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Permit
CITY OF TIGARD MASTER PERMIT 111H4 '' COMMUNITY DEVELOPMENT Permit#: MST2022-00287 Date Issued: 08/30/2022 T1GAR.0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S109A603500 Jurisdiction: Tigard Site address: 14176 SW 133RD AVE Subdivision: THREE MOUNTAINS ESTATES Lot: 28 Project: Hirl Project Description: Solar photovoltaic system 8.61 kW and panel upgrade 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: $26,550.00 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 Woodsloves: 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: 1 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 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 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other: Y Other Description: Roof top solar array 8.61 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: HIRL,JOY REVOCABLE LIVING TRUST PREMIER SOLAR NW Required Items and Reports(Conditions) 14176 SW 133RD AVE 12399 NW WAKER DR TIGARD,OR 97224 PORTLAND,OR 97229 PHONE: PHONE: 503-799-9042 FAX: Total Fees: $474.47 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 ollow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9-nnl-nn-ln rhrn„nh nap g9911n1-nrlgn Vn„mmr nhtp m rnnu n the n ileac nr rlirert m,pctinnc to nl inlet hu rellinn Sn1 9 qa7 nr 1 Ann 19 9 d{l Issued By: ermittee Signature: 3.639.4175 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. Residential FOR OFFICE USE ONLY Received C125 of Tigard ECEI` ED Permit No. ^Q ('�/ `'.1 b V Date/6y� ��t :.:. •�gr ajG aClr �-:T'u / l -• 13125 SW Hall Blvd.,Tigard,OR 9722R Plan Review 0 Phone: 503.718.2439 Fax: 503.598.Ir1i0l patcg3y. 9/24 T2 Mr Other Pertu TIGARD Inspection Line: 503.639.4175 hate Read B tare ® See Page 2 far 1nlcmct: www.ligard-or.gov JUL. 2 5 2022 Nntified(Me['od: L.Z.- Supplemental Information s. f r "1 t' R''' 1 mk c . . Y i r�.i"i }{ '4 :16 n g Permit f es*are based on he value of the work performed. 0 New construction ❑ demolition Indicate the value(rounded to the nearest dollar)of all ❑x Addition/alterationireplacement ❑Other: equipment,materials,labor,overhead,and the profit for the : s , work indicated on this application. ® 1-and 2-family dwelling IIICommercial/industrial ` Valuation: $26,550.00 ❑Accessory building ID Multi-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: tit I 1 - °s ;,; Total number of floors: 4 t ; u 6 t t Job site address: 14176 SW 133rd Avenue New dwelling area: square feet City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet \ Suite/bldg./apt.no.: Project name: Hirl Covered porch area: square feet NCross street/directions to job site: Deck area: square feet Other stmeture area: square feet t �t '`J oid Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax mapiparcel no Indicate the value(rounded to the nearest dollar)of all , , equipment,materials,labor,overhead,and the profit for the t r BLSCRtPI ION OF WORK r work indicated on this application. Adding 8.61 kW Roof Top Solar PV System Valuation: $ \-,-)1 1 Clri"" V (3 )-- Existing building area: square feet New building area: square feet it - -.',1 k fai d5� El TENANTDlumber of stories: Name: Joy Hirl Type of construction: Address: 14176 SW 133rd Avenue Occupancy groups: City/State/ZIP: Tigard, OR 97224 Existing: Phone:(971-430-8462 Fax:( ) New: t . ..t „ ' 'RSON .«,•. tli0€.= . .mt 47'' Business name: Premier Solar NW Structural plan review fee(or deposit): Contact name: Robert M. Rathbone FLS plan review fee(if applicable): Address: 12399 NW Waker Dr. Total fees due upon application: City/State/ZIP: Portland, OR 97229 Phone:(503-628-9500 Fax: :( ) Amount received: E-mail: rrathbone@premiersolarnw.com r ,i ie s rr Commercial and residential prescriptive installation of ," rl E ,0. roof-top mounted PhotoVoltaic Solar Panel System. Business name: Premier Solar NW Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 12399 NW Waker Dr. Solar Installation Specialty Code checklist. City/State/ZIP: Portland,OR 07229 Permit Fee(includes plan review $I80 Oil and administrative fees): Phone:( 503-828-9500 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 218826 Total tee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained > within 180 days after it has been accepted as complete. Print name: Clifford Barry Date: 7l23122 *Fee methodology set by Tn-County Building Industry Service Board. I:\Building\Permits\BUP-RESPemtitApp.doe 