Permit CITY OF TIGARD111 MASTER PERMIT
' a COMMUNITY DEVELOPMENT Permit#: MST2022-00423
T[GA F2,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/08/2022
Parcel: 1 S134BD12600
Jurisdiction: Tigard
Site address: 10894 SW TEAL CREST PL
Subdivision: SUMMERBROOK SUBDIVISION Lot: 9
Project: STAVER
Project Description: Solar photovoltaic system.6.4 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: 822,800.00 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: 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: Y Other Description: Roof top solar array 6.4 kW Ecom asin
P 9
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
STAYER,ROBERT ALLEN PREMIER SOLAR NW Required Items and Reports(Conditions)
10894 SW TEAL CREST PL 12399 NW WAKER DR
TIGARD,OR 97223 PORTLAND,OR 97229
PHONE: PHONE: 503-799-9042
FAX:
Total Fees: $362.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
ccoj n1-nn1 n fhm inh r,Ap o59-nM-nnon Vn,may nhfain a nnnv l e nr rlir<N nueefinne fn re iron by rnllinn cr 9 10137 Ann. 99dd
Issued By: * — ��.— / - Permtieas' nature: �`'- 1 � /
CaI09:t+39.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the iob site at the time of each Inspection.
Building Permit Application
:1 't , )' Ty' / FOR OFFICE I SF ONLY
City of Tigard RECEIV = •' iB lv/y 1 n e/tPJ,1! permit No3716 Mite
111 et 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I /
,I ' Phone: 503.718.2439 Fax: 503.598.1960 OCT 2 5 2024 Dale/By: i D 2 Other Permit-
;
i t n 1.,1, Inspection Line: 503.639.4175 l t G Date Ready/By. 1 p�� mds_ ® &e Page 2 for
Internet: www.ligani-or.gov CITY OF TIGAR�Notif'ed/Method: Z-z A. Supplemental Information
1 , tri .l .
q�t5.Y•3r ra ffi to ti r . f T.i
`` ussYGssu$sLkrw�165a u ,; ��ry l,•`,,
❑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: equipment,materials,labor,overhead,and the profit for the
, , . . :-` r work indicated on this application.
® 1-and 2-family dwelling ❑Commerciallindustrial Valuation. $ 22,800
0 Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
1 A
Total number of floors:
1 Job site address: 10894 SW Teal Crest Place New dwelling area: square feet
'V city/State/ZIP: Tigard, OR 97223 5.,itiurie Garage/carportarea: square feet
Suite/bldg./apt.no.: I Project name: (` Residence Covered porch area: square feet
Cross street/directions to job site: SW Teal Crest Place, between Deck area: square feet
SW Summerbrook Lane and SW Springwood Drive Other structure area: square feet
ritit t atit a -.g-.t ,f
rMil
Subdivision: I 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
° I' . work indicated on this application.
Adding 6.4 kW rooftop solar PV system Valuation: $
Existing building area: square feet
New building area: square feet
#^; ¢ ;; I`jr, r `",1"- `kyitl Number of stories:
Ascristt
Name: Charlotte Corelle & Bob Stayer Type of construction:
Address:10894 SW Teal Crest Place Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing:
Phone: (503) 639-4525 Fax:( ) New:
Iry
r_� (tom,. „ .�. `i; "� ;
v
Business name: 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: a�,., .< ;f: ,:,;3 i
ling • stum•townen•ineerin•.com -.
. ,4�. Commercial and residential prescriptive installation of
,'' r ` ii r ,r-oo�`f-top mounted PhotoVoltaic Solar Panel System.
Business name:
6&Q Renewshie Enorg 1 I C A��..�t, tG ' , rttwo(2)setsofroofplanwithconnectiondetais
�V ��1 WWWand��vfire 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 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: 218826 'Total fee due upon application: $201.60
Authorized signature: 4'I }� C, This pennil application expires if a permit is not obtained
_ r'�(,�lf\ LA�'ti'y within 180 days after it has been accepted as complete.
ame: Lindsey Davis Date: 10/7/22 � Fee methodology set by Tri-County}•Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE°NIA'
City of Tigard Received �t/�(/ 2
Date/B Perm
it#: LA W T J
IN u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
It - Phone: 503.718.2439 Fax: 503.598.1960 Dale/B : Related Permit#:
Inspection Line: 503.639.4175 ReadyDate/By tans:
TIGARD Y S See Page 2 for
Internet: www.tigard-or.gOv Notified/Method'. Supplemental lnformatian
❑New construction Z Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building aver three stories.
