Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2010 -00229
T E G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/15/2010
Parcel: 2S110BA05400
Jurisdiction: Tigard
Site address: 11825 SW WILDWOOD ST
Subdivision: SHADOW HILLS Lot: 12
Project: Troy
Project Description: Solar photovoltaic system, roof mounted, 3.78 kw
Owner: FEES
TROY, MATTHEW J Description Date Amount
11825 SW WILDWOOD ST Solar Photovoltaic System 10/15/2010 $180.00
TIGARD, OR 97224 12% State Surcharge - Building 10/15/2010 $21.60
PHONE:
Contractor:
SOLARCITY CORPORATION
6132 NE 112TH AVE
PORTLAND, OR 97220
PHONE: 503 -964 -0489
FAX: 503 - 926 -9101
Specifics:
Type of Use: SF
Class of Work: OTR
Dwelling Units: 0
Stories: 2 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 '
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 t :6
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are se • h in OA
952-001-0010 through OAR 952- 001 -0100. You may obtain .• • •f th es or direct questions to OUNC by calling 503 • . • • • r 1.81: 44.
Issued By I ��
Permittee Signature:
..we 4175 by 7:00 a.m. for an inspection that busine s day.
This permit card shall _ ept in a conspicuous place on the job site until c •mpletion of the project.
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
Residential RECEIVE 1Oa ()IA rlc"l: 1" <i:
City of Tigard 0 C T 1 5 2010 / S � : • % ' N ° , uPoco/o " m . / acz
III 13125 SW Hall Blvd., Tigard, OR 97223 �
Phone: 503.639 Fax: 503 �. : I� o Psi' LC'ozO/O'DD57/
i i , , : , i t IY Inspection Line: 503.639.4175 CITY OF TIGAR $ Date • : : lid See Page 2 for
Internet: www.trgani BUILDING DIVID' L°tified/Meth°d :lo ` . ,4L Supplemental Information
lip, +/9 w/_ 4 __
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
g Addition/alteration /replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 4::=14 10 5
larl - and 2- family dwelling ❑ Commercial/industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other. Number of bathrooms:
JOB SITE INFORMATION Total number of floors:
TION AND LOCATION
Job site address: kkt /S SW v`,\ W OCA elling area: square feet
City/State/ZIP: T .7“�ps�) () 6 0 2.2A Garage/carport area: square feet
SuitelbldgJapt. no.: I Project name: 7c-e, Covered porch area: square feet
Cross street/directions to job site: 1 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.
7 cQ i ^` /� Valuation: $
'1 . I ` " 1X k -6 M o \ ` +1� S kp V Existing building area: square feet
New building area: square feet
tit PROPERTY OWNER I ❑ TENANT . Number of stories:
Name: - Tc V ��A Type of construction:
Address: \\ WV) J - AL . /1 Occupancy groups:
City/State/ZIP: ` 1 O1 . A ZZ Existing
Phone: ((j) Y) 1Cke Fax: ( ) New:
❑ APPLICANT . ❑ CONTACT PERSON NOTICE
Business name: 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: jurisdiction in which work is being performed. If the
City/State/ZIP: applicant is exempt from licensing, the following reasons
aPPly:
Phone: ( ) I Fax:: ( )
E -mail:
. CONTRACTOR
Business name: 30 Liked ]y // AT QRATT0 MIT A( BUILDING PER FEES*
Address: 6PI W4-- /(Z C (Pk refer to fee schedule)
Structural - flan review f (or deposit): / i-.0 i-.0 ,
City/State/ZIP: oNnAN � y722 �Y : u., —
% - O i l 2 . 9 4 50 3 ) ?2 — 9/ o _.. : c? 44) n Phone: ( Fax:
CCB lic.: / 7J y 9 s Total fees due upon application:
Amount received: D i r� o
Authorized signature - This permit appication expires if a permit is not obtained
I ' / within 180 days after it has been accepted as complete.
Print name: /f/J�,� � L � I Date: i'tjI 1( • Fee methodology set by Tri- County 'Ming Industry
/ ' Service Board.
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