Permit CITY OF TIGARD BUILDING PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: BUP2011 -00021
03/ // Date Issued: 02/09/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Parcel: 2S109DA14100
Jurisdiction: TIGARD
Site address: 12651 SW MOUNT VISTA CT
Project: ARLINGTON HEIGHTS NO. 3, Lot 60 Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 60
Project Description: Installation of solar photovoltaic array. 3/31/11, reprinted to change address from 12677 to 12651 SW Mount Vista
Ct. —
Contractor: LIVELIGHT ENERGY LLC Owner: STONE BRIDGE HOMES
1750 SW 187TH AVE 16869 SW 65TH AVENUE #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 02/09/2011 $180.00
Class of Work: ALT 12% State Surcharge - Building 02/09/2011 $21.60
Dwelling Units: 0 Info Process /Archiving - Sm Sheet (up to 02/09/2011 $4.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $206.10
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. AT . regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 010 through 0 952-0 -0090. You may obtain a copy of the rules or direct questions to OUNC by callin 03.232.1987 or 1.800.332.2344.
Iss d By: K r Permittee Signatur rt
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.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
tviLl
Residential t FOR OFFICE. USE ONLY
F EB � iv�a
City of Tigard E A ;4 ' ',mom Pemut No,. far tRzy —eve ,2/
�t 13125 h SW Hall. Blvd., Tigard, OR 9721 T � I 1! '4- t llorovew - 43042.2
t i
� Phone: 503.639.4171 Fax: 503.598.19 96 R � �f t r ' Oth Pcr'mir ••
Inspection Line: 503 639.4175 ba Re ady y. 18 See Page 2 for
! e' altod: Supplemental e NM TIGARD Internet: www.tigard-or.gov '� �+ R / ii lemental I
MereggleaPrir .
111'E
New construction ❑ Demolition Permit fees' e based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
❑ Addition/alteration /replacement 0 Other: equipment, materials, labor, overhead, and the profit for the
work indicated on this application.
0 1- and 2- family dwelling ❑ Commercial/industrial Valuation: $2000
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
a .� ` C3 s `)Gz 16' Z.11, fatal number of floors:
lob site address 1 1t. Vista Ct. New dwelling area: square feet
City /State/ZIP: Tigard, OR 97223 __ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: J1430 * Lot 60 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: Lot no.. Permit fees* are based on the value of the work performed.
-- ..._ ............._ __ _ ..:......._.._....._..... Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
work indicated on this lication.
Valuation: S
Installation of solar photovoltaic array.
Existing building area square feet
New building area: square feet
®
PROPERTY OWNER Number of stories:
4 Name: Stone Bridge Homes NW, LLC (Jim Delmore) Type of construction:
Address: 4230 SW Galewood St. Suite 100 Occupancy groups:
City /State/ZIP: Lake Oswego, OR 97035 Existing:
Phone: ( ) Fax: ( ) New:
i � P 1 .z ., °.�:. ' � _ z
�e_s
Business name: Livel.ight 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 'tensed 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: (503) 863 -7721 Fax: : (503) 6824920
t' mail: jennifer®livelightenergy.com
CON 1 12.1C'7012
Business name: LiveLight Energy, LLC .V a e i z Address: 9325 SW Barber St.
City /State/Z1P: Wilsonville, OR 97070 -9229 Structural plan review fee (or deposit):
Phone: (503) 863 -7721 I Fax: (503) 682-6920 Fi_S plan review fee (if applicable): 67.68
CCB lie.: 187491 Total fees due upon application: 67.68
Amount received: # 6 ?.
Authorized signatur �f This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jennifer , kins Date: 1 -28-11 * Fee methodology set by Tri- County Building Industry
Service Board.
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CITY OF TIGARD BUILDING PERMIT
2 COMMUNITY DEVELOPMENT Permit #: BUP2011 -00021
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/09/2011
Parcel: 2S109DA14000
Jurisdiction: TIGARD
Site address: 12677 SW MOUNT VISTA CT
Project: ARLINGTON HEIGHTS NO. 3, Lot 60 Subdivision: ARLINGTON HEIGHTS NO. 3 Lot: 59
Project Description: Installation of solar photovoltaic array.
Contractor: LIVELIGHT ENERGY LLC Owner: STONE BRIDGE HOMES
1750 SW 187TH AVE 16869 SW 65TH AVENUE #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 02/09/2011 $180.00
Class of Work: ALT 12% State Surcharge - Building 02/09/2011 $21.60
Dwelling Units: 0 Info Process /Archiving - Sm Sheet (up to 02/09/2011 $4.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $2,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $206.10
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. ATTE • ‘: Ore" law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 0 through OAR 9' -0# 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu = d By: 7 Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available in pec on 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 r �- i`
Residential _. v t , ' " FOR OFFICE USE ONLY
City of Tigard FEB 0 1 2011 Received ��`�� fa/ Permit No.: �& / 0 y4,0 . i i/
4 - 41 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review -►
Phone: 503.639.4171 Fax: 503.598.1960 / f!.: j f . •' 'i Date/B : M jj / _,` '4 1 Other Permit: / Y /I , /c' - 004%2,
T I G ARD Inspection Line: 503.639 Date Ready/By: Supplemental Information ® See Page 2 for
�•
Internet: www.tigard- or.gov �.�y ethod: � ��
mom .:w
TYPE OF WORK at R I =tom` .. A ND 2-F t °: •. y DWELLING �
® New construction ❑ Demolition Permit fees e based on the value of the work performed.
Indicate the value (rotnded to the nearest dollar) of all
❑ Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
r ° ° CATEGORY OF CONSTRUCTION work indicated on this application.
® 1- and 2- family dwelling Valuation: $2000
❑ CommerciaUindustrial
❑ 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: 12677 SW Mt. Vista Ct. New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: J1430 SB Lot 60 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 (roinded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of solar photovoltaic array. Valuation: $
Existing building area square feet
New building area: square feet
rlEl PROPERTY ❑ TENANT Number of stories:
Name: Stone Bridge Homes NW, LLC (Jim Delmore) Type of construction:
Address: 4230 SW Galewood St. Suite 100 Occupancy groups:
City / State/ZIP: Lake Oswego, OR 97035 Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ® CON "1 "ACT PERSON
Business name: LiveLight 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 "tensed 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: (503) 863-7721 ` Fax: : (503) 682-6920
E -mail: jennifer@livelightenergy.com
a,p- CONTRACTOR
Business name: LiveLight Energy, LLC BUILDING PERMIT FEi
Address: 9325 SW Barber St. {Please refer to fee schedule
City/State/ZIP: Wilsonville, OR 97070-9229
Structural plan review fee (or deposit):
Phone: (503) 863 -7721 Fax: (503) 682 -6920 FLS plan review fee (if applicable): 67.68
CCB lie.: 187491 Total fees due upon application: 67.68
Amount received: # 4 7, 11q -
Authorized signatur . c�L 1i l This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jennifer kips Date: 1 -28 -11
* Fee methodology set by Tri -County Building Industry
Service Board. �f 1/ ' I:\Building\Pennits\BUP -RES PermitApp.doc 10 /01/09 440- 4613T(11 /02 /COM/WEB) (-Atij� 7 /3 g•