Permit CITY OF TIGARD MASTER PERMIT
'rli.I ' COMMUNITY DEVELOPMENT Permit#: MST2022-00286
Date Issued: 08/30/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114AB14100
Jurisdiction: Tigard
Site address: 9375 SW JULIA PL
Subdivision: KNEELAND ESTATES NO.2 Lot: 106
Project: Rousculp
Project Description: Solar photovoltaic system 8.64 kW with 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: $40.600.00 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
Furn>=10OK: 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 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 N
Other: Y Other Description: Roof top solar array 8.64 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:
ROUSCULP,JOSHUA N&REBECCA Q PREMIER SOLAR NW Required Items and Reports(Conditions)
9375 SW JULIA PL 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 to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: ---1-- / Perrfittee-Signature:
03.639.4175 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.
r
Building Permit Application
----
ResidentitO FOR OFFICE L'SE O\I N
City of Tigard Received
, Permit No Date/By: J�' �./' /415?oZG�—Cr"�cZSfb
a 13125 SW Hall Blvd.,Tigard,OR 972 ` qF
t g tE
r�� n Plan Review
6' Phone: 503.718.2439 Fax: 503.598 }6+�. E�,J Plan Re: �(/?.2- Other Permit:
T IGARLI Inspection Line: 503.639.4175 Date Ready/By: Q� ate, 81 See Page 2 rid
Internet: www.tigard-orgov I e� [ ZOg4 Notified/Method: r/i 1 _'` }�Ir __ Supplemental Information
` '"''s ' s- a.r a' I [ " ' LND24A41111 IPAFLLIN
D New construction [ N-001 I I" Permit fees*are bescd on Me floe 0I l i rr-ark per Conned
Indicate the value ioounded to the nearest dollar)of all
❑x \dditior%alteration replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CAFEC;ORi OF C(} "tfRfi " ,II,
work indicated on this application.
® 1-and: fanuly du�lhu * Valuation: $ $40,600.00
g ❑(I onimerciallindustrial
❑Accessory building 0 Multi-family Number of bedrooms:
[1 Atatiicr hui'der ❑llthc: Number of bathrooms:
JOB SITE INIOR\L5FIO\ .t"D I0C1A 10 " Total number of floors:
Job site address: 9375 SW Julia Place New dwelling area: square feet
City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Rousculp Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
:iii' . , '� l ;.'.CIJikIhIN;1t(ta€ €11;Clt€(KLI s''
Subdivision: Lot no.: Permit fees*are based on the value of the'.cork pertornred.
Tax man parcel no Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
� I1 i 1117r 1t _ DESCRIPTION OF WORK work indicated on this application.
Adding 8.64 kW Root Top solar PV System with a panel upgrade Valuation: $
Existing building area: square feet
New building area: square feet
,...._.. . ',__ _. 0 TENANT ArfilliirrrIlNumber of stories:
Name: Joshua Rousculp Type of construction:
Address: 9375 SW Julia Place Occupancy groups:
City/State/ZIP: Tigard,OR 97224
Existing:
phone:(509-3)12-6484 Fax:( )
New:
rVIMPR
.,. <.,c"�'"'.w 'i` t. ,*htein 1 y.,, a , t '. ,l 'it t ; }, E"• r d t''a &,•' $ 4 ' .,
Business name: Premier Solar NW (ll 1, r, "` " ` "r
Structural plan review fee(or deposit):
Contact name: Robert M. Rathbone
FLS plan review fee(if applicable):
Address: 12399 NW Waker Dr.
City/State/71P: Portland,OR 97229 Total fees due upon application:
Phone:( 503-§28-9500 ( Fax::( ) Amount received:
E-mail: rrathbone@premiersolarnw.com PIIC}TO�=OLTAIC SOLAR H � F
f: s Commercial and residential prescriptive installation of
rooftop 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 $180 00
and administrative fees):
Phone:( 503-828-9500 Fax:( )
State surcharge(12a/u of permit fee): $21.60
CCB lie.: 218826
Total tee due upon application: $201.60
Authorized signature: J ^* This permit application expires if a permit is not obtained
' ,. .ac�r within 180 days after it has been accepted as complete.
Print name: Clifford Barry i Date: 7/13/22 *Fee methodology set by Tri-County Building industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/201 1 440-46 t3T(I I/02/COM/WEB)
A
Electrical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard Date/13: Permit#:
III a 13125SW Hall Blvd,Tigard OR 97223 plan RCVICW
1t ' Phone' 5037182439 Fax' 503.598.1961) Date/$: Related Permit it:
- Inspection Line: 503.639.4175 Ready Date/By: - - Theis ®See Page 2 for
1 ICAR1) Internet: www:6gard-orgoy Notified/Method: Supplemental lnrormauon
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlitems checked):
❑ Demolition ❑Other: ❑Service or feeder 400 amps nr more ❑Building over throe stories-
where the available taint current ❑Marinas and boatyards.
