Permit (3) CITY OF TIGARD MASTER PERMIT
" 11 11. COMMUNITY DEVELOPMENT Permit#: MST2023-00231
T[G A RO 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/25/2023
Parcel: 1 S125DD05200
Jurisdiction: Tigard
Site address: 9780 SW VENTURA CT
Subdivision: WASHINGTON SQUARE ESTATES NO.2 Lot: 60
Project: Meads
Project Description: Rooftop solar PV system 6 kW and (2)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: $4,200.00 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: 2
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
P Rooftopsolar array6 kW N Other: Y Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
MEADS,KATHERINE B REV LIV TRUST ION DEVELOPER LLC Required Items and Reports(Conditions)
9780 SW VENTURA CT 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: 888-781-7074
FAX:
Total Fees: $457.42
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 . re n la 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: 7 21'
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
- 77, i5—7)
Residential FOR OFFICE USE ONLY'
. City of Tigard ( :: 2 '',' 2023 PRleacneiRreevdie: ,„Ass4 Ill/I? .
46ii,
Date/By: :j ,Lt..? • Ap Pei-it No., m -r202.3 -50z3i
" 13125 SW Hall Blvd.,Tigard,OR 97223 " • '-
''' Phone: 503.718.2439 Fax: 503.598.1960 IN Date/By: Other Permit:
Inspection Line: 503.639.4175 a i'l OF TIC::\RD Date Ready/By: ,..7.1)1 t. 335, ions: ia See Page 2 for
I IC.A It D
Internet: www.tigard-or.gov BUiLDINCi DiViSION Notified/Method:'':
Eyvtojt Lee( Supplemental Information
T.E41-1->1
= TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING,
D New construction 0 Demolition Permit fees*are based on the value of the work performed.
MIndicate the value(rounded to the nearest dollar)of all
CI Addition/alteration/replacement Other: PV Solar equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
.. .. ,
Valuation: $ 4,200
LE 1-and 2-family dwelling 0 Commercial/industrial
CI Accessory building 0 Multi-family Number of bedrooms:
AO 1:1 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9780 SW Ventura Ct New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Meads 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: Washington Square Estates No 2 Lot no.: 60 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.: 1S125DD05200/R232750 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: $
6 kW.Addition of 2 0-30A circuits. Existing building area: square feet
New building area: square feet
Xl PROPERTY OWNER 0 TENANT Number of stories:
Name: Katherine Meads Type of construction:
Address: 9780 SW Ventura Ct Occupancy groups:
City/State/ZIP: Tigard,Oregon 97223 Existing:
Phone:((604708-3132 Fax:( )
New:
Xl APPLICANT ,0 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
Total fees due upon application:
City/State/ZIP: Provo, UT 84604
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.
Permit Fee(includes plan review
City/State/ZIP: Provo, UT 84604 $180.00
and administrative fees):
Phone:( 888) 781-7074 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: 230394
Total fee due upon application: $201.60
Authorized signature: _494 t t t e.a,I,e8 0 g 41t 0 i C, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: Dustin Davidson Date: 05-19-2023
Service Board.
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(1—: '4 I- Sty : 4
Electrical Permit Application i" L ` "' FOR OFFICE USE ONLY
City of Tigard MAY ;? 2 2023 gate/B Pelie3.o2 00
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 a ,,- s Date/B : Related Permit#:
8 D
Inspection Line: 503.639.4175 Ci € Ready Date/By: .luris: ® See Page 2 for
T 16 A R D Internet: www.ti and-or. ov g g �,,,3 ,..,.,r. + =) V l�#$�. Notified/Method: Supplemental Information
TYPE OF WORK..., '` PLA1I,;wREVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
O Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition E Other: PV Solar where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION r. exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-familydwelling ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
® 0Commercial/industrial amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE.INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 9780 SW Ventura Ct El A]O0HP HP o mf ore.motor load of system.
or more. ❑"A","E","1-2","1-3"',
O Six or more residential units. occupancy.
City/State/ZIP: Tigard,Oregon 97223 Recreational vehicle
❑Health-care facilities. ❑ parks.
Suite/bldg./apt.#: Project name: Meads Solar Install 0 Hazardous locations. ❑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 Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Washington Square Estates No 2 Lot#: 60 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 1 S125DD05200/R232750 Ea.add'1500 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
6 kW.Addition of 2 0-30A circuits. residential(with above sq.ft.) 75.00 2
/:/ PROPERTY' OWNERRenewable Energy ❑ See Page 2
0 TENANT' Services or feeders installation,alteration,and/or relocation
Name: Katherine Meads 200 amps or less 100.70 2
Address: 9780 SW Ventura Ct 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard,Oregon 97223 601 amps to 1,000 amps 301.04 2
Phone:((503))708-3132 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: kadeliab@comcast.net 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
(I 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
service or feeder fee,first
Address: 4801 N UniversityAve#900 1 56.18 56.18 2
branch circuit
City/State/ZIP:Provo, UT 84604 Each add'l branch circuit 1 7.42 7.42 2
Miscellaneous(service or feeder not included)
Phone:(888) 781-7074 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: permits@ionsolar.com Recoimect only 67.84 2
CONTRACTOR' Pump or irrigation circle 67.84 2
Business name: ION Developer LLC Sign or outline lighting 67.84 2
Address: 4801 N UniversityAve#900 Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Provo, UT 84604 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 Lic.: C 1 524 Suprv.Lie.: 6098S specifically listed Ca hr min) 90.00/hr
ELECTRICAL.PERMIT FEES
Suprv.Electrician signature,required: ��44.6,1, �► /l Subtotal: 197.16
Print name: David S Conrad Date: 05-19-2023 ❑Plan Review Required(25%of permit fee):
� State surcharge(12%of permit fee): 23.66
Authorized signature: i,�, all TOTAL PERMIT FEE: 220.82
This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date: 05-19-2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
.: t ENTIAL Wf:QRI ILY r, .:$ Description 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
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>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(1 hr min)
h,�A �Dp '( S;) �I ^�, Inspections for which no fee is
90.00/SIVI :gC1A ♦�' `,, Q 1' ,ems",; .r r - .. f r..KK. v .. .. r
specificall listed(%hr mm)
" �� Subtotal(Enter on Page 1): 133.56
Fee for each commercial system: "rs $75.00 * 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
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