Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2013-00223
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/28/2013
Parcel: 1S133DD03900
Jurisdiction: Tigard
Site address: 12542 SW BRIDGEVIEW CT
Subdivision: VILLAGE AT SUMMER LAKE PARK NO.3 Lot: 78
Project: lams
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
Other Fixtures: 0
Drywell-Trench Drain: 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 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
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:
IAMS,SARAH L&BRYAN K PREMIER ENERGY INC DBA SOLAR UNIVER Required Items and Reports(Conditions)
12542 SW BRIDGEVIEW CT 556 SOMMERSET RD
TIGARD,OR 97223 WOODLAND,WA 98674
PHONE: 971-226-3068 PHONE: 503-825-9500
FAX:
Total Fees: $319.38
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 rule -••.ted 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 o .e rules or direc estions to OUNC by calling 503 2.1987 or 1.800.332.2344.
Issued By.'' �►_ Permittee Signature: (
Call 1 7:00 a.m.for the next available Inspectionrdate.
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 REE /FD FOR OFFICI USE ONLY
t Received
City of Tigard DateB : I Permit No.:,&/..7 ,/g_J4'a
• , 13125 SW Hall Blvd.,Tigard,OR 97223 C T ap 2013 Plan Review��>�
.114
Phone: 503.718.2439 Fax: 503.598.196b' ¢� Date/B : .� �
Other Permit.
TIGARD Inspection Line: 503.639.4175 Date Read 'r.,. J°ris. RI See Page 2 for
Internet: www.tigard-or.gov �0 1 y OF tl� ]�V 1� Notified/Me hod: �� �3 Supplemental Information
3UH DPP nli ioY\p
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.
1-and 2-family dwelling El Commercial/industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
El Master builder 12 Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12542 SW BRIDGEVIEW COURT New dwelling area: square feet
City/State/ZIP:TIGARD OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:IAMS RESIDENCE 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.
ADD 3.19 KW ROOFTOP PV SYSTEM Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:BRYAN IAMS Type of construction:
Address:12542 SW BRIDGEVIEW COURT Occupancy groups:
City/State/ZIP:TIGARD OR 97223 Existing:
Phone:(971-)226-3068 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:SOLAR UNIVERSE (Please refer ro fee schedule)
Structural plan review fee(or deposit):
Contact name:DAN TRACY
Address:556 SOMMERSET ROAD FLS plan review fee(if applicable):
City/State/ZIP:WOODLAND WA 98674 Total fees due upon application: t Phone:(503)828-9500 I Fax::(503)410-7110 Amount received: ,&( d
E-mail:dtracy @solaruniverse.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SOLAR UNIVERSE Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:556 SOMMERSET ROAD Solar Installation Specialty Code checklist.
City/State/ZIP:WOODLAND WA 98674 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)828-9500 Fax:(503)410-7110 State surcharge(12%of permit fee): .0
CCB lic.: 195595 Total fee due upon application: $201.60
Authorized signature:) This permit application expires if a perm' 's not obtained
within 180 days after it has been accepted as co - e e.
Print name:DANI B TRACY Date: 10-16-2013 *Fee methodology set by Tn-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard / Permit No.:I312�SW Hal Blvd.,Tigard, ��%h� !�--. ; Date/B : /0�ffel ���13—�,09 Plan Review
g Phone: 503.718.2439 Fax: 53.598.1960 Date/B : Other Permit:
TIGARD Inspection Line: 503.639.4175 OCT S S 2013 Date Ready/By: Juris: El See Page2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
a
TYPE �OEh1'bHk I RIP-. `'t PLAN REVIEW
❑New construction El AdditiontatteiaCitS'ttYi'eplU�Gh� tt 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.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑CommerciaUindustrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","I-2","I-3",
Job no.: Job site address: 12542 SW BRIDGEVIEW COURT 100HP or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:TIGARD,OR 97223 ❑Ilealth-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:IAMS RESIDENCE ❑Service or feeder 600 amps or more.
FEE SCHEDULE
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: Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 i
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
ADD 3.19 KW ROOFTOP PV SYSTEM residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
0 PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:BRYAN IAMS 401 amps to 600 amps 200.34 2
Address: 12542 SW BRIDGEVIEW COURT 601 amps to 1,000 amps 301.04 _ 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:TIGARD OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:(971)226-3068 Fax:( ) relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
0 APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Business name:SOLAR UNIVERSE each branch circuit
B.Fee for branch circuits without
Contact name: DAN TRACY service or feeder fee,first 56.18 2
branch circuit
Address:556 SOMMERSET ROAD Each add'l branch circuit 7.42 2
City/State/ZIP:WOODLAND WA 98674 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)828-9500 Fax: :(503)410-6884 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:dtracy @solaruniverse.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:EAGLE ELECTRIC,LLC Signal circuit(s)or limited-energy See
panel,alteration,or extension. , Page 2 2
Address:4134 N VANCOUVER AVENUE Each additional inspection over allowable in any of the above
City/State/ZIP: PORTLAND OR 97217 Additional inspection(1 hr min) 66.25/hr
Investigation(1 hr min) 66.25/hr
Phone:(503)287-3294 Fax:(503)287-3088 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 192277 Electrical Lic.: C680 Suprv.Lic.: 5677S specifically listed(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
Subtotal:
Print name: DANNY PHARR Date: 10-16-2013 Plan review(25%of permit fcc):
State surcharge(12%of permit fec):
Authorized signature: TOTAL PERMIT FEE:
Print name: DANNY PHARR Date: 10-16-2013 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC_PernitApp_ELR_ERE.doc Rev 05/21/2013 440-46151(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less r 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
ElAlarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
El Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with
El Heating,Ventilation and Air Conditioning
OAR 918-309-0040) 552.26 2
System* Solar generation systems in excess of 25 kva:
Each additional kva over25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66,25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(V2 hr min) _ _
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires it a permit is not obtained within 180
ElAudio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
El Boiler Controls
El Clock Systems
El Data Telecommunication Installation
El Fire Alarm Installation
El HVAC
El Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
El Nurse Calls
El Outdoor Landscape Lighting*
El Protective Signaling
El Other
Total number of commercial systems:
•
*No licenses are required. Licenses are required
for all other installations
1:\BuildingTermits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12542 SW BRIDGEVIEW CT, TIGARD, OR,
97223
Residential - Master Permit
199 Electrical final
2013-10-29 00:00:00
MST2013-00223
PASS
Violation Summary:
Inspector Contractor