Permit t n CITY OF TIGARD MASTER PERMIT
` 13 -' COMMUNITY DEVELOPMENT Permit #: MST2013 -00174
•
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/31/2013
Parcel: 2S112BB14700
Jurisdiction: Tigard
Site address: 8366 SW CHAR CT
Subdivision: COLONY CREEK ESTATES NO.6 Lot: 125
Project: Winkels
Project Description: Install 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
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 SrvclFeeders . Branch Circuits .
1000 sf or less: 0 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 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:
WINKELS, SCOTT J SOLARCITY CORPORATION Required Items and Reports (Conditions)
COLEMAN, CANDICE L 6132 NE 112TH AVE
8366 SW CHAR CT PORTLAND, OR 97220
TIGARD, OR 97224
PHONE: 503- 720 -8384 PHONE: 971 - 201 -5278
FAX: 866- 592 -2249
Total Fees: $327.38
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180'days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,<& )3 Permittee Signature: /A ^ 01",,G / et9 - 770' ,� " /
Call 603.639.4175 by 7:00 a.m. for the next available Inspection date.
This permit card shall be kept In a conspicuous place on the Job sits until completion of the project.
Approved plans are required on the Job site at the time of each Inspection.
Building Permit Application
Residential RECEI I Olz oo I( 1 - us': O�AI_ l
V ED Received
ipii City of Tigard / Permit No .: .40 17
Da" • 7 M 1` 13
13125 SW Hall Blvd., Tigard, OR 9 1 7 Plan Review
= ' ® P h one: 50 3.7182439 Fax: 503.598.`i960 2��3 Date/B:
j tilaWa Other Permit:
T lic t) inspection Line: 503.639.4175 Date Read�•'B : / to See Page 2 for
Internet: www.tigard- or.gov C ITYQFTI RD Notified/Method: '.'$l Supplemental Information
RUILD?NG DPVisioN
TYPE OF WORK 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/replacement ❑ Other. equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I - and 2- family dwelling ❑ Commercial /industrial Valuation: $ I (� I ° 7
Accessory building Number of bedrooms:
❑ ry g ❑ Multi- family
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 3I Q f „ : S ki d I (� h 01 New dwelling area: square feet
I
City / State/ZIP: ► atA Q `7 77 r 1 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: 0 \L I s i , 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: l 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: V " �� f. I „ k S c Type of construction:
Address: `"" ? l C i � ts J (� 0 ( C .� Occupancy groups:
City/ State/ZIP: • �i 1 77.1A4 Existing:
Phone: (50 -7 1 F ax: ( ) New: • ® APPLICANT ® , CONTACT PERSON BUILDING PERMIT FEES*
Business name: SolarCity Corporation (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name .i ItA r 11 1 K el
112th FLS plan review fee (if applicable):
Address: 6132 NE 112 Ave
City/State/ZIP: Portland, OR 97220
Total fees due upon application:
�1 1 7�1 5(47,L___ Cj „ / , ' 5q � n yl , i n Amount received:
Phone Fa x:: ( � lX (,[ Ord l� I
E -mail: l Y\ v r e (1 o \ ore :it k i t oars PHOT 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
m 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 review
f "E/411, and administrative fees): $180.00
Phone: IR p . 5 7� (Fax 5 q m (q State surcharge (12% of permit fee): $21.60
CCB lic.: 180498 "I 1
Total fee due upon application: $201.60
Authorized signature:, I This permit application expires if a permit is not obtained
/ tP ilt et _ within 180 days after it has been accepted as complete. ,
Print name: MO / I e u I ( Date: 7 11 70 (3 • Fee methodology set by Tri- County Building Industry
Service Board.
(:,Building \Permits \BUP- RESPennitApp.doc 02/24/201 I 440- 4613T(I 1/02 /COM/WEB)
Electrical Permit Applic I t F01 O FFI L USE ONL+'
City �' of Ti gard D a t t
� „ Permit No.: C�1- G�ol3 — DO!
'' II 1
13125 SW Hall Blvd., Tigard, OR 93Y2� 1 7
y 2013 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date'B : Other Permit:
5• I.(: A 1:'t Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready By. "" El See Page 2 for
Internet: www.tigard.or.gov Notified/Method: Supplemental Information
_ - - _ . B OE UILDING DIVISION- —
T _WORK _ . ! _ PIE_ RE VIEW 7
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: ! where the available fault current ❑ Marinas and boatyards.
f_ — — — — " w C TEGOR;f'r OO . T F/ SIR dl)Nt T exceeds 10.000 amps at 150 volts or ❑ Floating buildings.
