Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00258
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2022Parcel: 2S102CB05700
Jurisdiction: Tigard
Site address: 13045 SW GRANT AVE
Subdivision: WINSOME TERRACE Lot: 1
Project: Minnick
Project Description: Solar photovoltaic system. 6.29 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: $5,111.00 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
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: 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 6.29 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:
MINNICK,TONYA GREEN RIDGE SOLAR Required Items and Reports(Conditions)
13045 SW GRANT CT 19450 SW MOHAVE CT
TIGARD,OR 97223 TUALATIN,OR 97062
PHONE: PHONE: 503-395-1943
FAX:
Total Fees: $356.19
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
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Issued By: Permittee Signature:
Call .4175 by 7:00 a.m.for the next available inspec on 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.
Buildin Permit lication
E0 7 1
Residential FOR OFFICE USE ONLY
QlV; Received
City of Tigard Date/B• y:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
—_JOIF.
it Phone: 503.718.2439 Fax: 503.598.1960�� -Date/By: V'26-�Z, Aof' Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: 6' J" Page 2 for
Internet: www.tigard-or.gov
Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA.I-AND 2-FAMELY DWELLING
El New construction [3 Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement EZ Other:Solar Installation equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
EZ 1-and 2-family dwelling El Commercial/industrial Valuation: k5,1 11
El Accessory building El Multi-family Number of bedrooms:
D Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13045 SW Grant Ave New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Minnick Solar Project 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: ---FL-t 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.
Installation and hook up of 6.29 kW roof mounted solar system Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:Tonya Minnick Type of construction:
Address:13045 SW Grant Ave Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:(208)800-2902 Fax: New:
0 APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Mme ee schedule
Business name:Green Ridge Solar ( refer to f
Structural plan review fee(or deposit):
Contact name:Amanda Owen
Address:19450 SW Mohave Ct. FLS plan review fee(if applicable):
City/State/ZlP:Tualatin, OR 97062 Total fees due upon application:
Phone:( 503-395-1943 Fax:: Amount received:
E-mail:operations@greenridgesolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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:I State surcharge(12%of permit fee): $21.60
CCB lic.:210450 1 Total fee due upon application: $201.60
Authorized signature: 4Mw n414.JZ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date:8/3/22 Fee methodology set by Tri-County Building Industry
Print name:Amanda Owen Service Board.
1:\Building\Pennits\BUP-P,ESPertnitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLV
City of Tigard Received
Date/By: Permit 577heqd--00A'Sr
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.libvl( Related Permit 4:
Date/By:
Inspection Line: 503.639.4175 IN Ready Date/By: Juris:
! EZ See Page 2 for
Internet; www.tigard-or,gov Notificd/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction El Addition/alteration/replacement Please check all that apply(submit 2 set's of plans w/items checked):
[I Service Or feeder 400 amps or more El Building over three stories.
El Demolition ®Other: Solar Installation where the available fault current [I Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or E]Floating buildings.
1-and 2-family dwelling E]Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations, buildings.
E]Multi-family ❑Master builder ❑Other: [I Fire pump, ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system, larger separately derived
0 Addition of new motor load of system.
Job Job site address:13045 SW Grant Ave I OOHP or More. ❑"A","E"."1-2","1-3",
City/State/ZIP:Tigard, OR 97223 0 Six or more residential units. occupancy.
0 Health-care facilities. [I Recreational vehicle parks.
Suite/bldg./apt. Project name:Minnick Solar Project 0 Hazardous locations. El 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
New residential single-or multi-family dwelling unit.
Subdivision: Lot Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'I 5 00 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00-_ 2
Installation and hook up of 6.29 kW roof mounted solar system
with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
PROPERTY OWNER0 TENANT Renewable Energy ❑ See Page 2 —
Services or feeders installation,alteration,and/or relocation
Name:Tonya Minnick 200 amps or less 100.70 2
Address:13045 SW Grant Ave 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:( 208) 800-2902 Over 1,000 amps or volts 552.26 1 2
Temporary services or feeders installation,alteration,and/or
Email:mckyms7@msn.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
0 APPLICANT CONTACT PERSON 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
service or feeder fee,first
Address:19450 SW Mohave Ct. branch circuit 56.18 2
City/State/ZIP:Tualatin, OR 97062 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 503�395-1943 Fax: Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:operations@greenridgesolar.com Reconnect only 67.84 2
CONTRACTOR 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
Address:19450 SW Mohave Ct. panel,alteration,or extension. 0 See Page 2 2
Ci
ty/State/ZlP:Tualatin, OR 97062 Each additional inspection over allowable in anyof the above
Additional inspection(I hr min) 66.25/hr
Phone:(503 395-1943 Fax: Investigation(I hr min) 90.00/hr
Email- Industrial plant(I hr min) 78.18/by
npPrationSaqrPPrlr0dgeso1ar corn Inspections for which no fee is 90.00/hr
CCB Lic.: Electrical Lic.Cl 490 Suprv.Lic.:6478S specifically fisted(/,hr min)
210450 7 1 ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
%-_
Print name:Brian Butterfield at 8/3/22 [I 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
Frith name:Amanda Owen Date:8/3/22 days after it has been accepted as complete.
Fpr Number of inspections allowed per permit.
[:\Huilding\Pemits\ELC_PemftApp_t,.'LR_FRF..doe Rev 06/17/2015 440-4615T(11/05/COM/WER
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE sCHEDUtX
Fee for all residential systems combined: $75.00 Deseri tioo I Qty. Each Total
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: Each additional inspection is 66.25/hr I
charged at an hotel 1 hr nun
Inspections for which no fee is 90.00/hr
s ecificalllisted '/,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 pemrit.
(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
1AHu5ding\Permits\ELC_PermitApp_ELR_ERE.doc Rev06/172015