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Permit .11 CITY OF TIGARD MASTER PERMIT M . ' COMMUNITY DEVELOPMENT Permit#: MST2022-00016 T 1 G A la I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/27/2022 Parcel: 1 S134CC04100 Jurisdiction: Tigard Site address: 12354 SW WINTERLAKE DR Subdivision: CAPSTONE Lot: 8 Project: EDWARDS Project Description: Rooftop Solar PV 5.7 kW BUILDING Floor Areas Required Setbacks Required Stones: 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: $5,000.00 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 Fum<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'1500 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 III 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 5.7 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: BALTAZAR,KELLY MARY SUNBRIDGE SOLAR LLC Required Items and Reports(Conditions) I EDWARDS, ELIOT WESLEY 421 C ST 12354 SW WINTER LAKE DR WASHOUGAL,WA 98671 TIGARD,OR 97223 PHONE: PHONE: 503-407-6820 FAX: Total Fees: $354.19 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 os9-nn1-Min thrnnnh OAR oc7_nnlLnn0n Vnu maw nh+ain a rnnw of+ha ndaa nr rliraet nnaatinna M ni INf:hw Tallinn Km 739 10R7 nr 1 Ann 0'19 9'111A Issued By: H Vim'D2 We e- Permittee Signature: Call 503.639A175 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 Application- �' '�� l ' i 'l. Residential 444122ft FOR OFFICE USE ONLY City of Tigard Ili r r Received r �tf �•'�'r '�1�r�I Date/By:D/ / LV� f,/ Permit No.:MSTZO2 c.0O/ t, II 4 13125 SW Hall Blvd.,Tigard,OR 972�j��� � Plan Review 0 • Phone: 503.718.2439 Fax: 503.598.19�9U ARA Date/eyv ! 13 2Z , ; Other Permit T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: ((( runs: ® See Page 2 for Internet: www.tigard-or.gov •ified/Method:`i �`"� Supplemental Information TYPE OF WORK REQUIRED DA A: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 D Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ] I-and 2-family dwelling 0 Commercial/industrial Valuation: $ 5000 ElAccessory building ❑Multi-family Number of bedrooms: I:Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12354 SW Winter Lake Dr New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet USuite/bldg./apt.no.: Project name: Edwards Solar System 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: I 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. 5.7kW rooftop solar pv system with microinvertcrs Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: • Name: Elliot Edwards Type of construction: Address: 12354 SW WinterLake Dr Occupancy groups: City/State/ZIP: Tigard,OR 97223 Existing: Phone:( 607 ) 343-6465 Fax:( ) New: 0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name: Sunbridge Solar LLC (Please refer to fee schedule ) Structural plan review fee(or deposit): Contact name: Haley Polk FLS plan review fee(if applicable): Address:421 C St Unit 5A Total fees due upon application: City/State/ZIP: Washougal,WA 98671 Phone:(971 ) 325-4164 Fax::( ) Amount received: hale PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: y@ gesolaccom CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: Sunbridge Solar LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 421 C St Unit 5A Solar Installation Specially Code checklist. City/State/ZIP: Washougal,WA 98671 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(971 )325 4164 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 189787 Total fee due upon application: $201.60 Authorized signature: Pa& This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Haley Polk Date: 1.11.2022 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building1Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 'i Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Received City of Tigard RecDate/By: Permit No.: r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TIGARD Internet: www.ligard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 'es No N/A 1 Land use actions completed. Sec jurisdiction criteria for concurrent reviews. _ ❑ 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. 0 ❑ 0 4 Fire district approval required. Name of district: 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. ❑ 0 0 7 Water district approval. ❑ 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state El El ❑ 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 0 there is more than a 4-ft.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 ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 0 furnace,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- ❑ 0 0 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. ❑ 0 ❑ 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 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 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 0 0 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ 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 architect licensed in Ore Ion 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 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ 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, ❑ 0 ❑ 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\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) C f ECEIVE Electrical Permit Applicati FOR OFFICE USE ONLY City of Tigard Received /���� I Date/By: Permit#: M NI 13125 SW Hall Blvd.,Tigard,OR 97223 JAN 12 ZOZZ Plan Review _ Phone: 503.718.2439 Fax: 503.598. Related Permit#: Inspection Line: 503.639.4175 I I Y OF TIGARD Date/By:Redy Date/By: tens- 166 See Page 2 for TIGARD Internet: wwwti and-or. ov Notified/Method. Supplemental Information g g Sul[DiNn,.nivisloN PP TYPE OF WORK" PLAN REVIEW ❑New construction x❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more ❑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. © 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural ngs. ❑Multi-family ❑Master builder ❑Other: ampsi for allotherinstallations. Inbustallation ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived AddJob#: Job site address: 12354 SW Winter Lake Dr 0 10011 P or mor oo of nee motor load of system. I OOHe. ❑"A�,"E",`7-2","1-3", occupancy. City/State/ZIP: Tigard,OR 97223 0 Six or more residential units. ❑Recreational vehicle parks. ❑Health-care facilities. Suite/bldg./apt.#: Project name: Edwards Solar System ❑Hazardous locations. ❑Supply voltage for more than O Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I 'Iola! i " New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 5.7kW rooftop solar pv system with microinverters (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) © PROPERTY OWNER Renewable Energy El See Page 2 ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Eliot Edwards 200 amps or less ' 100.70 2 Address: 12354 SW Winter Lake Dr 201 amps to 400 amps 133.56 2 City/State/ZIP:Tigard,OR 97223 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( 360 )343-6465 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or 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 APPLICANT' ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Sunbridge Solar LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Haley Polk B.Fee for branch circuits without Address: 421 C St Unit 5A service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Washougal,WA 98671 Each add'l branch circuit 7.42 . 2 Phone: 971 325-4164 Fax: : Miscellaneous(service or feeder not included) ( ) ( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:haley@sunbridgesolar.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sunbridge Solar LLC Sign or outline lighting 67.84 2 Address:421 C St Unit 5A Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Washougal,WA 98671 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:(971 )325-4164 Fax:( ) Investigation(1 hr min) 90.00/hr Email: haley@sunbridgesolar.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 189787 Electrical Lie.: C1123 Suprv.Lie.: 3947s specifically listed('/z hr min) IR-� A ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Dennis Patrick Date:1.12.2022 0 Plan Review Required(25%of permit fee): �'// D D� State surcharge(12%of permit fee): Authorized signature:l "1v,�iotpa TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Haley Polk Date: 1.12.2022 days after it has been accepted as complete. Number of inspections allowed per permit. LlBuilding\Permits1ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/EOM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Op-. I Limb I Tend I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva x 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 charged at an hourly(I hr min) Inspections for which no fee is 90 00/hr specifically listed(/hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES - Fee for each commercial system: $75.00 Subtotal(Enter on Page I): y * 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 ❑ 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:lnwilding\Pern,ileELC_PermitApp_ELR_ERE.doe Rev 06/17/2015