Permit (13) IN CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00083
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/05/2011
Parcel: 2S110BA09300
Jurisdiction: Tigard
Site address: 14055 SW 116TH TER
Project: FRISIRAS Subdivision: EVERGREEN SPRINGS Lot: 18
Project Description: Solar photovoltaic system.
Contractor: SOLARCITY CORPORATION Owner: FRISIRAS, CHRIS T & CHRISTINE M
6132 NE 112TH AVE 14055 SW 116TH TER
PORTLAND, OR 97220 TIGARD, OR 97224
PHONE: 503 - 964 -0489 PHONE:
FAX: 503 - 926 -9101
FEES
Specifics: Description Date Amount
Type of Use: SF Solar Photovoltaic System 04/26/2011 $180.00
Class of Work: ALT 12% State Surcharge - Building 04 /26/2011 $21.60
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $0
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $201.60
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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
952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calline 503.232.1987 or 1.800.332.2344.
Issued By: / Permittee Signature: c
' r ; ; ,
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C • 17 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
( ) K i n I i n I I ( I 1 .I (t v l 1,
City of Tigard �� '\ Received Permit No.:
• 13125 SW Hall Blvd., Tigard, OR 97223 � ` , Da j, I ��
Plan Review 'y 1 1 ry 4 a
Phone: 503.639.4171 Fax: 503.598.1 �p 1,O Date/By: 1 �T �1J Other Permit:
II, ,\ i pV
1 Inspection Line: 503.639.4175 s to Ready/By: , Jwis: ® See Page 2 for
Internet: www.tigatd- or.gov Q� V.' y "ed/Method V // - �� Supplemental Information
P . .\\G \ - w - '9/rG/
TYPE OF WORK C , , Q)' REQUIRED DATA: 1- AND 2-FAMILY DWELLING
❑ New construction ❑ Demoliti�S' Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
[i Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
[dl - and 2- family dwelling ❑ Commercial /industrial Valuation: 30 O
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /4066 sw //U - it . TP New dwelling area: square feet
City/ State/ZIP: Ti and 0/2_, q 72 24 Garage/catport area: square feet
Suite/bldg. /apt. no.: � 1 Project name: Jris /ra 5 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
ff K.. L
DESCRIPTION OF WORK �+ �' work indicated on this application.
4.0 _� P4, /
0f / ' s o, t GI PV ( ) i�'�t ff''t Valuation: $
/ Existing building area: square feet
New building area: square feet
PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Cr n 5 5i r s ,w, Type of construction:
Address: /40 5 s1 / J/ C//(o 4 7 Occupancy groups:
Ti City/State/ZIP: tzrd , OR) 972 2.i Existing:
Phone: ( ) Fax: ( )
/ New:
❑ APPLICANT Iy CONTACT PERSON • NOTICE
Business name: 0 It, 1 , 'I III /o..`fi py-J All contractors and subcontractors are required to be
Contact name: ��� licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 4p / 3 NE 1/2 AY(, jurisdiction in which work is being performed. If the
` applicant is exempt from licensing, the following reasons
City/ State/ZIP: p , D� 9 �2 2 0 apply:
Phone: (503) 9 _ e l/Ad �y II Fax: : (50,3) 536 to 6/3 _
E -mail: 01/1 ar5 @i „2 / an C'011--/
1
CONTRACTOR
Business name: So LAILCi ry (R OgATT G V BUILDING PERMIT FEES*
Address: 6 WE //Z 7i E (Pkose refer to lee schedule)
OFT. nn Structural plan review fee (or deposit):
City/ State/ZIP: OTcruvvi) , d ? 2 .2 O
Oil q p q / p FLS plan review fee (if applicable):
Phone: ( q X d `/ / — O'1 (� I Fax: (503) /2W - / / 0
CCB lic.: / $'Q 4/95 Total fees due upon application: I A
Amount received: �'
r.dj1
Authorized signature: - - This permit application expires if a permit is not o A n
~— within 180 days after it has been accepted as complete.
Print name:�rk, x.57 ZO /qP Date: 1/ 6 * Fee methodology set by Tri-County Building Industry
// ,, Service Board.
I:\Building\Pernits\BUP -RES PermitApp.doc 10/01/09 440- 4613T(I1 /02/COM/WEB)