— .� — J
® I - and 2-family dwelling C lessto other exceeds ans. El Commercial-use agricultural
y g ❑ 0 building amps for all other instillations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire paw. ❑ Installation of 75 KvA or
-- I ----- - -- f J B �ITpfINEQRMA 46-siklD o AT _ o !1 4 J � y _ J ❑ Addition of motor load of ❑ larger separately derived sy >tem.
Job no.: Job site address: (,, Sf , 1 �I ., a i - 100HP or mare. R capaney-
3 P �V � J y � f ❑ Six or more residential units. ❑ Recreational vehicle parks.
City!$tatelZlP: — 1 - k(10 0 4 . 0 / t�7 7 ` ❑ Health-care facilities. ❑ Supply voltage for more than
�' `C� 7! �z I ❑ Hazardous locations. 600 volts nominal-
Suite/bldg. /apt. no.: Project name: ' V t j t I ( \ CO.i.,1,- ❑ Service or feeder 600 amps or more..
1 1 I - - `EE SCHEDi )L.E^ , 't
Cross street/directions to job site: Dercption
I Qty. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. fl. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 I
Tax map /parcel no.:
_ _ _ _ __ Limited energy, residential
s ft.) 75.00 2
-- -- — _ • , -- 'EE$CRII'TION1(UP_`R?012IZy `— ( with above q'
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 100.70 2
! - -- ®1'PRUP,ER RZ ��TL AN3 - i 201ampsto400alnps 133.56 2
Name: n, �v ��
401 amps to 600 amps 200.34 2
�`' 601 amps to 1,000 amps 301.04 2
Address: is c( c . AA ) r ar C r Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/ State/ZIP: Gad "l 7 9 1 relocation
�J
Phone: (50 Z) 7z � y I 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 ex tension, per panel
Owner signature: Date: A. Fee for branch circuits with
- � ' APPiHCANi1 ' C ' f—' a bove service or feeder fee,
- � _. II I __ OTITA PER each branch circuit 7.42 2
Business name: SolarCity Corporation B. Fee for branch circuits without
I I service or feeder fee, first 56.18 2
�� VVV \ \\
Contact name:. A 11 O \, i e.s (< e. (1 branch circuit
` Each add'I branch circuit 7.42 2
Address: 6132 NE 112 Ave Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: Portland, OR 97220 dwelling, service and/or feeder 67.84 2
Phone: (971) 00\ 51-7 Fax: : (866) .-Ra CU ci Reconnect only 67.84 2
E - mail: n114 (Oolarcity.com Pump or irrigation circle 67.84 2
r . W _ _ _ _ _ Sign or outline lighting 67.84 2
,— tGU1V GIORr — ^T _ Signal circuits) or limited energy
Business name: SolarCity Corporation panel, alteration, or extension. Paget 2
Each additional inspection over allowable in any of the above
Address: 6132 NE 112 Ave Additional inspection (1 hr min) 66.25/ hr
City/State/ZIP: Portland, OR 97220 Investigation (I hr min) 6625/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (971) Fax: (866) 9 Inspections for which no fee is
�� � � (4 9 specifically listed ('b hr min) 90.00/ hr
CCB Lic.: 180498
i' ; ' lectrical Lb C562 Suprv. Lic.: 5201S r ... {ELECPRICALPE1tMhP2FEES:
Suprv. Electrician signature, required: / Subtotal:
mi Plan review (25% of permit fee):
Print name: Derek Cropp / Dat State surcharge (12% of permit fee):
TOTAL PERMIT FEE:
Authorized signature: , T his permit application expires Ka permit Is not obtained within 180
' days after it bas been accepted as complete.
Print name: , 01 ( i r{ Date: '7 ii /...2 . Number of inspections allowed per permit.
I: Building :PermitrELC- PermuApp.doe 07.01 440-4615T(II :05.COM'WEB
I
To Pogo '1 Of 2 20'13 -07 -31 '16:3'1 :43 OMT '186 ®5922249 From: MoII 0 Kroll
FAX COVER SHEET
TO
COMPANY
FAX NUMBER 15035981960
FROM Mollie Krell
DATE 2013 -07 -31 16:31:34 GMT+00:00
RE 8366 SW Char Ct- WINKELS, SCOTT - MST 201300174
COVER MESSAGE
Sincerely,
Mollie
Mollie Krell I Permit & Inspections Coordinator I SolarCity I T: 971-201-5278 I
mkrell@ solarcity. com <mailto:mkrell@solarcity.com> I www.solardty.com
WWW.EFAX.COM