Permit CITY OF TIGARD MASTER PERMIT
8 - COMMUNITY DEVELOPMENT Permit#: MST2013-00227
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11!07/2013
Parcel: 25111 DC04700
Jurisdiction: Tigard
Site address: 15648 SW SUMMERFIELD LN
Subdivision: SUMMERFIELD NO.7 Lot: 367
Project: Pearl
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
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 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:
PEARL,WILLIAM R&CLAIRE SOLARCITY CORPORATION Required Items and Reports(Conditions)
15648 SW SUMMERFIELD LN 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: 503-526-9460 PHONE: 971-201-5278
FAX: 866-592-2249
Total Fees: $326.88
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 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: si_,./...x...—_ �■� Permittee Signature:
.4175 by 7:00 a.m.for the next available inspection date. ...5027._€.....4e:4,-.:
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.
,:pr,iiirrn .
Electrical Permit Applicatllo I P b rou°FIT T i SI !oNLA'
City of Tigard CC T 2 4 2013 r°Q / Permit No.:,-,ft i / .`�.
° 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review 7
I Phone: 503.718.2439 Fax: 503.598,19 Date: . V., Jp,�,j4A Other Permit:
'iti';,,;is"i1, Inspection Line: 503.639.4175 (,I ICY OFTIGARCl DauRead„By: la See Page 2for
Internet www.tigasd-or.g°" RI III mill('!�"ila'�inP' Notifiedrtdeihod: A�. Supplemental Information
t� r- — OH3WOR 17:, T - _ -1 = ItLAN' REYIEW, li
❑New construction ®Addition/alter tion/replacement Nesse check all that apply(submit 2 sets of plans wfdcon checked beim):
❑Service or fader 400 amps or more ❑Building over three stories.
❑Demolition ❑Other where the available dolt current ❑Marinas and boatyards.
l _- cA7iECO1�rrO N3i1(U1:110�_ — - r' exceeds 10.000 amps et 150 volts or ❑floating buildings.
- 3 less to ground.or exceeds 14.000 ❑Commercial-use
®1-and 2-family dwelling ❑Commercial/industtial ❑Accessory building ��neulnael
El Multi-Bundy amps fin buildings.
y ❑Master builder ❑Other. ❑Foe pump. ❑Installation of 75 KVA or
i ❑f+nergerxY syq® 1aBe►sepanuely derived system.
� B�siTw _? `o s,Ar{ rL �1;N. ❑ ,,clots ofnew tooter mad of ❑-A�, e,w•2�,°1.3••,
Job no.: Job site address: 154 Li C4. \ iv-1 p •,.a'.s er mere residential units. ❑occupancy.
Recreational vehicle parks.
CityrState/ZIP: 1e1 C` if-ct i• _ 1•k►Q , , • \ ❑Healthcare facilities. ❑Supply voltage for more than
1 ❑Hazardous locations. 600 volts nominaL
Suite/bldgJapt.no.: Project name:`.fj r` ij) ❑Service or feeder 600 amps or more.
Cross Scree[/dire coons to job site: TT,, E .__1R> SCHB�-,f- _ • .1
nn°iprron I only. I Fro. I Taut i •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.ft.m less 16834 4
Ea add'1500 sq.fl or portion 33.92 1
Tax map/parcel no:: _ Limited energy,residential
-—_, iy __- 1)ESGRIPTION1 OF\WOR!{� ----- — (with above sq.ft.) 75.00 2
Roof Mount PV System �raide tttal�('vith above sq.ft.) I I 75.00 I 12
Services or feeders Inatallation,alt tlon,and/or relocation
_ _ _ _ 200 amps or less ( 100.70 / 'f 2)2
,_, _.- PROP$RTi i-VI itl .:111--- ,� TENra j'__ � 201 amps to 400 amps 13336 2
Name: V v \\\`a 401 amps to 600 amps 200.34 2
I 601 amps to 1,000 amps 301.04 2
Address: 1 ( _ .ss u e2 , ' ./� Over 1,000 amps or volts 552.26 2
City/State/ZlP: \ / (�`j/)�` Temporary services or feeders installation,alteration,and/or
1 /O' 1 relocation
Phone:(f71) ) _ Fax:( ) 200 amps or less 59.36 1
✓✓ J 201 snips to 400 amps 125.08 2
Owner installation: is 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 16854 2
Branch dreolts-new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
• : —®T, ;pitta T " --, --11 - above service:or feeder fee,
�� J�l - �IICO-T�IACf01�) earhb�ehdreuh 7.42 2
Business name:SolarCity Corporation B.Fee for branch circuits without '
service or feeder ice,first 56.18 2
