Permit CITY OF TIGARD MASTER PERMIT
1 ' COMMUNITY DEVELOPMENT Permit#: MST2022-00416
T I G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2022
Parcel: 2S106DA13800
Jurisdiction: Tigard
Site address: 13009 SW REDFOX TER
Subdivision: RIVER TERRACE EAST Lot: 138
Project: Tellez
Project Description: Rooftop solar PV system 7.92 kW
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: $30,725.00 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<10OK: 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 l 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: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VP R-3 0
Owner: Contractor:
TELLEZ,ANISHA&MARK NATIONWIDE ENERGY Required Items and Reports(Conditions)
13009 SW REDFOX TER PO BOX 821959
BEAVERTON,OR 97007 VANCOUVER,WA 98682
PHONE: PHONE: 800-908-8992
FAX:
Total Fees: $356.69
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 rule are set forth in OAR
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11Mn lhrnun G Q59_nn Lnoon Vnn murrain nv of 1ha n,loe nr rlirnrf ni icMinne fn fll INC h„nallinn 19 1QA nr1 By: Permittee Signature: l(/V
Ca 1503�5 by 7:0 .m.for the next available inspection date.
This permit card shall be kept in a con .. ous 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 t ECEI VE j FOR OFFICE USE ONLY
. Cityof Tigard Received
g SEP 2 DateBy: Permit No.a672,o22—00/4/4
• 13125 SW Hall Blvd.,Tigard,OR 97223 2U22 Plan Review /
Phone: 503.718.2439 Fax: 503:598.196 Date/I dZelb/Zi ! 4 Other Permit:
Inspection Line: 503.639.4175 LITY OF TIGARD Date Ready/By: ( ff! brie: El See Page 2 for
TIGARD BUILDING DIVISIONSupplemental information
Internet:spectsLine:www.tigard-or.gov Notified/Method:
TYPE OF WORK REQUIRED DATA:!-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:SOLAR equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑� I-and 2-family dwelling 0 Commercial/industrial valuation: S 30725.30
IDAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other; Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
`I Job site address:13009 SW RED FOX TERRACE New dwelling area: square feet
City/State/ZIP:TIGARD, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:ANISHA TELLEZ-SOLAR 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.
Tax map/parcel no.:2S106DA13800 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 7.92kW roof mounted solar photovoltaic system. Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:ANISHA TELLEZ Type of construction:
Address:13009 SW RED FOX TERRACE Occupancy groups:
City/State/ZIP:TIGARD, OR 97223 Existing:
Phone:( ) (971)400-5085 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Nationwide Solar
(Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Nationwide Solar
FLS plan review fee(if applicable):
Address:6407 NE 117th Ave Suite B
City/State/ZIP:Vancouver,WA 98662 Total fees due upon application:
Phone:( )360-718-2213 Fax::( ) Amount received:
E-mail:jgodsil@mynationwidesolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Nationwide Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6407 NE 117th Ave Suite B Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98662 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )360-718-2213 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:176918
Total fee due upon application: S201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Nationwide Solar Date:9/26/2022 *Fee methodology set by Tn County Building Industry
Service Board.
l:\Building\Permits'BUP-RESPcrmitApp.doc 02/24/2011 440-4613T( 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
■ 13125 S W Hall Blvd.,Tigard,OR 97223
Date/By: Permit No.:
I Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
"r W/o-to 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ties \o \'.‘
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: 0 0 ❑
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0
6 Sewer permit. 0 DI ❑
7 Water district approval. 0
0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 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 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 0 0 0
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 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 0
floor,wall construction,roof construction. More than one cross section may be 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. 0 0 0
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 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 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 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 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 0
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 0 0
architect licensed in Ore on and shall be shown to be a licable to theproject under review.
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 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 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, 0 0 0
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 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.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(11/02/COM/WEB)
Electrical Permit Application RECEIVE1 FOR OFFICE USE ONLY
7111
City of Tigard Received
SEP 2 7 2022 Dann Permit#:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
11 Phone: 503.718.2439 Fax: 503.598.1960
DateB Related Permit#:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: orris: H See Page 2 for
Internet: www.tigard-or.gov L11 )il.ri'tC ipl)II, lr)N Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
0 New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0Service or feeder 400 amps or more 0Building over three stories.
❑Demolition I]Other: SOLAR
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings.
❑� Commercial/industrial and 2-family dwelling 0 ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi-familyamps for all other installations. buildings.
❑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: 13009 SW RED FOX TERRACE ❑Addition of new motor load of ystem.
City/State/ZIP:TIGARD, OR 97223 Six or or more. ❑occupancy.
❑Six or more residential units. occupant
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: AN ISHA TELLEZ-SOLAR ❑Hazardous locations. ❑Supply voltage fur more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description i Qtv. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:2S106DA13800 t,000 sq.t1.or less 168.54 4
Ea.add'l500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Installation of 7.92kW roof mounted solar photovoltaic system. (with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
IN PROPERTY OWNER ❑ TENANT Renewable Energy ® See Page 2
Services or feeders installation,alteration,and/or relocation
Name: ANISHA TELLEZ 200 amps or less 100.70 2
Address:13009 SW RED FOX TERRACE 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:TIGARD,OR 97223 601 amps to 1,000 amps 301,04 2
Phone:( )(971)400-5085 Fax:( ) Over 1,000 amps or volts 552.26 2
Email: anishavaid@hotmail.com Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 t
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
Branch circuits—new,alteration,or extension,Per panel
® APPLICANT 0 CONTACT PERSON
A.Fee for branch circuits with
Business name:Nationwide Solar above service or feeder fcc,
each branch circuit 7.42 2
Contact name:Nationwide Solar B.Fee for branch circuits without
Address:6407 NE 117th Ave Suite B service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98662 Each add'l branch circuit 7.42 2
Phone: Miscellaneous(service or feeder not included)
( )360-718-2213 Fax::( ) Each manufactured or modular
Email:jgodsil@mynationwidesolar.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Nationwide Solar Sign or outline lighting 69.84 2
Address:6407 NE 117th Ave Suite B Signal circuit(s)or limited energy
panel,alteration,or extension. 0 See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP:Vancouver, WA 98662
Additional inspection(1 hr min) 66.25/hr
Phone:( )360-718-2213 Fax:( ) Investigation(1 hr min) 90.00/In
Email:jgodsil@mynationwidesolar.com Industrial plant(thrmin) 78.18/fir
Inspections for which no fee is
CCB Lic.:176918 Electrical Lie.:C1646 Suprv.Lie.:4216S specifically listed('Vas Ire min) 90.00/hr
Suprv.Electrician signature, �9 1r ELECTRICAL PERMIT FEES
p required: �rry f'r
Subtotal:
Print name:Todd Hester Date:9/26/2022 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 160
Print name: Date:9/26/2022 days after it has been accepted as complete.
` Number of inspections allowed per permit.
1:1Building,Permits‘ELC_PermitApp E RE.doc Rev 06/17/2015 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
Fee for all residential systems combined: $71,00 Description I Qtp. I Each rural
Renewable 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 10 zs kva
200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance
Elwith OAR 918-309-0040) 552.26 2
Heating,Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 I 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in an of the above:
0 Other: roof mounted solar PV Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fcc is
specifically listed CAhr min) 90.00/hr
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 subtotal(Enter on Page 1):
(SEE OAR 918-309-0000) " Number of inspections allowed per permit.
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:12tuildirsg1Permas'J3LC_PermitApp_ELR_ERE.doc Res Oni17/2015