Permit CITY OF TIGARD MASTER PERMIT
IIII ». COMMUNITY DEVELOPMENT r Permit #: MST2011 -00180
Date Issued: 10/21/2011
Tj GARIA 13125 SW Hall Blvd., Tigard OR 97223 503 2439 Parcel: 2S109DA14800
Jurisdiction: Tigard
Site address: 15294 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 67
Project: Arlington Heights No. 3, Lot 64
Project Description: Solar photovoltaic system.
BUILDING
Floor Areas Required Setbacks Required
Stories 0 Bedrooms 0 First 0 sf Basement 0 sf Left 0 Parking Spaces 0
Height 0 Bathrooms 0 Second. 0 sf Garage 0 sf Front 0 Smoke
Dwelling Units 0 Third 0 sf Right 0 Detectors
Total 0 sf Value $0 00 Rear 0
PLUMBING
Sinks 0 Water Closets 0 Washing Mach 0 Laundry Trays 0 Rain Drain 0 Urinals 0
Lavatories 0 Dishwashers 0 Floor Drains 0 Sewer Lines' 0 SF Rain Storm Sewer 0
Drains 0
Tubs /Showers 0 Garbage Disp 0 Water Heaters 0 Water Lines 0 Catch Basins 0
Bckflw Prevntr 0
Footing Drain. 0 Ice Maker. 0 Hose Bib 0 Backwater Value 0
Drywell- Trench Drain 0 Other Fixtures 0
Other Fixture Units
MECHANICAL
Fuel Types Air Conditioning N Vent Fans' 0 Clothes Dryers 0
Heat Pump N Hoods 0 Other Units 0
Furn <100K 0 Vents 0 Woodstoves 0 Gas Outlets 0
Furn > =100K 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc /Feeders Branch Circuits
1000 sf or less 0 0 -200 amp 0 0 -200 amp 0 W/ Svc or Fdr 0
Ea add'I 500 sf 0 201 -400 amp 0 201 -400 amp 0 W/O Svc /Fdr 0
Mfd Home /Feeder /Svc 0 401 -600 amp 0 401 -600 amp 0
601 -1000 amp 0 601 +amp -1000v 0
1000 +amp /volt 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo N HVAC N Security Alarm N Vaccuum System N Garage Opener N All
Other N Other Description Ecompasing N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF 0
Owner: Contractor:
DELMORE, JIM LIVELIGHT ENERGY LLC Required Items and Reports (Conditions)
15294 SW SUMMERVIEW DRIVE 1750 SW 187TH AVE
TIGARD, OR 97224 BEAVERTON, OR 97006
PHONE 503 - 687 -7577 PHONE 503 - 690 -4402
FAX 503 -690 -4399
Total Fees: $208.10
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 issuanc or if w ork is suspended for more the 180
days ATTENTION Oregon law requires you to follow the rules ado•ted by the Oregon Utility Notificatio• r - er ose rules are set forth in OAR
952- 001 -0010 through O • : 952- 001 -0090 You ma or -. r a co o the rules or direc questions to OUNC by callin 50 C: ' 7 . :10 332 2344
i /
• F
Issued By.1 �.
_ — Permittee Sinature: Signature: 4
Call i by 7:00 a.m. for the next available inspection a I
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 FOR OFFICE USE ONLY
City of Tigard V Date /B Received r D pis Permit No : , s i t _Oo t 4 •
4 1312 SW Hall Blvd., Tigard, O' ; �� �+� Plan Review n^ ,1
' Phone: 503.718.2439 Fax: 503 ':.1960 Q r 1 0 11 Date /B . �� ' 4v' I" G _ Other Permit
T I G A RD r 1 a L Inspection Line. 503.639 Date Ready /By: Jimss �� ® See Page 2 for
Internet: www.tigard or.gov r A p� Notified /Method: I���I Ls'lY Supplemental Information
TYPE OF W1 /AG �1��S��� REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction e De Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Z 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 ❑ Commercial /industrial Valuation: $2000
❑ 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: 15294 SW Summerview Drive New dwelling area: square feet
City/State /ZIP: Tigard OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: 1438 Project name: 10586 Stonebridge 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: Lot no.: Pennit 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.
2.040 kW Solar PV Installation Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT ' Number of stories:
Name: Jim Delmore Type of construction:
Address: 15294 SW Summerview Drive Occupancy groups:
City/State /ZIP: Tigard OR 97224 Existing:
Phone: (503)687 -7577 Fax: ( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: LiveLight Energy (Please refer to jeeschedule)
Structural plan review fee (or deposit):
Contact name: Molly Stradley
Address: 1815 NW 169 Place ste 4020 FLS plan review fee (if applicable):
Total fees due upon application:
City/State /ZIP: Beaverton OR 97006
Phone: (503) 690 -4366 Fax: : (503) 690 -4399 Amount received:
E - mail: molly @livelightenergy.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted PhotoVoltaic Solar Panel System.
Business name: LiveLight Energy Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 1815 NW 169th Place ste 4020 Solar Installation Specialty Code checklist.
City/State /ZIP: Beaverton OR 97006 Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (503) 690 -4366 Fax: (503) 690 -4399 State surcharge (12% of permit fee): $21.60
CCB lie.: 187491
Total fee due upon application: $201.60
Authorized signature: (j This permit application expires if a permit is not obtained
V within 180 days after it has been accepted as complete.
Print name: Matthew Hall u Date: 10/18/11 * Fee methodology set by Tri County Building Industry
Service Board.
l:\ Building \Permits \BUP- RESPetmitApp -doc 02/24/2011 440 -4613T(11 /02 /COM /WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE USE ONLY
• City of Tigard Received Permit No
V 13125 SW Hall Blvd., Tigard, OR 97223 Dated t
C r Phone' 503 718 2439 Fax 503.598.1960 Associated permits
TIGA:RD
24- Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
Internet. www tigard -or gov ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR. PLAN R=EVIEW Ves - No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ El
4 Fire district a i i royal re i aired. Name of district: El ❑ El
•
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ El
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ El
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ El ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ El El
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. El ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and /or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas - piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore•on and shall be shown to be as Ilicable to the iro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three (3) site plans are required for Item 11 above. Site plans must be 8-1/2" x 11" or 11" x 17 ". El El El
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. El ❑ El
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ El El
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I•\ Building \Perimts \BUP- RESPenmtApp.doc 02/24/2011 440- 4613T(I 1 /02 /COM /WEB)