Permit CITY OF TIGARD MASTER PERMIT
a1111 COMMUNITY DEVELOPMENT Permit#: MST2022-00306
Date Issued: 09/13/2022
TT(3ARI) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134AB02500
Jurisdiction: Tigard
Site address: 11315 SW IRONWOOD LOOP
Subdivision: ENGLEWOOD Lot: 82
Project: Morin
Project Description: Solar photovoltaic system 6.08 kW,2 circuits.
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 at Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $8,816.00 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 Other Fixtures: 0
Drywall-Trench Drain: 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; 0 201-000 amp:
0 201-400 amp: 0 W/O Svc/Fdr: 2
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amplvolt: 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 6.08 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:
MORIN,MARK K&ELLEN L ION DEVELOPER LLC Required Items and Reports(Conditions)
11315 SW IRONWOOD LOOP 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $457.42
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
0c2.a n1.nnln thrni inh rl f9-nnl-nnq Vnu mar nhtain a rnnv of tha rota¢nr rlirart m metinne In CA WC by Tallinn cn1 919 1 1 Ann 119 9144
Issued By: / Permittee Signature:
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.
CITY OF TIGARD PLUMBING PERMIT
I
3111 COMMUNITY DEVELOPMENT Permit#: PLM2022-00374
Date Issued: 9/14/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102BC07500
Jurisdiction: Tigard
Site address: 12620 SW PATHFINDER CT
Project: Martin Subdivision: 1997-113 PARTITION PLAT Lot: 2
Project Description: Shower replacement.
Contractor: SPECIALTY CONTRACTORS NORTHWEST LLC Owner: MARTIN, DAVID K& SARAH H
6521 SE CROSSWHITE WAY STE A 12620 SW PATHFINDER CT
PORTLAND, OR 97206 TIGARD, OR 97223
PHONE: 503-278-1400 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Tub/Shower/Shower Pan 09/14/2022 $12.51
Specifics: 60 ea Minimum Fee Adjustment- 09/14/2022 $59.99
Plumbing
Type of Use: SF
1 12%State Surcharge- 09/14/2022 $8.70
Class of Work: ALT Plumbing
Type of Const:
Occupancy Grp:
Stories:
Total $81.20
Required Items and Reports(Conditions)
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 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
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.
Plumbing Permit Application
Building Fixtures FOR OFFICE USE ONLY
Received ` �q ^�
City of Tigard E�EIV E Date/By: r//t jj �'J O-- Permit No.: pi,„,, ao. 7�k
III .11 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review ll
Phone: 503.718.2439 Fax: 503.598.19(SLP 14 2022 Date/By: Other Permit No.:M�E0-021�.0 1,$3
Inspection Line: 503.639.4175 �� w
T-IGARU p Dale Ready/By: Jats: ® See Page 2 for
Internet: www.tigard-or.gov i ,sF TIGABD Notified/Method: � Supplemental Information
_
TYPE OF WO' 'l', h) G DIVISION FEE* SCHEDULE.. ...
['New construction ID Demolition For special information use checklist.
