Permit CITY OF TIGARD MASTER PERMIT
2. .- COMMUNITY DEVELOPMENT Permit#: MST2022-00330
Date Issued: 09/15/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB26500
Jurisdiction: Tigard
Site address: 13032 SW LARKWOOD PL
Subdivision: RIVER TERRACE EAST 3 Lot: 8
Project: Le Biavant
Project Description: Solar PV System 4.18 kW, 1 circuit.
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: $6,061.00 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!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1
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 4.18 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:
LEBIAVANT,KIM A ION DEVELOPER LLC Required Items and Reports(Conditions)
13032 SW LARKWOOD PL 3214 NORTH UNIVERSITY AVE
SHERWOOD,OR 97140 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $412.31
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
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Issued By: ' / 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 , /A,
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard
Received ��Date/By: Permit No.:i r/�2Z_� ^
J
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit: ('I Phone: 503.718.2439 Fax: 503.598.1960 �G 6 �� Date/By: 115 ZZ
T 1 G A R I) Inspection Line: 503.639.4175 Date Read/B / orris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TI Notified/Methf 'hills:
Internet: Supplemental Information
PAJ1L DI 4G DMIA0
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El New construction El Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ID Addition/alteration/replacement ®Other: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 6,061
0 Accessory building 0 Multi-family Number of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13032 Southwest Larkwood Place New dwelling area: square feet
no City/State/ZIP: Sherwood,Oregon 97140 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Le Biavant 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: River Terrace Northeast Lot no.: 8 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S106DB26500/R2218324 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: $
4.18 kW.Addition of 1 0-30A circuit. Existing building area: square feet
New building area: square feet
Ea PROPERTY OWNER ❑ TENANT Number of stories:
Name: Kim Le Biavant Type of construction:
Address: 13032 Southwest Larkwood Place Occupancy groups:
City/State/ZIP: Sherwood, Oregon 97140 Existing:
Phone:((415)1335-1421 Fax:( ) New:
® APPLICANT El 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/ZIP: 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 Photo Voltaic 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: Provo, UT 84604 Permit Fee(includes plan review
and administrative fees): _
Phone:( 888) 781-7074 Fax:( ) State surcharge(12%of permit fee):
CCB lie.: 230394 Total fee due upon application:
Authorized signature: ZJ � 9� This permit application expires if a permit is not obtained
�,,' J within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: Dustin Davidson Date: 08-12-2022 Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
c
City of Tigard Received
Date/By: Permit#:/1A 2 •,.�am/
N . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: ® 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):
❑Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ®Other: PV Solar where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® I-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.
❑Multi-family 0 Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 13032 Southwest Larkwood Place 100HP or more. ❑"A","E","1-2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP: Sherwood,Oregon 97140
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Le Biavant Solar Install ❑Hazardous locations. 0 Supply voltage for more than600 volts nominal.
❑Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: River Terrace Northeast Lot#: 8 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 2S106DB26500/R2218324
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Installation of solar panels on existing residential roof.
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
4.18 kW.Addition of 1 0-30A circuit. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Kim Le Biavant 200 amps or less 100.70 2
Address: 13032 Southwest Larkwood Place 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Sherwood,Oregon 97140 601 am
ps to 1,000 amps 301.04 2
Phone:((415))335-1421 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: lebiavant@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
' Branch circuits—new,alteration,or extension,per panel
El APPLICANT ❑ CONTACT PERSON 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
Address: service or feeder fee,first 1 56.18 56.18 2
_ 4801 N University Ave#900 branch circuit
City/State/ZIP: Provo, UT 84604 Each add'l branch circuit 7.42 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 - x. 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 Lic.: 230394 Electrical Lic.: C1524 Suprv.Lic.: 6098S specifically listed(/2 hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: A9041,1,,4/2...„..4„." Subtotal: 156.88
Print name: David S Conrad Date: 08-12-2022 ❑Plan Review Required(25%of pennit fee):
State surcharge(12%of permit fee):
Authorized signature: 1441,6et TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date: 08-12-2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
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/ks"T 202Z-Oc 336
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:
5 kva or less 1 100.70 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
El 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:
n Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY. w ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1): 100.70
$75.00
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
El Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n 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
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