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Permit
CITY OF TIGARD MASTER PERMIT 711 g COMMUNITY DEVELOPMENT Permit#: MST2022-00387 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/13/2022 Parcel: 25111 DD03700 Jurisdiction: Tigard Site address: 15630 SW 88TH AVE Subdivision: STRATFORD Lot: 21 Project: Gladhill Project Description: Rooftop solar PV 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: $8,225.00 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 Fum>=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 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: GLADHILL,ANDREW&FRANCESCA A AND R SOLAR CORP Required Items and Reports(Conditions) 15630 SW 88TH AVE 19636 SW 90TH CT—BLDG 4 TIGARD,OR 97224 TUALATIN,OR 97062 PHONE: PHONE: 503-420-8680 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 Notific n C nter. Those rules are set forth in OAR Q9-M1-jN11n thrnunh R Q69-nn111non Vrs av nhtai a rnnv of the rules nr rlirent nuaatinne to rll IMC by nallinn A 9'19 10 7 nr 1 Ann 337 934d Issued By: —1 6'14'1 . Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection da e. 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 RECEIVED FOR OFFICE USE ONLY _ City TigardOCT6 2022 DateiBed of 6 Rece%vy: Permit So. ` ?2mot e 13125 SW Hall Blvd.,Tigard,OR 97223 rut J��22��j r Phone: 503-718-2439 Fax: 503-598-19r ITY OF TIGARD pan Review ./ oil/ Da[eiBy: I� ,0 Z� �� Related Penmt TLGARD Inspection Line: 503-639-4175 BUILDING DIVISION Date Ready/By: ! �J torts: ® See Page 2 for ® Internet: www.tigard-or.gov :Notified/Metlwdl 11v ?�hi(j I Supplemental Information 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ■ 1-and 2-familydwellingValuation: $ 8.225.00 ❑ ❑Commercial/industrial ❑ 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: 15630 SW 88th Ave New dwelling area: square feet \ City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt#: Project name: Gladhill Covered porch area: square feet Cross street/directions to job site: NE of SW Hamlet St and SW 88th Ave Deck area: square feet Other structure area:solar array 507 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot#: Permit fees*are based on the value of the work performed. Tax map/parcel#: 2S I I I DD03700 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. Rooftop install of a 9.6 KVA photovoltaic solar system Valuation: $ Existing building area: square feet New building area: square feet © PROPERTY OWNER 0 TENANT Number of stories: Name: Andrew GladhilI Type of construction: Address: 15630 SW 88th Ave Occupancy groups: City/Statc/ZIP: Tigard,OR 97224 Existing: Phone:( 503 )432-6751 Fax:I I New: M APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* • (Pteaae refer to fee sehedatee) Business name: A and R Solar SPC dba A&R Solar Structural plan review fee(or deposit): Contact name: Lara Worcester FLS plan review fee(if applicable): Address: 19636 SW 90th Ct Bldg 4 Total fees due upon application: City/State/ZIP: Tualatin, OR 97062 Phone:(503) 420-8680 x 4 Fax::( ) Amount received: F-mad: permits@a-rsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: A&R Solar Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 19636 SW 90th Ct. Bldg 4 Solar Installation Specialty Code checklist. City/State/ZIP: Tualatin, OR 97062 Permit fee(includes plan review $180.00 and administrative fees): Phone:(503)420-8680 x 4 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lie.: 207641 Total fee due upon application: 5201.60 Authorized signature: J This permit apPylis on expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Lara Worcester Date: 0/6 2._ * Fee methodology set by Tri-County Building Industry Service Board. hlBuilding\Pennits\BUP_COMPermitApp.doc Rev.04/21/2014 440-4613T(I I/02/COM/WEB) Electrical Permit Application �/f�? FOR OFFICE USE ONLY MilO C T —6 r-r't-� Received City of Tigard s Date.D : f� � tl4�*j 13125 SW Hall Blvd.,Tigard,OR 97223 -1-ry of TIGARD Plan Review Phone: 503.718.2439 Fax: 503598.1 Related Permit#: ALONG DIVISION Date,6 TIGARD Inspection Line: 503.639.4175 Ready DateiBy: runs: H See Page 2 for ® Internet: www.tigard-or.eov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitclns checked): ❑Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ID 1-and 2-family dwelling ❑Commercial/industrial Accessory building less to ground.or exceeds l4.000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑ Master builder 0 Other: 0 Fire 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: 15630 SW 88th Ave I00HP or more. ❑"a', E "1-2 t-3 City/State/ZIP: Tigard,OR 97224 0 Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Gladhill 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:NE of SW Hamlet St and SW 88th Ave FEE SCHEDULE Description I Qty. I Each I Total I " 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#: 2511 I DD03700 Ea.add'1 5Uo sq.tt or portion 33.92 l DESCRIPTION OF WORK Limited energy.residential 75.00 2 (with above sq.ft.) Rooftop install of a 9.6 KVA photovoltaic solar system Limited energy.multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 n PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Andrew Gladhill 200 amps or less 100.70 2 Address: 15630 SW 88th Ave 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:( 503 )432-6751 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 I 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 ® APPLICANTBranch circuits-new,alteration,or extension,per panel ® CONTACT PERSON A.Fee for branch circuits with Business name: A and R Solar SPC dba A&R Solar above service or feeder fee, 7.42 2 each branch circuit Contact name: Lara Worcester B.Fee for branch circuits withoat Address: 19636 SW 90th Ct Bldg4 branchce or feederittee,first 56.18 2 branch circuit City/State/ZIP: Tualatin,OR 97062 Each addl branch circuit 7.42 2 Phone: Fax: : Miscellaneous(service or feeder not included) (503 )420-8680 ext 4 ( ) Each manufactured or modular dwelling service and/or feeder 67.84 2 Email: petmits(a'a-rsolar.corn Reconnect only 67.84 2 • CONTRACTOR Pump or irrigation circle 67.84 2 Business name: A&R Solar Sign or outline lighting 67.84 2 Address: 19636 SW 90th Ct Bldg4 Signal circuit(s)n or limited-energy ❑ See Page 2 2 panel,alteration.or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Tualatin,OR 97062 Additional inspection(1 hr min) 66.25/hr Phone:( 503 ) 420-8680 ext 4 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(I hr mini 78.18/hr Email: permits@a-rsolar.com Inspections for whiels no Fee is 90.00'hr CCB Lie.: 207641 Electrical Lie.: C1179 Suprv.Lie.: 5494S specifically listed(')In-nin) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 7R ? ,, _ Subtotal: 133.36 Print name: Robert Nieman Date: 10/4/2022 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 16.02 TOTAL PERMIT FEE: Authorized signature: $149.58 Print name: Lara Wore er Date: f Q/ / This permit application expires if a permit is not obtained within l80 ` 2Z days after it has been accepted as complete. ` * Number of inspections allowed per permit. LEluilding.Perreits\ELC PermitApp_ELR_ERE.doc Rev 06/172015 440-4615r(I Ii05iCOM/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 [ Qty. I Each ( Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 00.70 2 5.01 to 15 kva 1 133.56 133.56 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 n Garage Door Opener* 00 kva(fee in accordance with OAR 918-309-0040) 55216 2 n 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: n Other: Each additional inspection is 66.25/hr charged al an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('L hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 allowe Sublotal(Enter on Page I). 133.56• OAR 918-309-0000) ' umber of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls n Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n 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 ID,BuildingTermitsUEl.C_PermitApp_ELR_EREdoc Rev 06iI7/2015