Permit CITY OF TIGARDIN MASTER PERMIT
' 4 ' COMMUNITY DEVELOPMENT Permit#: MST2022-00417
T r G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/23/2022
Parcel: 2S103DC00821
Jurisdiction: Tigard
Site address: 11290 SW FAIRHAVEN CT
Subdivision: VIRGINIA ACRES NO.2 Lot: 14
Project: Kirkham
Project Description: Rooftop solar PV system 18 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: $71,960.00 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>=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 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
Other: Y Other Description: Roof top solar array 18 kW Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
KIRKHAM,TIMOTHY PREMIER SOLAR NW Required Items and Reports(Conditions)
11290 SW FAIRHAVEN ST 12399 NW WAKER DR
TIGARD,OR 97223 PORTLAND,OR 97229
PHONE: PHONE: 503-799-9042
FAX:
Total Fees: $550.26
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
QS9-nnL.noln fhrnunh n QA9-nn111non Vni mev n in n rnrn,of the nJne nr.Gra,-!nhinchnnc fn ni intr.:h„rniiinn 4M 9'19 10A7 nr 1 Ann 4A9 9'AA
Issued By: .71. Cr Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection da
This permit card shall be kept In a conspicuous place on the Job site until completion of the ect.
Approved plans are required on the lob site at the time of each inspection.
Building Permit Application RECEIVED
Residential OCT 2 0 2022 FOROFFICF:USE ON1,1'
City of Tigard CITY OF TIGARD RDarl Permit No: —
11,1nn,,11
13125 SW Hall Blvd.,Tigard,OR 972gUILDING DIVISION Plan ReviewWY/
Phone: 503.718.2439 Fax: 503.598.1960 Irate/By: 10 122 Other Permit:
'[lc;AR D Inspection Line: 503.639.4175 Date Ready/By: Jr :us I H See Page 2 for
Internet: www.tigard-or.gov Notified/Method..` ZZ Supplemental Information
0 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
1'1 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
111.1EcoRy,OF - e I.. work indicated on this application.
alI-and 2-family dwelling ❑Commercial/industrial Valuation: $ 71,960
❑Accessory building 0 Multi-family Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
s g t ,,° Total number of floors:
Job site address- 11290 SW Fairhaven Court New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carportarea: square feet
Suite/bldg./apt.no.: Project name: Kirkham Residence Covered porch area: square feet
Cross street/directions to job site: SW Fairhaven Court, Deck area: square feet
off SW Fairhaven Street Other structure area: square feet
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
o f .I. >" work indicated on this application.
Adding 18 kW rooftop solar PV system Jak d` Valuation: $
Existing building area: square feet
New building area: square feet
... ' 7' a `latFAILWAVISMETOrMall ;I Number of stories:
Name: Tim Kirkham Type of construction:
Address: 11290 SW Fairhaven Court Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing:
Phone:(971) 533-6320 Fax:( )
New.
Business name: , l,G 4k .' )a.
Stumptown Engineering Structural plan review fee(or deposit):
Contact name: Lindsey Davis
FLS plan review fee(if applicable):
Address: 9644 SE 29th Ave.
Total fees due upon application:
City/State/ZIP: Milwaukie. OR 97222 _
Phone:(503) 924-7533 Amount received:
Fax:: ( )
E-mail: lindse • stum.townen•ineering.com t ti :- k 1t.. .'.: -
,, to CONTRACTOR
1, Commercial and residential prescriptive installation of
y
�y� roof-tap mounted PhotoVoltaic Solar Panel System.
Business name: C&B --LIC t r Li t ft��(Ad" ) il Submit two(2)sets of roof,plan with connection details
and fire department access,along with the 2010 Oregon
Address:12399 NW Walker Rd. Solar Installation Specialty Code checklist.
City/State/ZIP: Portland, OR 97229 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503) 828-9500 I Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 218826 Total fee due upon application: $201.60
Authorized signature: `-P- � " � � This permit application expires if a permit is not obtained
)31,AO -erJ; �1 -"A\D within 180 days after it has been accepted as complete.
Print name: Lindsey Davis Date: 10/17/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
'Mudding 1Pemiits\Bt1P-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist ie / i..VPç
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Receives
Date/By: Permit No.:
...• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax 503.598.1960
TI(7AK17 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ElPlumbing 0 Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Ves No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils desiu ation,historic district,etc. ❑ 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0
6 Sewer permit. ❑ 0 0
7 Water district approval. ❑ 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control 0 plan El permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ El
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
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.
I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if gl ❑ 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
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 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 ,❑
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 ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four fool 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- Q ❑ 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 g ❑ 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 ® ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 RI
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 ill
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 CO
architect licensed in Ore on and shall be shown to be ...licable to the .ro ect under review.
JURISDICTIONAL SPECIFICS
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 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
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
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 ❑
Sheet Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 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 ❑
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.