Description I Qty. I Ea, I Total
`✓✓I'Addition/alterationreplacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
j�- CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
>.1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building ❑Multi-family Each additional bath kitchen 25.02
❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2
JOB SITE INFORMATION AND LOCATION Site utilities:
Job site address: 17 t ') 7� 1 Val l�l- Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: TW'd O'L 41223 Footing drain(no.linear ft.: ) Page 2
Suite/bldg./apt.no.: I Project name: IN11Avhiv Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.: ) Page 2
Water service(no.linear ft.: ) Page 2
Subdivision: I Lot no.: Fixture or item:
Tax map/parcel no.: Backflow preventer 31.27
Backwater valve 12.51
DESCRIPTION OF WORK
Clothes washer 25.02
CA\Ci`jJ Qx- Y Q c\c\c Q Y'r f J- Dishwasher 25.02
1 Drinking fountain 25.02
Ejectors/sump EkPROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: (.J�r'\,F' v ��� ,ir`�� Fixture/sower cap 25.02
W t ,,Floor drain/floor sink/hub 25.02
Address: \-imLo i cce3 cMtY4I ' •,y dr Garbage disposal 25.02
City/State/ZIP:'N.,„01 0 1 ( Cil 'L25 Hose bib 25.02
Phone:(CO\ ) 2, . - 1 11 Fax:( ) ice maker 12.51
`'
i APPLICANT ,,� (,.,/ ❑ CONTACT PERSON Interceptor/gtcasc trap 25.02
Business name:4 cahA 1'I \,. Medical gas(value:$_) Page 2
11VJJ""" Primer 12.51
Contact name:
' Roof drain(commercial) 12.51
Address: `fl O n f I4,1 r 1/`/`a}j Silt a Sink/basin/lavatory 25.02
City/State/ZIP: �ttW,� l. C\-1 1 DJ Solar units(potable water) 62.54 '
Phone:( ) vv Fax::( ) Tub/shower/shower pan ( 12.51 `'L,S I
mail:�ly Urinal 25.02
E-
O.AV ' (tk tJ \0. f1!`b W•�,' Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name:'Wp', s. 1/ \I OW Waterpiping/DWV 56.29
Address: 1�'�Y Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
CCB Lie.: L/'' fa h3 4_ Plumbing Lic.no.: `pp 7,1 '3?... Plan review (25%of permit fee)
/! / VState surcharge(12%of permit fee)
Authorized signature: 7/e/j,_ TOTAL PERMIT FEE
/^t i This permit application expires if a permit is not obtained within 180 days
Print name: 1 `t h �j,� Date:q//y 1 Z7 after it has been accepted as complete.
l/ J / *Fee methodology set by Tri-County Building Industry Service Board.
1:13uilding\Permits\PLMU-PermitApp.doc 11n1/09 440-4616T(10/OJCOM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 -Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-1"100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,00I to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater $327.54
Sewer-cach additional 100' 37.52
Water Service-1st 100' 62.54 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
p and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
❑ Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
Jacuzzi/Whirlpool
Car Wash: -Each Stall El New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thm
Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities.
Dishwasher: Commercial 0 Any multipurpose Me sprinkler system.
Domestic ❑ Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
Eye Wash Submit 2 sets of plans with any of the above.
Floor Drain/sink: -2"
-3•• Isometric or Riser Diagram
❑ Isometric or riser diagram is required for new buildings
-Car Wash Drain
that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -LavBar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
1:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
Building Permit Application
Residential FOR OFFICE USE ONLY
RECEIVE I-
City of Tigard Receivedt Permit No.:mS`7.l19 ���
13125 SW Hall Blvd.,Tigard,OR 97223 S E P 7 2�22 Plan Review I L�u�
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I/7 2 Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF�TIGARD Date Ready/By: p luris: I la See Page 2 for
Internet: www.tigard-or.gov Rl1�LDlN\]DIVlSlO •
NotificNMethod: 1 '�?jy`{ Supplemental Information
TYPE OF WORK l(.�i i 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 ►7 Other: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® m I-and 2-family dwelling D Comercial/industrial Valuation: $ 8,816
❑Accessory building ❑Multi-family Number of bedrooms:
D Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11315 Southwest Ironwood Loop New dwelling area: square feet
City/State/ZIP: Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Morin Solar Install 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: Englewood Lot no.: 82 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1 Si 34AB02500/R263324 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 of solar panels on existing residential roof. Valuation: $
6.08 kW.Addition of 2 0-30A circuits. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Mark Morin Type of construction:
Address: 11315 Southwest Ironwood Loop Occupancy groups:
City/State/ZIP: Tigard, Oregon 97223 Existing:
Phone:((503)1975-0135 Fax:( ) New:
] APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ION Developer LLC (Please refer(ofee schedule)
Structural plan review fee(or deposit):
Contact name: Dustin Davidson
FLS plan review fee(if applicable):
Address:4801 N University Ave#900
Total fees due upon application:
City/State/ZIP: Provo, UT 84604
Amount received:
Phone:( 888) 781-7074 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: permits@ionsolar.com
Commercial and residential prescriptive installation of
CONTRACTOR 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 Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
n Provo, UT 84604 and administrative fees): $180.00
Phone:( 888) 781-7074 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 230394 Total fee due upon application: $201.60
Authorized signature: Oae,adrie, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: Dustin Davidson Date: 09-02-2022 Service Board.
