Permit CITY OF TIGARD MASTER PERMIT
14 44
11 : COMMUNITY DEVELOPMENT Permit#: MST2022-00447
Date Issued: 11/15/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1026C09100
Jurisdiction: Tigard
Site address: 12772 SW KING PL
Subdivision: GRACELAND Lot: 4
Project: Riordon
Project Description: Rooftop PV system 5.18 kW
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage. sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Drains: Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Catch Basins:
Bckflw Prevntr:
Footing Drain: Ice Maker: Hose Bib: Backwater Value:
Other Fixtures:
Dryweli-Trench Drain:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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: 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 5.18 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr.: Occupancy Group: Square Feet:
OTR SF VB R-3
Owner: Contractor:
RIORDON,CHEYENNE&AERON GREEN RIDGE SOLAR Required Items and Reports(Conditions)
12772 SW KING PL 19450 SW MOHAVE CT
TIGARD,OR 97223 TUALATIN,OR 97062
PHONE: PHONE: 503-395-1943
FAX:
Total Fees: $356.19
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
oc2.nnl-nnl n fhrnt In A.3%.-r-1-0
hnmp oc9-nn1_nnon Vnu mew nh}oin "-. A...lac dimnf el,ioefinne fn fV INC by roninn Sn4 9. 10117 nr 1 Ann'VI')9'iA4
Issued By: Racmittee Signature: ,.-c"
3.639.4175 by 7:00 a.m.for the next available inapec 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 lob site at the time of each Inspection.
• Building Permit Application
Residential RECEIVE FOR OFFICE USE ONLY
City of Tigard ReceivedDateBy: /l 8 3 Permit No.: T.2412_pptf , 7
" 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 0 7 2022 P1anReview6
. �`
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ���I 5 'f.Z f�" other Permit.r'►'���OV?-i _(,aoS
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: 'lads I H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: I.LS.l Supplemental Information
BUILDING DIVISION„` !�
1 TYPE OF WORK REQ 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/alterationireplacement 0 Other:Solar Installation equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ElCotnmercial/industrial Valuation: $ 4,500
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Jo Job site address: 12772 SW King cr i1'' New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Riordon Solar Project 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: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation and hook up of 5.18 kW roof mounted solar system Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ® TENANT Number of stories:
Name: Cheyenne Riordon Type of construction:
Address: 12772 SW King Ct. Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( )361-401-0108 Fax:( ) New:
is APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:Green Ridge Solar (Please refer fo fee reheAatd
Structural plan review fee(or deposit):
Contact name:Amanda Owen
FLS plan review fee(if applicable):
Address:19450 SW Mohave Ct
Total fees due upon application:
City/State/ZIP:Tualatin, OR 97062
Amount received:
Phone:( )503-395-1943 Fax::( )
E-mail:operations@greenridgesolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Green Ridge Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:19450 SW Mohave Ct Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin,OR 97062 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )503-302-1894 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.:210450 Total fee due upon application: $201.60
Authorized signature: / /--L This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Amanda Owen Date:11/1/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPemtitApp.doc 02'24/201 I 440-4613T(11/02/COM/WEB)
rU i-rsusi-U IZU
" Electrical Permit Application RECEIVE I FOR OFFICE USE ONLY
City of Tigard Received
., • 13125 SW Hall Blvd.,Tigard,OR 97223 NOV 0 7 2022 Plan Revie s iy`io _ �LLer
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Wm
ij
Inspection Line: 503.639.4175 Ready Date/BY Juri:
s^ See Page 2 for
TIG:RRI Internet: www.tigard-or.gov CITY OF TIGARD Notificd/Mcthod: f�(✓ Supplemental Information
BUILDING DIVISIO
TYPE OF WORK PLAN REVIEW
❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w!items checked):
�I 0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 21 Other: Solar Installation where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑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: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: - ❑Addition of new motor load of system.
12772 SW King Ct. 100HP or more. ❑ 'A",'F".'l-z',"t-3',
City/State/ZIP:Tigard, O R 97223 CI Six or more residential units. occupancy.
9 ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Riordon Solar Project ❑Hazardous locations. 0 Supply voltage for more than
j ❑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: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax trap/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
\° DESCRIPTION OF WORK Limited energy,residential -
(with above sq.ft.) 75.00 2
Installation and hook up of 5.18 kW roof mounted solar system Limited energy,Inuit-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
® PROPERTY OWNER El TENANT Services or feeders installation,alteration,and/or relocation
Name: Cheyenne Riordon 200 amps err less 100.70 2
Address: 12772 SW King Ct. 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/state/z1P:Tigard, OR 97223 601 amps to 1,000 amps 301.04 2
_
Phone:( ) 361-401-0108 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: cheyenneriordon@gmail.com relocation _
Owner installation:This installation is being made on property that I own which is not 201)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
0 APPLICANT ® CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Green Ridge Solar above service or feeder tee, 7.42 2
each branch circuit _
Contact name:Amanda Owen B.Fee for branch circuits without
Address:19450 SW Mohave Ct serviceranh it feederitfee,first 56.18 2
branch circuit
City/State/ZIP:Tigard, OR 97223 Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )503-395-1943 Fax::( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email:operations@greenridgesolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Green Ridge Solar Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address:19450 SW Mohave Ct 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:( )503-395-1943 Fax:( ) Investigation(I hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:operations@greenridgesolar.com Inspections for which no fee is
CCB Lie.:210450 Electrical Lie.:C1490 Suprv.Lic.:6478S
specifically listed(%s hr min) 90.00/hr
ELECTRICAL PERMIT FEES
.(;
Suprv.Electrician signature,required: 54ifi 5�&.?2L2; ��
Subtotal:
Print name: Brian Butterfield Dat . 11/1/2022 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:
TOTAL PERMIT FEE:
This permit application expires if a permits not obtained within 180
Print name: Amanda Owen Date:11/1/2022 days after it has been accepted as complete.
4 Number of inspections allowed per permit.
I:\Building'Permits'&iLC PermilApp RLR RRli.doc Rev 06/172015 440.4615T(t 1/05/COM/WPe
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description *
Fee for all residential systems combined: $75.00I
3r Renewable Each I Total electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 2
❑ Audio and Stereo Systems* 15.01 to25 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
❑ 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 1
charged at an hourly(I hr min)
Inspections for which no fee is 90,00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 . umber 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
❑ 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;U3uildinglPermits\ELC PermitApp_ELR_ERE.doe Rev 06/172015