❑Demolition ❑OtheC where the available fault current ❑Marinas and boatyards.
finS&47. 1.1111MBEEMZEZETRIEMZENMENERMINVIni exceeds 10,000 amps at 150 volts or ❑Floating buildings.
l] 1-and 2-familydwellingCommercial/industrial less to g Dana,°r exceeds ta,000 0 Commercial-use
a icultural
0 ❑Accessory building amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other:+fi ❑Fire pump. 0 Installation of 150 KVA or
n ''° °* : a 1 t. ,If ❑Emergencys 7,: larger separately derived
Job#: Job site address: ❑Addition o(new mo or load of system
10894 SW Teal Crest Place 100HPormore. ❑"A","E","t-2","13",
ri Tigard, OR 97223 ❑six or more resident al anus occupancy.
City/State/ZIP:/State/ZIP:
❑Healthcare facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Corelle Residence ❑Hazardous locations °Supply°°'rage form°re than
❑Servrce or feeder 600 amps or more 600 volts nominal
Cross street/directions to job site: SW Teal Crest Place, between ,�ll'I' r " �l'"ll` y '
SW Summerbrook Lane and SW S rin wood Drive dwelling
.
p g New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
Ea.add•1 500 sq.R or portion 33.92 1
'';ti
' f_ 8 ° k # Limited energy,residential
(with above sq.R.) 75.00 2
Adding 6.4 kW rooftop solar PV system limited energy,multi-family
residential(with above sq.ft) 75.00 2
a`{ r=4„ grusammis Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name: Charlotte Corelle & Bob Stayer zoo amps or less 100.70 2
Address: 10894 SW Teal Crest Place 201 amps to 400 amps 33s6 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) 639-4525 I Fax:( ) Over 1,000 amps or volts 552.26 2
Email:
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 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
'FTe'' "�'" ,, ;9 `�" a> x,d ,t',,- Brsnch circuits—new,alteration,or extension, er panel
' " "`�`-``�'""�"�'"'�� ' - w • - A.Fee for branch circuits with
Business name: Stumptown Engineering above se vice or feeder fee, 742 2
each branch circuit
Contact name: Lindsey Davis B.Fee for branch circuits without
Address:9644 SE 29th Ave. service or feeder ree,s it 56.18 2
branch circuit
City/State/ZIP: Milwaukie, OR 97222 Each add'Ibmnch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)924-7533 I Fax: : ( ) Fach manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: llndse • stumatownenaineerinc.com Reconnect only 67.84 2
:'''' , . `�1=: ,,a, ItffeaPump or irrigation circle 67.84 2
Business name: C&B Renewable Energy, LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address: 12399 NW Walker Rd. panel,alteration,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(I hr min) 78.18/hr
� � Inspections for which no fee is 90.00/hr
CCB Lic.: 218826 Electrical Lic.: C1540 Suprv.Lic.: sr-cll listed 'rz'hrmin
ienalf 1:
Suprv.Electrician signature.required: -��, ifica Subtotal YY
Print name: Tim Oliver -V.. Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: q- TOTAL PERMIT FEE:
�i11 1 This permit application expires if a permit is not obtained within I8a
Print name: Lindsey Davis f Date: days Biter it has been accepted as complete.
' Number of inspections allowed per permit.
l\Building\Permits\ELC_Permit App_ELR_ERE.doc Rev 06/17/2015 440.46151(I I/05/COM/WEB
Y
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
.. Qh . Eseh Total ^Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: s kva or less 100.70 2
501 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 50 kva 301.04 2
n Garage Door Opener* so oI to 100 kva 552.26 2
>I00 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:
n Other: Each additional inspection is 66251 hr 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
sr citicall listed('/:hr min)
Fee for each commercial system: $75.00 Subtotal(Enter on Page I)
(SEE OAR 918-309-0000) umber ofinspections allowed pe pe mil.
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
toBuilding\Permits\ELC_PermitApp_ELR ERE.doe Rev 06/ID2015