, a"`irf 5t1 t 4 "' ( j J exceeds I0 000 amps at 150 volts or I:Floating buildings.
❑xi-and 2-family dwelling ❑Ccmmnercial/industrial ❑ Accessory building less to ground,orexceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. building.
❑Multi-family ❑Master builder El Other: 0 Fire pomp. 0 Installation of 150 KVA or
,rk.,.1,.., :F ; - -0 ,. 4 t ❑Emergency system larger separately derived
s s ❑Addition of new motor load of system.
Job#: Job site address: 9375 SW Julia Place IOORP or more ❑"A"."B","l-2" "1-T'
City/State/ZIP:Tigard,OR 97224 ❑S x or more esident al units. occupancy.
9 ❑Health-care facilities. ❑Recreational vehicle parr.
Suite/bldg./apL#: Project name:Rousculp ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder'600 amps or more. 600 volts nominal.
Cross street/directions to job site:
Description Qty Each 'roll
New residential single-or multi-family dwelling unit.
Subdivision: i Lot#: Includes attached garage.
I,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'1500 sq.0t or portion 33.92 I
a "1 • Yri l'Of 11$ t 1 Limited energy,residential
75.00 2
(with above sq.d.)
Adding 8.64 kW Roof Top Solar PV System, replace existing meter Limited energy,multi-family
and main panel with 200 amp meter main and sub panel residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
IMPIRE°§a s=6 ' ': Services or feeders installation,alteration,and/or relocation
Name: Joshua Rousculp 200 amps or less 1 100.70 2
201 snips to 400 amps 133.56 2
Address:9375 SW Julia Place aol amps to e x amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:(509-3)2-6484 I Fax:( ) O er I,WOampsorvolts 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
�,�,�f �^T� - �)ry p � ;/, �� - .a Branch circuits—new,alteration,or extension, panel
' + A.Fee for[ranch circuits with
Business name: Premier Solar NW above service or feeder fee, 7.42 2
each branch citt:uit
Contact name: Robert M.Rathbone B.Fee for branch circuits without
Address: 12399 NW Wa ker Dr service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Portland,OR 97229 Each add1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503-88-9500 I Fax::( ) Each manufactured or modular 67.84 2
Email: rrathbone@premiersolarnw.com dwelling,service and/or feeder
Reconnect only 67.84 2
4 V;T`�, :, `. ��� ;,, Pump or irrigation circle 67.84 2
Business name: Premier Solar NW Sign or outline lighting 67.84 2
Signal eimuit(s)orlimited-energy ❑ See Page 2 2
Address: 12399 NW Walter Dr. panel,alteration,or extension.
City/State/ZIP: Portland,OR 97229 Each additional Inspection over allowable in any of the above
Additional inspection(1 hr nun) 66.25/hr
Phone:(503 )828-9500 Fax:t ) Investigation(I hr[tun) 90.00i hr
Email: cbarytpremiersolarnw.com Industrial plant(1 hr min) 78.18/hr
Inspections far which no fee is 90.00;hr
CCB Lie.: 218826 Electrical Lie.:C1540 Suprv.Lie.: 65335 speed-wall listed '6 hr nun)
Suprv.Electrician signature,required: zy.4 / ' Subtotal:
Print name: Tim Oliver I Date: 7/13/22 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: 7/13/22 days after it gas been accepted as complete.
* Number of inspections allowed per permit.
1:1'Building\t'mmhs\EL_PamitApp_ELR._ERE_doc Rev 06/17.9015 440-4615T(1 Ii05/COSJWEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined: $75.00 Rene Qty. Each Total
Renewable electrical energy syvtemx:
Check Type of Work Involved: 5 kva oc 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
n Garage Door Opener* I00 kva(fee in accordance SSz.z6 z
with OAR 918-309-0040)
E Heating,Ventilation and Air Conditioning Salar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
C Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
C Other: Each additional inspection is 66.25/hr 1
charged at an hourly(I hrmin)
Inspections for which no fee is 90.00/hr
x cificatl listed(%hr min
z�t„s. -.,o-ask 7ticmz',SKxa a�afr - A e5.
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 , ram rofineputons allomedp r e ma.
(SEE OAR 918-309-0000)
Check Type of Work Involved: 8.64 kVA
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
—1 Fire Alarm Installation
C HVAC
C Instrumentation
C Intercom and Paging Systems
n Landscape Irrigation Control*
C Medical
C Nurse Calls
C Outdoor Landscape Lighting*
❑ Protective Signaling
C Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1-1SoJdInglPermtdELC_PmmitApp_ELR_ERE.doo Rev p6,97@n15