1:1Building\Permits 1BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
/ (1
Electrical Permit Application RECEIVE I FOR OFFICE USE ONLI"
Received
City of Tigard Date/By: Per,nit t.:
13125 SW Hall Blvd.,Tigard,OR 97223 OCT 20 2022 Plan Review
n Phone: 503.718.2439 Fax 503.598.1960 Date/By Related Permit#:
Inspection Line'. 503.639.4175 CITY OF TIGARD Ready DDateBy: Saris: El See Page 2 foe
T IC ART) Internet: www.tigard-orgov t/oiified/Method: Supplemental information
❑New construction X❑Addition/alteration/replacement Please check all that apply(submit 2 se a of plans w/items the ked):
❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas andboatyards.
t .,, . exceeds 10,000 amps at I50 volts or ❑Floating buildings_
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building
D Multi-family ❑Master builder ❑Other: ire for all other installations buildings.
❑Fire pump. ❑Installation of 150 KVA or
—n- ,n�, ,,. . , `@rt r $• .-r & # 4 t F ❑Emergency system larger separately derived
$ ❑Addition o£new motor load of system.
Job#: Job site address: 11290 SW Fairhaven Court IOOHPormore. ❑"A","E","I-2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP: r
TI and OR 97223
9 ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Kirkham Residence ❑Haza dour locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: SW Fairhaven Court, off a
SW Fairhaven Street Description Qtg. 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'1 500 sq.fl or portion 33.92 1
. °� `'t :f/ _a ii Limited ebove sq.
ntial 75.00 2
Adding 18 kW rooftop solar PV system and panel swap and batteries (with above sq.a.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
_ .! r "ltzi Renewable Energy ❑ See Page 2
'`4 c#,. a , ,, , r Services or feeders installation,alteration,and/or relocaton
Name: 200 amps or less I 1 100.70 2
Tim Kirkham
201 amps to 400 amps 133.56 2
Address: 11290 SW Fairhaven Court 401 amps to 600 amps 200.34 2 2
City/State/ZIP: Tigard, OR 97223 601 amps to 1,000 amps 301.04 2
Phone:(971) 533-6320 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation: This installation is being made on property that 1 own which is not 200 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
�� _? ,.` „6`e Y �,. Tr Branch circuits-new,alteration,or extension,Per panel
- A.Fee for branch circuits tee,
Business name: Stumptown Engineering above service or feeder fee. 742 2
each branch circuit
Contact name: Lindsey Davis B.Fee for branch circuits without
service or feeder fee,first
Address:9644 SE 29th Ave, branch eisait 56.18 2
City/State/ZIP: Milwaukie, OR 97222 Each add'I branch ci curt 742 I 2
-- Miscellaneous(service or feeder not included)
Phone:(503)924-7533 I Fax::( ) Each manufactured or modular
dwelling,service and;'ur feeder 67.84 2
Email lindsey@stumptowrlen ineerin .corn Reconnect only 67.84 2
it• COS ( Pump or irti gation circle 67.84 2
Business name: C&B Renewable Energy, LLC Sign or outline lighting 67.84 2
Address: 12399 NW Walker Signal ci rcuil(s)or limited-energy ❑ See Page 2 2
Rd. panel,altemnon,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Portland, OR 97229
Additional inspection(1 hr min) 66.25/hr
Phone:(503)828-9500 Fax:( ) Investigation(I hr min) 90.00/hr
Email: Industrial plant(l hr min) 78.18/hr
Inspections for which no fee is 90.00,/hr
CCB Lie.: 218826 Electrical Lie.: C1540 i Suprv.Lie.:16335 s cifically listed %hrmin
at Aso
Suprv.Electrician signature,required: lc �. Subtotal:
❑Plan Review Required(25%of permit fee)
Print name: Tim Oliver Date:
�1 •
State surcharge(12%of permit fee)'.
Authorized signature: 4 �I �,i�'�✓U1 s''� I TOTAL PERMIT FF,F,'.
This permit application expires if a permit is not obtained within 180
Print name: Lindsey Davis --' Date: 10/17/2022 days after it has been accepted as complete.
c Number of inspections allowed per perimi.
I:1Building\Permits1ELC PermitApp_ELR_ERE.doe Rev 06/17/2015 g4O4615T(I l/05/COMlWEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Descrhon
Fee for all residential systems combined: $75.00 Renewable electrical energy syatms: Ram Tarr
Check Type of Work Involved: s kva or less 00.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 1 200.34 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 charged at an hourly(I hr min) 66.25,,
hr 1
inspections for which no fee is 90.00/hr
s. cificalI listed('. hrmin)
Fee for each commercial system: $75.00 Subtotal(Enter on Page t):
* Number oCinspections allowed per pemrrt.
(SEE OAR 918-309-0000)
Check Type of Work Involved: //L (l f/�
❑ Audio and Stereo Systems
UIJ ('( V
❑ 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
E\Baildio5\Permits\ELC_PermitApp_EIR_ERE.doe Rev 06/I7R015