Permit CITY OF TIGARD MASTER PERMIT
1111. y,�
— . COMMUNITY DEVELOPMENT Permit #: •MST2013 -00252
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/17/2013
Parcel: 2S114AB12300
Jurisdiction: Tigard
Site address: 9365 SW MARTHA ST
Subdivision: KNEELAND ESTATES NO.2 Lot: 124
Project: McNulty
Project Description: Installation of residential 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
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:
MCNULTY REVOCABLE TRUST SOLARCITY CORPORATION Required Items and Reports (Conditions)
4100 COLTSFOOT LN 6132 NE 112TH AVE
LAKE OSWEGO, OR 97035 PORTLAND, OR 97220
PHONE: 503- 636 -9773 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 i rdance 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. .FCfTENTION: Oregon la requires you to follow the rules adopted by the Oregon Utility Notif - ion Center. Those rules are set forth in OAR
95 001 -0010 through OAR `• . -00 -• I You may obtain a copy of the rules or direct questions to OUNC • ailing ' '3.232.1987 or 1.800.. 2.2344.
P .
I ued By: j' 4 ZP-41 4V-- k, Permittee Signature: 'T' r f l
Call 503.639.4175 by 7:00 a.m. for the next available inspection .. te.
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.
. , z
Building Permit Application_
Residential Kl;IVED
11112 OFFI(F 1 S ON1.\
City of Tigard Received 20 Date/By: ''� // /3 � ,. Permit No.:/�•��1 1 /3-Gl6e2S�
•
13125 SW Hall Blvd., Tigard,OR S
• Plan Review — s
111 P hone: 503.716.2439 Fax: 503 Date /By: iLi rj I is - Ptami"
t t , ; R D Inspection Line: 503.639.4175 Dale Read'iy: ^� ' lurk: See Page 2 for
Internet: www.tigard or.gpJITY OF TIGARD Notific io1clhod: pc- /7/l3 1 I ld Supplemental Information
Vat L.u..■ V PI:,t/;
Rk 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 _ ❑ Commercial /industrial Valuation: $ �/15 `�
❑ Accessory building ❑ Multi- family Number of bedrooms: ll
❑ Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: " I Jt`J Z5 ) 0 Vtk P'tkOI C=L l New dwelling area: square feet
City /State /ZIP: �� � n V q CV_ Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: it (t 1 J` J g u 141 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.
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: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: ( l A r _ J 01 ,1 (.43 Type of construction:
Address: v13(1 � S Ail 4-0-14v, �yj Occupancy groups:
City /State /ZIP: — 11 - 0 1 � C 0 7 9 7 4 Existing:
Phone: (I }?,) (07( 0777 3 Fax: ( 1 ) ✓ New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: SolarCity Corporation (Please rein to fee schedule)
0\ , �- 1.<(--f l I Structural plan review fee (or deposit):
Contact name
, FLS plan review fee (if applicable):
Address: 6132 NE 112 Ave
Total fees due upon application:
City/State /ZIP: Portland, OR 97220 _ �(
Phoneg1 ( ! 7 � ` 5 7 c n l - + �./ e0 t'Ot 1�r `-i Ca Amount received: $ ,l, 6 C
1 Fax:: c� u �.[ 1 I
E -mail: 1 T 1 L/ rt (' C , C y - D \ ( ( - /) (t ` i t O � PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
vl l lr 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
a and fire department access, along with the 2010 Oregon
Address: 6132 NE 112 Ave Solar Installation Specially Code checklist.
City/State/ZIP: Portland, OR 97220 Permit Fee (includes plan review
(90 and administrative fees): $180'00
Phone: IR 71 D 5 !o S �� K f "(p f„ f 7 C/ Fax 5 q a4' State surcharge (12% of permit fee): S21.60
CCB lie.: 180498
Total fee due upon application: $201.60
Authorized signature: � �f /
T his permit application expires if a permit is not obtained
i 4.(1 i within 180 days after it has been accepted as complete.
Print name: t O / I e 1`j / JJ� r- / e l ( Date: h id I3 " Fee methodology set by Tri-County Building Industry
!! Service Board.
