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Permit
CITY OF TIGARD BUILDING PERMIT _,,.1 2 � COMMUNITY DEVELOPMENT Permit #: BUP2011 -00005 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/12/2011 TIGARD 13125 2S103AB05300 Jurisdiction: Tigard Site address: 12208 SW SWEENEY PL Project: HARRINGTON Subdivision: WALNUT GLEN Lot: 11 Project Description: Photovoltaic solar array system. Contractor: SOLARCITY CORPORATION Owner: HARRINGTON, DAMIAN L & JENNIFER 6132 NE 112TH AVE 12208 SW SWEENEY PL PORTLAND, OR 97220 TIGARD, OR 97223 PHONE: 503 - 964 -0489 PHONE: FAX: 503 - 926 -9101 FEES Specifics: Description Date Amount Type of Use: SF Solar Photovoltaic System 01/07/2011 $180.00 Class of Work: ALT 12% State Surcharge - Building 01/07/2011 $21.60 Dwelling Units: 0 Info Process /Archiving - Sm Sheet (up to 01/12/2011 $5.00 Stories: 0 Height: 0 ft 11x17) 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 $206.60 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 f• • more the 180 days. A • • '. a -•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules set forth in OAR 952 -01 -0010 through OAR • -2-8: -00'0. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 -: 1.332.2 +r Iss ed By: • , Permittee Signature: re' =_ Call 503.639.4175 by 7:00 a.m. for the next available ins ion da e. 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 Residential , I OR 01 I°IC' ' l Si. ON IN . City Tigard 6 ' � Received Ill Date/B : 1 D �� Permit No.: L (/ . l-� C� vo , • 13125 SW W Hall Blvd., Tigard, OR 97223 `� ,�/� ®: ` Phone: 503.639.4171 Fax: 503.598.1960 4 �'�! . s �� it Other Permit: 1 lc, ARI.) Inspection Line: 503.639.4175 ® CS 1 r:. Read)t13y: ! ' 0 See Page 2 for Internet: www.tigard or.gov ,P ,s� otified/Method: / / / - �1!/j' Supplemental Information ''''\.() y6\3 UM ic_ TYPE OF WORK C� � REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition 't•—• v Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ,B 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 El Commercial /industrial Valuation: $ ❑ 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: 121.08 sw 5.,,,t eaf. ey e' . New dwelling area: square feet City/State /ZIP: — I"; 5 earl / W2 / 4 "5 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: i, 5 ,1 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 DESCRIPTION OF WORK - . , work indicated on this application. Valuation: $ 3.2. el KNo/ 9..®$- mch.,nd s c...... Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER I • ❑ TENANT , Number of stories: Name: Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone: ( ) 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: ( ) Fax: : ( ) . E -mail: CONTRACTOR Business name: 301A Ty CoR QgATI o� BUILDING PERMIT FEES* Address: 6,13,2 4(4 //2 771/- A/C (Please refer to fee sule) y Structural plan review fee (or deposit)sit): : City/State /ZIP: , T I ] O T D . 96 / 5 `/ W 3) 2 ^ / �� r FLS plan review fee (if applicable): ( Phone: 7 " Fax: (c.J CCB lie.: $ ©Gl/ Total fees due upon application: Amount received: Authorized signature — � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: .145q Date: * Fee methodology set by Tri- County Building Industry Service Board. I:\Building\Pemrits\BUP -RES PennitApp.doc 10/01/09 4404613T(I 1 /02 /COM/WEB)