Permit ., CITY OF TIGARD MASTER PERMIT
1111 '2 CO MMUNITY DEVELOPMENT Pe rmit #: MST2011 -00199
T[GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/07/2011
Parcel: 1 S134CB12700
Jurisdiction: Tigard
Site address: 12278 SW MILLVIEW CT
Subdivision: MILL VIEW Lot: 27
Project: CRONKRITE
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: $4,000.00 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
Other Fixtures: 0
Drywell- Trench Drain: 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 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:
CRONKRITE, B & RS ENERGY LLC Required Items and Reports (Conditions)
BROOKS, LAURIE K 20915 SW 105TH AVE
12278 SW MILLVIEW CT TUALATIN, OR 97062
TIGARD, OR 97223
PHONE: PHONE: 503 - 752 -2885
FAX: 503- 692 -9008
Total Fees: $208.10
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rule questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: •ermittee Signature: _4a- -
Call 503.639.' 54'• a.m. for the next available inspection date.
This permit card shall be kep a conspicuous place on the job site until completion of the proje .
Approved plans are required on the job site at the time of each inspection.
•
Building Permit Application
Residential <j) FOR OFFICE USE ONLY
�+ ++ Received 7,..,/
City of Tigard O�\ Date /B : wr Permit No.: t ed.— 09
1, . q 13125 SW Hall Blvd., Tigard, OR2 Plan Review . ,
Phone: 503.718.2439 Fax: 503.59$ I960 • �® ` Dat : , ' • ' G L A Other Permit:
TIGARD Inspection Line: 503.639.4175 .1`' G �1 C j P ♦S� p `` Date Ready/By: ® See Page 2 for
Internet: www.tigard -or.gov O Vwl Notified/Method: /� Supplemental Information
TYPE OF WO REQUIRED DATA: 1- AND 2- FAMILY DWELLING
ID New construction El 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 profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
14 1- and 2- family dwelling El Commercial/industrial Valuation: $ 4 I oao
El 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: -, 143 St.J ii,. \`v; tom• L+ New dwelling area: square feet
City /State /Z1P: 7c. a a 4 I t . Z 2-, Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Ca i J/r4 e..__- Covered porch area: square feet
Cross street/directions to job site: + V l � Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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.
,yvA S -�-� 11 .-L.ca. K '1 . S S K <,J S a /a, A.,,,.._ Valuation: $
0✓1 r, l i t (O v Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: T
�a� c .tu�t k r, - e_ Type of construction:
Address: 5k0, .. Occupancy groups:
City/State /ZIP: — Existing:
Phone: (503 ) 1 l0 - 10 a ( Fax: ( )
New:
R APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
t , `J I LA-Cr Structural plan review fee (or deposit):
Contact name: fin t'c� -4 t ., a S f
FLS plan review fee (if applicable):
Address: 2 ocl i 5 SW / O S Av-c
Total fees due upon application: he, /D
City /State /ZIP: -rv,i I ,,..4-4,1 004- cI }O(o Z TTT
t Amount received:
Phone: (CoS ) 2„.-Z°e Fax: : (;o5 ) 0Z - ac .
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* •
E -mail:
(at/-t & (-5 - 5 Z , ca ....,
Commercial and residential prescriptiv• nstallation of
CONTRACTOR roof -top mounted P:otoVoltaic Solar •anel System.
Business name: 'n s Eh ._„(- ` L� Submit two (2) sets o' oof plan ' :' connection details
(`- / t and fire department acce . alon • ith the 2010 Oregon
Address: 2 p a I S W I U �- -e-i., �LA.( Solar Installation Specialty , oe checklist.
City/State /ZIP: ,� 0 k ^ v2 �U�� Permit Fee (includes pl -t eview $180.00
i and administr: five : • s):
Phone: (r & "1- s; Z_ 2S a 5 Fax: (S u 3) 65 L - c/ Od F3 State surcharge (12% o' permit fee): $21.60
CCB lie.: f 8 40 S Total fee due u son application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
. within 180 days after it has been accepted as complete.
n ( I I ' *Fee methodology set by Tri- County Building Industry
Print name: 1Gr AK C-1 � Date: / 1 Service Board.
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