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Permit q CITY OF TIGARD MASTER PERMIT 1111 8 ' COMMUNITY DEVELOPMENT Permit#: MST2013-00189 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/21/2013 Parcel: 2S109DA03300 Jurisdiction: Tigard Site address: 15371 SW GREENFIELD DR Subdivision: SUMMIT RIDGE Lot: 10 Project: MUJEEB 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: $2,882.00 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- 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 Types 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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvciFeeders 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: OTR SF VB R-3 0 Owner: Contractor: MUJEEB,MOHAMMED SOLARCITY CORPORATION Required Items and Reports(Conditions) ASIYA,MARYAM 6132 NE 112TH AVE 15371 SW GREENFIELD DR PORTLAND,OR 97220 TIGARD,OR 97224 PHONE: PHONE: 971-201-5278 FAX: 866-592-2249 Total Fees: $325.88 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 OA- •57-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. '0/ ' Issued By: - Perm utes Signature: N, /,1,1 Z 7e'Q/ D/\/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. I i Building Permit Application REc r, Residential RECE1VEP' gout a;l ��l Rufs:i - I City of Tigard wed AUG 8 r ° 13125 SW Hall Blvd.,Tigard,OR 97223 U u g 2 3 Raw�y�' LLS ,L a G `® Phone: 503.718.2439 Fax: 503.598.19 pang; .4� so Other Permit: ;,,`,':,; Inapxtion Line: 503.639.4175 I OF TIGARD �1t Rem: : • ®�0 Page=far _ Internet: www.tigard-0r.gov BUILDING DIVISION ••p / 4. , Supplemental lnformatlon 1 SIOA! 1...J o Lc/r TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees'are based on the value of the work performed. ®Addition/alts retioNreplatxxttettt ❑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. Valuation: S ®1-and 2-family dwelling ❑Commercial/industrial t ( �c ❑Accessory building ❑Multi-family Number of bedrooms: I ❑Master builder ❑Other. Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 031 , 5v3 CA 1..t.e.r\ 1°l A New dwelling area: square feet City/State/ZIP: -12(6(\61 n ne Gf'7S1,2 Garage/carport area: square feet Suite/bldg./apt.no.: project name N ` �' 1 j y..�. . d("N f.(m h,n i,1 Covered porch area: square feet Cross street/directions to job site:. Deck area: square feet Other structure area: square feet i ar REQUIRED DATA:COMMERCIAL-USE CHECKLIST I Subdivision: I Lot no.: Permit fees'are based on the value of the work performed. Tax map/pareel 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: S Existing building area: square feet New building area: square feet I ® PROPERTY OWNER I ❑ TENANT Number of stories: I Name:. )tJ j o L C) , _\ /IA An n 1 f Type of construction: ! Address: 1 ��I , l(�I( ( 1 C l A G, Occupancy groups: ■ ■ City/State21P�/yr'4l4,\G CQ VI7,90DL , Existing: Phone:( ) I Fax:( ) I New: ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES' Business name:SolarCity Corporation (Please refer mlQe,chalak) Contact name * `A O\1i Kr f`t Structural plan review fee(or deposit): I Address:6132 NE 112m Ave FLS plan review fee(if applicable): I City/Stater/JP:Portland,OR 97220 Total fees due upon application: 1 Phonetir1 1 Z nk 5.31 7 I Fax:: a pt-5 Oc9"l G Amount received: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*E-mail: M 4 re 11 g scA Q c C(t L i t nW\ Commercial and residential prescriptive installation of CONTRACTOR 1 roof-top mounted Photo Voltaic Soler Panel System. Business/tame SolarCity Corporation Submit two(2)sets of roof plan with connection details Address:6132 NE 112x'Ave and fire department access,along with the 2010 Oregon Solar Insraflalion Specialty Code checklist. City/State/ZIP:Portland,OR 97220 Permit Fee(includes plan review S180.00 I and administrative fees): Phone:(q • • _ Fax (..i7G 54OAa4 9 State surcharge(12%of permit fee): 521.60 CCB lie:180498 Total fee due upon application: $201.60 ii Authorized signature: xi � This permit application expires if a permit is not obtained within 180 days after It has been accepted as complete. Print name:in C) , I Date: ring" 'Fee methodology set by Tri-County Building Industry Service Board. I:,Building\Permits\BUP-RESPetmitApp.doc 02/24/2011 440-46131(1 I/O COM/WEB) Electrical Permit A t licati t - lir -. I V l�, �_ , : ,.o f l,ir S �'c . City of Tigard Received � a 13125 SW Hall Blvd.,Tigard,OR 97223 A U G 8 2013 Da' ' • ' 13 an. Permit"°.: -_ ..he, ' -(3 O _ Plan Review ' ii Phone: 503.718.2439 Fax: 503.598.1960 Dem: . Other Permit:res.1S a 1.. 