Permit CITY OF TIGARD MASTER PERMIT
111 2 COMMUNITY DEVELOPMENT Permit#: MST2013-00258
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2014
Parcel: 25111 DD08100
Jurisdiction: Tigard
Site address: 8629 SW AVON ST
Subdivision: CHESSMAN DOWNS Lot: 7
Project: MCDADE
Project Description: 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
0 Drains:Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Dra 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:
OTR SF VB R-3 0
Owner: Contractor:
MCDADE,STEVEN M SOLARCITY CORPORATION Required Items and Reports(Conditions)
BARTLEMAY-MCDADE,EILEEN C 6132 NE 112TH AVE
8629 SW AVON ST PORTLAND,OR 97220
TIGARD,OR 97224
PHONE: 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 : • •-nce 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. . ENTION: • :eon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0.1-0010 through OA-+: I u •090. You may obtain a copy of the rules or direct questions to OUNC by .332.1987 or 1.800.3 2.2344,
Issu•• By: .� , Permittee Signature: -/ (e...4._---
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.
Building Permit Applica ICEIVED
Residential
DEC 2 3 2013 ::__ (,1 �� I�tiI;Y>•, ,
City of Tigard Received 3 ���> ,
Day.: : a 2- 1
13125 SW Hall Blvd.,•11gard,O r.,, w/ ��f
`,'<1, 0 ` Phone: 503.718.2439 Fax: 5 �:1 F TfGARD •m, TAW i� iii ,-
9a :i„:i,t;) Inspection Line:i�r UILDING DIVISION H ®p�p"lePeaga2 ror
malion Inte: ww . of etiod:
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/alteration/replacement ❑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.
®I-and 2-family dwelling ❑Commercialfndustrial Valuation: S 5r f I t 61)
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: S((D)°I 3)3 A v U 4``1 ,y L •New dwelling area: square feet
City/State/ZIP: --\-‘e{ a) 02 g799-% Garage/catport area: square feel
Suite/bldg./apt.no.: U I Project name: r,D o 4)Q. Covered porch area: square feet
Cross streeUdirections 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
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: (NNr Q,A,A, Type of construction:
Address Di SAA) A-0 6 x) a Occupancy groups:
City/State/ZIP: f (� � 079a/ Existing:
Phone:( -5C g Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES'
Business name:SolarCity Corporation
(Plsasa nlamleaaehedrda)
` A Structural plan review fee(or deposit):
Contact name 4 J�/,a l` Kr e
,b FLS plan review fee(if applicable):
Address:6132 NE I I2 Ave
City/State/ aP:Portland,OR 97220 Total fees due upon application:
PhoneCil i Zfi1 5 7 I Fax:: ae b—5q 909( 4 9 Amount received:
1 (�+,-� n "t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: M�(re U ` 3c\0 re,(t( 11 CVO
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
,b 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
and administrative fees): S 180.00
Phone:(R 71 (9O` 5r47 Fax (1(0 5 Raac(9 State surcharge(12%of permit fee): 521.60
CCB lic.:180498 �r 1 Total fee due upon application: $201.60
Authorized signature: ��� et-
I This permit application expires If a permit is not obtained
-4 44. within 180 days after It has been accepted as complete.
I Print name:ffiO ( Date: immi •Fee methodology set by Tri-County Building Industry
Service Board.
I:,Buildineennits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(I I/02/COM/WEB)
I -
4
RECEIVED
Electrical Permit Application 161t OI I ic�i 1_is-1 O\\r-\
City of Tigard DEC 2 3 2013 Received
13125 SW Hall Blvd.,Tigard,OR 97223 1611 1.� S
Plan Review
Phone: 503.718.2439 Fax: 59 3,s,gg}q� Date: : Otier Permit:
I l',-L., \ l�)l Inspection Line: 503.639.41511 Y OF TIGARD i>meRtaalBY: � ®See Page 2for
Internet: www.tigard-or. Notified/Method: -�I� Sapplemeatalinfarmatioo
BUILDING�,Dd1�1S110M-
-__- _.—_— -_,-2,E.%—WORK _ _- _ _ L�1N,REVIEW - 1
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets organs wlitems checked below):
❑Demolition ❑Other ❑Service or feeder 400 amps or more ❑Building over three stories.
�� _ where the available fault conent ❑Marinas and boatyards.
— ----v∎(?A7EGORY OF.CONSPRUCI'I0�1_—_ _ v i' exceeds 10.000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commet cial/industrial leer to gra nd.or exceeds 14.000 ❑Commercial-use agricultural
❑Accessory building amps thrall other installations. buildings.
