Permit CITY OF TIGARD BUILDING PERMIT
tl COMMUNITY DEVELOPMENT Permit #: BUP2010 -00253
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/23/2010
:TIGARD, Parcel: 2S109DA17700
Jurisdiction: TIGARD
Site address: 15305 SW SUMMERVIEW DR
Project: Arlington Heights No. 3, Lot 106 Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 106
Project Description: Installation of photovoltaic system.
Contractor: LIVELIGHT ENERGY LLC Owner: STONE BRIDGE HOMES
1750 SW 187TH AVE 16869 SW 65TH AVE #505
BEAVERTON, OR 97006 LAKE OSWEGO, OR 97035
PHONE: 503 - 863 -7710
PHONE: 503 - 387 -7577
FAX: 503 - 537 -9727
FEES
Specifics: Description Date Amount
Type of Use: SF Solar Photovoltaic System 11/17/2010 $180.00
Class of Work: ALT 12% State Surcharge - Building 11/17/2010 $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 18 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 Utilittyotification Center. Those rules are set forth in OAR
of t
952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy ha rules or direct questions to OUNC by ca ing 503.232.198 or 1.8
V i\&0\11101k C Issued B � �� / ` ittee Signature: `
Call 503.639.41.7 0 a.m. for the next available inspectio • • ate.
This permit card shall be • - picuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
11/17/2010 12:51 5036826920 LIVELIGHT ENER V PAGE
Building Perrnit Application c t D 2 _
Residential Q e/' "! J
Ci ty = FOROFF10 USE ONtil :
City of Tigard a t.. t 0�0 Received ����]
a ? �, �` �61 D at= i B : l Pcrmt No 1 � /O -WOr.
131_5 SW Hall B Tigard, OR li .• . B � / ! J
. Phone: 703.639.41 fax: 503.5c t. 1-6 ```` 0 Plau R eview
A \O V \ ' oi l Datc / R ena / V ,��Ii titerYcnni SI � �elJ ;
T GA1zD' Inspection Line: 5(13.639.4175 �`v► C'(� pate Rt3 , i
i, ..; Internet: www.tIgard-or.gor ` ` J \S\ I >' o Juri,: J S See Page? for
'�u.ned'ht .� i t � Supplemental Information
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TY1PE O . wOla �. \\.
jV 1 REQCt1RCDD4TA 1 A \D2- FAMIL1 DWEL l
® New construction ' ❑ Demolition i Permit fees* are based on the value of the work performed. .
l 1 l Indicate the value (rounded 1:o the nearest dollar) of all
❑ Addition /alteration /replacement ❑ Other:
equipment, a or. overhead, materials, and the profit the
(:ATCGOR'Y OF CO'�SER UCTION ( work indicated on this
.a e ofit for r
Z 1- and 2- family dwelling ❑ Commercial /industrial I Valuation:
❑ Accessory building
❑ ; luiti- family Number of bedrooms:
❑ Master builder ❑ Other: I Number of bathrooms:
J013:SITE 1NFOR�IATION 1'�1) :LOCATION Total number of floors:
Job site address: 15305 SW Summetvicw Dr New dwelling area:
__....._ -. dwelling square feet
City/State/ZIP: Tiga OR 97224 ! Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: S11 Lot 106 Covered orch area: square
P syuare feet
Cross street /directions to job site:
Deck area: square feet
Other structure area: square feet
REQLJIRLD DATA (O'41VI ' USE (H} CKL I S 1 :
Subdivision: Arlington Heights , . =
L ot no.: 106 Permit fetes* 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
DLSCR1PTIO'. OF WORK 1 work indicated on this application. •
Racking and installation of solar photovoltaic system. Valuation_ S
Existing building area: square feet
New building area: u •
q are feet
s
®,' ?ROPEi2TY O\%NER ❑ : N 1 \ T ,= I Number of stories:
Name: Stone Bridge Homes NW, LLC l
Type of construction:
r -
1 Address: 4320 SW Galewood St. Suite 100
Occupancy groups:
Cig;'State /Z1P: Lake Oswego, OR 97035 !
} Existing: ■
Phone: (503)385 Fax: ( ) i l
®APPT.ICA �T .. ®CO \T'ACf. PERSO V New:
1tiO
Business name: LneLtght Energy, LLC
All contractors and subcontractors are required to be
Contact name: Jennifer Atkins licensed with the Oregon Construction Contractors Board
- - - -- .. under ORS 701 and may be required to be licensed in the
Address: 9325 SW Barber St. jurisdiction in which work is being performed. if the
City /State /ZIP: Wilsonville, OR 97070 -.9229 applicant is exempt from licensing. the following reasons
apply:
Phone: (S03)363 - 7727 I Fax: : ( ) - 1
E - mail: jennifcra,;livelightenergy-.com ( -
COti
Business name: LiveLight Energy, LLC I SITI DLYG PCRhti`f fk LS : ,I
Address: 9325 SW Barber St.
( Pleas r - - �
City /State /ZIP: Wilsonville, OR 97070 -9229
Structural plan review fee (or deposit): I / fl- '
Phone: (503) 863 -7721 I Fax: (503) 682 -6920
FLS plan review fee (if applicable): i �d
1
CCB lie.: 187491 r r Total fees due upon application: lo?Aj -
Authorized signature; _ r` Atnount received: I
�' v1 L ` r This permit application expires if a permit is not obtained
Print name: Jennifer Atkins I / F w ithin 180 days alter it has been accepted as complete.
Date: 11 03 70 1 i 1 j `1 f l tj + lee methodology set by Tri- County Building Industry
Service Board.
l ;Building \PennitslBUP -RES PcrmitApp.doe 10/01/09 440- 4613T(11/02iCON4,I VEB)