I:\Building\Pemtits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
Associated
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Assocated permits:
I Phone: 503.718.2439 Fax: 503.598.1960
TIGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ves No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0
3 Verification of approved plat/lot. ❑ 0 0
4 Fire district approval required. Name of district: . 0 ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 ❑
6 Sewer permit. ❑ 0 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control ❑plan El permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 0 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage; impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 0 ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists, sub- 0 0 ❑
floor,wall construction,roof construction. More than one cross section maybe required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 ❑ 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 ❑
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ ❑
architect licensed in Oregon and shall be shown to be applicable to the •ro'ect under review.
.JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 ❑ 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:1Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit ApplicationRECEIVED FOR OFFICE USE ONLY
CityofTigard SEP 7 2022 Received
=•• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/13 : � 1� ��� 1
g Plan Review
Phone: 503.718.2439 Fax: 503.598.19t�0ITY OF TIGARDill Date/B : Related Permit#:
TIGARD.� Inspection Line:503.639.4175 BUILDING DIVISION Ready Date/By: m�;s: WI See Page 2 for
Internet: www.tiard-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):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ®Other: PV Solar where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑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: 11315 Southwest Ironwood Loop 100HP or more. ❑"A","E","1-2","I-3",
City/State/ZIP: Tigard, Oregon 97223 El Six or more residential units. occupancy.
g g El Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Morin Solar Install ❑Hazardous locations. 0 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 I *
New residential single-or multi-family dwelling unit.
Subdivision: Englewood Lot#: 82 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 1S134AB02500/R263324 Ea.add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Installation of solar panels on existing residential roof. (with above sq.ft.)
Limited energy,multi-family 75.00 2
6.08 kW.Addition of 2 0-30A circuits. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
in PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Mark Morin 200 amps or less 100.70 2
Address: 11315 Southwest Ironwood Loop 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard, Oregon 97223 601 amps to 1,000 amps 301.04 2
Phone: ((503))975-0135 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: morin.m@comcast.net 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: ION Developer LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name: Dustin Davidson B.Fee for branch circuits without '
Address: service or feeder fee,first 1 56.18 56.18 2
4801 N University Ave#900 branch circuit
City/State/ZIP: Provo, UT 84604 Each add'l branch circuit 1 7.42 7.42 2
Miscellaneous(service or feeder not included)
Phone: ( 888) 781-7074 Fax: :( ) Each manufactured or modular 67.84 2
Email: dwelling,service and/or feeder
permits@ionsolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: ION Developer LLC Sign or outline lighting 67.84 2
Address: 4801 N UniversityAve#900 Signal alteration,t(s)or limited-energy ❑ See Page 2 2
panel, or extension.
City/State/ZIP: Provo, UT 84604 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(888 ) 781-7074 Fax:( ) Investigation(I hr nun) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
permits@ionsolar.com Inspections for which no fee is
90.00/hr
CCB Lic.: 230394 Electrical Lic.: C1524 Suprv.Lie.: 6098S specifically listed(1/2 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: .ILle#4,. /r J7 Subtotal: 197.16
Print name: David S Conrad G Date: 09-02-2022 ❑Plan Review Required(25%of pennit fee):
State surcharge(12%of permit fee): 23.66
TOTAL PERMIT FEE: 220.82
Authorized signature:
i'Y.lK�r This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date: 09-02-2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:uBuilding`Permits\ELC_PcrmitApp ELR ERE.doc Rev 06/17/2015 4404615T(11/05/COM/RBB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qey. I Each I 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 1 133.56 133.56 2
n A• udio 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
[I Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ H• eating, 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
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed('ii hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
.00 Subtotal(Enter on Page 1): 133.56
$75
Fee for each commercial system: 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
n F• ire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\BuildinslPermits'ELC_PermdApp_ELR_EeE.doo Rev 06/17/2015