Permit n CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2013 00008
TIGARD. 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/28/2013
Parcel: 25111 CB01722
Jurisdiction: Tigard
• Site address: 10310 SW KABLE ST
Subdivision: HOOD VIEW NO.2 Lot: 21
Project: Mitar
Project Description: Installation of 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: $2,880.00 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
Drywell -Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvpes 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'l 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:
ALT SF VB R -3 0
Owner: Contractor:
MITAR, MIRCEA & RONELA DAMARIS SOLARCITY CORPORATION Required Items and Reports (Conditions)
10310 SW KABLE ST 6132 NE 112TH AVE
TIGARD, OR 97224 PORTLAND, OR 97220
PHONE: PHONE: 971 - 279 -9655
FAX: 866 -810 -7656
Total Fees: $314.38
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 d• • _ . •rdance 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
day.. ATTENTIO'I. •regon - . requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95. 001 -0010 through 0 • r • 52 -0I1 ∎ 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1 0 32.2344.
� ) �-G
Issu By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspecti 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
Residential REc ma) FOR OFFICE USE ONLY
�^ �-
City of Tigard Received
2013 Date /B / /4, 4t t �
j Permit No.: C g
11 ,
13125 SW Hall Blvd., Tigard, OR 914M 1 6 2013 Plan Re .:404
0 . Phone: 503.718.2439 Fax: 503.598.1960 p� Date /B : fir & ( i 1 Other Permit:
TI G A R D Inspection Line: 503.639.4175 OFTIGARD Date Rea.) :y: Juris: ® See Page 2 for
Internet: www.tigard- or.gov
BU DINGDNISION
l Notified/Method: i /a¢ 6e4
TYPE fa ( - } 3 sr Supplemental Information
`I
TYPE OF WORK �1fAd` U/ REQUIRED DATA: 1- AND 2- FAMILY DWELLING
El 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.
® 1- and 2- family dwelling El Commercial/industrial Valuation: $ )■ i50
El Accessory building El Multi-family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 Cr310 '"")\/\J V ,AP-)LE ST New dwelling area: square feet
City/State /ZIP: T v RR D / (') R 01-7),)1-k Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: M 1T A R 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.
Roof Mount PV System Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: M \ RS ,EA M \ TAR Type of construction:
Address: 5 A is,/\(- p,-, ao 6 S 1--a Occupancy groups:
City/State /ZIP: V Existing:
Phone: ( ) Fax: ( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: SolarCity Corporation (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Joel Peterson
FLS plan review fee (if applicable):
Address: 6132 NE 112 Ave
City/State /ZIP: Portland, OR 97220 Total fees due upon application:
Phone: (971) 279 - 9655 Fax: : (866) 810 - 7656 Amount received:
E - mail: jpeterson @solarcity.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: SolarCity Corporation Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 6132 NE 112 Ave Solar Installation Specialty Code checklist.
City/State /ZIP: Portland, OR 97220 Permit Fee (includes p lan review $180.00
and administrative fees):
Phone: (971) 279 -9655 Fax: (866) 810 -7656 State surcharge (12% of permit fee): $21.60
CCB lie.: 180498
Total fee due upon application:-
Authorized signature: ,,,.,..4..... This permit application expires if a permit i
within 180 days after it has been accepted as complete.
Print name: Joel P son Date: 1 / 1 /I 3 * Fee methodology set by Tri- County Building Industry
Service Board. c r1 r / � f / t
OL Ir li
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Electrical Permit Applicati lth CEIVED FOR OFFICE USE ONLY
1,1 City of Tigard Date /B d t elb ( 5( Permit No.:r.t 7f7(> 0000
° 1 3125 SW Hall Blvd., Tigard, OR 97 r 16 2013 Plan Review
III :. Phone: 503.718.2439 Fax: 503.598. ' . ( Date /B : Other Permit:
Page 2 for - P
: Juris: ® S
/B
Date Read
Inspection Line: 503.639.4175 Ready/By: a
G A a l' C ITY OF TIGAIRD g
Internet: www.tigard- or.gov N otified /Method: ' ( �� Supplemental Information
TYPE iii,J j GDIVISION PLAN REVIEW
Please check all that apply (submit 2 sets of plans w /items checked below):
❑ New construction ® Addition /alteration /replacement
❑ 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 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® I- 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 ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
Job no.. Job site address: \,,d � IOOHP or more. occupancy.
no.97 I� }� ' ��3 0 � gL E 0 or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: n / — ] ❑ Health -care facilities. ❑ Supply voltage for more than
T I �"� 1 U R. 9 1 ` 1 ^� � ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: M I TAK ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description J Descion I QI}•. I Fee. I Total i
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: I,000'sq. ft. less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential •
DESCRIPTION OF WORK (with above sq. (1.) 75.00 2
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 4,*546 r\V f1 1 100.70 2
® PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 133.56 2
Name: M ` n .� A. . - M /fin `T /Y p 401 amps to 600 amps 200.34 2
i ` ' ` , ` 1� r\ 601 amps to 1,000 amps 301.04 2
Address: S A r. S 306 S IT f Over 1,000 amps or volts 552.26 2
City /State /ZIP 1 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( • ) Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: . A. Fee for branch circuits with
® APPLICANT ® 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
Contact name: Joel Peterson branch circuit 56.18 2
Each add'I branch circuit 7.42 2 •
Address: 6132 NE 112' Ave Miscellaneous (service or feeder not included)
•
City/State /ZIP: Portland, OR 97220 Each manufactured or modular 67.84 2 •
dwelling, service and/or feeder
Phone: (971) 279 - 9655 Fax: : (866) 810 - 7656 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: jpeterson @solarcity.com Sign or outline lighting 67.84 2
. CONTRACTOR Signal circuit(s) or limited- energy
Business name: SolarCity Corporation panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 6132 NE 112' Ave Additional inspection (I hr min) 66.25/ hr
City/State /ZIP: Portland, OR 97220 Investigation (I hr min) 66.25 / hr
Industrial plant (I hr min) 78.18/ hr
. Phone: (971) 279 - 9655 Fax: (866) 810 - 7656 Inspections for which no fee is 90.00 / hr
specifically listed (/ hr min)
CCB Lic.: 180498 Electrical Li • C562 Suprv. Lic.: 5201S ELECTRICAL PERMIT FEES
Subtotal:
` Suprv. Electrician signature, required: ...) ,17 . • iii Plan review (25% of permit fee):
Print name: Derek Cropp Date: 1 , 1-5 State surcharge (12% of permit fee):
�' ��4r� TOTAL PERMIT FEE:
Authorized Signature: This permit application expires if a permit is not obtained s ithin 180
Print name: Joel P son Date:
A, /1 3 days after it has been accepted as complete.
* Number of inspections allowed per permit.
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