11i i,i:(';;�i?i; Inspection Line: 503.639.4175 CITY OF TIGARD Dam Ready'By: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Idetlad: Kffil Supplemental Information ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfdems checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other. whore the available fault current ❑Marinas and boatyards. L _— _C ri.d.,RYI 2.Nmmmt:.g1 t j' eacads 10.000 ernes at 150 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. ❑Firs pump. ❑Installation of 75 KVA or �ITS3'S E R(NAf ItO�I f l O@ `' ' —1 ❑Em n�'MI• larger separately derived system. L.�+�� _'7 _ Aft N 1 ❑Addition of new motor bad of ❑"A""E^"1.2°"1-3". Job no.: I Job site address: �j�`1 I� C no G c t A ter boor or more. occupancy. v {� ! a 1. ❑Sin m more residential units. ❑Recreational vehicle parks. City'State/ZIP: \ITA/,� ( Q•"1-J 1 / ❑Health-cart facilities. ❑Supply voltage for afire than 6` ML-�`t` ❑Hazardous loeerioro. 600 volts nominal. Suite/bldg./apt.no.: I Project name: 1' 1 \l: .o ❑Service or feeder 600 amps or more. [ 7-77 .3FEEr§CHED JITLj;=,777.7-.:----77 Cross street/directions to job site: Description 1 pry.. i Fee 1 Total j • -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 r,_ energy,residential 75.00 2 • -T-77 ORIWURK`. `___i f (with above sq.ft.) Limited energy,multi-family 75.00 2 Roof Mount PV System residential(with above sq.ft.) Services or feeders Iostallation,alteration,and/or relocation _ _ 200 amps or less f 100.70 IOD 702 L:. -T®]?PROPERTYyCO_WNERI A.. ; • ©j TENT v— j 201 amps to 400 amps 133.56 2 Name: M ` \,, 401 amps to 600 amps 200.34 2 ' `1 \u)e(-J_l i /J U 1 Ci W rn n') f o O ( 601 amps to 1,000 amps 301.04 2 ' Address: "5 31 S 1-,) C,(\Q e,-, t C(c` Over 1,000 amps or volts 55216 2 . City/State/ZIP: �f �1nr,(, ( `-T h\ Temporary services or feeders installation,alteration,and/or Phone:(�y� Y�� l'� Fax:(( ) 200 amps or less 59.36 1 UU��Nd' ZQC 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,eer panel Owner signature: Date: A.Fee for branch circuits with -T i-r A firer"- ' 1 �"®'�� i , above service or feeder fee, L �( L OM'A PER�UIIt R _.I each branch circuit 7.42 2 Business name:SolarCity Corporation B.Fee for branch circuits without service or feeder fee,first 56.18 2 Contact name:. 4AQi1 iL 1.<,...e.(l branch circuit Each add'l branch circuit 7.42 2 Address:6132 NE 112th Ave - + Miscellaneous(service or feeder not included) i Each manufactured or modular City/State/ DP:Portland,OR 97220 67.84 2 dwelling,service and/or fade Phone:(971) 1 Q r� r ' econnect mtlY 67.84 2 ( ��\���� Fax: (866)� 1�(Of��-1 Cl y Pump or irrigation circle 67.84 2 E-mail:(nb (t( larcIty.com Sign f' o „,---,--7-------,7-----,- SG`ONTR CTOI ``-^`--- -- --'7- .z B lighting 67.84 2 _'° Signal circuits)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 112th Ave Additional inspection(I hr min) 66.25/hr City/State/ZIP:Portland,OR 97220 Investigation(I fir min) 6625/hr Industrial plant(I hr min) 78.18/hr Phone:(971): Fax:(866) Inspoetions for which no fee is specifically listed(1 hr min)) 90.00/nr CCB Lic.: 180498 Electrical L' • C562 Suprv.Lic.: 5201S t;.,=, EIiEC JCALJPER1HJT4FEESi .:r _,-: :; Suprv.Electrician signature,required: f� / .r��//JJ//�� Subtotal: Plan review(25%of permit feet Print name: Derek Cropp , Date: / State surcharge(12%of permit fee): Authorized signature: / TOTAL PERMIT FEE: This permit application expires if a permit Is not obtained within 180 days after It has been accepted as complete. Print name: .s a, '♦i Date • Number id-inspections allowed per permit. l-Building-Permhs ELC-PermOApp.dot a”OHO 440-461ST(I I OS COM WEB To: Poga of 2 2013-08-21 18:24:26<3 NAT 8665922249 From: Mollla KrouI RECEIVED AUG 21 2013 FAX COVER SHEET CITY OFTIGARD BUILDING DIVISION TO COMPANY FAX NUMBER 15035981960 FROM Mollie KreII DATE 2013-08-21 1824:54 GMT+00:00 RE 15371 SW Greenfield Dr- Mujeeb, Mohammed 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.solarcity.com WWW.EFAX.COM