Permit CITY OF TIGARD BUILDING PERMIT
t •t
' COMMUNITY DEVELOPMENT Permit #: BUP2011 -00189
Date Issued: 09/16/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 7182439 Parcel: 1S133DC08000
Jurisdiction: Tigard
Site address: 11700 SW 134TH TER
Project: D'ALESSANDRO Subdivision: WINTER LAKE Lot: 11
Project Description: Solar photovoltaic systems.
Contractor: SOLARCITY CORPORATION Owner: D'ALESSANDRO, PRIMO
6132 NE 112TH AVE ROUSH, KENDAL
PORTLAND, OR 97220 11700 SW 134TH TER
TIGARD, OR 97223
PHONE' 503 - 964 -0489 PHONE:
FAX: 503 - 926 -9101
FEES
Specifics: Description Date Amount
Type of Use: SF Solar Photovoltaic System 08/30/2011 $180 00
Class of Work: ALT 12% State Surcharge - Building 08/30/2011 $21.60
Dwelling Units: 0 Info Process /Archiving - Sm Sheet (up to 08/30/2011 $7 50
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 $209.10
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 at 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.aes or direct questions to OUNC by calling 503 232 1987 or 1 800 .32 2344
Hop ._
Issued Byt > Perm ittee Signature: / f
Call r 3 5 by 7:00 a.m. for the next available inspection date.
This permit card sh. I ii n a conspicuous place on the job site until completion of the proje .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application $4C)
Residential 0(.0 ���'
,• FOR O USE ONLY '
' City of Tigard q Pc) ' eceived Permit No.
11 111 '
V ,\ ^ate /B ■ / / /`' •
13125 SW Hall Blvd., Tigard, OR 97223 p„ l S‘ ' plan Review y
Other Permit
C
Phone: 503.718.2439 Fax: 503.598.1960 O� V l� Date/B . • \ ��((�.
T1 V, A R D Inspection Line. 503.639 l �`G •ate •easy /:y: , ® See Page 2 for '
Internet: www.tigard - gov `�� �` Notifie.Method. / / / R Supplemental Information
TYPE OF WORK ' / EQUIRED 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
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profi for the
_
CATEGORY OF CONSTRUCTION • = ,' work indicated on this apphcation.
® 1 - and 2- family dwelling ❑Commercial /industrial Valuation: $ F LPI7M1
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
' JOB SITE INFORM ATION AND LOCATION Total number of floors:
Job site address: .11-100 s\ �� `� 4-14 eXYa CP New dwelling area: square feet
V"
City/State /ZIP: 7 i ( 03 / 0V2...) c "722. - Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 0 LI'.SSQ.11C.1 ro Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -IISE CHECKLIST , ,
Subdivision: I 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
DESCRIPTION OF WORK • • work indicated on this application.
Roof Mount PV System Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY OWNER -. , : 1 TENANT Number of stones:
Name: ?Vial() 0 es G J a rid 11"1 Type o
Address: `� A �` J Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
' • ❑ .APPLICANT , ® CONTACT PERSON _ BUILDING PERMIT FEES*:,- _
Business name: SolarCity Corporation (Please refer tojee scheduled . e
Structural plan review fee (or deposit):
Contact name: Caitlin Horsley
FLS plan review fee (if applicable):
Address: 6132 NE 112' Ave
Total fees due upon application:
City/State /ZIP: Portland . l��
Amount received:
Phone: (503) 9560610 Fax . (503) 5366513 (C�
E -mail: chorsley @solarcity.com PHOTOVOLTAIC SOLAR PANEL S STEM. FEES* '
- - Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photovoltaic Solar Panel System.
(2) sets of roof
Submit two 2 plan with connection details
Business name: SolarCity Corporation P
and fire department access, along with the 2010 Oregon
Address: 6132 NE 112 Ave Solar Installation Specialty Code checklist.
City/State/ZIP: Portland, Oregon 97220 Permit Fee (includes plan revie $180.00
and administrative fees):
Phone: (503) 9560610 Fax: (503) 4366513
State surcharge (12% of permit fee): $21.60
CCB lic.: 180498 ) Total fee due upon application: $201.60
Authorized signature' r — / This permit application expires if a permit is not obtained
r 1 within 180 days after it has been accepted as complete.
/ * F ee methodology set by Tn -County Building Industry
Pnnt name: Caitlin Holy / Date: $'/ o / ' 1 Service Board.
l.\ Building \Pennits \BUP- RESPennitApp.doc 02/24/2011 440- 466613T(111/02 /COM/WEB)