Loading...
Permit - CITY OF TIGARD MASTER PERMIT y n ''1 a : COMMUNITY DEVELOPMENT Permit #: MST2012 -00291 Date Issued: 12/03/2012 'TIG.ARDh 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 2S1116801700 Jurisdiction: Tigard Site address: 14155 SW 103RD AVE Subdivision: TIGARDVILLE HEIGHTS Lot: 1 Project: Lock Project Description: Roof mount PV 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 $7,920 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 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 1 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 Secunty Alarm N Vaccuum System N Garage Opener N All Other N Other Descnption 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: LOCK, RICHARD D SOLARCITY CORPORATION Required Items and Reports (Conditions) 14155 SW 103RD AVE 6132 NE 112TH AVE TIGARD, OR 97224 PORTLAND, OR 97220 PHONE PHONE' 503 - 956 -0610 FAX 503- 926 -9101 l Total Fees: $314 80 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 accor• - - 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 TTENTION Ore..n -w requ res you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR - 952- 1 -0010 through OA - •2- 001 -0 • 0 You may obtain a copy of the rules or direct questions to OUNC by calling 503.. '2 1987 or 1.80r .234 ►n\ I / I War Issu By: ' ` Permittee Signature: I J I.. ,// Arll■ _ Call 503.639.4175 by 7:00 a.m. for the next available inspection date W 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. Buildine Permit Application Residential I OR OFFICE ( SE O \I.1 City Tigard Ti and RECEIVED Received (� Permit No i II ,. m 13125 SW Hall Blvd., Ti ° , S(.,rtA o oa�c Bard, OR 97223 Plan Review T/ R ' Phone: 503.7182439 Fax: 503.598i1� 2 7 2012 Da : /fr,je/ V� Other Permit: Inspection Line: D ne: 503.639.4175 L+ T I ,� r n dy/Sy: ® See Page 2 for Internet: www.tigard- or.gov � (� An � Notified/Method: C; � OFTIGA1UJ /i Supplemental Information W AA ll VC11UJ TYPE . REQUIRED DATA: 1-AND 2 = FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. ® Addition/alteration/replacement ❑ Other: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the ; CATEGORY OF CONSTRUCTION work indicated on this application. ® 1- and 2- family dwelling ❑ Commercial/inc Valuation: $ -7 Cf c 1 ..V ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: lob site address: 1 _1 t5 5 em wi3 ED- /Iv F_ New dwelling area: square feet City / 5tate/ZIP: rl G f t J i () R C V - 1 d �� Garagelcarport area: square feet Suite/bldg. /apt. no.: I Project name: G< Covered porch area: square feet Cross street/direciions to job site: Deck area: square feet Other shvcture area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: J 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. Roof Mount PV System Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER I ❑ TENANT Number of stories: Name: RN\ C M A (N o r Type of construction: Address: 1 p ry G n-s . -T- ) R 5 }T� Occupancy groups: City/State/ZIP: / t Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ® CONTACT PERSON * BUH.DING "PERM[I' FEES Business name: SolarClty Corporation t�hvrolarsda¢rl Contact name: Caitlin Horsley Structural plan review fee (or deposit): ■ Address: 6132 NE 112' Ave FLS plan review fee (if applicable): City /State/ZIP: Portland Total fees due upon application: - Phone: (503) 9560610 I Fax:: (503) 5366513 Amount received: E -mail: cborsleyesolarcity.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted Photo Voltaic Solar Panel System. Business name: SolarCity Corporation Submit two (2) sets of roof plan with connection details u and fire department access, along with the 2010 Oregon Address: 6132 NE 112 Ave Solar Installation Specialty Code checklist. City /State/ZIP: Portland, Oregon 97220 Permit Fee (includes plan review $ 18000 and administrative fees): Phone: (503) 9560610 Fax: (503) 4366513 State surcharge (12% of permit fee): $21.60 CCB iic.: 180498 ) Total fee due upon application: $201.60 Authorized signature: r ° i This permit applcatioon expires if a permit is not obtained /t^' 1 , / within 180 days after it has been accepted as complete. Print name: Caitlin H ey / I Date: I I /1 G 1 (� ` Fee methodology set by Tri -County Building Industry Service Board. 