Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00251
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date issued: 08/11/2022Parcel: 2S111 D608600
Jurisdiction: Tigard
Site address: 15410 SW OAKTREE LN
Subdivision: SUMMERFIELD NO.10 Lot: 547
Project: OWEN
Project Description: Solar photovoltaic system 5.7 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: $22,930.00 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
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'I 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 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:
OWEN LIVING TRUST GREEN RIDGE SOLAR Required Items and Reports(Conditions)
BY OWEN,SCOTT W&LORI A TRS 19450 SW MOHAVE CT
15410 SW OAKTREE LN TUALATIN,OR 97062
TIGARD,OR 97224
PHONE: PHONE: 503-395-1943
FAX:
Total Fees: $376.69
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
09;9-nn1_nn10 thr--h 0 aril)_n22"".f rh.ndo r Hi—t-lactin—to nI INC'.M,1.11i—SnZ 7 Iaa7—I AM 1119 7Zad
By: Permittee Signature
Issued =v r .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 Job site at the time of each inspection.
Building Permit Application 7/13
.
Residential
City of Tigard Received Permit No.:
Date/By:
w 13125 SW Hall Blvd.,Tigard,OR 9Plan Review `
= Phone: 503.718.2439 Fax: 503.597EVEIVED Date/By: 2v Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juns: ® See Page 2 for
Internet: www.tigard-or.gov JUL 13 2022 Notified/Method: ;iZ- Supplemental Information
Z2
TV PE OF �Ctlr ([ ' �( 12EQUIRED DATA;1- D 2-FAMILY DWELLING
❑New construction MR16MG DIVISION 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:Solar Installation equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $22,930
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
` tO13 SITE INI�QRMATION AND'.LOCATIQN Total number of floors:
1� Job site address:15410 SW Oaktree Ln New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Owen Solar Project Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DAT 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
DRSCRIPTION'OF WORK work indicated on this application,
Installation and hook up of roof mount 5.7 kW solar system Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER TENANT Number of stories:
Name:Scott& Lori Owen Type of construction:
Address:15410 SW Oaktree Ln Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:( 303-808-2798 Fax:( ) New:
APPLICANT ® CONTACT PERSON BUILllING PERMIT FEES*
tease re er to fee sekedule
Business name:Green Ridge Solar Structural plan review fee(or deposit):
Contact name:Amanda Owen
Address:19450 SW Mohave Ct. FLS plan review fee(if applicable):
Total fees due upon application:
eiry/state/z[P:Tualatin, OR 97062
Phone:( 5031-395-1943
Fax:
:( )
Amount received:
E-mail:operations@greenridgesolar.com
PFIOTOYOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
COIttTI2AC[OR roof-top mounted Photovoltaic Solar Panel System.
Business name:Green Ridge Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:19450 SW Mohave Ct. Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin, OR 97062 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 50 -395-1943 Fax:( ) State surcharge(12%ofpermit fee): $21.60
CCB lic.: 210450 Total fee due upon application: $201.60
Authorized signature: 4m."Y� D(ifl2yL This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*
Print name: Amanda Owen Date:7/13/22 Fee methodology set by Tri-County Building lndustry
Service Board.
I:ABuilding\Permits\BUP-RESPerm itApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application
City of Tigard Received Permit#:
Date/By:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: orris ® See Page 2 for
r Internet: www.tigard-or.gov 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 of more ❑Building over three stories.
❑ Demolition ®Other: Solar Installation where the available fault current ❑Marinas and boatyards.
CATEGORY OF-CONSTRUCTION exceeds 10,000 amps at 150 volts or El Floating buildings.
®
i-arid 2-family dwelling ❑Commercial/industrial E]Accessory building less to ground,or exceeds 14,000 ElCommercial-useagricultural
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑Other: ❑Fireum .
p p E]Installation of 150 KVA or
,TOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
El Addition of new motor load of system.
Job#: Job site address:15410 SW Oaktree Ln iooHP or more. ❑"A","E","1-2.',.'I-3",
City/State/ZIP:Tigard, OR 97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Owen Solar Project ❑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. 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'I 500 sq R.or portion 33 92 1
DESCRIPTION OF WORK Limited energy,residential
(with above s .ft.) 75.00 2
Installation and hook up of roof mount 5.7 kW solar system Limited(with
above
ergy,q,t.)multi-family
residential(with above sq.ft.) 75.00 2
Renewable Ener [3See Page 2
®;PROPERTY OWNER [a'TENANT Services or feeders installation,alteration,and/or relocation
Name:Scott & Lori Owen 200 amps or less 100.70 2
Address:15410 SW Oaktree Ln 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard, OR 97224 601 amps to 1,000 amps 301.04 2
Phone:( 3034808-2798 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:owen.lasw@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 CONTACT PERSON 3
Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Green Ridge Solar above service or feeder fee, 7.42 2
each branch circuit
Contact name:Amanda Owen B.Fee for branch circuits without
sery56.18 2
ice or feeder fee,first
Address:19450 SW Mohave Ct. branch circuit
City/State/ZIP:Tualatin, OR 97062 Each add'l branch circuit 7.42 2
Miscellaneous service or feeder not included
Phone:( 503-395-1943 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:operations@greenridgesolar.com Reconnect only 67,84 2
CfJNTRACTOR Pump or irrigation circle 67.84 2
Business name:Green Ridge Solar Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy [:] See Page 2 2
Address:19450 SW Mohave Ct. anel,alteration,or extension.
City/State/ZIP:Tualatin, OR 97062 Each additional inspection over allowable in an of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(5031395-1943 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:operations@greenridgesolar.eom Industrial plant(I hr min) 78.18/hrInspections for which no fee is
C P 6 specifically listed(%z hr min) 90 00/hr
CCB Lie.:210450 Electrical Lie.: 1490 Su rv.Lie.: 4785
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 2 a-kzl Subtotal:
Print name:Brian Butterfield Date:7/13/22 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
�� OGU4.lL E:
Authorized signature: TOTAL PERMIT FE
This permit application expires if a permit is not obtained within 180
Print name:Amanda Owen Date:7/13/22 days after it has been accepted as complete.
• Number of inspections allowed per permit.
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WQRK ONLY: FU SCHEDULE
Descri tion I Qty. Each Tolal
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 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: Solar Installation Each additional inspection is 66.25/hr 1
charged at an hour) (1 hr min)
Inspections for which no fee is 90.00/hr
s ecificall listed('/2 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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