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Permit
n CITY OF TIGARD MASTER PERMIT 11111 a,••• COMMUNITY DEVELOPMENT Permit MST2013 00261 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/07/2014 Parcel: 2S112CB06100 Jurisdiction: Tigard Site address: 15412 SW 82ND PL Subdivision: ASHFORD OAKS NO.2 Lot: 75 Project: STUTEVOSS 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: $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'I 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: STUTEVOSS,CAROLINE ZONA SOLARCITY CORPORATION Required Items and Reports(Conditions) 15412 SW 82ND PL 6132 NE 112TH AVE TIGARD,OR 97224 PORTLAND,OR 97220 PHONE: PHONE: 971-201-5278 FAX: 866-592-2249 Total Fees: $325.38 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 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 calli . 32.1987 or 1.800.332.234.. Issued 01 _ Permittee Signature: i' i A r `��J _ 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 Application, E® Residential I� It,ii,()Li i�: i ra,,1:;<)\I:S- i City of Tigard 31 2313 IA ® _ Permit Na.: -r-__ 1 i ° 13125 SW Hal Blvd.Tigard,OR 9 7 C __ 1'7� 3�C�' �O Phone: 503.718.2439 Fax: 503.598.1960 �► ,n�� + i,,,,,c,-,,I), Inspection Line 503.639.4175 nav il.TIGARD tale Read; 0 See Page 2 for Internet: www.tigerd-orgov ILI6�DDWIS10N Notifeamethrd: Suppkmeatal Information : Bli TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. ®Addititu✓alteratiotu/replacenttent ❑Opp 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. ®1-and 2-family dwelling ❑ConmterciaUnd»stria) Valuation S `1 nk ❑Accessory building ❑Multi-family Number mil ❑Master builder 0 Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: lob site address: _ � r• New dwelling area: square feet City/State/ZIP: `(•t `G e a n e' Garage/carport area: square feet Suite/bid no.� "� Project name fit' I l .�)\il..k f n5 S 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 to PROPERTY OWNER ( I ❑ TENANT Number of stories: Name: k\bSS ■ 1 S Type of constitution: Address 1 �� Occupancy groups: CitylStatefLlP'—T� rG� X140`)1 Existing: Phone:� L) Cv \ (20_W Fax:( ) New: -J�`�0 APPLICANT C2 CONTACT PERSON BUILDING PERMIT FEES* Business name:SolarCity Corporation �laarerrlermles,eRedah� Contact name + Jv`01 l t e_ K(-2 l` Structural plan review fee(or deposit): m FLS plan review fee(if applicable): Address:6132 NE 112 Ave City/State2JP:Portland,OR 97220 Total fet3 due upon application PhoneCil 1 �1 7 f� 7 Fax:: gag)) [Gi Amount received: Email: (�/� �'e iI, (jGr� �`/) /1 (t l t�1C "l PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* 1 , N l• Commercial and residential prescriptive installation of CONTRACTOR l roof-top mamted PhotoVoltaie 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 lnrwollmion Specialty Code checklist. City/State/ZIP:Portland,OR 97220 Permit Fee(includes plan review 5180.00 n and administrative fees): Phone:( 7 I a01 5n'[`7 Fax cat(' 51411' State surcharge(12%ofpamit fee): S2I.60 CCB lie.:180498 MI '1 Total fee due upon application: 5201.60 Authorized signature: �� I This permit application expires If a permit is not obtained , within 180 days after It has been accepted as complete. IPrint name:tin O • ( Date: wan *Fee methodology set by Tri-County Building Industry Service Board. I:,Building\Permits\BUP-RESPermitApp.doc 02242011 440.4613T(11/02/COM/WEB) - Electrical Permit Applicatio �� ‘ I(ai:Qi I,IGG i O:L City of Tigard Received • Date/By: Permit tVo.: y✓1 JTd�O i7 -, III - 13125 Phone: 503.7182439 03..7 824 9 Tigard, F 503.98.1960 QtC I. �p13 Plan Revise o, Permit: W a� Deta•By: 9 l,:: .t,,r' btapection line: 503.639.4175 4r®lei Date Readb-13y Adz ®See Page 2 for Internet: www.tigard•orgov ®� 11Va L.,C,._, ,ems; Supplemental!nibrmadon \ WATER'W t �RL-AJNsE�IEW ]—_---- - O New construction ®Addition/alterati Ili:anent Please check all that apply(submit 3 sets of plans wrdems Checked below): ❑Demolition ❑Other El Service or feeder 400 amps or more D Building over duce stories. o__ __ where the evaiLhk Bait current ❑Marinas and boatyards. ('CATEGORY OF,CON1S[RU�7'10 `j' eamods 10.000 amps at 150 volts or ❑Floating buildings. - -- _ - less to mound.or exceeds 14.000 ❑Commercial-use agricultural ® I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps far an older Installations. btdldimp. ❑Multi-family ❑Master builder ❑Other: 0 rue pump. ❑installation of 75 KVA or _ US�44i'1B, FOBD7AI N;,sNi�,A110N11 _ DEm°gencysy • mr�rseparatelyderivedsystem. n _ --, D Addition of ome motor load of ❑"A"."E'."1-2"."1-3", Job no.: Job site address: 1511,9 (W [.) "" It 100ISPmmore. occupancy. 