Permit CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit #: MST2012 -00126
T j A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14/2012
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Parcel: 2S 103C D08900
Jurisdiction: Tigard
Site address: 13543 SW PIPER TER
Subdivision: 2008 -074 PARTITION PLAT Lot: 2
Project: Lawson
Project Description: Solar photovoltaic system, building and electrical
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
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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
Fum <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: 1
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401-600 amp: 0
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +ampNolt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio 8, 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:
ALT SF VB R - 3 0
Owner: Contractor: •
LAWSON, BRENT E DYNAMIC POWER INNOVATION LLC Required Items and Reports (Conditions)
13500 SW 121ST AVE 236 SE BAKER STREET
TIGARD, OR 97223 MCMINNVILLE, OR 97128
PHONE: PHONE: 503- 857 -0416
FAX:
Total Fees: $275.02
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 OA; % -2- 001 -0090. You may btain a copy of the rules or direct questions to OUNC by calling 5 .232.1987 or 1.800.332.2344.
/ /
Issued By: ' Permittee Signature: o
Call 503.639.4175 by 7:00 a.m. for the next available inspection da .
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 RECEIVED E. FOR OFFICE, USE ONLY
Received P ermit No
City of Tigard Date B : '� - ���� 11S7;140%2 — DO/e 6
13125 SW Hall Blvd., Tigard, OR 97223 JUN ®7 2012 Plan Revie .�
Phone: 503.718.2439 Fax: 503.598.1960 Date B Other Permit
: n
I G A li D Inspection Line: 503.639 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard - or.gov CITY OFTIGARD Notified/M thud: l /aZ ' / 77 Supplemental Information
BUILDING DIVI t/
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
® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $10860.00
1- and 2- family dwelling - ❑ Commercial /industrial
❑ 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: 13543 SW Piper Terrace New dwelling area: square feet
City/State/ZIP: Tigard , Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Lawson Solar Covered porch area: square feet
Cross street/directions to job site: SW 121 Ave Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: 2 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S103CD08900 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.
6.0 kW Roof Mounted Solar Array Valuation: $
6.0 Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: Brent Lawson Type of construction:
Address: 13543 SW Piper Terrace Occupancy groups:
City /State /ZIP: Tigard, Oregon 97223 Existing:
Phone: (503)805 -7850 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Dynamic Power Innovation (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Josh Kopczynski
FLS plan review fee (if applicable):
Address: 236 SE Baker
Total fees due upon application:
City /State/ZIP: McMinnville, Oregon 97128
Amount received:
Phone: (503) 857 -0416 Fax: : ( )
E -mail: dpisolar @gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: Dynamic Power Innovation Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 236 SE Baker Street Solar Installation Specialty Code checklist.
City/State /ZIP: McMinnville, Oregon 97128 Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (503 -) 857 -0416 Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: , C �[� 14f ;45/13 Total fee due upon application: $201.60
Authorized signature: 6` v'Ir This permit application expires if a permit is not obtained
1 ° p within 180 days after it has been accepted as complete.
* Fee methodology set by Tri -County Building Industry
Print name:11.11111t. 3'p$ yNS K f Date: 5/242012 Service Board. /p , SQ
I:\BuildingWermits\BUP- RESPermitApp.doc 02/24/2011 440- 4613T(11/02 /COM/WEB) l0 "L 07 75` . 0.021 0, e / O
��� 607 : 92...
RECEIVED
Electrical Permit Application JUN 0 7 ?p FOR OPEICE USE ONLY
City of Tigard ived Paoli M.'
CITY OFTiG � .. °°� • ST•�u�� -- 10//e2
a 13125 SW HaII Blvd., Tigard, OR 9722}}����� n Plan Review Other Permit:
Phone: 503.7182439 Fax: 503.598.19SQJILL) ' DIVISI II t: - : •
1' �: A It I� Inspection Line: 503.639.4175 ate Ready/By: .lur !a e See Page 2 for .
Internet: www.tigard -cr.gov NotiaodfMethod: Supplemental Information
r . q air \ t- 5 g 7s r9�'ii <: '{,�f7{.,� �,.,Y$ . o..ma t ° ll 3 .y ,.r- t4'e ,,
_ , 5 � n . . } - �" . r � ^: .% % .. .,.. 'U', •s ic P •�fi 1 e ' ! ;; .W- . `+`i _ wit . t ^li' 1 t; ;� A. I { d�+;S +�uiz� Cs ?, x .� t�'�u -,. i^ 1� z�1. .siT '-�iF.' +-'.*'
❑ New construction ® Addition/alteration/replacement Please check all h ut apply (submit sets of plans wine= checked bobw):
❑ Service or feeder 400 amps or mom ❑ Building over throe stories.
