Permit .t.
CITY OF TIGARD MASTER PERMIT
111111
= COMMUNITY DEVELOPMENT Permit#: MST2021-00540
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2021
Parcel: 1 S 134CA03700
Jurisdiction: Tigard
Site address: 11770 SW NORTH DAKOTA ST
Subdivision: BURLWOOD NO.2 Lot: 10
Project: Kitchen
Project Description: Rooftop Solar PV 8.64 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: $16,678.00 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
Other: Y Other Description: Roof Top Solar PV System 8.64 kW Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF 0
Owner: Contractor:
KITCHEN,JANE DYNAMIC POWER INNOVATION LLC Required Items and Reports(Conditions)
11770 SW NORTH DAKOTA ST 20345 SW PACIFIC HWY STE 103
TIGARD,OR 97223 SHERWOOD,OR 97140
PHONE: PHONE: 503-857-0412
FAX:
Total Fees: $354.69
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
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Issued By: HoLLy Vaw De,We e, Permittee Signature: 0 frt,A
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 ApplicatioRECEIVED 0
Residential DEC 81011 FOR OFFSCE USE ONLY
City of Tigard r Received/�/ ��/
Permit No e�/C T2 2/-O35 0
13125 SW Hall Blvd.,Tigard,OR 9722(,(ITY OF TIGAHU Date/By:
Plan Review i t
C Phone: 503.718.2439 Fax: 503.598 96Q Date/By: I
Other Permit:
TIGARD wInspection Line: 503.639.4175UILDING DIVISION DateReadyBy: "i, J :.. See Page 2 for
Internet: ww .tigard-or.gov Notifie.�-. : -� At
!_ Supplemental Information
Adoe.TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
1.1 ❑New construction
El Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
1 ®Addition/alteration/replacement 0 Other: 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: $16,678
1 0 Accessory building
0 Master builder 0 Multi-family
El Other: Number of bedrooms:
(
Number of bathrooms:
i JOB SITE INFORMATION AND LOCATION Total number of floors:
f
t Job site address:11770 SW N.Dakota St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Kitchen Covered porch area: square feet
IICross street/directions to job site: Deck area: square feet
Other structure area: 553.8 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
DESCRIPTION OF WORK work indicated on this application.
Install 8.64kW rooftop solar system with batteries Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Jane Kitchen Type of construction:
IAddress: 11770 SW N.Dakota St. Occupancy groups:
i City/State/ZIP:Tigard,OR 97223
Existing:
) Phone:( ) Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:DPI Solar (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Erik Beeman
Address:20345 SW Pacific Hwy,Suite 103 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Sherwood,OR 97140
Amount received:
Phone:(971)990-1924 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:erik@dpisolar.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:DPI Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
s Address:20345 SW Pacific Hwy,Suite 103 Solar Installation Specialty Code checklist.
City/State/ZIP:Sherwood,OR 97140 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)857-0099 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: 185494 Total fee due upon application: $201.60
Authorized sign This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Erik Beeman Date:12/8/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
RECEIVED
Electrical Permit Application DECQ qq roll orrice: t si:o�l.I
UC 8 Z6L 6 Received / J/ O
City of Tigard Date/a : t/
13125 SW Hall Blvd.,Tigard,OR 9720 fl OF IGARI) Plan Review
Phone: 503.718.2439 Fax: 503.598. Date/B : Related Permit#:
Inspection Line: 503.639.4175 3UILDING DIVISION ReadyDateBy: kris: H See Page 2 for
TIGARD Internet wwwtigard-or.goy Notified/Method: Supplemental Information
TYPE OF WORK , : ., rsa 7,"t#'1t t' ' .,TS.
❑New construction ®Addition/alteration/replacement 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.
0 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.
® 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family * }'0 Master builder El Other: 0 Fire pump. 0 Installation of 150 KVA or
" a t:,,,t lk a -pia w . ern. '"xr;x 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 11770 SW.N Dakota St. IOOHP or more. 0"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97223 ['Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Kitchen ❑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:
;s.' MMIIMAKSMD.,,Y r r ,' (4re ;
Description I Qty. l Each . I Total l
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq ft.or less 168.54 4
Tax map/parcel#:
Ea.add'1500 sq.ft.or portion 33.92 1
' ,'+ DESCRIPTIO OF WORK r
.. Limited energy,residential 75.00 2
Install 8.64kW rooftop solar system with batteries (with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.). 75.00 2
Renewable Energy ® See Page 2 133.56
s ; ® PROPERTY OWNER ❑',TENANT._ Services or feeders installation,alteration,and/or relocation
Name:Jane Kitchen 200 amps or less 100.70 2
Address: 11770 SW N.Dakota St. 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) 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
t Branch circuits-new,alteration,or extension,per panel
i " I'LICn ; °d .l `1 t� rior ?4 ' A.Fee for branch circuits with
Business name:DPI Solar above service or feeder fee,
each branch circuit 7.42 2
Contact name:Erik Beeman B.Fee for branch circuits without
o
Address:20345 SW Pacific Hwy Suite 103 service branch circuitt feeder fee,first 56.18 2
City/State/ZIP:Sherwood,OR 97140 Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)990-1924 Fax: :( ) Each manufactured or modular 67.84 2
Email:erikndpisolar.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:DPI Solar Sign or outline lighting 67.84 2
Address:20345 SW Pacific HwySuite 103 Signalnel, to tins)or limited-energy
❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Sherwood,OR 97140 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)857-0099 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:erik@dpisolar.com Industrial plant(1 hr min) 78.18/hr
1 Inspections for which no fee is 90.00/hr
CCB Lic.: 185494 Electrical Lic.: C1255 Su .Lic.: 5763S s cificall listed ''Ahrmin
Suprv.Electrician signature,required: Subtotal: 133.56
Print name: Michael Landauer Date: 12/8/2021 0 Plan Review Required(25%of permit fee):
/ , State surcharge(12%of permit fee): 16.03
TOTAL PERMIT FEE: 149.59
Authorized signature: �
This permit application expires if a permit is not obtained within 180
Print name: Erik Beeman Date: 12/8/2021 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_Pem,itApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Description I Qty. I Each n I Total I '
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:
❑ O• ther: Each additional inspection is 66.25/hr ]
charged at an hourly(1 hr min)
Inspections for which no fee is 90 00/hr
s' specifically listed CA hr min
it OblO >( .Y`e .y;30 `,.®'` -x , " �tri: ., ,"�. � 8. ., . ,.
t Subtotal(Enter on Page 1):
Fee for each commercial s stem: a$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
❑ Data Telecommunication Installation
'? ❑ Fire Alarm Installation
❑ HVAC
11 ❑ Instrumentation
I
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
ii
❑ Medical
<c El N• urse Calls
!
111 ❑ Outdoor Landscape Lighting*
❑ P• rotective Signaling
il ❑ Other:
: Total number of commercial systems: —
1
*No licenses are required. Licenses are required for all
other installations
If
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9 I\Building\Permits\ELC_PemutApp_ELR_ERE.dot Rev 06/17/2015
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