I: Building \Permits \BUP- RESPennitApp.doc 02/24/2011 440- 4613T(1 t/02/COM /WEB)
• . •
Electrical Permit Applicat FCEIVED Re i.()1; (II I I< 1. t'1. U \I \
City of Tigard 1'( V Da ce ived .� t /! jn Permit No.: 1 1" ar -CO ,
• 13125 SW Hall Blvd., Tigard OR 97223
Pan Review
Phone: 503.718.2439 Fax: 503.598 Aft:: Other Permit
i I r „ Inspection Line: 503.639.4175 a C 1 1 2013 Dme Read) By: rmi: fa See Page 2 for '
Internet: www.tigard- or.gov Notified/Method: Supplementallnformatioa
T °'F 7't(: A R p Fl,4N REVIEW
❑ New construction ®Addi ' Q8(t Please check an that apply (submit see of plans wlntems checked below):
' I�N ❑ Service or feeder400 amps or more ❑ Building over thee stories.
❑ Demolition ❑ Other where the avullabk Galt current
❑ Matins and bntyatda.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ floariag buildings.
® 1- and 2- family dwelling ❑ CormnercieUindustrial ❑ A building leas s grand, or tweeds 14.000 ❑ ta,> l we agricultural j
�7 g arrays for a8 ot ironlaliorc.
❑ Multi- family ❑ Master builder ❑ Other. ❑ Fire pump ❑ installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ system. larger separately . derived sy >km.
❑ Addition of new motor bad of ❑
Job no.: I Job site address: q 3 CQ 5' S 1001W or more. occupancy.
Ju 9 a ,..\.4, Ci ❑ Six or room residential units. ❑ Recreational vehicle patio.
City.'State/ZIP: `r i 0 dy rl 13 rtakh - am facilities. O Supply voltage for more than
l/ t c om- Ot 1 ❑ Hazardous locations. 600 veils nominal.
Suite/bldg./apt. no.: I Project name: Al e. A) J t#. ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: neatrilgtaa I Qty. I r« I raw 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
Tax map/parcel no.: Ea add'I 500 sq. ft. *rotation 33.92 t
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. R.)
Limited energy, multi- family
Roof Mount PV System residential (with above sq. ft.) 75.00 2
Services or feeders iastaUation and/or relocation
200 amps or leas
1 100.70 I (,330 2
® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 1 133.56 2
Name: . N /� A U k 0 /' �k 1 I 401 amps to 600 amps
200.34 2
`C J ` r 1 V k 601 amps to 1,000 amps 301.04 2 '
Address: e ( ) jAik 9 Over 1,000 amps or volts 552.26 2
City/State/ZIP: 1 a r yn ,/ i) C,n 0 7 I1 o� 9.q Temporary services or feeders Installation, alteration, and/or
1 ` ll (_ 1 C� relocation
Phone: 60 .3 L 31 - Ct 173 I Fax: ( ) 200 amps or less 59.36 )
Owner Installation: This installation is bean made on r 201 amps to 400 amps 125.08 2
g p optrty that 1 own which is not 401 amps to 599 amps 1611.54 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
® APPLICANT + ■ CON7'ACr PERSON above service or feeder fee, 7.42 2
each branch cbetdt
Business name: SolarCity Corporation B. Fee for branch circuits without
service or feeder fee, fast 56.18 2
Contact name:. ) \ [ c k { e ( 1 branch tend
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 order
Phone: (971) go \ 517 Fax :: (866) �R Q c9gu 9 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E rn ►(r t l ardty.eom _ Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited -energy
Business nemm SolarCity Corporation panel, alteration, drmtiesioa Paget 2
der Each additional inspection over allowable in any of the above
Address: 6132 NE 112th Addition/ inspection (1 hr min) 6615/ du
City/State/ZIP: Portland, OR 97220
Investigation (I hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ br
Phone: (971) 7 I Fax: (866) Inspections for which no fee is
90.0W w
specifically listed os hrmin)
CCB Lic.: 180498 I Electrical i • C562 I Suprv. Lic.: 5201S ELECTRICAL PERMrr FEES
Suprv. Electrician signature, required: 1 /j/ S
Plan review (25% of permit fen):
Print name: Derek Cropp ! Dat State swcharge (12% of permit fee): •
Authorized signature: TOTAL PERMIT FEE:
4
� � This permit application expires if permit k set obtained within 180
Print name ,r • 1� Date: Mlle. �P a after a allowed d per permh. as eampkh.
� / � � � Number of uspections allowed per pe:rmh.
1: Building Permits ELC.PermiApp.doe 0 01 10 440-46151111 OS COM WEB
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
9365 SW MARTHA ST, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
2014-02-13 00:00:00
MST2013-00252
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
9365 SW MARTHA ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
2014-02-13 00:00:00
MST2013-00252
PASS - No C of O
Violation Summary:
Inspector Contractor