❑ Demolition ❑ Other when the available fault current ❑ Marinas and boatyards.
t
V' 4G1 cr. ; , q tt ' Y ,05 ^ t z ; 4,7 exceeds 10,000 amps at 150 volts or ❑ Floating buildings
atctcs w� _.iltsia' ZZ s ..- ' . �, 4►.` t i a ? « ' � . ..4: , o .!•la ' .:�}� i1v.,L less b ; grouml, or exoeede 14,000 ❑ Commercial-use egricu]Mel
® 1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building amps thrall other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fie pump. ❑ Installation of 75 KVA or
' p '-. Tai 1 e ��',^ ..r y� t r ,. e A$;` fs r 'q -'` irl✓ s ❑ EmergettY system• larger separately derived system.
i�'". t i t ;;;;., at ._ �i_Sgp . M: Oar ) �; 2x:.8 ❑ Adele]) of new motor load of ❑ " " „E,...1 -2„ "1-3",
100HP or mots. occupancy.
Job no.: 3S41243 Job site address: 13543 SW Piper Terrace ❑ Si or more residential utib. ❑ Recreational vehicle packs.
City /State/ZIP: Tigard, OR 97233 ❑ Healthrsro facilities. ❑ Supply v � t mote than
Hazardous locations
Suite/bldg. /apt. no.: I Project name: Lawson Solar ❑ Service or Rider 600 amps or more. - gyp
ili.14 _rYgi�L2mitt'' ''= ' 1,11, "'+. . b i .:,in1i - 2 ..:4 ''i 4
Cross street/directions to job site: SW 121st Ave Description sir. Fee. Twat •
New residential single- or multi - family dwelling unit.
Iududes attached garage.
Subdivision: I Lot no.: 2 1,000 sq. R. or less 168.54 4
Ea. add'I 500 sq. f. or portion 33.92 1
Tax map/parcel no.: 2S103CD08900 Limited energy, residential
75.00 2
r { e0�4 'i t t c ,(1 ; '.3. ° sue wit above iL
.��;$ �� �, fu o: tia ,��... ''I,,, .'• �'�m,•�m• ��• R'P: l'�SiaG'�$;, tr�, ( �1• )
>, u r'3� = c1 ` "fir Limited energy, multi - family
6.0 KW Roof Mounted Solar Array residential (with above sq.1L) 75.00 2
Services or feeders Installation alteration, and/or relocation
200 amps or less 100.70 2 i
,3AM -1 ,°i 1 5 7 # 4s PFX.A 3 3r ` 5, 201 amps to 400 amps 133.56 2
R i 401 amps to 600 amps 2003.34 2
Name: Brent Lawson 601 amps to 1,000 amps 301.04 2
Address: 13543 SW Piper Terrace Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: Tigard, OR 97233 relocation
Phone: ( 503) 805 -7850 I Fax: ( ) 200 amps or less 5936 1 1
Owner Installation: This installation is being made on property that I own which is not 201 amps to 409 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch davits with
set_. -,E. J:` „) ,4.i.'. .a. w '' iit'."�; < VO k.� `'c_4: k °'� •`, ' L each branchdnwtfeederfee, 7.42 2
B . Fee for branch circuits without
Husinessnttme: Cherry City Electric service or fader fee, first 1 56.18 56.18 2 '
Contact name: Stephanie Woodward bmnchcicuit
Each add'I branch circuit 7A2 2
Address: 8100 NE St. Johns Road, # D -101 Miscellaneous (service or feeder not included) •
City /State/ZIP: Vancouver, WA 98665 ddvmng,a> or modular 67.84 2
Phone: ( 360) 571 -4411 I Fax:: ( 360) 571 -4410 Reconnect Only 67.84 2
Pump or irrigation circle 67.84 2
E swoodward i cher c' electric.com Signor 'iodine lighting 67.84 2
. ;;rffEfft,!s1•'.:s"a1r����� ,t�"u•a 75.•�i'r�• _ft
Signal arnul(a) or hunted-energy
Business name: Cherry City Electric _ panel, alteration, or extension. Page 2 2 ■
Each additional Inspection over allowable In any of the above
Address: 8100 NE St. Johns Road, # D -101 Additional inspection (1 hr min) 66.25/hr
Investigation (1 hr min) 66.25/ hr
City/State/ZIP: Vancouver, WA 98665 Industrial plant (1 hr min) 78.18/ hr
Phone: ( 360 ) 571 -4411 11201 13 F Inspections for which no fee is : : ( 360) 571 -4410 Ail 3 s, ficall listed 'A hr min 90.00' hr
CCH Lie.: 91668 I Electrical Lic.: ` _ _ e _ • - 5719 ( \s;, : '.' 1 'i ; 51- 3 ;;.
Subtotal: 56.18
Suprv. Electrician signature, required: _,...,••• i, 111 11 •- Plan review (25% of permit fee):
Print name: Trace Thompson D:. e: 6/6/2012 Slate surcharge (12% of permit fee): 6.74,_
•
TOTAL PERMIT FRE: 62.92 .
Authorized signature: Thb permit application expires If a permit is not o tined within 18
days after It has been accepted m corn
Print name: I Date: • Number of inspections allowed per permit
l 07101/10 440 .46(5111ios MAY®
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