Permit IIPI CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00475
T i G AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12l01l2022
Parcel: 1 S133AD12700
Jurisdiction: Tigard
Site address: 12621 SW SPRINGWOOD DR
Subdivision: SUMMER LAKE Lot: 8
Project: Morrison
Project Description: Rooftop Solar PV System and energy storage system 7.2 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: $25,000.00 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
Drywall-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
Fum<100K: 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: 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 7.2 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:
MORRISON,DONALD A AND SUZAN M TESLA ENERGY Required Items and Reports(Conditions)
12621 SW SPRINGWOOD DR 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $471.47
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,yeti o folltow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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_ fn..,inh C gF9_n07_ V v n n n rnm,of the nilne nr"Unmet mmctinnc to fl11Nr:by rellinn Fn7 7 - nr Finn TV)9Qd
( Permittee Signature:
Call 503.639.4175 by :00 a.m.for the next available inspection date.
This permit card shall be kept in a nspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
w
Building Permit Application Residential RECEIVE , FOR OFFICE USE ONLY
Received
City of Tigard Permit No.: y1� 1' y
_ NOV 5 2022 Date/By: i' :J 1.4,2,/Qd1[ /�
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I 2 7 II (1Z Other Permit:
'. Phone: 503.718.2439 Fax: 503.598.196�}, Date,By:
TIGARD Inspection Line: 503.639.4175 QF .D Date Ready/By Eris: ei See Page 2 for
Internet. wwwttigard-or-gov BUILDING DIVISION Notifi�eid/,Mmethood: t Ile 1.2 Supplemental Information
rYl'F; Olr _ i "'" . sir � t- : •_ ..r rt� I
r iiia �, =°��, a k�ATA:I-AND2-FAk 4a`"" t PC..
❑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 0 Other: 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: $25000
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
10.• {i},;1 .aamIATION AND LOCATION.
Total number of floors:
Job site address:12621 SW Springwood Dr New dwelling area: square feet
\ City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: I't' aft t5-r1 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*arc 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
DESCRIPTION OF WORK work indicated on this application.
Installation of rooftop PV array 7.2kW and energy storage system. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Donald Morrison Type of construction:
Address:12621 SW Springwood Dr Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( )(503) 209-7649 Fax ( ) New:
• ® APPLICANT ❑ CON'hAC'I PERSON BUILDING PERMIT FEES* ,, I )} ,
(Please refer to Ice sehedukef „a,r,I](i 1":::" 1424
Business name:Tesla Energy Operations Structural plan review fee(or deposit):
Contact name:Carter McBride
FLS plan review fee(if applicable):
Address:6132 NE 112th Ave
Total fees due upon application:
City/State/ZIP:Portland, OR 97220
Amount received.
Phone:( )732-823-2104 Fax: :( )
E-mail-portlandpermlts@tesla.com PHOTOVOLTAIC SOLAR PA , STEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Tesla Energy Operations Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6132 NE 112th Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Portland, OR 97220 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )732 823-2104 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Iic.:180498 Total fee due upon application: $201.60
Authorized signature: eez4bA., / 4'IVO, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Carter McBride Date:11/14/22 *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
,Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONE)
City of Tigard Received
Deceive Permit No.:
41 13125 SW I tall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
TIGARD 24-Hour Inspection Line: 503.639.4175 IDElectrical ElPlumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les NIP NI
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 0
•
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ ❑
6 Sewer permit. 0 0 ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control 0 plan ❑ permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
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.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ ❑
there is more than a 4-fl.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 ❑ ❑
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 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- ❑ ❑ ❑
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 ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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 ❑ ❑ El
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
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 D 0 ❑
architect licensed in Ore_on and shall be shown to be a.Ilicable to the .r&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 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 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 ❑ ❑
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 ❑
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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
fileetrical Permit Applicatiot EC E IVE , FOR OFFICE USE ONLY
CI O Tigard Received _
g Date/By. Permit ll.
:,_- 13125 SW Hall Blvd.,Tigard,OR 97223 NO t/ F Plan Review -- - I►�I�Z� 7
- Inspection
Phone: 503.718.2439 Fax: 503.598.1960 Y 1 J 2022 Date/By: Related Petmit#:
Inspection Line: 503.639.4175 T�� �1 Ready Date/By: duns: See Page 2 for
I i'. ARt7 Internet: www.tigard-or.gov CITY r OP TI(4APl Notified/Method
.�� Supplemental Information
...� TYPE OF 40"6JII VLF t,PIVIOILAN
PLAN REVIEW
❑New construction ®Addition/alteration/replacement Paw check all that apply(submit 2 cts ofplans s,Htems cIte kuil
El Service or feeder 400 amps or more ❑Building over three stories.
