Permit q CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00238
1► 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2022Parcel: 2S112CC15900
Jurisdiction: Tigard
Site address: 8036 SW CAROL ANN CT
Subdivision: DURHAM SCHOOL PARK Lot: 29
Project: Warren
Project Description: Solar photovoltaic system.4.18 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: $6,061.00 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: 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Bckflw Prevntr: 0 Catch Basins: 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
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: 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 array 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:
CAGLE,KAYLA A ION DEVELOPER LLC Required Items and Reports(Conditions)
WARREN,LEWIS C 3214 NORTH UNIVERSITY AVE
8036 SW CAROL ANN CT 503
TIGARD,OR 97224 PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $404.81
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
QF9_MN-0010 thr--h OAR QF9-0n1-onon Yni i may nhtai a nnrn ha rnloc nr riirant--ti—to of IN(:by—ninn rml 979 1 1 Ann'279 A
Issued By: Permittee Signature: -
II lW3.639.4175 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
Residential RECEIVED
Ci of Tigard
Received
City g ? Date/BX:
13125 SW Hall Blvd.,Tigard,OR 97223 J } j CQ22 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 7 2 2,7 Other Permit:
Inspection Line: 503.639.4175 '' ''' 'I . Date Read/B Janis: ® See Pae 2 for
CITY lJf-i�lta���i� Ready/By: g
Internet: www.tigard-or.gov Notified/Meth d: Supplemental Information
BUILDING DI'dlill�i
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 ❑Commercial/industrial Valuation: $ 6061
❑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: 8036 SW Carol Ann Ct New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Warren Solar Install Covercd porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUHtED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Durham School Park Lot no.: 29 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax Wrap/parcel no.: R2098407 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: $
4.18 kW.Addition Of 1 0-30A circuits. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Lewis Warren Type of construction:
Address: 8036 SW Carol Ann Ct Occupancy groups:
City/State/ZIP: Tigard,Oregon 97224 Existing:
Phone:((360))690-6064 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ION Developer LLC (Please refer to feeschedule)
Structural plan review fee(or deposit):
Contact name: Samuel Wilson
FLS plan review fee(if applicable):
Address:4801 N University Ave#900
City/State/ZIP: Provo, UT 84604 Total fees due upon application:
Amount received:
Phone:( 888) 781-7074 Fax::( )
E-mail: permits@ionsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 Specialo,SpecialCode checklist.
City/State/ZIP: Provo, UT 84604 Permit Fee(includes plan review
and administrative fees):
Phone:( 888) 781-7074 Fax:( ) o
State surcharge(12%of permit fee):
CCB lie.: 230394 Total fee due upon application:
Authorized signature: j /J� { /�(f/E/r This permit application expires if a permit is not obtained
(�!� R'i(i (iW(,(^f V iR within 180 days after it has been accepted as complete.
Print name: Samuel WIISOn Date: 07-20-2022 *Fee methodology set by Tri-County Building Industry
Service Board.
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Electrical Permit Application
Receiv
City of Tigard Dare/B ed: Permit#:
13125 SW Hall Blvd.,Tigard,OR 97223Plan Review
s Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juri;
• Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
St0ENT1AU'WORK ONLY. > rr .. ., .r:.,FEE sciiEDul.Exn
Fee for all residential ems combined:s stbid: $75.00 Description Qty. Each T°`al
y Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 100.70 2
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
50.01 to 100 kva 552.26 2
E] 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 hour) (1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%z hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $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
❑ 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
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