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Permit ' BUILDING PERMIT CITY OF TIGARD a COMMUNITY DEVELOPMENT Permit #: BUP2012 -00221 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/19/2012 Parcel: 2S114AA00500 Jurisdiction: Tigard Site address: 16375 SW 85TH AVE Project: Clean Water Services Subdivision: 1993 -078 PARTITION PLAT Lot: 2 Project Description: Solar photovoltaic installation Contractor: SOLARCITY CORPORATION Owner: CLEAN WATER SERVICES 6132 NE 112TH AVE 2550 SW HILLSBORO HWY PORTLAND, OR 97220 HILLSBORO, OR 97123 PHONE: 503 - 956 -0610 PHONE: FAX: 503 - 926 -9101 • Specifics: FEES Description Date Amount Type of Use: COM Class of Work: OTR Type. of Const: Other Permit Fee - Additions, Alterations, 11/19/2012 $1,860.95 Demolition Occupancy Grp: U Occupancy Load: 12% State Surcharge - Building 11/19/2012 $223.31 Dwelling Units: 0 Plan Review 11/05/2012 $1,209.62 Stories: 0 Height: 0 ft DC Provision Review. COM TI - Ping 11/19/2012 $256.00 Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - LRP 11/19/2012 $38.00 Value: $225,000 Info Process /Archiving - Lg $2.00 (over 11/19/2012 $28.00 11x17) Info Process /Archiving - Sm $0.50 (up to 11/19/2012 $16.00 Floor Areas: 11x17) Metro Const. Excise Tax - Commercial 11/19/2012 $270.00 Total Area: 0 Use Accessory Struct: 0 Erosion Control w /Permit - Pin g 11/19/2012 $300.00 Basement: 0 Carport: 0 • ' Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $4,201.88 Required: Required Items and Reports (Conditions) 1 Special Inspection (see plans) 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 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. T • e rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUN • - ling 503.232.198 1..00.3' .234' . Issued By: Permittee Signature: • Calf 503.639.4175 by 7:00 a.m. for the next available inspection date. 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 • Commercial FOR OFFICE. USE ONLY R ECE W E fl. Received e► City of Tigard r /,© Permit u Q�jp/,2 �vp� :� • 13125 SW Hall Blvd., Tigard, OR 97223NOV Q J .. �teB . C Plan Revie • i�� Other Permit: P�/). Phone: 503.718.2439 Fax: 503.598.19 Date /B : � � � 000/ TI i n It D inspection Line: 503.639.4175 c{�/ Of TOM Date Read: kris: 61 See Page 2 for Internet: www.tigard- or.gov x/11 VF MTV j Notified /Method: Supplemental Information 8110#46 'M TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING 1K 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. i �'❑ I- and 2- family dwelling Commercial /industrial Valuation: $ % I ❑ Accessory building ❑ Multi- family Number of bedrooms: El Master builder ❑Other: Number of bathrooms: AND LOCATION JOB SITE INFORMATION ANATI Total number of floors: k Job site address: kI '� ,'�� New dwelling area: square feet City/State /ZIPS �`I Z Garage/carport area: square feet Z Suite/bldg./apt. no.: Project name: *--c--1/4,, Covered porch area: square feet Cross _street/directions to job site: - . lb • r Deck area: square feet 4 4 ir. _ _ . _ B M� ..• Z� 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. t / � � f Indicate the value (rounded to the nearest dollar) of all ' Tax map /parcel no.: l (� equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. ��W to + Iklt` Wriggle) I ) Valuation: $ • t. _ Existing building area: square feet �1. L.� r,ta tl �1 a I � � 1 , - - J � a New building area: square feet 0 PROPERTY OWNER I ❑ TENANT Number of stories: Name: Type of construction: • Address: Occupancy groups: City/State/ZIP: Existing: hone: ( ) Fax: ( ) New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: S tructural plan review fee (or deposit): Contact name: : FLS plan review fee (if applicable): Address: `'I,.... II 11 t l� L City/State /ZIP: � �' ' ` 7.7 ID Phone: 95 ( _ C � Fax: : SS) qz .9 io1 Total fees due upon application: I Amount received: i E O C /� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* C ' V OAP\ Commercial and residential prescriptive installation of CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System. Business name: ���� � C„ ^` S ubmit two (2) sets of roof plan with connection details �77 ` and fire department access, along with the 2010 Oregon (' Address: ci �2 ? _ Solar Installation Specially Code checklist. c( City/State/ZIP: �") Permit fee (includes plan review $ 180.00 J�� and administrative fees): Phone: (t�, C) '(Q •-5(1j3 Fax: -11 � - y,) q ? ( s I 0.2_ State surcharge (12% of permit fee): $21.60 CCB lic.: \ tP - = I. '� Total fee due upon application: $201.60 Authorized signature: \ T his permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: ` ( ' v O _ _ ( , l Date: /t f VIZ_ " Fee methodology set by Tri- County Building Industry �/ Service Board. I: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I I /02 /COM /WEB) I II ° Building Division Development Code Provision Review TIGARD Commercial Projects with Approved Land Use Building Permit No.: ( t-. -f 1 a -00 ag-/ Land Use Casefile No.: CI, P r 9.0 r a- ODO /If Routed Plans: V Submittal Date: 'l1( / Y Submittal Date: Submittal Date: To the Applicant: --", Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (1) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those items on the left side that are approved. Planning Review (contact \)d kz4 4'&/ t y at 503 - 718 - 14 A or @tigard- or.gov) Land Use Approval Building Plans Match Approved Plan: Yes No ❑ Maximum Building Height wt Conditions Met , Street Trees 1V A Protected Trees - ^^ . Notes: a,rb •ASi - rtp .r4 Pro vi44d - Ma+ Pvu -kc4or. _rC�G% ha.s V, e e rt ' ns -I-all a d.. Original Plan: Approved 71 Not Approved ❑ Date: I 1 - . 14 -Ia. P' "t V ( 6 Revision 1: Approved ❑ Not Approved ❑ Date: act Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @tigard- or.gov) ❑ Actual Slope: ❑ PFI Permit # ❑ Conditions Met Notes: Original Plan: Approved ❑ Not Approved ❑ Date: Revision 1: Approved • Not Approved ❑ Date: Revision 2: Approv - . • Not Approved ❑ Date: • Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @ tigard- or.gov) ALT Planning Okay to Issue Permit Arborist Okay to Issue Permit r ❑ Engineering Okay to Issue Permit / Notes: Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant Okay to Issue Permit: Yes No ❑ iN� Date Routed to Building: / / f �?/ /®CA ( �y��/ 1 • } Page 2 of 2