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Permit Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Pemut No.: III U 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: - 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical TIGARD Internet: www.tigard-or.gov ® Other. PV Solar Roof Mount Installation THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑✓ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. d❑ ❑ ❑ 3 Verification of approved plat/lot. ❑� 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 0 121 7 Water district approval. 0 ❑ ❑r 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑r basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state © 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 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 ❑✓ 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. El ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendum 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 ❑✓ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ El 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 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 El 0 0 architect licensed in Ore•on and shall be shown to be a.•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". El ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. El 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. lE ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. El ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ✓❑ ❑ ❑ 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, El0 ❑ 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-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application RECE¢' FOR OFFICE USE ONLY r Received City of Tigard r 5 �ry DmeB Permit#:t}6 I�ZZ 1170Sp • 13125 S W Hall Blvd.,Tigard,OR 97223 EEC C V {< Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 r�A1t� Date/B : Related Permit#: T I G A R D Inspection Line: 503.639.4175 CITY OF T913ir't 17 Ready Date/By: kris: 61 See Page 2 for Internet: www.tigard-or.gov ;,,. .,- '^.'AI ' '.Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitems checked). O Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 CommerciaUindustrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ID Multi-family D Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Fmergency system. larger separately derived ❑Addition of new motor load of system Job#: Job site address:11630 SW Lomita Ave 100HP or more. ❑"A","s',"l-2","1-3", City/State/ZIP:Portland, OR 97223 ElSix or mom residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Clark Solar ❑Hazardous locations. 0 Supply voltage for more than O Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE SW 90th Ave to SW Lomita Ave NewDescription 140i I Each I Total I " 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 if:R0277220 Ea.add'1500 sq.ft.or portion 33.92 I DESCRIPTION OF WORK ' Limited energy,residential (with above sq.ft.) 75.00 2 SFR, non prescriptive, PV solar roof mount installation, 2 circuits Limited energy,multi-family system size: 7.03kW, MPU residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 0 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name:Marshall Clark 200 amps or less 1 100.70 2 Address:11630 SW Lomita Ave 201 amps to400amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Portland, OR 97223 601 amps to 1,000 amps 301.04 2 Phone:(980)328-3388 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:marshallg2017@gmail.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 ® APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Solgen Power LLC above service or feeder fee, 2 7.42 2 each branch circuit Contact name:Donnave Flaherty B.Fee for branch circuits without Address:5715 Bedford St brnche or fu circuit fee,first braa nch 56.18 2 t City/State/ZIP:Pasco WA 99301 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(855)709-1181 Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permitting@solgenpower.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Solgen Power LLC Sign or outline lighting 67.84 2 Sil circuit )orAddress:5715 Bedford St panel,alteration,orlimite extension.rgy ❑ See Page 2 2 City/State/ZIP:Pasco, WA 99301 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(855)709-1181 Fax:( ) Investigation(I hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email:permitting@solgenpower.eom inspections for which no fee is coil Lic.:231353 Electrical Lie.:CI-551 Suprv.Lic.:5577S specifically listed(%hr min) 90.00,hr n ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: l p 11 Subtotal: Print name:John R Georges G� t7ate:10/1/2025 ❑Plan Review Required(25%of permit fee): State surcharge(12°/n of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name:Z::), �Z2, �+s Date:11/8/2022 days after it has been accepted as complete. • Number of inspections allowed per permit. I\BuildinglPerrnits'1ELC PerntitApp_ELR ERE.dac Rev 06/17/ 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 Description I Qly. I Each Total Fec for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kvaorless 100.70 2 5.01 to 15 kva 1 133.56 2 ❑ Audio and Stereo Systems* 15.01 to25 kva 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 552.26 2 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 ❑ 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 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed('/,hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page t): e Number of inspections allowed per permit. (SEE OAR 918-309-0000) 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:1BuildingtPermitstELC_PermitApp ELR_ERE.doc Rev 06/17/2015