Permit IN ,� CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00514
Date Issued: 12/14/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 E Parcel: 1 S 136AA02201
Jurisdiction: Tigard
Site address: 6501 SW OAK ST
Subdivision: None Lot: None
11,
Project: Peterson
1 Project Description: Rooftop Solar PV 5.18 kW for the garage.
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: $7,511.00 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!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2
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 5.96 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:
PETERSON,THOMAS C ION DEVELOPER LLC Required Items and Reports(Conditions)
PO BOX 80954 3214 NORTH UNIVERSITY AVE
PORTLAND,OR 97280 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $442.92
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 rqiquires you to flow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: it//. / Permittee Signature: Gw/J kd//�r,
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 lob site at the time of each inspection.
Building Permit Applicatio F —1II2 ,j .
E"EI V ED ��Aro"Residential
hoR ou 1.:( is t Si. O\l.'
City of Tigard NOV 2 3 2021 Received 1 '-�i
DateBy: ��7/ POP PennitNo.: ST202/-0cj5!
13125 SW Hall Blvd.,Tigard,OR 97223 ITY Plan Review'
II Phone: 503.718.2439 Fax: 503.598.19vv OFTIGARI� Date/By: 21 A.�' Other Permit:
I I G A K u Inspection Line: 503.639.4175 3UILDING DIVISION Date Ready/By: �. luris: ® See Page 2 for
Internet: www.tigard-or.gov rlPotified/Method: �1 Z21 Ile,— Supplemental Information
TYPE OF WORK [s► 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: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 7511
0 Accessory building 0 Multi-family Number of bedrooms:
1 ❑Master builder 0 Other: Number of bathrooms:
1.1' JOB SITE INFORMATION AND LOCATION Total number of floors:
! Job site address: 6501 SW Oak St New dwelling area: square feet
City/State/ZIP: Tigard,Oregon,97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Thomas Peterson(Garages)Solar Install 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: Portland West,Raleigh Hills I 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
DESCRIPTION OF WORK work indicated on this application.
Installation of solar panels on existing residential roof. 5.18 kW Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Thomas Peterson
Type of construction:
Address: 6501 SW Oak St Occupancy groups:
City/State/ZIP: Tigard,Oregon,97223 Existing:
Phone:( 503 )318-6349 Fax:( ) New:
IR APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: ION DEVELOPER LLC
Structural plan review fee(or deposit):
Contact name:Anastasia Heule
FLS plan review fee(if applicable):
Address:4801 N University Ave#900
Total fees due upon application:
City/State/ZIP: Provo, UT 84604
Phone:( 801) 326-0959 x8760 Fax::(801 ) 607-6826 Amount received:
E-mail: permits@ionsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: ION DEVELOPER LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4801 N University Ave#900 Solar Installation Specialty Code checklist.
City/State/ZIP: Provo, UT 84604 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 888) 781-7074 Fax:(801 )607-6826 State surcharge(12%of permit fee): $21.60
CCB lie.: 230394 Total fee due upon application: $201.60
Authorized signature: A rta4twsizu Reale This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Anastasia Heule Date: 11/4/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
A
'iectrical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED Received ri -�
Date/B : ST v 61
13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Related Pennit#:
NOV 2 3 2021
Date/
Inspection Line: 503.639.4175 Ready Ready Date/By: Jtuis: VI See Page 2 for
1.1 G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
TYPE OF WM IN (�,/cIO� PLAN REVIEW
0 New construction ❑Addition/alteraattionl ep'iaceifiL�i�J Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ®other: PV Solar
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
® ❑ ❑Accessory building
Multi-familyMaster builder Other: amps for all other installations. buildings.
❑ ❑ ❑ ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:
6501 SW Oak St I00HP or more. ❑"A","E","1-2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard,Oregon,97223 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Thomas Peterson(Garages)Solar Install 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Portland West,Raleigh Hills Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Installation of solar panels on existing residential roof. 5.18 kW
(with above sq.ft.) 75.00 2
Limited energy,multi-family
75.00 2
Addition of(2) 0-30A circuit(s) residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Thomas Peterson 200 amps or less 100.70 2
Address: 6501 SW Oak St 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard,Oregon,97223 601 amps to 1,000 amps 301.04 2
Phone:( 503 )318-6349 Fax:( ) Over 1,000 amps or volts 552.26 2
•
Temporary services or feeders installation,alteration,and/or
Email: tj@portlandwoodworking.com 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
rill APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: ION DEVELOPER LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Anastasia Heule B.Fee for branch circuits without
' service Address: 4801 N University Ave#900 branch cicirca der fee,first 1 56.18
56.18 2
t
City/State/ZIP: Provo, UT 84604 Each add'l branch circuit 1 7.42 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 801 ) 326-0959 x8760 Fax: :(801 )607-6826 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: permits@ionsolar.com Reconnect only 67.84 2
CONTRACTOR _ Pump or irrigation circle 67.84 2
Business name: ION DEVELOPER LLC Sign or outline lighting 67.84 2
Address: 4801 N UniversityAve#900 Signalel, len or limited-energy
0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Provo, UT 84604 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(888 ) 781-7074 Fax:(801 )607-6826 Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
permits@ionsolar.com Inspections for which no fee is
CCB Lie.: 230394 Electrical Lic.: C1524 Suprv.Lic.: 6098S
specifically listed hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 1444,.8�►.w-..47 Subtotal: $63.60
Print name: David S Conrad Date: 11/4/2021 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): $23.66
Authorized signature: zgVlAo/tAm.Ai}f64A.1.6
TOTAL PERMIT FEE: $220.82
This permit application expires if a permit is not obtained within 180
Print name:Anastasia Heule Date: 11/4/2021 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
4. . ., ..- 447InfM, - Description Qty. Total
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 1 133.56 133.56 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
❑ 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
❑ 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(1 hr min)
Inspections for which no fee is 90.00/hr
s.ecificall listed '/z hr min
{fi ",:l
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:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ 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:\BuildingU'ermits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015