❑Multi-family ❑Master builder ❑Other. ❑Fire pump. ❑Installation of 75 KVA or
T — BtS1TB��'�� -� Tr , ❑Emagencysystem_ larger separatelydenvedsyatem.
_-.4.-IN�ORIYIA7ION''.AND LO.CA_T_lON�_____ -- _i ❑Addition of new motor load of ❑"A",^E'.°1.2'°I.3'. I
Job no.: Job site address: 6 J / / 100119 or mom. occupancy.
1 l ❑Six or more residential ands. ❑Recreational vehicle pane.
City.'State/ZIP: , �) • -19.4 ❑Health-care Ikeiiides. ❑Supply voltage for more than
I w I , ❑Hazardous locations. 600 vote nominal.
Suite/bldg.apt.no.: Project name: /(/l� �P ❑saviceer feeder 603 amps ormore.
✓✓✓ `' ; ,FEE>(SCBTEDULE, - - _,
Cross street/directions to job site: Dental= 1 Qty. 1 Fn. I Tam1 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
Ell add'1 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: _ Limited stagy,residential
_ - SSCRIIPTION'OP WORK - __ - (with above sq.f.) 75. 2 I
Limited energy,multi-family 1
Roof Mount PV System residential(with above sq.ft) 75.00 2
Services or feeders installation,alters n,and/or relocation
200 amps or less 100.70 (ii,) 7 L 2 j
PROPERTtCl O,WNEk _. _ —- - ®i TENANT' 201 amps to 400 amps 133.56 2
Name:" _ y 401 amps to 600 amps 20034 2 ,
n 601 amps to 1,000 amps 301.04 2 '
Address: �d C 5k) . Over 1,000 amps or volts 55226 2
Ci /Statc2lP: /� n Temporary services or feeders installation,alteration,and/or
ty I ilpi- ciZ. ci' D relocation i
Phone:(9 37 rt )5 y I Fax:( ) - 200 amps or less 59.36 t 1
Owner installation:This installation is being made on property that I own which is not 201 amps r°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 16854 2
Owner signature Date: A. circuits-new,alteration,or extension,per panel _, j
A.Fee for branch circuits with I
i®,AYPL`ICANT' I, ®COP fAC,lPERSONJ cues fee, 7.42 2
each brands Business name:SolarCity Corporation B.Fee for branch circuits without
service or feeder fee,that 56.18 2
Contact name:. k1011(` K re( _ branch chsvit
Address:6132 NE 112x'Ave Each add l branch circuit 7.42 2
Miscellaneous(service or feeder not Included)
Each manufactured or modular
City/State/ZIP:Portland,OR 97220 dwelling,service and/or feeder 67.64 2
Phone:(971)go‘5a`7 rf Fax::(866) Reconnect only 67.64 2
SR�aa��
E-mail:M AI'/1 rdty.eom Pump or irrigation circle 67.84 2
—. Signor outline lighting 67.84 2
___ _ _ ___.___cONI'RACrOiL "__ __ Siva,'eircuit(s)or lmitedenergy
penal,alteration,or=tension. Paget 2 i
Business name SolarCity Corporation _ - _
Each additional inspection over allowable in any of the above
Address:6132 NE 112th Ave Additional hrspeaion(I hr min) ' 6625/hr
City/State/ZIP:Portland,OR 97220 Investigation(1 hr tnia) 6625!hr
Industrial plant(1 hr min) 78.18/hr i
Phone:(971): I Fax:(866) Inspections for which no fee Is
90.03/lv
specifically listed('h hr min)
CCB Lic.: 180498 I Electrical Li • C562 I Suprv.Lie.: 5201S ELFCrRICALtiPL►R1►iPf;FEES
Suprv.Electrician signature,required: �i/� Shit fee): I
!!! Plan review(25%of permit fee):
Print name: Derek Cropp ! Date: State surcharge(12%of permit fee):
Authorized signature: , TOTAL PERMIT FEE:
- This permit applicaton expires If a permit is not obtained within 180
Print name: ../ o1 (, lr{ Date: �q dap after it has been accepted as complete.
• Number of inspections allowed per permit
I:Building Pertain ELC•PermaApp.doe 0-di 10 440-06157(11 OS COM WEB
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
8629 SW AVON ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
2014-03-07 (null)
MST2013-00258
PASS - No C of O
Violation Summary:
Inspector Contractor