HomeMy WebLinkAboutPermit (67) CITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permit#: MST2023-00268
Date Issued: 06/22/2023
T[G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1096A05100
Jurisdiction: Tigard
Site address: 13785 SW MISTLETOE DR
Subdivision: HILLSHIRE SUMMIT NO.2 Lot: 33
Project: Briggs
Project Description: Rooftop solar system 10kW.
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: $33,682.00 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: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp'. 0 601+amp-1000v: 0
1000+amp/volC 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 10 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
BRIGGS,VALERIE J REVOC TRUST& PURE LIGHT POWER Required Items and Reports(Conditions)
VJB RESIDENCE TRUST 541 PARSONS DRIVE
13785 SW MISTLETOE DR MEDFORD,OR 97501
TIGARD,OR 97224
PHONE PHONE: 541-816-4047
FAX:
Total Fees: $364.69
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. ATTENTIO . • ,gon 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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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 iob site at the time of each inspection.
DocuSign Envelope ID:72709304-F034-4E11-A6FC-69F2AB47C631
Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY
Cityof Tigard Received
g 9 DaleBy D t 3 �� p �iT�O -3 -ob)48
i • 13125 SW Hall Blvd.,Tigard,OR 97223 JUN 3 ZOZ3 plan Rev ew I ^A`
• Phone: 503.718.2439 Fax: 503.598.1960 Date/By 3 j '�CS Other Permit:
T I G A R I) Inspection Line: 503.639.4175 CITY OF TIGARD Date ReadyBy: n h1 n, Sum ® See Page 4 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method. W ( W W�[3 ' Supplemental Information
rfUtidJ-1-d C at a A-'
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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: Sol a r 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: $$33,682
ElAccessory building 0 Multi-family Number of bedrooms:
O Master builder ®Other: Solar Number of bathrooms:
r JOB SITE INFORMATION AND LOCATION Total number of floors:
U Job site address:13785 SW Mi stl etoe Dr New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 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: I Lot no.: Permit fees*are 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.
10.0 kw solar installation on customer's house Valuation: $
1)0 0-6S_421 p cv Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Valerie Bri ggs Type of construction:
Address: 13785 SW Mistletoe Dr Occupancy groups:
City/State/ZIP: Tigard, OR 97224 Existing:
Phone:( ) 503-579-3437 Fax:( ) New:
[SI APPLICANT IZI CONTACT PERSON BUILDING PERMIT FEES*
Business name: Purelight Power (Please refer m fee schedule)
Structural plan review fee(or deposit):
Contact name: Caroline Brown
S plan review fee(if applicable):
Address: 3895 Cascadia Canyon AVe SE Suite 140
City/State/ZIP: Salem, OR 97302 Total fees due upon application:
Phone:( ) 971 272 8717 Fax: :( ) Amount received:
pi csl em@purel i ghtpower.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Pu rel i ght Power Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 3895 Cascadi a Canyon Ave SE Sui te 140 Solar Installation Specialty Code checklist.
City/State/ZIP: Salem, OR 97302 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) 971 272 8717 Fax:( ) State surcharge(12%ofpermit fee): $21.60
CCB lic.: 226333
Total fee due upon application: $201.60
p•-••OeCai °a" This permit application expires if a permit is not obtained
CJYhliul_ toiminA. within 180 days after it has been accepted as complete.
Print name:Ca rol i ne‘-1319$I 150'°'"E Date: 6/6/2023 I 11:49:40'AmnAggpiology set by Tri-County Building Industry
Service Board.
ItBuilding\Pennits\BUP-RESPennitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
DocuSign Envelope ID:DBI7D3F3-A6EF-43FE-9809-92AF48303D23
Electrical Permit Applicatio FOR OFFICE USE ONLY
City of Tigard ' tECEIVED Date/By:e Permit 4(?Qa..3 _ 06d_bg
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 JUN 1 3 2023 Date/By: Related Permit
Inspection Line: 503.639.4175 Ready Date/By: furls: I IISee Page 2 for
TIGARD CITY OF TIGARD
Internet: www.tigard-or.gov Notified/Method: J Supplemental Information
TYPE OF WBkltLl)ING DIVISION 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: So 1 a r where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑Commerciallindustrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 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: 13785 SW Mistletoe Dr lOOIIP or more. ❑`A", `E","1-2",41-3",
ElSix or more residential units. occupancy.
City/State/ZIP: Ti gard, OR 97224
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qly. 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#: Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
10.0 kwDC solar installation on customers house
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.It.)
Renewable Energy El See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Valerie Briggs 200 amps or less 100.70 2
Address: 13785 SW Mistletoe Dr zol amps toaooamps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard, OR 97224 601 amps to 1,000 amps 301.04 2
Phone:( )503-579-3437 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: vjcbriggs@yahoo.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
El APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Purelight Power above service or feeder fee, 7.42 2
carol i ne Brown each branch circuit
Contact name:Carol Fee for branch circuits without
Address: 3895 Cascadia Canyon Ave SE suite 140 service or feeder fee,first 56.18 2
Y branch circuit
City/State/ZIP: Salem, OR 97302 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )971 272 8717 Fax: :( ) Each manufactured or modular 67.84 2
dweEmail: icsalem@ ureli ht ower.com Reconnect
P P 9 P Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Pu rel i ght Power Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy CI See Page 2 2
Address: 3895 Cascadia Canyon Ave SE suite 140 panel,alteration,or extension.
City/State/ZIP: Salem, OR 97302 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) 971 272 8717 Fax:( ) Investigation(I hr min) 90.00/hr
Email: pi csal em@purel i ghtpower.corn Inspectionsforal plant whichnn) 9078. 0/hr
Inspections for no fee is 90.IX1/hr
CCB Lic.:226333 Electrical Lie.: C1498 Suprv.Lic.: 62865 specifically listed(V2 hr min)
Doau81a^ad"v' ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: c
ar Subtotal:
Print name:Tom Kel l l er A74Etni999704AE._ Date:6/6/2023 I 11:4 7:5(1 AM IRDITw Required(25%of permit fee):
State surcharge(12%of permit fee):
,—oocuslgnen ar
TOTAL PERMIT FEE:
Authorized signature: `Aron Lt, 6rootA
Carol i new-Br it '70' 6/6/202 3 111.47.56Iu rudays
n cstion expires if a permit is not obtained within 180
hint name: Date: ays after it has been accepted as complete.
' Number of inspections allowed per permit.
I:\Buildingd'ermits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/w'EB
DocuSign Envelope ID:DB17D3F3-A6EF-43FE-9809-92AF48303D23
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 1 Total I
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 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
❑ 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:
❑ 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(Yz hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter Page 1):
3' ' 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
iiauilding'Permits\ELC_PermitApp_ELR_ERE.dac Rev 06/17/2015