Permit CITY OF TIGARD • MASTER PERMIT
II s.: COMMUNITY DEVELOPMENT Permit#: MST2012 -00065
Date Issued: 04/06/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S 111 BA11000
Jurisdiction: Tigard
Site address: 9533 SW ELROSE ST
Subdivision: LAUTTS TERRACE Lot: 4
• Project: WHITE
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 Prevnlr: 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
Fum <10OK: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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
Ecompasing: N
Other: N Other Description: P 9
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF 0
Owner: Contractor:
WHITE, PAUL A 8 MICHELE K ADVANCED ENERGY SERVICES Required Items and Reports (Conditions)
9533 SW ELROSE ST 3981 CALAROGA DR
TIGARD, OR 97224 WEST LINN, OR 97068
PHONE: PHONE: 916- 521 -0533
FAX:
Total Fees: $320.38
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 0 • : • - 001 -0090. You may obtain a cop a ru - direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued _•. /' ■• _-.... r� P ermltteeSignature: �l w��
Call • ,74, 7:00 a.m. for the next available Inspection date.
This permit card shall be ep a conspicuous place on the Job site until completion f the project
Approved plans are required on the job site at the time of each Inspection.
Building Permit Application
Residential FOR OFFICE 1,SE ONE)
City of Tigard ��� Permit No.: v "hi
• 13125 SW Hall Blvd., Tigard, OR 97223 N
C Phone: 503.718.2439 Fax: 503:598.1 C p � DateJB gam : ; tl • Other Permit:
T I G A K p Inspection Line: 503.639 01� Date Ready/13y: ® See Page 2 for
. Internet: www.tigard -or.gov • 3
41 i N otilied/Method: Supplemental Information
�
TYPE OF WORK 01 • 5 10 REQUIRED DATA: 1- AND 2- FAMILY DWELLING Is. ❑ New construction ❑ Dem ��G� Permit fees* are based on the value of the work performed.
ap�V1� " Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement El Othi3'r: Solar 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: $
❑ 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: 9533 SW Elrose St New dwelling area: square feet
City/ State/ZIP: Tigard / OR / 97224 Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: White 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.
3.06 KW PV Solar System Valuation: $
Existing building area: square feet
•
New building area: square feet
N PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Paul White Type of construction:
Address: 9533 SW Elrose St. Occupancy groups:
City/ State/ZIP: Tigard / OR / 97224 Existing:
Phone: (503)639 -3106 Fax: ( ) • New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Willamette Crest Properties dba Advanced Energy, Sv (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Julia Werner
Address: 14775 SE 82 Dr FLS plan review fee (if applicable):
•
City/State/ZIP: Clackamas / OR / 97015 Total fees due upon application: _
Phone: (503) 635-0117 I Fax: : (503) 635-0157
Amount received:
E -mail: ulia @advancedenergyoregoo.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
Business name: Willamette Crest Properties dba Advanced Energy Sv Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 14775 SE 82 Dr Solar Installation Specialty Code checklist.
City/ State/ZIP: Clackamas / OR / 97015 Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (503) 635 -0117 I Fax: (503) 635-0157 ' State surcharge (12% of permit fee): $21.60
CCB lic.: 180882
Total fee due upon application: $201.60
Authorized signature This permit application expires if a permit is not obtained
ct ,( within 180 days after it has been accepted as complete.
"' Fee methodology set by Tri -County Building Industry
��
Print name: A 0 � Cif Date: 3/28/12 Service Board.
I:\BuildingTermits\BUP- RESPermitApp.doc 02/24/2011 440 4613T(11/02 /COM/WEB)
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ityiSrate./ZIPI , . ,. 4),_,.. .. - ' Ia . . Otteshicilirica. CI St** oottoso irrouste dam
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StlherbldF,./Irpt. TICK:. Projectaartur •• : elSerke or feeder600 emps.or owe. • . •
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Ciry/StateiZIP: 1; ..,.. . erg 972 . .. ! relocation
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. Owner inttlaitatiOns This installation.is heing•ntade ou prupeity that I Own whichis not . • • • - • • '
401 onnss to 599 Antos. 168.34- 2
• intended for sale, lease, rent; or exchange, mordinz th ORS 447, 449, :6* and 701. . • . • • • • •
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