Permit CITY OF TIGARD MASTER PERMIT
II ' ' COMMUNITY DEVELOPMENT Permit#: MST2022-00427
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2022
Parcel: 2S 106AD07200
Jurisdiction: Tigard
Site address: 12997 SW RIVER TERRACE BLVD
Subdivision: RIVER TERRACE EAST Lot: 179
Project: Bischoff
Project Description: Rooftop solar PV system 6.21 kW, 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: $29,102.00 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: Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 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
P W/Svc or Fdr: 0
Ea add!500 sf: 0 201-400 amp: 0 201-400 amp: 0
P W/O SvGFdr: 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
Other N Other Description: N
Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB
R-3 0
Owner: Contractor:
BISCHOFF,TODD&JAMIE NATIONWIDE ENERGY Required Items and Reports(Conditions)
12997 SW RIVER TERRACE BLVD PO BOX 821959
BEAVERTON,OR 97007 VANCOUVER,WA 98682
PHONE: PHONE: 800-908-8992
FAX:
Total Fees: $474.97
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. ATTEN� 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: t Permittee Signature: 7 A
Call 503 . 75 by 7:00 a.m. r the next available inspection date.
This permit card shall be kept in a conspicuou lace on the job site until completion of the project.
Approved plans are required on the lob site at the time of each inspection.
Prescriptive
tuilding Permit Application
Residential H CE VED FOR OFFICE L SE ONLY
City of Tigard Received PermiWo.
• 13125 SW Hall Blvd.,Tigard,OR 972232 Date/By: f1'IST2d22'osY3`,f
� Phone: 503.718.2439 Fax: 503.598.1960 �C� 5 �02 DPtaatte/By: w I d/7'(9/1f•—"/ Y Other Permit:
T I G ARD Inspection Line: 503.639.4175 „� .,i ,� t Date Ready/By: ' -7 / ' /1(7u,is: RI See Page 2 for
Internet: www.tigard-or.gov '�' 'f " NotifiedMtethod: Q /..�,17� - r di Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
O New construction ❑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 ll7.l Other:Sollar Install Prescriptive equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $29102.50
IDAccessory building ID Multi-familyNumber of bedrooms:
❑Master builder El Other:Prescriptive roof mounted Solar Install Number of bathrooms:
Ili JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12997 SW River Terrace Blvd New dwelling area: square feet
City/State/ZIP: Beaverton, OR, 97007 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Todd Bischoff Prescriptive Solar Install Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Friendly Ln and SW River Terrace Blvd 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.: 2S106AD07200 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 roof mounted 6.21 kW DC �,'/1 r)����}i
Valuation: $
/
Solar Photo-Voltaic generation system Prescriptive ," Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Todd Bischoff Type of construction:
Address: 12997 SW River Terrace Blvd Occupancy groups:
City/State/ZIP:Beaverton, OR, 97007 Existing:
Phone:( ) (971) 770-7937 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Nationwide Solar
Structural plan review fee(or deposit):
Contact name:Fabian Angobung
FLS plan review fee(if applicable):
Address:6407 NE 117th Ave Unit B
Total fees due upon application:
City/State/ZIP:Vancouver, WA 98662
Phone:( )800 908 992 x 222 Fax: :( ) Amount received:
E-mail:fangobung@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 Unit B Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver, WA 98662 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )800 908 992 x 222 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:176918 Total fee due upon application: $201.60
Authorized signature: riz,e4. yL.Aa kzer This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Fabian Angobung Date: 10/20/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits.BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Electrical Permit Application FOR OFFICE ISE.ONLY
City Of Tigard "", IV : ® - ' Permit#.
• 13125 SW Hall Blvd.,Tigard,OR 97223 r
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960III
Date/B
aRelated Permit#
Inspection Line: 503.639.4175 OCT 2 5 202e. ReadyDate/By: Juris:
I I GA RD See Paget for
Internet: www.tigard-or.gov Notified/Metho d• Supplemental Information
TYPE OF WORK > PLAN REVIEW
❑New construction IU Addition/alteration/replBgeMebit L.t 1,..:tJl +,. '(-=`' Please check all that apply(submit 2 sets of plans w/items checked):
ID Demolition ❑� Other: Prescriptive Solar Install Roof Mounted ❑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.
❑� I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations, buildings.
El Multi-family ❑Master builder ❑� Other: Solar Install 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address:12997 SW River Terrace Blvd ❑Add100HP or morere on of new motor load of system.00IIP . ❑"A" "E""1-2""1-3"
City/State/ZIP:Beaverton, OR,97007 ❑Six o more residen al units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Todd Bischoff Prescriptive Solar Install ❑Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: SW Friendly Ln and SW River Terrace Blvd FEE SCHEDULE
Description I QtY. I Each I Total 1
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:2S106AD07200 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Installation of roof mounted 6.21 kW DC solar Photo-voltaic generation system (with above sq.ft.) 75.00 2
Limited energy,multi-family
Prescriptive residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
❑ PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Todd Bischoff 200 amps or less 1 100.70 2
Address:12997 SW River Terrace Blvd 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Beaverton, OR, 97007 601 amps to 1,000 amps 301.04 2
Phone:( )(971)770-7937 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:info@3bischoff.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
Branch circuits—new,alteration,or extension,per panel 0 APPLICANT 0 CONTACT PERSON
A.Fee for branch circuits with
Business name:Nationwide Solar above service or feeder fee, 7.42 2
each branch circuit
Contact name:Fabian Angobung B.Fee for branch circuits without
Address:6407 NE 117th Ave Unit B branrfu fee,first
br anch circuit 56.18 2
ch t
City/State/ZIP:Vancouver,WA 98662 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )800 908 992 x 222 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:fangobung@mynationwidesolar,com Reconnect only 67_84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Nationwide Solar Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:6407 NE 117th Ave Unit B panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP:Vancouver, WA 98662 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( )800 908 992 x 222 Fax: ( ) Investigation(1 hr min) 90.00/hr
Email:fangobung@mynationwidesolar.com Industrial plant(Ihrmin) 78.18 hr
Inspections for which no fee is 90.00/hr
CCB Lie.:176918 Electrical Lie.:C 1646 Suprv.Lic.:4216 S specifically listed(i,hr min)
' / ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 67dd �� Subtotal:
-Print name:Todd Hester I Date: 10/20/2022 0 Plan Review Required(25%of permit fee).
State surcharge(12%of permit fee):
Authorized signature: P�424-47,4447 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Fabian Angobung Date: 10n0/2022 days after it has been accepted as complete.
a Number of inspections allowed per permit.
L\BaildinePermits\ELC_PernsitApp_ELR ERE.dor Rev 06/17/2015 440-4615T(rl/05/COM/WEB
. Electrical Permit Application—City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
c Imo ) ,k I , IT 1i14"_ FEE SCHEDULE
Fee for all residential systems combined: $75.00 Description I Qr7. I Each rare I
Renewable electrical energy systems:
Check Type of Work Involved: s kva or less 10o.7o 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 so kva 301 oa 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>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: Prescriptive Solar array Roof Mounted Solar Install Each additional inspection is
charged at an hourly(1 hr min) 66.25!hr 1
Inspections for which no fee is 90.00/hr
specifically listed('/hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: S75.00 Subtot
(enter on Page 1)
(SEE OAR 918-309-0000) "°`'be °f,°sP"°°°s a°°we per per°°`
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
O Intercom and Paging Systems
O Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
Li Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:1Euilding\Permils\ELC PermnApp_ELR_ERE.doe Rev 06/17/2015