Permit irL CITY OF TIGARD MASTER PERMIT
till a.n' COMMUNITY DEVELOPMENT Permit#: MST2022-00161
TrG f Ail l i 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2022
Parcel: 2S114BA11500
Jurisdiction: Tigard
Site address: 16520 SW COPPER CREEK DR
Subdivision: COPPER CREEK STAGE 3 Lot: 80
Project: FARMER
Project Description: Solar photovoltaic system 6.08 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: $8,816.00 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 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: 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 array 6.08 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:
FARMER,GREGORY A&RENA ION DEVELOPER LLC Required Items and Reports(Conditions)
16520 SW COPPER CREEK DR 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $433.26
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 folio the rules adopted by the Oregon Utility Notificatio Center. Those rules are set forth in OAR
oc9_nn1_r 1 n thrnunh oc7_nn1 n nrr ma„n inn v of the aline nr Arc,*nucetinne to f111or.by na llinn Fn /9 1O147 nr 1 AASIA 111 71d4
it
Issued By: �/ Permittee Signature: . ,�,ACa)��
i
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 Application
Residential FOR OFFICE USE ONLY
City of Tigard RECEIVED Received '1 1 /y7
I RECEIVED Plan
By: 5'� /yZ Per it No.:�`��v� W! �/
Phone:
SW Hall Blvd.,Tigard,OR 97223 Plan Review !-,i�Ii �y d
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Date/By:
u it n Inspection Line: 503.639.4175 WY 2 4 20Y Date Ready/By: Ions: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Noti Method: rTfSL Supplemental Information
TYPE OF WOlit Dl REQUIRED DATA:i-AND 2-FAMILY DWELLING
0 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 CONSTRUCTIONwork indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $$,$16
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16520 Southwest Copper Creek Drive New dwelling area: square feet
City/State/ZIP: Tigard, Oregon, 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Farmer 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: Copper Creek Stage 3 I Lot no.:80 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S114BA11500/ R1308668 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.
Installation of solar panels on existing residential roof. Valuation: $
6.08 kW.Addition of 2 0-30A circuits. Existing building area: square feet
New building area: square feet
J PROPERTY OWNER ❑ TENANT Number of stories:
Name: Greg Farmer Type of construction:
Address: 16520 Southwest Copper Creek Drive Occupancy groups:
City/State/ZIP: Tigard, Oregon, 97224 Existing:
Phone:(503 )747-8436 Fax:( ) New:
Ea APPLICANT 0 CONTACT PERSON
BUILDING PERMIT FEES*
Business name: ION DEVELOPER LLC (Please refer t°fee schedule)
Structural plan review fee(or deposit):
Contact name: Dustin Davidson
FLS plan review fee(if applicable):
Address:4801 N University Ave#900
Ci /State/ZIP: Total fees due upon application:
ty Provo, UT 84604
Phone:( 888) 781-7074 Fax::( ) Amount received:
E-mail: permits@ionsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
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 1
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 $180.00
and administrative fees):
Phone:( 88$) 781-7074 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 230394
Total fee due upon application: $201.60
Authorized signature: Dusan, Dayieon, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Dustin Davidson Date: 5/20/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Penults\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
CityTigard n�/\�I\ {r , Received
ofC g 3Kl IV. \tl/ DaleB Permit Il:
• 13125 SW Hall Blvd.,Tigard,OR 9722 "AA,
_a /6
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 pat�g : Related Permit k:
inspection Line: 503.639.4175 MAY 2 4 2022 ReadyDate/By: lure,
II( A H I) See Page 2 for
Internet! www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORTI;11 Y OF rIGAHU PLAN REVIEW
❑ New construction ❑Addition/alteratio *.IN ODIVISION 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 stones.
❑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-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ amps for all other installations, buildings.
0 Multi-family ❑Master builder Other:
El Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
AddJob#: Job site address: 16520 Southwest Copper Creek Drive ❑100HP0111co of new motor load of system.
or more. ❑"A".`B","1-2","1-3",
City/State/ZIP: Tigard, Oregon, 97224 ❑six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Farmer Solar Install ❑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 I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Copper Creek Stage 3 Lot#: 80 Includes attached garage.
Tax map/parcel#: 2S114BA11500/R1308668 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
Installation of solar panels on existing residential roof. (with above sq.ft.) 75.00 2
Limited energy,multi-family
( ) residential(with above s ) 75.00 2
6.08 kW.Addition of 2 0-30A circuits q.ft.
Renewable Energy ❑ See Page 2
123 PROPERTY OWNER ID TENANT Services or feeders installation,alteration,and/or relocation
Name: Greg Farmer 200 amps or less 100.70 2
Address: 16520 Southwest Copper Creek Drive 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard, Oregon, 97224 601 amps to 1,000 amps 301.04 2
Phone: ( 503) 747-8436 Fax: ( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: gafarmer58@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
Branch circuits—new,alteration,or extension,per panel
El APPLICANT ❑ CONTACT PERSON
A.Fee for branch circuits with
Business name: ION DEVELOPER LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name: Dustin Davidson B.Fee for branch circuits without
service or feeder fee,first
Address:
4801 N University Ave#900 branch circuit 1 56.18 $56.18 2
City/State/ZIP: Provo, UT 84604 Each add'I branch circuit 1 7.42 $7.42 2
Miscellaneous(service or feeder not included)
Phone:( 888) 781-7074 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
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
Signal circuit(s)or limited-energy
Address: 4801 N University Ave#900 panel,alteration,or extension. 0 See Page 2 2
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
perm its @ ionsol a r.co m
Inspections for which no fee is /
CCB Lic.: 230394 Electrical Lie.: C1524 Suprv.Lie.: 6098S specifically listed(1/2hr min) 90.00, hr
n ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: /dais s,,,,r..,.-." Subtotal:
Print name: David S Conrad Date:5/20/2022 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date:5/20/2022 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(11/05/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
Description I Qty. I Each I Total 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 1 133.56 $1 33.56 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 so 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(1 hr min)
inspections for which no fee is 90.00/hr
specifically listed(Yr hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page l):
* 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
n 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:1Building\Feints\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015