1:\Build ng\Pe mits\BUP- RESPermitApp.doc 02/24(2011 440 -4613T(11 /02/COM/WEB) Electrical Permit Application FOR OFFICE: t Sl: ONLY Received 1A City of Tigard Dates : 1 � E P Permit No.: abler - OD l , 13125 SW Hall Blvd., Tigard, OR 97223 NO 2 7 2012 P Review ether Permit: I Phone: 503.718.2439 Fax: 503.598.1960 Da 1 it; , r I Inspection Line: 503.639.4175 TIGARD Date Ready/Sy: Co ® See Page 2 for . Internet: www.tigard- or.gov CITY OF T'IGARD Noh /M fiedethod: I Co Supplemental Information TYPE OF t,,DING DIVISION PLAN REVIEW ❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at ISO volts or ❑ Floating buildings. less to ground. or exceeds 14.000 ❑ Commercial -use agricultural ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or , JOB SITE INFORMATION AND LOCATION El Emergency system larger separately derived system ❑ Addition of new motor load of ❑ "A ", "E "1 2 ", "I - ", Jobno.:91) \1 19(6 i Job siteaddress:1�155 Sea 1 J U r 100HPormom. Re cr ea tion ��f 1� ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: ' f (' ) R - fl \ T 4 ❑ Health -care facilities. ❑ Supply voltage for more than 1 C r� ❑ Hazardous locations. 600 volts nominal Suite/bldg. /apt. no.: Project name: L U c,/..< ['Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qv. I Fee. I Total I • 1 q D,j4P New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi- family 75.00 2 Roof Mount PV System residential (with above sq. ft.) Services or feeders installation,alteration, and/or relocation 200 amps or less 1 100.70 2 ® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 P ` ,� / ���� , I w C r t 401 amps to 600 amps 200.34 2 Name: 1 601 amps to 1,000 amps 301.04 2 Address: IN Nit_ IBS , S 1T F_ Over 1,000 amps or volts 552.26 _ 2 Temporary services or feeders installation, alteration, and/or City/ State/ZIP: Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 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 circuits with ® APPLICANT I (83 CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: SolarCity Corporation B. Fee for branch circuits without service or feeder fee, first 56.18 2 i Contact name: Caitlin Horsley branch circuit Each add'I branch circuit 7.42 _ 2 Address: 6132 NE 112 Ave Miscellaneous (service or feeder not included) City/ State/ZIP: Portland, Oregon 97220 dwelling, manufactured s r vice a dr r modular 67.84 2 dwelling, service and/or feeder Phone: (503) 9560610 Fax: : (503) 5366513 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: chorsley©solarcity.com Sign or outline lighting 67.84 2 CONTRACTOR Signal mrcuit(s) or Iimited'cnergy Business name: SolarCity Corporation panel, alteration, or extension. Page 2 2 Each additional Inspection over allowable in any of the above Address: 6132 NE 112th Ave Additional inspection (I hr min) 66.25/ hr City /State/ZIP: Portland, Oregon 9722 Investigation (1 hr min) 6625 / hr Industrial plant (I hr min) 78.18 / hr Phone: (503) 9560610 Fax: (503) 5366513 Inspections for which no fee is 90.00 / hr specifically listed (h hr min) CCB Lic.: 180498 I Electrical Lic.: C562 I Suprv. Lic.: 5201S ELECTRICAL PERMIT FEES S u uie: Suprv. Electrician signature, required: c 9 , C //ter Plan review (25% of per t fee): Print name: Derek Cropp Date: l 6 / State surcharge (12% of permit fee): ur TOTAL PERMIT FEE: . 1 „. 14, Authorized signature: This permit application expires if a permit is not obtained within 180 / days after It has been accepted as complete. Print name: Caitlin Horst ( )of; Date: , ` /l / I • Number of inspections allowed per permit. I•1Buildmrg\Permns ELC- PemitApp.doc 0" 01110 440.4615T(t 1/05 /COM/WEB