Permit CITY OF TIGARD MASTER PERMIT
n
I a COMMUNITY DEVELOPMENT Permit #: MST2013 -00135
Date Issued: 07/01/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S102DD03500
Jurisdiction: Tigard
Site address: 13984 SW FANNO CREEK DR
Subdivision: FINLEY PARK Lot: 19
Project: CALDWELL
Project Description: 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 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 _ Water Lines:, 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker:' 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell- Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Times" . 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 Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr. Occupancy Group: Square Feet:
ALT SF VB R -3 0
Owner: Contractor:
CALDWELL, RYAN M & TRICIA J SOLARCITY CORPORATION Required Items and Reports (Conditions)
13984 SW FANNO CREEK DR 6132 NE 112TH AVE
TIGARD, OR 97224 PORTLAND, OR 97220
PHONE: PHONE: 971- 279 -9655
FAX: 866- 810 -7656
Total Fees: $206.60
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 • ' R 9 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: L //_ �_ Permittee Signature:
D /17 --4 �
W / (7-7or\ /
Call 603.639.4176 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
Residential toy (-)ff u5i_ mii!
City of Tigard • 'j Received /� � �
a ci AVI y ;.■ ►7I,_�
13125 SW Hall Blvd., Tigard, OR 9 ' -, �.- DatrJB
l'
' . _ " Phone: 503.718.2439 Fax: 503.598. i i \� �e� //. Other Permit:
Tic; ; \' t5 Inspection Line: 503.639.4175 \�\` G0 Rd ?: 'B ® See Page 2 for
Internet: www.tigard -or.gov O� ��ll � Noti fie od: Supplemental Information
r1
TYPE OF WORK 1��� REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Dem 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 J
® 1 - and 2- family dwelling ❑ Commercial /industrial Valuation: $ ' I , 7-9
❑ 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: i `3 - / G (- ` � t, h r O C.re e v , Of • New dwelling area: square feet
-- - City/State/ZIP: 1 `(. (7 - - -- 7 /� Garage/carport area: - square feet
t `
Suite/bldg. /apt. no.: ?Project name: C m 000 i,1 A i 4. Covered porch area: square feet
Cross street/directions to job site: , l 1 ) ' 'I Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: l 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.
Roof Mount PV System Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Namg: CAA OVA a 1 e uiV Type of construction:
Address: 13Gj (t i�Y� /t � en1( jr Occupancy groups:
City/State/ZIP: ` lJ
"� r,( 210 , 160 I Existing:
Phone: (� U Fax: ( )
�� �J� D �D � New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: SolarCity Corporation (Please refer to fee xhedufe)
Contact name 1-. I i y G r t t c. { l Structural plan review fee (or deposit):
Address: 6132 NE 112 Ave FLS plan review fee (if applicable):
City/State/ZIP: Portland, OR 97220
Total fees due upon application:
Phone: (9711a CA 5 4.y k Fax: : (866) 5 qa ac9Li I Amount received:
E - mail, (NV,artsolarcity.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 plan revie $180.00
5 A.�� Fax: (866) nn � t q and administrative fees):
Phone: (971), Dt
J - 5 �r� q State surcharge (12% of permit fee): $21.60
CCB tic.: 180498 A Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
_ within 180 days after it has been accepted as complete.
* Fee methodology set by Tri County Building Industry
Print name: f r ` Date: � t ' Service Board.
I:, Building \Permits \BUP- RESPennitApp.doc 02/24/201 I 440 -4613T(I I /02/COM/WEB)
Electrical Permit Applicatioi $ ,�0 \ FOR of l iCE USE ONLY
City of Tigard VN � r P. F flL.
13125 S W HalI BlvdTigard, OR 97223 �V A` 'B I -
• I:1 Phone: 503.718.2439 Fax: 503.598.1960 O lv Date : Other Permit:
1' i C A 9 a n Inspection Line: 503.639.4175 CW G� Date Ready/By: kris: El See Page 2 for
Internet: www.tigard - or.gov ` A N Notified/Method: Supplemental Information
— -- — -- T EICOE W ` — _ �_� �Pl' ii 'REVOW, I
❑ 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.
, CATE CIRY OF (CUNSTRUCPION J ex 10.000 amps at 150 volts or 0 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
I - ❑ Emergency system. larger separately derived system.
iJOB SITE; - INFORMATION AND LO CATION _ (- ❑ Addition of new motor load of
i )q
Job no.: Job site address: 3, 1i , :. % 1 •
r» or more. occupancy.
Qnn '� t� l"Lil 1 ❑ Six Six or more residential units. ❑ Recreational vehicle parks.
no.:
City!State/ZIP: j' (7 1 D�l ❑ Health -care facilities. ❑ Supply voltage for more than
ll 1 1 ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt Project name: Co 1 0� Q \) I Y. A /} A ❑ Service or feeder 600 amps or more.
1 "� VVV 1.1 _ _FEE, , SCHEDIJI
Cross street/directions to job site: Description I Qty. I - Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I 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
iDESCRIP,T WOR K • (with above sq. ft.) 75.00 2
Roof Mount PV System Limited energy, multi- family 75.00 2
Y residential (with above sq. n.) _
Services or feeders installation, alteration, and/or relocation
200 amps or less ` 100.70 I U 7 Da
E PROPERTY.'OWNER� i 'TENANT 'TENT 201 amps to 400 amps ` 133.56 2
Name: e i / ' n �x W e _ ` 401 amps to 600 amps 200.34 2
l lJ 601 amps to 1,000 amps 301.04 2
Address: 9. 1 Q� i w\ ,/\ /) 4 n f , Over 1,000 amps or volts 552.26 2
City/State/ZIP: - 116 p � Y l t �K 9-769-(4 , J Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ? 1 - ()Dula, Fax: ( ) 200 amps or less 59.36 I
::J 201 amps to 400 amps 125.08 2
Owner instal ation: 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
' r
® APP,L1CiANT� ®C�sONTA'Cfr P.ERSON■ above service or feeder fee, each March circuit 7.42 2
Business name: SolarCity Corporation B. Fee for branch circuits without
service or feeder fee, first
Contact name:, fV\0 \ \ \L \I -e 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) - () \ *-- Fax: : (866) ielo AD L.{
Reconnect only 67.84 2
v Pump or irrigation circle 67.84 2
E -mai h(�/ �
�(� \ fee, k } Sign or outline lighting 67.84 2
# • �C ti QRI
- -- -- - - . 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
C30-2 Industrial plant (1 hr min) 78.18/ hr
Phone: (971) DO 1 Fax: (866) 5 (1f 9...;,))4.4 1 Inspections for which no fee is 90,00 / hr
specifically listed ('h hr min)
CCB Lic.: 180498 I Electrical Li • C562 Suprv. Lie.: 5201S ∎ELECTRICA`t: PERMIT'FEES - .
.
Suprv. Electrician signature, required: �j Subtotal:
/� i Plan review (25% of permit fee):
Print name: Derck Cropp / ' Date: State surcharge (12% of permit fee):
y, I �(� TOTAL PERMIT FEE:
Authorized signature: This permit application expires if a permit Is not obtained within 180
Print name r days after it has been accepted as complete.
L Date (
0. m `` - y > + Number of inspections allowed per permit.
L�Buitding +Permits ELC.PermuApp.doc 07 0110 440.446115T(11,05,C
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
13984 SW FANNO CREEK DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
2014-02-13 00:00:00
MST2013-00135
PASS
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
13984 SW FANNO CREEK DR, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
2014-02-13 00:00:00
MST2013-00135
PASS - No C of O
Violation Summary:
Inspector Contractor