO.8 Lot: 444
Project: McGregor
Project Description: Rooftop Solar PV 7.0 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: $10,000.00 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 7.0 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:
MCGREGOR,PAUL&SUSAN D FREEDOM FOREVER OREGON LLC Required Items and Reports(Conditions)
15500 SW ALDERBROOK CIR 15943 NE CAMERON BLVD
TIGARD,OR 97224 PORTLAND,OR 97230
PHONE: PHONE: 971-808-7776
FAX:
Total Fees: $355.19
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: HcnU i Vafti De Weg� Permittee Signature: on application
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 Application 2 (-II
Residential RECEIVED IOU OFIR I. t SI:()NIA
Cityof Tigard ED Received ����
- g Date/By: /1 l Z Z(�Z/ e,,� Permit No.:MST?Q2119050 Co
13125 SW Hall Blvd.,Tigard,OR 97223 NOV 1 Plan Review / LL
Phone: 503.718.2439 Fax: 503.598.1960 I �02� Date/By: f pi Other Permit:
T I G A R D Inspection Line: 503.639.4175 CITY OF 7IGARD Date Ready/By:111 ' Juris ® See Page 2 for
Internet: www.tigard-or.gov R ied/Method 2 L", ,di Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA: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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 0 000
ElAccessory building El Multi-family Number of bedrooms:
4 ❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15500 SW ALDERBROOK CIR New dwelling area: square feet
City/State/ZIP:TIGARD/OR97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:MCGREGOR -SOLAR 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:Summerfield No.08 Lot no.:444 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.:2S111 DB01600 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
7.00kW PV Roof Mount-Solar Valuation: na $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Pau McGregor Type of construction:
Address:15500 SW ALDERBROOK CIR Occupancy groups:
City/State/ZIP:TIGARD/OR97224 Existing:
Phone:( 541)609-0478 Fax:( ) New:
_. APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Freedom Forever Oregon LLC
Structural plan review fee(or deposit):
Contact name:Leann Malloy
FLS plan review fee(if applicable):
Address:15943 NE Cameron Blvd
Total fees due upon application:
City/State/ZIP:PORTLAND/OR/97230 -
Amount received:
Phone:(971 )808-7776 Fax::( )
E-mail:PermitsPortland@freedomforever.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Freedom Forever Oregon LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:15943 NE Cameron Blvd Solar Installation Specialty Code checklist.
City/State/ZIP:PORTLAND/OR/97230 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 971 )808 7776 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:234650 Total fee due upon application: $201.60
Authorized signature: Leady L //1.4119 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 11/15/2021 *Fee methodology set by Tri-County Building Industry
Leann Malloy Date:
Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
Electrical Permit Application RECEIVE • FOR OFFIc t: t SE ONE I
III City of Tigard Permit 5���—�ej��
Date/B
w 13125 SW Hall Blvd.,Tigard,OR 97223 N 0 V 1 7 2021 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Related Permit#:
Receivedeiv
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Juris: El See Page 2 for
T I G A R D Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
O Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building
less to ground,or exceeds 14,000 0 Commercial-use agricultural
Multi-familyMaster builderamps for all other installations. buildings.
❑ ❑ ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
O Addition H of new motor load of system.
1 5500 SW Alderbrook Circle
Job#: 195637 Job site address: lo0HP or more. ❑"A","E","t-2",°`t-3'°,
City/State/ZIP: TIGARD/OR/97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:MCGREGOR - Solar ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description 1 Qty. I Each 1 Total i *
New residential single-or multi-family dwelling unit.
Subdivision:Summerfield No.08 Lot#:444 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:2S 111 DB01600 Ea.add'1 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
7.00kW PV Roof Mount - Solar (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Pau McGregor 200 amps or less 100.70 2
Address:15500 SW Alderbrook Circle 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:TIGARD/OR/97224 601 amps to 1,000 amps 301.04 2
Phone:( 541) 609-0478 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
� Branch circuits—new,alteration,or extension,per panel
® _
APPLICANT CONTACT PERSON
A.Fee for branch circuits with
Business name:Freedom Forever Oregon LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Leann Malloy B.Fee for branch circuits without '
service or feeder fee,first
Address: 15943 NE Cameron Blvd branch circuit 56.18 2
City/State/ZIP:PORTLAND/OR/97230 Each add't branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971 ) 808-7776 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: Perm itsPortland(a�freedomforever.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Freedom Forever Oregon LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 15943 NE Cameron Blvd El See Page 2 2
panel,alteration,or extension.
City/State/ZIP:PORTLAND/OR/97230 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 971) 808-7776 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:PermitsPortland@freedomforever.com Inspections for which no fee is
CCB Lie.:234650 Electrical Lie.:C1612 Suprv. Lie.:6576S specifically listed(A hr min) 90.00/hr
��//��))�� ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: I .cY G'6'lt Subtotal:
Print name:Greg Albright ((// Date:11/15/2021 ❑Plan Review Required(25%of permit fee):
�/J State surcharge(12%of permit fee):
Authorized signature: �i1 .1, TOTAL PERMIT FEE:
U,1/ This permit application expires if a permit is not obtained within 180
Print name:Leann Malloy Date:11/15/2021 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(l t/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 Description Qty. Each Total
y Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 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
n G• arage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
n 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* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
Other: Prescriptive Roof Mounted PV System Each additional inspection is 6625/hr
charged at an hourly(1 hr min) _
Inspections for which no fee is 90.00/hr
specifically listed('/a hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page t):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
Audio and Stereo Systems
n Boiler Controls
Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
n M• edical
n 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.\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015