1 D Sic or more reridenuat gaits. ❑Recreational vehicle parks. City:State/ZIP: , Iv 10 ©� Qi4 D stealth-ease facilities. ❑Supply voltage ibr more than �'LC D Hazardous locations. 600 volts nominal Suite/bidgJapt.no.: 5 I Project name: jOdS O Service tr feeder 600 amps or more. r FEB‘ISCHEAiir.----------'— 1 Cross street/directions to job site: Deteriptt® I Qty. I Fee. 1 Total I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq.fL tr less 168.54 4 Tax map/parcel no.: Fa addi 500 sq.fl or portion 33.92 1 ---. --- — Limited energy,residential --- -__ --- --_ (D&SC.R_17. ON?0F`WORK{ -- - __ (with above sq.ft.) 75.00 2 Roof Mount PV System Limited 'multi-family 75A0 2 y residential(with above sq.D) Services or feeders iostallation.alteratlon,and/or relocation 200 amps or less ( 100.70 /O0. ).2 '' 1sROPER (OWNER. -I` ^® r 201 amps to 400 amps 13336 2 '-_._. Tlk'- t18NANT' Name: \ )\-1f+ St ,e V CeS - 401 amps to 600 amps 20034 2 601 amps to 1A00 amps 20034 2 Address: . I nj 19 SSA Q )n cl -PL Over 1,000 amps or volts 55216 2 City/State/ZIP: I ` �� � <2 Temporary services or feeders Installation,alteration,and/or r� I , relocation Phone:[- �(�� 2) I Fax:( ) 200 amps or less 5936 1 400 amps Owner Installation:This installation is being made on property that I own which is not 201 amps to 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 ch Branch circuits-new,alteration,or extension,per panel Owner signature Date: A.Fee for breads circuits with - 0®'brae-4f f r - _- ---'�` - -_®,c r_.ti°ACI N) . _ Lab"'service or feeder fee, .`"- - -- -�-" ;� reds braneb eirnsit 7.42 2 Business name:SolarCity Corporation • B.Fee for branch circuits without �/ service or feeder fee,fast 56.18 2 Contact name: Alum 14 1`l r e( branch coast Address:6132 NE 11216 Ave ' 1 Wendt circuit 7A2 2 Miscellaneous(service or feeder not Included) Each manufactured or modular City/StatefZlP:Portland,OR 97220 dwelling,service and/or feeder 67.84 2 Phone:(971).ter 54'7( Fax::(866)51 Q°lo tt o, Reconnect only 67.84 2 E-mail:M IA f t ardty.com Sign or irrigation circle 67.84 2 - - -•! , - -- -- - Sign or outline lighting 67.84 2 ___-_ - -__:CON lIA_ATOR�r - -_--. ---- -.__-.--.- -- Signal eueuit(s)oTlimited-energy Business name:SolarCity Corporation Pal,alteration,or extension. Paget 2 , Each additional inspection over allowable In any of the above Address:6132 NE 1121°Ave Additional inspection(I hr rnin) 6625/hr City/State/ZIP:Portland,OR 97220 Investigation(t hr min) 6615!hr Industrial plant(1 hr min) 78.18/br Phone:(971); I Fax:(866) Inspections for which no fee is 9000/hr specifically listed(Ys lr min) CCB Lk.: 180498 I Electrical Li • C562 Suprv.Lie.: 5201S t. _ ,ELI3CIB1CA1:r.PF.R11f1TIFEFS __ Suprv.Electrician signature,required: ��/� 1 Subtotal: 11 /� Plan review(25%of permit fee): Print name. Duck Crops , Date: State surcharge(I2%of permit fee): Authorized signature: / /'/ TOTAL PERMIT FEE: This permit appl atlon expires if a permit Is not obtained vdddn 180 Print name AFISI ■ ills Date: , days after It has been accepted as complete. s�..■J �-' Number of inspections allowed per permit 1:Bundiag Pertain ELC-PeemvApp.doc 0-61.10 44046157(11 05 coat 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 15412 SW 82ND PL, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection 2014-02-05 00:00:00 MST2013-00261 PASS - No C of O 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 15412 SW 82ND PL, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final 2014-02-05 00:00:00 MST2013-00261 PASS Violation Summary: Inspector Contractor r FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT i II ■ Transmittal Letter I ;,,l I< r) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: CA �r �o DAT DEPT: BUIL�IN I\"A9 DAT '`N 1 4 '314 FROM: 50 IW9Q1'.i iliiAiL rjrc i( CRY Ui- i!GARD COMPANY: SO\w % PHONE: q 11 D\ 5�'7 . C..`7. RE: 1941'D SIA) q,Y) r = 1\\S 3 -D0 Qui (Site Address) (Permit Number) SV qke7 (Project name or u' division •. e and lot number) ATTACHED ARE THE FOLL I G ITEMS: Copies: Description: C ies: Description: Additional set(s) of tans. Revisions: Cross section(s) ant details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Xi Other(explain):S 4401 5,71,, `I trf_4 s c. REMARKS:T stS,) AU v\n2(,r ` 11) .`i t r,�N\ Rt_udtorarvi ( , oVls S( sCk,h'f, \%' \1 tS \ i'! d b D QD . . FOR OyFic9 USE ONLY , j Routed to Permit Technici Date: [ 1'5 1.4-- Initials: �'�Zj Fees Due: ❑ Yes &No Fee Description: Amount Due: $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes } o A. Don Applicant Notified: Date: Y k to Initials f , ) the4Ael 4 t,-.'--f l:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012