El Demolition ❑Other:
where the available fault current 0 Marines and boatyards.
CATEGORY' OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ElAccessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑ Master builder El Other: ❑ .
... . Fire pump P 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system, larger separately derived
Job#: Job site address:12621 SW S rin wood Dr ❑Addition of new motor load of system.
P 9 100HPor more. ❑"A" "F" "l-2" "I-3"
City/State/ZIP:Tigard, OR 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Morrison PV+ESS ❑Hazardous locations. 0 Supply voltage for more than
Cross street/directions to jab site: ❑Service m feeder 600 amps or more 600 volts nominal.
FEE SCHEDULE
Description
s ron 1 Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 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 rooftop PV array 7.2kW and energy storage system. (wimabovesqIt> 7500 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
'•I1^ 1 �"h 1 1 e ry�,pg l l i Renewable Energy ® See Page 2
l ,111 1 :,: , lVl �l� II �'� �111�1 �� ���1*N.1, : Services or feeders installation,alteration,and/or relocation
Name:Donald Morrison 200 amps or less 1 100.70 2
Address: 12621 SW Springwood Dr 201 amps to400amps 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:( )(503) 209-7649 Fax:( ) Over 1,000 amps or volts 552 26 2
Temporary services or feeders installation,alteration,and/or
Email: fishmor@gmail.com relocation
Owner installation: This installation is being made on property that I 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
® APPLICANT I " s € l Bra
- Branch circuits—new,alteration,or extension,per panel
- - ...:a A.Fee for branch circuits with
Business name:Tesla Energy Operations above service or feeder fee,
each branch circuit 7.42 2
Contact name:Carter McBride B.Fee for branch circuits without
Address:6132 NE 112th Ave service or feederfee,first 56.18 2
branch circuit
City/State/ZIP:Portland, OR 97220 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )732-823-2104 Fax: :( ) Each manufactured or modular
Email:portlandpermits@tesla.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67,84 2
CONTRACTOR ' s.''Il, al ,, " Pump or irrigation circle 67.84 2
Business name:Tesla Energy Operations Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address:6132 NE 112th Ave 0 See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Portland, OR 97220
Additional inspection(I hr min) 66.25/hr
Phone:( )732-823-2104 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr Email:portlandpermits@tesla.com
Inspections for which no fee is
90.00/hr
CCB Lic.:180498 Electrical Lic.:C562 Suprv.Lic.:5873S _ffecificallt. listed(/z hr min) I
.� /� ELECTRICAL PERMTI FEES
Suprv.Electrician signature,required: �L0/Z9 ,el2r6
Subtotal.
Print name:Nicholas Armstrong Date:11/14/2 ❑Plan Review Required(25%ofpennitfee):
7�� / State surcharge(12%of permit fee):
Authorized signature: , /r/�� 2L i2. GG� TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name:Carter McBride Date:11/14/22 days after it has been accepted as complete.
* Number of inspections allowed per pemtit.
1:\Budding\Perms iELC_PermitApp ELR_ERE.doc Rev06/17/2015 440-4615T(I I/05/COMIWEB
�.
..
•
Electrical Permit Application—City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: 7 t it err FEE SCHEDULE „rr,"I
oescripriun Eaoh Total Fee for all residential systems combined: $75.00 Renewable electrical energy systeQmly.s:
Check Type of Work Involved: 5 kva or less 100.702
5.01 to 15 kva 1 133.56 2
❑ Audio and Stereo Systems* 1501 to 25 kva 200.34 2
Wind generation systems in excess of25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* soot to loo kva 552.26 2
>100 kva(fee in accordance 552.26
with OAR 918-309-0040)
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
El 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 I
charged at an hourly(I hr min)
Inspections for which no fee is 90.00 hr
spec tically listed('4 hr rain)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES ,
Fee for each commercial system: $75.00 Subtotal(L iter on age l)
(SEE OAR 918-309-0000) Number of inspections allowed per penna.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
U 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
lnuilding\Permits\ELC_PermilApp_ELR ERE.doc Rev 06/17/2015