Permit CITY OF TIGARD MASTER PERMIT
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I : COMMUNITY DEVELOPMENT Permit #: MST2013 -00089
T t G;AR O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/22/2013
Parcel: 1 S135CA10100
Jurisdiction: Tigard
Site address: 11394 SW 96TH AVE
Subdivision: SOLERA Lot: 10
Project: Lanier
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: $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 Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywall -Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel TYPOS 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 SrvclFeeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 1 0-200 amp: 0 W/ Svc or Fdr: 0
Ea addi 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:
LANIER, FRANK SCOTT LIVING TRUST SOLAR ENERGY SOLUTIONS INC Required Items and Reports (Conditions)
11394 SW 96TH AVE 3730 SE LAFAYETTE CT
TIGARD, OR 97223 PORTLAND, OR 97202
PHONE: PHONE: 503 - 238 -4502
FAX:
Total Fees: $317.38
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 • 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 f• ore the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules : ._,set forth in OAR
952 - 001 -0010 through
AA, You may copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332" :. ,/
Issued By: �.PP1 \ Permittee Signature: --- 41111111e1111■
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. �-
Th s 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.
Electrical Permit Applicat' rOlz (Irrl( I SE Oyl.
City of Tigard C eiv "'.I Rec Dateiv ed : ���da PermitNo.: a it,-/5 ,
,
I ll 13125 SW Hall Blvd., Tigard, 0 9 Plan Review
: ■ Phone: 503.718.2439 Fax: 503.598. Date/B : Other Permit:
TIGARD
Inspection Line: 503.639.4175 1 1 2 3 Date Ready /By: Juris: H See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
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❑ New construction ® Addition/a tera lon/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.
C EY OF CON'STRJJ'�ON exceeds 10,000 amps at 150 volts or El 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
d( S I l'E II+E tIiAIAT I()IK ARIL? LOCATION ❑ Emergency system. larger separately derived system
,,_: •:',..
�. :. ❑ Addition of new motor load of ❑ "A" "E" "1 2" "1 -3"
Job no.: Job site address: 11394 SW 96 th Ave 100HP or more. occupancy.
❑Six or more residential units. 0 Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Lanier ❑ Service or feeder 600 amps or more.
FEE SCHEDULE E
Cross street/directions to job site: Description I Qty. I Fee. I T I
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'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DEsaapnoN OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
Installation of a 3.27 kW grid tied Photovoltaic system residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 100.70 2
2 0 1 amps to 400 amps R Y � }� " p ps 133.56 2
P amps amps to 600 am s 200.34 2
Name:
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/State /ZIP: 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
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
,ma ,.' 014 CON T A CT P above service or feeder fee, 7.42 2
—= -- I - each branch circuit
Business name: Solar Energy Solutions, Inc. B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Andrew Koyaanisqatsi branch circuit
Each add'l branch circuit 7.42 2
Address: 3730 SE Lafayette Court Miscellaneous (service or feeder not included)
City/State/ZIP: Portland OR 97202 Each manufactured or modular 67.84 2
dwelling, service and/or feeder
Phone: (503 - ) 238 - 4502 Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail andrew@solarenergyoregon.com Sign or outline lighting 67.84 2
s`' , .. . - CONTRACTOR Signal circuit(s) or limited - energy
Business name: Solar Energy Solutions, Inc. panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 3730 SE Lafayette Court Additional inspection (1 hr min) 66.25/ hr
City/State/ZIP: Portland, OR 97202 Investigation (I hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 238 - 4502 Fax: ( 1 1 / Inspections for which no fee is 90.00 / hr
si ecifically listed ('h hr min)
CCB Lic.: 170635 Electrical Lic.: C723 I Suprv. Lic.: '3722 iikaa[tICAL PERK FEES ••••• ' _
Suprv. Electrician signature, required: ,?:RiSsot n ( v / 4 3 Subtotal:
Plan review (25% of permit fee):
Print name: Leonard S. O'Donovan Date: 4/5/21 State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature:
Allikoww"."- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Andrew Koyaanisqatsi Date: 4/1/2013 = Number of inspections allowed per permit.
Building Permit Application
Residential FOR OFFICE USE ONLI
City of Tigard ������� B x//7/3 (k Permit No.. H5ra� /3—aj
` - " 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review •
Phone: 503.718.2439 Fax: 503.598.1960 1 Date/By: , 1 7 Other Permit:
TIGARD Inspection Line: 503.639.4175 APR 1 1 2013 Date Ready : , J r+ '4— Juris: H See Page 2 for
Internet: www.tigard- or.gov Notified/Method: ` T l l � I Supplemental Information
ITY OF TIGARD ` I) r w f A INOPett.
TYPE OF W 6 ' ' ' t I f ` -` i . 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/replak:emenI J 1=1 Other: 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 1=1 Multi-family Number of bedrooms:
❑ Master builder 1=1 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11394 SW 96 Ave New dwelling area: square feet
City/State /ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Lanier 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: 1 Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of 3.27 kW Grid tied Photovoltaic System Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/ State/ZIP: Existing:
Phone: ( ) Fa \: ( 1 New:
El APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Solar Energy Solutions, Inc.
Memo Asia solo. schoidrete)
Structural plan review fee (or deposit):
Contact name: Andrew Koyaanisqatsi FLS plan review fee (if applicable):
Address: 3730 SE Lafayette Court
Total fees due upon application:
City/ State/ZIP: Portland
Phone: (503) 238 -4502 Fax: : ( ) Amount received:
E -mail: andrew�dsolarenergyoregon.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof - top mounted Photo Voltaic Solar Panel System.
Business name: Solar Energy Solutions, Inc. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 3730 SE Lafayette Court Solar Installation Specialty Code checklist.
City/State/ZIP: Portland, OR 97202 Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (503) 238 -4502 / , Fax: ( ) State surcharge (12% of permit fee): i $21.60
CCB lic.: 170635 �/ Q //Y Total fee due upon application: $201.60 /
Authorized signature: ((( ! / This permit application expires if a permit is of obtained
within 180 days after it has been accepted as c .
Print name: Andrew Koyaanisqatsi Date: 4/1/2013 * Fee methodology set by Tri County Building Industry
Service Board.
I:\Building\Permits\BUP - RESPermitApp.doc 02/24/2011 440 -4613T(I 1/02 /COM/WEB)
Building Permit Application Checklist
One- and Two - Family Dwelling FOR OFFICE usI: ON I.\
City of Tigard R eceived Permit No.:
: V 13125 SW Hall Blvd., Tigard, OR 97223
Associated C Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24- Hour Inspection Line: 503.639.4175 ❑Electrical 0 Plumbing ❑Mechanical
I I GA It D Internet: www.tigard - or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 e No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 -ft. intervals); location of easements
and driveway; footprint of structure (including decks); location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site; and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing - member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable. .
16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors /roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore:on and shall be shown to be as . licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three (3) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations, driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1: \ Building \Permits \BUP- RESPermitApp.doc 02/24/2011 440 -4613T(11 /02 /COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11394 SW 96TH AVE, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
05/22/2013 00:00
MST2013-00089
PASS - No C of O
Andrew@solarenergyoregon.com
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11394 SW 96TH AVE, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
05/22/2013 00:00
MST2013-00089
PASS
Violation Summary:
Inspector Contractor