Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00070
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/12/2011
Parcel: 2S 103ACO3700
Jurisdiction: Tigard
Site address: 12532 SW 114TH TER
Project: Borok Subdivision: WALNUT GROVE Lot: 6
Project Description: Installation of solar photovoltaic system.
Contractor: SOLARCITY CORPORATION Owner: BOROK, DAVID AND JULIE JANET
6132 NE 112TH AVE 12532 SW 114TH TERRACE
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 04/07/2011 $180.00
Class of Work: ALT 12% State Surcharge - Building 04/07/2011 $21.60
Dwelling Units: 0 Info Process /Archiving - Sm Sheet (up to 04/07/2011 $4.50
Stories: 0 Height: 0 ft 11x17)
Bedrooms: 0 Bathrooms: 0
Value: $2,700
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 - . • - _ . law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -o 0 through OAR 95 '01 - • •0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss ed By: . 4 I. /
Permittee Signatu , frj /
. - _.`��. i ... �.
Call 503.639.4175 by 7:00 a.m. for the next available inspection dat
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 )l/ o f I I( 1 1' 1 O\ 1 1
City of Tigard APR 7 2 r A7 /I , /t 3 CM
, • 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
III
Phone: 503.639.4171 Fax: 503.598.1960 � �V Date/B : I u - 3- i...,N Other Permit:
1 1 , i , 1 Inspection Line: 503.639.4175 Date Ready/By: G ® See Page 2 for
Internet: www.tigatd- or.gov Notified/Method: 7 e /1 0C Supplemental Information
,S GJ /✓i C
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
13 ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 and 2- family dwelling ❑ Commercial /industrial Valuation: $ W �
❑ 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: /2632 SW 114/4- Tu'+'�c... New dwelling area: square feet
City/State/ZIP: ?Or il oi d, 0/2 4722 3 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Ao1ok 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 4(,, kW Roof MDurt f PV tS 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:
Phone:( ) I Fax:( )
New:
❑ APPLICANT CONTACT PERSON NOTICE
Business name: p {7,/ 0 Ota All contractors and subcontractors are required to be
Contact name: t't l ih J 5 licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 ALE 1/ jurisdiction in which work is being performed. If the
/C _/ V g, 1 7 . Q applicant is exept from licensing, the following reasons
� c.C.{,l�L
City / State/ZIP: U / apply:
Phone: (5o3) 95(1 Th ou t o Fax: : ( 503) 53 to - (e 513
E -mail: thous 1 ey e c5Ola rel r • t^_oh'?._
CONTRACTOR
Business name: 30 LAR ,c, Ty C oRArr o / BUILDING PERMIT FEES*
Address: (p/ ,V /2' c (Please refer to fee schedule)
Structural plan review fee (or deposit):
City/ State/ZIP: on -DANA / ? ,2_, O / -
Phone: ( 4 /64/ — Ol,� act Fax: (503) 92�P — 9/ o FLS plan review fee (if applicable): /
CCB lic.: / $0 4/95 Total fees due upon application:
Amount received: 11 ( .1 0 vi
Authorized signature �� This permit application expires if a permit is not obtained J .
,/ �� / I f / within 180 days after it has been accepted as complete n lY
Print name: /f/ /� Date: !� * Fee methodology set by Tri-County Building Industry r
'1 Service Board.
I:\Building\Permits\BUP - RES PermitApp doc 10/01/09 440 -4613T(11 /02 /COM/WEB)