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Permit
CITY OF TIGARD BUILDING PERMIT le : COMMUNITY DEVELOPMENT Permit #: BUP2011 -00041 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/02!2011 Parcel: 1 S 135DB05901 Jurisdiction: Tigard Site address: 11475 SW 94TH AVE Project: Middaugh Subdivision: MILLER Lot: 5 Project Description: Install roof mounted solar photovoltaic system. Contractor: SOLARCITY CORPORATION Owner: MIDDAUGH, CHRISTOPHER L & 6132 NE 112TH AVE MIDDAUGH, PAULA R PORTLAND, OR 97220 11475 SW 94TH AVE TIGARD, OR 97223 PHONE: 503 - 964 -0489 PHONE: FAX: 503 - 926 -9101 FEES Specifics: Description Date Amount Type of Use: SF Solar Photovoltaic System 02/24/2011 $180.00 Class of Work: OTR 12% State Surcharge - Building 02/24/2011 $21.60 Dwelling Units: 0 Info Process /Archiving - Sm Sheet (up to 03/02/2011 $4.50 Stories: 0 Height: 0 ft 11x17) Bedrooms: 0 Bathrooms: 0 Value: $3,000 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. 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 calling 503.232.1987 or 1.800.332.2344. Issued By i`' // Z ��C�C Permittee Signature: >✓ - I/ / _.� / ■ 39.4175 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 FOR OFIICI: 1 ti r. g 1F O \l.Y `J g RECEIVED Date/By: 4n �� /� L be/kale) 1, • of Tigard I Per N o.: / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' Phone: 503.639.4171 Fax: 503.598.1960 L B -1. loo i Other Permit. Date /By: I I c, :� R P Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: y ji / 7G Supplemental Information PPH DI ) 11' A i , , � ,, _Z, C_ � 2z,w TYPE OF WORK t 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 PI Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. li‘1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 3 / 400 ❑ 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: 11 (a1 sW oiA 4AA- R New dwelling area: square feet City /State /ZIP: 9 y-. Ue Q t - ? 2. - 2. Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: Mi (id ( 1 n � 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. 5 . q k�1 e_oo-p 11\k o U.YI't ? \I Ske Valuation: S 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: g Phone: ( ) Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: C c 1c c �' � ) All contractors and subcontractors are required to be Contact name: aGu YlX S W licensed with the Oregon Construction Contractors Board �" under ORS 701 and may be required to be licensed in the Address: 132 N �v 112`w L . jurisdiction in which work is being performed. If the City /State /ZIP: 'PU/ -� I �rld 0 ci 1 D- O applicant is exempt from licensing, the following reasons G 1 _ apply: • Phone: ( S03 � ) 4 1 5 ,,' • Out() Fax::(S J 3 U1 . tt 5l3 E -mail: �'� IU IJ i9 @ AKA: O � C- CONTRACTOK Business name: 3 0 , Ajz c z Ty CoR ® �r o// BUILDING PERMIT FEES* Address: CD /. ZY //2 7 7 C (Please refer to fee schedule) Structural plan review fee (or deposit): City /State /ZIP: OR^i1RNt) / OF,. 5 Phone: s . o la ( C) Fax: Q 5 3.. 3 5 1 3 FLS plan review fee (if applicable): CCB lic.: / g ©'V ? �y v Total fees due upon application: j � Amount received: 3 016/ a ( PD Authorized signature , — — This permit application expires if a permit is not obtained ' / within 180 days after it has been accepted as complete. Print name: /� � 4/4 Date: 2 / 2 4 1 1 v * Fee methodology set by Tri- County Building Industry /// ■ ■■ Service Board. I:\Building\Permits\BUP -RES PermitApp,doc 10/01/09 440- 4613T(I1 /02 /COM/WEB)