Permit (3) 4.1111101111110..
CITY OF TIGARD MASTER PERMIT
III I COMMUNITY DEVELOPMENT Permit#: MST2022-00233
TIC;A It D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2022
Parcel: 2S103CB10900
Jurisdiction: Tigard
Site address: 12165 SW QUAIL CREEK LN
Subdivision: QUAIL HOLLOW-EAST Lot: 67
Project: Van Cleave
Project Description: Solar photovoltaic system 9.6 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: $14,396.00 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: 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 N
Other: Y Other Description: Roof top solar array 9.6 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:
VANCLEAVE,CHRISTINA LEIGH&MATTDYNAMIC POWER INNOVATION LLC Required Items and Reports(Conditions)
12165 SW QUAIL CREEK LN 20345 SW PACIFIC HWY STE 103
TIGARD,OR 97223 SHERWOOD,OR 97140
PHONE: PHONE: 503-857-0412
FAX:
Total Fees: $356.69
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
Qc9-nn1-nnl n rhrni inh Mt oc9-nn1-nnor+ Vn i m t n ain a rnnv of fha nilpc nr rlirarf m iacfinnc fn(I nun by Tallinn 5n1 919 10547, 117S71'2'{9 91aa
Issued By: ` 6:I.()/I.c. Permittee Signature: .x+br~` t etroe-i
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. I.
This permit card shall be kept in a conspicuous place on the job site until completion of the project. 1111 /
Approved plans are required on the job site at the time of each inspection. �,
B,uiiding Permit ApplicatiOI ECEIVE
D
Residential FOR OFFICE USE ONLY"
City of Tigard JUL 2 0 2022 Date/By:ed /�
13125 SW Hall Blvd.,Tigard,OR 97223 7/ V + )I 5T Z �
= g ITY OF TIGARC) Plan Review -7 n/ w OtherPennit:
Phone: 503.718.2439 Fax: 503.598.196� Date/By: ! fit Z
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION DateReadyBy: / / JuriS: B! See Page 2for
Internet: www.tigard-or.gov Notified/Method / Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El 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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ❑Commercial/industrial Valuation: $14396
❑Accessory building ❑Multi-family Number of bedrooms:
['Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12165 SW Quail Creek Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Van Cleave Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: 505.1 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 prescriptive 9.6W rooftop solar system Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Matthew Van Cleave Type of construction:
Address: 12165 SW Quail Creek Lane Occupancy groups:
City/State/ZIP:Tigard,OR 97223
Existing:
Phone:( ) Fax:( ) New:
® APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
Business name:DPI Solar (Please refer to fee schedule
Structural plan review fee(or deposit):
Contact name:Erik Beeman
FLS plan review fee(if applicable):
Address:20345 SW Pacific Hwy,Suite 103
Total fees due upon application:
City/State/ZIP:Sherwood,OR 97140
Amount received:
Phone:(971)990-1924 Fax: :( )
E-mail:erik@dpisolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
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
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 signatu : r. 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:7/15/22
*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)
Electrical Permit ApplicRE C E I VE L^" FOR OFFICE USE ONLY
City
13I25 oSW Hall f TigarBlvd.,Tigard,
d JUL 2 0101Y Received
OR 97223 Permit#:
PlanReview
Phone: 503.718.2439 Fax: 503 ei=TIGaNU DatDateBy: Related Permit#:
T I G q RD Inspection Line: 503.639.4175 Ready Date/By: Suns: 1 IZI See Page 2 for
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 ❑Building over three stories.
❑Demolition ❑Other:
where the available fault current El 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 0 Commercial-use agricultural
Er]Multi-family ❑Master builder El Other: Flues for all other installations. nstaings.
El pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:12165 SW Quail Creek Lane I00HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97223 ❑Six or more residential units. occupancy.
gfacilities. Recreational vehicle
El Health-care ❑ Pare
Suite/bldg./apt.#: Project name:Van Cleave 0 Hazardous locations. ❑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
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
DESCRIPTION OF WORK Limited energy,residential
Install prescriptive 9.6kW rooftop solar system with batteries
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ® See Page 2 133.56
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Matthew Van Cleave 200 amps or less 100.70 2
Address:12165 SW Quail Creek Lane 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
® APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:DPI Solar above service or feeder fee, 7.42 2
each branch circuit
Contact name:Erik Beeman B.Fee for branch circuits without
service or feeder fee,fust 56.18 2
Address:20345 SW Pacific Hwy Suite 103 branch circuit
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:erik@dpisolar.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, lter circuit(s)or extension. 0 See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Sherwood,OR 97140
Additional inspection(1 hr min) 66.25/hr
Phone:(503)857-0099 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:erik@dpisolar.com
Inspections for which no fee is 90.00/hr
CCB Lic.: 185494 Electrical Lie.: C1255 Suprv.Lie.: 5763S specifically listed(14 hr min)
n �/� ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required/ 7 I` l� ,� Subtotal: 133.56
Print name: Michael Landauer l S-/ 1 Date: 7/14/22 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 16.03
Authorized signaturerh TOTAL PERMIT FEE: 149.59
This permit application expires if a permit is not obtained within 180
Print name: Erik Beeman / Date: 7/15/22 days after it has been accepted as complete.
- * Number of inspections allowed per permit.
I:\Building\Permits\ELC PermitApp_ELR ERE.doo Rev 06/17/2015 440-4615T(I1/05/COM/WEE
Electrical•Permit Application—City of Tigard
Page 2'—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
° aI K + rtZtii s ply g*d lVs{r yvc���sAW� F:r,. %�,*:..i;
Description Qty. Each Total
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 133.56 '133 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
with OAR 918-309-0040) 552.26 2
❑ 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.- ificall listed %2 hr min
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* 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
❑ 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
L\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 10/26/2017