Contact name:. AAO\\(, K re( branch circuit
AA O\ Each add'l branch circuit I I 7.42 1 2
Address 6132 NE 112"Ave Miscellaneous(service or feeder not included) '
City/State/ZIP:Portland,OR 97220
Each
ng 'facn'red°r"'od"1er 67.84 2
dweThlling,,service and/or feeder
Phone:(971) ;1. Fax: 866 Reconnect 67.84 2
.5 �� ( )5��aau�
E-mail:MA(tleolardty.com Pmnpor irrigation circle 67.84 2
_ Sign or outline lighting 67.84 2
rte+A` - lip R LTO - • °"�` _ .. �______ _ 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 112th Ave Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Portland,OR 97220 Investigation(1 hr min) 6625!Inn
Industrial plant(I la min) 78.18/hr
Phone:(971): I Fax:(866) inspections for which no fee is
specifically listed(h hr min) 90.00/hr
CCB Lic.: 180498 Electrical L/ - C562 Suprv.Lic.: 5201S L. :::-1. ._,'IEL'EG?1R1CAL9PERINIT FE&SI`=:TT '
Suprv.Electrician signature,required: J/ „/ ?z.%_ Subtotal ■
I ` Plan review(25%of permit fee):
Print name: Derek Cropp ! Date: State surcharge(12a%of permit fee):
Authorized signature: / TOTAL PERMIT Ii not
This permit application expires If a permit It not obtained within 180
days after it has been accepted as complete.
Print name: .
srA ( 1,/.( Date: .. Z f 201.-7' Number of iropatiom allowed per penult.
1,Buildtaa Permit ac-P.n uiApp.doe O-ui to 440.46157111 03 .M WEB
•
Building Permit A li" ;�, rC I
Residential l;t�l�,,,,1,1,4, t ,i_si v Ia,
l 4 City of Tigard OCT 2 4 2013 ����� /5 PermitNo.: /1'51 2 /�-co��
13125 SW Hell Blvd.,Tigard,OR 97223 pa Review/'��' 1 j
Q- Phone: 503.7181439 Fax: SQ35�8�10` IURRD pawgy: C-J: Ie�J l ( • • - Pamir.
r-;i c z : motion Line: 5°3139.41g t S d;'By: 'uric ®See Paget for
4- , Internet: www.tigard-orgovUILDIItI DIVISION Nod(', cllhod:}11 4; � Supplementalhdormadon
.9441.��-O • dk
TYPE OF WORK REQUIRED DATA:l-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
0 Addition/alteretion/replacentettt ❑Other equipment,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.
®I-and 2-family dwelling ❑Commercial/industrial Valuation: s I �' J( 7 S
❑Accessory building ❑Multi-family Number of bedrooms: 1
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: bi�iia Il 1� ' � � New dwelling area: square feet
City/State/ZIP: �p 0 CC2 477-7-11 Garage/carpon area: square feet
Suite bldgJapt.no.: ` `�I(PProject name: (1 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.
Roof Mount PV System Valuation: S
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER I ❑ 'TENANT Number of stories:
Name: V V a`a M t a/` f Type of construction:
Address: I J r IL� , . \ -0/ LA CI 1 Occupancy groups:
l� W Sim
City/State/ZIP: n ,l ��7� 1.I Existing:
Phone: �2 lV Fax:( ) `-`�`�— New:
/�"0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:SolarCity Corporation (Pleersenlamleeacaadnr)
J�O111 e_- K r t I Structural plan review fee(or deposit):
Contact name:
Ave
FLS plan review fee(if applicable):
Address:6132 NE 112
City/State/ZIP:Portland,OR 97220
Total fees due upon application:
PhoneL 117_ 5 7 I Fax:: <ifti-5-Ir�9o7i I q Amount received: _p(.4p0
E-mail: {'\ V re (' (OD So\a r 't-1 t par\ "t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
1. ; L( Commercial and residential prescriptive installation of
CONTRACTOR I 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
1� and administrative feesL 5180.00
Phone:(C 71 (7tO� =e2 " I Fax 9r1(p 5 9 ,/ q State surcharge(12%of permit fee): $21.60
CCB lie.:180498 E�- fi
' `� 1 Total fe due upon application: $201.60
Authorized signature:
xi g This permit application expires If a permit is not obtained
`� within 180 days after It has been accepted as complete.
Print name:in° , ( Date: he IN/01. "Fee methodology set by Tri-County Building Industry
►/9 Service Board.
I:,Build ingWennits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/CCM/WEB)