02/24/2011 440-4613T(1l/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY Received City U,rTigard Date/By: Permit#: n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503,598 1960 DatelBy: Related Permit 4: ttlspeebon Line; 503 6394175 Ready DatelBy farm. I id See Page 2 for 11C:;ARE,7. Internet- wwuct# Ord-or.5ov Notitied/Method: Supplemental Information ❑New construction ❑X Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. M - ' ¢aC, ` 7 " a,t exceeds 10000 amps at 150 volts or 0 Floating buildings. © 1-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building less to ground,orexceeds 14,000 ❑Comtrartefal-use agricultural Multi-familyMaster builder amps for all other ins illations. buildings. ❑ ❑ ❑Other: ❑Fire pump. 0 Installation oft 50 KVA or Vgtt,aigbRip:nffs7,VrZn1!7i7721SEESEIE,MNNMIBEESNIK ❑Emergency system. larger separately derived ❑Addition of new motor bad o£ system. Job#: Job site address: 14176 SW 133rd Avenue IoodPormore, ❑"A^,"E","i-z",'t-3", City/State/Z1P: Tigard,OR 97224 ❑Six or more esidential uni s. occupancy. 0 Health-care facilities. ❑Recreational vehicle packs. Suite/bldg./apt.#: I Project name: Hirl ❑Nazardot s locations. ❑Supply voltage Cor mo a than ❑Service or feeder 600 amps or mo c. 600 volts nominal. Cross street/directions to job site: Description . (try. Each 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.ft.or portion 33.92 1 40111MoilifitigiliEREZEZEIZETIVZZ,31779'11MINTIMEE; Limited energy,residential Adding 8.61 kW Roof Top Solar PV system (with above Sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 71,1; Renewable Energy ❑ See Page 2 ).';: i` '°C' s Services or feeders installation,alteradoq andlar relocation Name: Joy Hirl 200 amps or less 1 100.70 2 Address: 14176 SW 133rd Avenue 201 amps to moo amps 33.56 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:(971-330-8462 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: jdhirl@aol.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 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 t e , Branch circuits—new,alteration,or extension, L er panel - - ---- A.Fee for branch cirwits nvth Business name: Premier Solar NW above service or feeder fee, 7.42 2 each branch ciecetit Contact name: Robert M.Rathbone B.Fee for branch circuits wahour Address: 12399 NW Waker Dr branch circuit servicercuit fu fee,first 56.18 2 t City/State/ZIP: Portland,OR 97229 Each add'!branch circuit 7.42 2 Phone: 503-8 8-9500 I Fax:: Miscellaneous(service or feeder not included) ( ( ) Each manufactured or modular Email: rrathbone ijpremiersolarnw.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 '..•�,F ] - Pump or irrigation circle 67.84 2 Business name: Premier Solar NW Sip or outline lighting 67.84 2 Address: 12399 NW Waker Dr. Signal circuits)or limited-energy 0 See Page 2 2 paneh alteration,or extcvsron. City/State/ZIP: Portland,OR 97229 Each additional inspection over allowable in any of the above Additional inspection(I lu min) 66.25/kr Phone:(503 )828-9500 Fax:( ) Investigation(1 hr min) 90.00/hr Email: cbary@premiersolarnw.com Industrial plant(1 hr min) 78.18/hr Inspections for which no Yee is 90.00/hr CCB Lie.: 218826 Electrical Lic.:C1540 Suprv.Lic.: 6533S s ifically is r(; t t is "latiffirSuprv.Electrician signature,required: �'- . ( : `f- / ' Subtotal: Print name: Tim Oliver Date: 7/23/22 0 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 Print name: Clifford Barry Date: 7/23/22 days after it has been accepted as Complete. * Number of inspections allowed per permit. 1f13sildingNermiis'ELC PennisApp_ELR_P.R&sloe Rev06/17:2015 440.4615T(1 t/05/COM/W1tB • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: am F�Ft aea�r ararra - &' )gg k 11 dhil @,k,T 3k B [ .t fan td..i' " attar 7 �r u t . - Deacnptton Qty. Each Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 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: C 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 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr s.ecificall listed(!!hr min) y+ b g H 9 LN'M F A1a4lML iktirdi tr imi9�WDJE�i& '(a^l ..n yn+,mr5rvw �b4' TM� la;.'m ere e�m vid=' e /cJv. ar-14'z Fee for each commercial system: $75.00 Subtotal(Enter on Page lb (SEE OAR 918-309-0000) Nu berofinap�nata allowed per Penn+t. Check Type of Work Involved: KVA=8.61 n Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i$.aoiiding\Pe mitelELC PermitApp Ei.R ERE.doe Rev 06/1712013