Permit CITY OF TIGARD MASTER PERMIT
s: COMMUNITY DEVELOPMENT Permit#: MST2022-00303
Date Issued: 09/08/2022
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 28105DD06500
Jurisdiction: Tigard
Site address: 13495 SW SANDRIDGE DR
Subdivision: PACIFIC CREST Lot: 41
Project: Heiner
Project Description: Solar photovoltaic system 9.12 kW, 3 circuits
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: $13,224.00 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 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'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 3
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
N SecurityAlarm: N Vaccuum System: N Garage Opener: N All N
Audio&Stereo: N HVAC:
Other: Y Other Description: Roof top solar array 9.12 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:
HEINER,MITCHELL R ION DEVELOPER LLC Required Items and Reports(Conditions)
GOTTFRIED,LISA 3214 NORTH UNIVERSITY AVE
13495 SW SANDRIDGE DR 503
TIGARD,OR PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $465.73
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
oc,nni_M1n thrn, h(VAR Qc9-nn1_nnQn Vn may rihtain a rnm,of tha!lilac nr riirart n iactinnc to fli IN(.by Tallinn Fn"4 9'19 1QR7 - nn 939 91d4.
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Issued By: ' �� 1--v �� i t ti .' Permittee Signature: �.�—
Call 503.639.4175 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 job site at the time of each inspection.
Building Permit Application
itesidential , FOR OFFICE USE ONLY
Received c (jJj,. ' City of Tigard i 1 d�Z Date/By: I Permit11111 13125 SW Hall Blvd.,Tigard,OR 97223 �� ' 3 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J ti 2 Other Permit:
T I G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: [[[���,,, / Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING Dw r�1S1ON Notified/Method: 6/7/Z r 'y� Supplemental Information
S3V tYA3 1 Viti7RJ n. _ _ �i p v U�/ 1
TYPE OF WORK �� REQUIRED DATA:1-AND 2-FAMILY DWELLING
E 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 ®Other: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 13,224
® 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
itJob site address: 13495 SW Sandridge Dr New dwelling area: square feet
/�. City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
'U Suite/bldg./apt.no.: Project name: Heiner Solar Install 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: Pacific Crest 1 Lot no.: 41 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S105DD06500/R2112919 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 solar panels on existing residential roof. Valuation: $
9.12 kW.Addition of 3 0-30A circuits. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Lisa Heiner Type of construction:
Address: 13495 SW Sandridge Dr Occupancy groups:
City/State/ZIP: Tigard, Oregon 97223 Existing:
Phone:((503))805-1668 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ION Developer LLC Structural plan review fee(or deposit):
Contact name: Dustin Davidson
FLS plan review fee(if applicable):
Address: 4801 N University Ave#900
City/State/LW: Provo; UT 84604 Total fees due upon application:
Amount received:
Phone:( 888) 781-7074 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: permits@ionsolar.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ION Developer LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4801 N University Ave#900 Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
Y Provo, UT 84604 and administrative fees):
Phone:( 888) 781-7074 Fax:( ) State surcharge(12%of permit fee):
CCB lic.: 230394 Total fee due upon application:
Authorized signature:
m �') This permit application expires if a permit is not obtained
uac ./lw cxtft elot- within 180 days after it has been accepted as complete.
Print name: Dustin Davidson Date: 08-29-2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard Date/B Permit#:
IIII13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: H See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
I:Demolition ®Other: PV Solar ❑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.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 13495 SW Sandridge Dr 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: Ti ard, Ore On 97223 El Six or more residential units. occupancy.
g g 0 Health-care facilities. ❑Recreational vehicle parks.
❑Hazardous locations. ❑Supply voltage for more than
Suite/bldg./apt.#: Project name: Heiner Solar Install ElService or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each 1 Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Pacific Crest Lot#: 41 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 2S105DD06500/R2112919 Ea.add'1 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Installation of solar panels on existing residential roof. Limitedenergy,multi-family
9.12 kW.Addition of 3 0-30A circuits. residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
IE PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Lisa Heiner 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 13495 SW Sandridge Dr 401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard, Oregon 97223 601 am
ps to 1,000 amps 301.04 2
Phone:((503)1805-1668 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: gottfried21@hotmail.com relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 l
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: ION Developer LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name: Dustin Davidson B.Fee for branch circuits without
sAddress: 4801 N University Ave#900 ervice or feeder fee,first 1 56.18 56.18 2
branchr circuit
City/State/ZIP: Provo, UT 84604 Each add'l branch circuit 2 7.42 14.84 2
Miscellaneous(service or feeder not included)
Phone:( 888) 781-7074 Fax: :( ) Each manufactured or modular 67.84 2
Email: dwelling,service and/or feeder
permits@ionsolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: ION Developer LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: 4801 N University Ave#900 panel,alteration,or extension.
City/State/ZIP: Provo, UT 84604 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(888) 781-7074 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
permits@ionsolar.com Inspections for which no fee is
CCB Lie.: 230394 Electrical Lie.: C 1524 Suprv.Lie.: 6098S specifically listed('Va hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: .t04,.�j4,,,, .�f Subtotal: 204.58
Print name: David S Conrad Date: 08-29-2022 ❑Plan Review Required(25%of pennit fee):
State surcharge(12%of pennit fee): 24.55
Authorized signature: TOTAL PERMIT FEE: 229.13
This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date: 08-29-2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I 1/05/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 Qty. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 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
50.01 to 100 kva 552.26 2
n 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:
En 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(Y hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
�� Subtotal(Enter on Page 1): 133.56
$,75
Fee for each commercial system: * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
Clock Systems
[ I Data Telecommunication Installation
I Fire Alarm Installation
HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
Medical
I I Nurse Calls
Outdoor Landscape Lighting*
Protective Signaling
Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
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