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Permit
CITY OF TIGARD MASTER PERMIT 'el ' COMMUNITY DEVELOPMENT Permit#: MST2022-00095 T[GA R..1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/18/2022 Parcel: 1 S 133DA02100 Jurisdiction: Tigard Site address: 11043 SW SUMMER LAKE DR Subdivision: AMART SUMMER LAKE Lot: 43 Project: Collier Project Description: Rooftop Solar PV 4.18kW BUILDING Floor Areas Reauired 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: 86,061.00 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: Storm Sewer 0 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 Fum<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: 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 4.18 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: COLLIER,CODY LEE ION DEVELOPER LLC Required Items and Reports(Conditions) 11043 SW SUMMER LAKE DR 3214 NORTH UNIVERSITY AVE TIGARD,OR 97223 503 PROVO, UT 84604 PHONE: PHONE: (888)781-7074 FAX: Total Fees: $406.31 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 os2nni_nnin than inh(14 ri9_nn1_nnon Vni maw nhlain a rnmv of the ndae nr Wirer+ni,ee+innc in re INr:by rallinn Sol 919 1 r I Rnn 349 93dd • Issued By: ✓t-42-71 `a. V_/" Permittee Signature: 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 Application EC !\, . „„ Residential C,PI; r al22 FOR OFFICE USE ONLY City of Tigard Received tJt i r ur t iiaAHL) teeny: 9 E Permit No.: M�7�,y�- • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review u ' ...I Phone: 503.718.2439 Fax: 503.5983 DING DIVISION! Date/By: 1 Other Permit: 'T I GAKU Inspection Line: 503 w .639.4175 Date Ready/By: ,�� la See Page 2 for Internet: ww.tigard-or.gov N led/Method: q / Supplemental Information 4' 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: PV Solar equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 6,061 Number of bedrooms: ElAccessory building ElMulti-family 0 Master builder CI Other: Number of bathrooms: (YJ_ JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11043 SW Summer Lake Dr New dwelling area: square feet City/State/ZIP: Tigard, Oregon, 97223 Garage/carport area: square feet ProjectSuite/bldg./apt.no.: • • 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: Summer Lake 1 Lot no.: 43 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 indicated on this application. Valuation: $ Installation of solar panels on existing residential roof. Addition of 0-30A circuits. Existing building area: square feet New building area: square feet :1 PROPERTY OWNER ■ TENANT Number of stories: Name: Cody Collier Type of construction: Address: 11043 SW Summer Lake Dr Occupancy groups: City/State/ZIP: Tigard, Oregon, 97223 Existing: Phone:(503) 477-0199 Fax:( ) New: IX] APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: ION DEVELOPER LLC (Please refer to.*schedule) Structural plan review fee(or deposit): Contact name: Dustin Davidson - FLS plan review fee(if applicable): Address:4801 N University Ave#900 City/State/ZIP: Provo, UT 84604 Total fees due upon application: Phone:( 888) 781-7074 Fax: :( ) Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: permits@ionsolar.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic 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:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 230394 /6 Ail Total fee due upon application: $201.60 Authorized signature: vadmeThis permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Dustin Davidson Date: 4/4/2022 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received ,� ll Date/By: No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: i Phone: 503.718.2439 Fax: 503.598.1960 TIGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1'rs No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. • ■ • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 0 ❑ 6 Sewer permit. ❑ ❑ 0 7 Water district approval. ❑ ❑ 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 ❑ 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 ❑ 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 ❑ 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 0 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- ❑ ❑ ❑ 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 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 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 El El ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 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 0 architect licensed in Oregon and shall be shown to be ap•licable to the r 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". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 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, ❑ ❑ ❑ 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\Pemrits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) D`Electrical Permit Application RVE FOR OFFICE USE ONLY h CityofTigard APR > Received b5 L�2� DateB Permit#: I III ' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503.718.2439 Fax: 503.598.L 4 Y U 1 I 1 U/4- i) DateB : Related Penult#: Z ,`,• Inspection Line: 503.639.4175 Ready Date/By: kris: RI See Page 2 for TIGARD 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): ❑Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition El 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. E 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. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived 0 Addition of new motor load of system. Job#: Job site address: 11043 SW Summer Lake Dr 100HPormore. ❑"A"."E","l-2","1-3^, City/State/ZIP: Tigard, Oregon, 97223 ❑six or more residential units. Recreation 9 t 9 t ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Collier Solar Install ❑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: Summer Lake Lot#: 43 Includes attached garage. RI 112904 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'1 500 sq.H.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 Installation of solar panels on existing residential roof. Limited ener gy,multi-family 75.00 2 Addition of 00 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: Cody Collier 200 amps or less 100.70 2 Address: 11043 SW Summer Lake Dr 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) 477-0199 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: codycollierl0@gmail.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 ® 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, 742 2 each branch circuit Contact name: Dustin Davidson B.Fee for branch circuits without service or feeder Address: 4801 N University Ave#900 branch circuit fee,first 1 56.18 56.18 2 City/State/ZIP: Provo, UT 84604 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone: ( 888) 781-7074 Fax: :( ) Each manufactured or modular dwelling,seice and/or feeder 67.84 2 ry Email: permits@ionsolar.com Reconnect only 67.84 2 CONTRACTOR v-L Pump or irrigation circle 67.84 2 Business name: ION DEVELOPER LLC Sign or outline lighting 67.84 2 Address: 4801 N UniversityAve#900 Signalellalteration, or limited-energy ❑ 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:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(I hr min) 78.18/hr permits©ionsolar.com Inspections for which no fee is CCB Lie.: 230394,k iAt'lectncal Lic.: C1524 Suprv.Lie.: 6098s specifically listed('/hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: J J e-.., Subtotal: $156.88 Print name: David S Conrad Date: 4/4/2022 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: Da4i.t Da�ael�f„ TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within ISO Print name: Dustin Davidson Date: 4/4/2022 days after it has been accepted as complete. 1' Number of inspections allowed per permit. I:\Bulding\Permits1ELC PemsiiApp_ELR ERE.doc Rev 06117/2015 440-4615T(11/05/COht/WEB Electrical.Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE I Fee for all residential systems combined: $75.00 Description Qty. IEaen rntai 3' Renewable electrical energy systems: 5 kva or less 100.70 100.70 2 Check Type of Work Involved 5.01 to 15 kva 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 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >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 min) Inspections for which no fee is 90.00i hr specifically listed(t hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1): 100.70 Fee for each commercial system: $75.00 (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ 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 IaBuJding\Permits\ELC_PermilApp_ELR_ERE.doc Rev 06/17/2015