Permit �..
11111 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00479
Date Issued: 11/18/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 109AB07500
Jurisdiction: Tigard
Site address: 13055 SW ST JAMES LN
Subdivision: RAVEN RIDGE Lot: 4
Project: Roberts
Project Description: Solarized Roof 24.94 kW and storage system
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: $68,970.00 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'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/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: Solarized Roof System 24 94 kW&storage system Ecompasing
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
ROBERTS,DAVID&JANE TESLA ENERGY Required Items and Reports(Conditions)
13055 SW ST JAMES LN 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $433.98
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: FIoU,y Va-rn'DI; 1A/e3e, Permittee Signature: Ow ApiotAltzulio-o-
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.
f Approved plans are required on the job site at the time of each inspection.
9
i
Building Permit ApplicatioiRECEIVEDft
Residential NOV 3 2021 FOR OFFICE USE ONLI"
Received ) �[ n
. City of Tigard ;;ITY OF TIGARD DateBBy �/ O' Permit No. S � 79
13125 SW Hall Blvd.,Tigard,OR 97223 ^ Plan Review 0.
Phone: 503.718.2439 Fax: 503.598.1 LDING DIVISION Date/By: II - I ZI Ak Other Permit:
T1GARD Inspection Line: 503.639.4175 DateReadyBy: 65 See Page 2for
Internet: www.tigard-or.gov yytified/Method: Supplemental Information
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: 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: $
Number of bedrooms:
IDAccessory building CIMulti-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13055 SW St James Ln. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Roberts Solar Covered porch area: square feet
t Cross street/directions tojob site: I
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S109AB07500 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.
New 24.94 kw Solarized Roof plus 54 kWh Energy Storage System. Valuation: $68,970
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Dave Roberts Type of construction:
Address:13055 SW St James Ln. Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:( 503)791-0175 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name:Testa Energy Structural plan review fee(or deposit):
Contact name:Stacie Varian
FLS plan review fee(if applicable):
Address:6132 NE 112th Ave
Total fees due upon application:
City/State/ZIP:Portland, OR 97220
Amount received:
Phone:(408)763-7754 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:svarian@tesla.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Tesla Energy Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6132 NE 112th Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Portland, OR 97220 Permit Fee(includes plan review $180.00
- and administrative fees):
Phone:(408)763-7754 Fax:( ) _ State surcharge(12%of permit fee): $21.60
CCB lie.:180498 Total fee due upon application: $201.60
Authorized signature:,5't,�at 1" This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Stacie Varian 11/3/21 *Fee methodology set by Tri-County Building Industr'�
Print name: Date: Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE 1,SE oNl.Y
Received
City of Tigard Date/By
Permit No
• 13125 S W Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
TIGARD
Internet: www.tigard-or.gov ❑ r
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ties No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ 0 ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ 0 ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
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- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 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 ❑ ❑ ❑
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 ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 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- ❑ ❑ ❑
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. ❑ ❑ 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums 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 ❑
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 ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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 ❑ ❑ ❑
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 I above. Site plans must be 8-1/2"x 11"or 1 I"x 17". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
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, ❑ ❑ ❑
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, ❑ ❑ ❑
"1;, 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:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
RECEIVED
Electrical Permit Application NOV 3 20t1 FOR OFFICE USE ONLY
City of Tigard Received Permit#
Y OF DateB :
III • 13125 SW Hall Blvd.,Tigard,OR 9 TIGAl si Plan Review
• 3 Phone: 503.718.2439 Fax: 503.5; 6�ING DIVISION Date/ : Related Permit#
Inspection Line: 503.639.4175 Ready Date/By: kris. ®See Page 2 for
TIGAR . Internet: www.tigard-or.gov Not Supplemental Information
TYPE OF WORK PLAN REVIEW
Please check all that apply(submit 2 sets of plans w/items checked)
New construction ®Addition/aheratlotl/replacement ❑Service or feeder 400 amps or more 0 Building over three stories
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings
less to ground,or exceeds 14,000 ❑Commercial-use agriculttual
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings
0 Multi-family 0 Master builder 0 Other: ❑Fire pump. ❑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:13055 SW St James Ln. IOOHP or more. ❑"A "E",`1-z". 1-s",
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard, OR 97224 ❑Health-care facilities ❑Recreational vehicle parks
0 Hazardous locations 0 Supply voltage for more than
Suite/61dg./apt.#: Project name:Roberts Solar ❑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: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:2S 109A607500 Ea.add')500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK' _- Limited energy,residential 75.00 2
New 24.94 kw Solarized Roof plus 54 kWh Energy Storage System. Limited entrgysmu ti-family
75.00 2
residential(with above sq.ft.)
IT^. Renewable Energy ❑ See Page 2
TENANT ''
® PROPERTY'OWNER �` . Services or feeders installation,alteration,and/or relocation
Name:Dave Roberts 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address:13055 SW St James Ln. 401 amps to600amps 200.34 2
City/State/ZIP:Tigard, OR 97224 601 amps to 1,000 amps 301.04 2
Phone:(503)791-0175 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:dave@compasslane.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
® APPLICANT ) Q CON ACT PERSON A.Fee for branch circuits with
Business name:Tesla Energy above service or feeder fee, 7.42 2
each branch circuit
Contact name:Stacie Varian B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address:6132 NE 112th Ave branch circuit
Each add'I branch circuit 7.42 2
City/State/ZIP:Portland, OR 97220 Miscellaneous(service or feeder not included)
Phone:(408)763-7754 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:svarian@tesla.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Tesla Energy Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address:6132 NE 112th Ave panel,alteration,or extension.
in
Each additional inspection over allowableany of the above
City/state/ZIP:Portland, OR 97220 Additional inspection(1 hr min) ti hr
Phone:(408)763-7754 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:svarian@tesla.com (UIt/ZZ Inspections for which no fee is 90.00/hr
CCB Lie.:180498 Electrical Lie.:C562 Suprv.Lic.5173 2 specifically listed CAhr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature:S c4i, Vail rt This permit application expires if a permit is not obtained within 180
Print name: Stacie Varian Date: 11/3/21 days after it has been accepted as complete.
• Number of inspections allowed per permit
1\Buitdmg\Pemtits\ELC_PermitApp ELR_ERE doc Rev 06/17/2015 440-4615T(1 I/05/COM/WEB
t
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 1 •
Fee for all residential systems combined: $ . Renewable electrical energy systems:
5 kva or less 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 1 200.34 200.34 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
❑ Va um Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
Other: Solar+ EnergyStorage System Each additional inspection is 66 25/hr 1
g Y charged at an hourly(]hr min)
Inspections for which no fee is 90 00/hr
s cifical1'listed(/hr min)
COMMERCIAL WORK ONLY: IN g, .. �>R c w m. ,. 0
Subtotal(Enter on Page 1):
Fee for each commercial system: $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
I\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015
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