Permit IS . CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00277
T I CI A R.n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2022
Parcel: 1 S 134 CA05900
Jurisdiction: Tigard
Site address: 12045 SW BURLH EIGHTS ST
Subdivision: BURLWOOD NO.2 Lot: 32
Project: Parker
Project Description: Solar photovoltaic system 9.88 kW, 2 circuits, Reinforce roof by sistering 2x6's to roof members
supportinq solar system.
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: $14,326.00 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
Drywall-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'I 500 sf: 0 201-400 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+ampNolt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuurn System: N Garage Opener: N All
Y Roof topsolar array9.88 kW N
Other: Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
PARKER,SETH&LARISSA ION DEVELOPER LLC Required Items and Reports(Conditions)
12045 SW BURLHEIGHTS ST 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $450.92
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
o ..rir iAnln thrnnn naR ac .n01..nnen Ynii v obtain n rnnv of that rulac nr dircrf n1 incline to Ill INC by onllinn 51.1. .9 10A7 nr 1 Ann 119 9%1A
Issued By: C`1t,--✓ \ -' Permittee Signature: . .. J
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 iob site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard DECEIVED Ret/By: Permit No.:MS1 �00 DY'1
IN • 13125 SW Hall Blvd.,Tigard,OR 9722 DateBy: b 1 '' //
Plan Review`1 A
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: - ?J V Other Permit:
T I G A R D Inspection Line: 503.639.4175 JUL 2 0 2022 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Suppieosentai Information
CITY OF TIGARD tAVA1 t
/ '
TYPE OF WOlitklTLDING DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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.
P. 1-and2-family dwellin Valuation: S 14,326
g ❑Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
1 1\ Job site address: 12045 Southwest Burlheights Street New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Parker 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: Burlwood I Lot no.: 32 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: R267366 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: S
9.88 kW.Addition of 2 0-30A circuits Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Larissa Parker Type of construction:
Address: 12045 Southwest Burlheights Street Occupancy groups:
City/State/ZIP: Tigard, Oregon 97223 Existing:
Phone:((775))225-9898 Fax:( ) New:
1 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ION Developer LLC (Please refer w fee schedule)
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:
Phone:( 888) 781-7074 Fax: :( ) Amount received:
E-mail: permits@ionsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: ION Developer LLC
and fire department access,along with the 2010 Oregon
Address: 4801 N University Ave#900 Solar Installation Specialty Code checklist.
City/State/ZIP: Provo, UT 84604 Permit Fee(includes plan review
and administrative fees):
Phone:( 888) 781-7074 Fax:( ) State surcharge(12%of permit fee):
CCB lie.: 230394 —
�/� Total fee due upon application:
Authorized signature: Salt,�G{P,� t{)t1Cl' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Samuel Wilson Date: 07-19-2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permitsl3UP-RESPermitApp.doc 02/24/2011 440.4613T(11/02/COM/WEB)
-' Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Permit a.
i. -By: 1 �0D4 r /;�i • 13125 SW Hall Blvd.,Tigard,OR 97223 eview
I Phone: 503.718.2439 Fax: 503.598.1960 •RECEw .!! ';y Related Permit II:
TIGARD Inspection Line: 503.639.4175 Ready Date/By: lark, ® See Page 2 for I,
s Internet: www.tigard-or.gov J 1` 2 0 202yNotifiediMcthod: Supplemental Information
TYPE OF WORK rUL PLAN REVIEW
❑New construction ❑Addition/alteration/re 1 teeme e- TIGARD Please check all that apply
�UILDINGDIVIS!O�' (submit2sets plans theesto
❑Demolition ®other: PV Solar ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial El Accessory building less o ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 12045 Southwest Burlheights Street I00H1'or more. ❑"A','E", t-r,"I-3 ,
City/State/ZIP: Tigard, Oregon 97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. ElRecreational vehicle parks.
Suite/bldg./apt.#: Project name: Parker Solar Install ❑Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 snips or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Earl. I Total
New residential single-or multi-family dwelling unit.
Subdivision: Burlwood Lot#: 32 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: R267366
Ea.add'l 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
Installation of solar panels on existing residential roof.
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
9.88 kW.Addition of 2 0-30A circuits. residential(with above sq.ft.)
Renewable Energy See Page 2
Igl PROPERTY OWNER El TENANT Services or feeders installation,alteration,and/or relocation
Name: Larissa Parker 200 amps or less 100.70 2
Address: 12045 Southwest Burlheights Street 201 amps to 400 amps t33.56 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:((775))225-9898 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: sethpyardservice@outlook.com 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
1/ APPLICANT ' I� 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, 742 2
each branch circuit
Contact name: Samuel Wilson B.Fee for branch circuits without
service or feeder fee,fits[ 2
Address: 4801 N UniversityAve#900 1 56.18 56.18
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
dwelling,service and/or feeder 67.84 2
Email: 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
Signal circuit(s)or limited-energy
Address: 4801 N University Ave#900 panel,alteration,or extension. 0 See Page 2 2
City/State/ZLP: Provo, UT 84604 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:(888) 781-7074 Fax:( ) Investigation(I hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
permits@ionsolar.com Inspections for which no fee is
CCB Lic.: 230394 Electrical Lie.: C 1524 Suprv.Lic.: 6098S specifically listed('/xhrmin) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ,a� en--' Subtotal:
Print name: David S Conrad Date: 07-19-2022 in Plan Review Required(25%of permit fee):
/�� /JJ/fy /}�/j State surcharge(12%of permit fee):
Authorized signature: �e ie V1/If(/(/( TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Samuel Wilson Date: 07-19-2022 days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:lnuilding'Permits1ELC PermitApp_ELR_ERE.doe Rev 06/1772015 440.4615T(11/05/COM/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 Q12. I Each I 7ota1
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
❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2
❑
Burglar Alarm Wind generation systems in excess of 25 kva:g 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to100 kva 552.26 2
>100 kva(fee in accordance 552.26 2
OAR
❑ Heating,Ventilation and Air Conditioning l r generation systems
918-309-0040)
Solar syste 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 hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed CA 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
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
ri Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1/Tuilding'Armits\ELC_PermitApp_ELR_ERE,doc Rev 06117/2015