Permit rr
CITY OF TIGARD MASTER PERMIT
1111 I • COMMUNITY DEVELOPMENT Permit#: MST2014-00025
Date Issued: 03/13/2014
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Parcel: 2S114BB00900
Jurisdiction: Tigard
Site address: 10145 SW SERENA WAY
Subdivision: PICK'S LANDING NO I Lot: 8
Project: BROWN
Project Description: Solar photovoltaic system.
BUILDING
Floor Areas Required Setbacks Required
Stories 0 Bedrooms 0 First: 0 s' Basement 0 sf Left 0 Parking Spaces 0
Height 0 Bathrooms 0 Second. 0 s' Garage 0 sf Front 0 Smoke
Dwelling Units 0 Third: 0 sf Right 0 Detectors
Total: 0 st 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 Wood stoves 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+a mp/volt: 0
ELECTRICAL•RESTRICTED ENERGY
SF Residential
Audio 8 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 C.
Owner: Contractor:
BROWN.SHIRLEY D RECOCABLE TRUSWILLAMETTE CREST PROPERTIES Required Items and Reports(Conditions)
10145 SW SERENA WAY 14775 SE 82ND DR
TIGARD.OR 97224 CLACKAMAS,OR 97015
PHONE PHONE 503-635-0117
FAX 503-635-0157
Total Fees: $320.88
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. AT 31ON Oregon w requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-0 -0010 through OA 52-0 1 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800.332 2344
Iss ed By: k i. iiLZt 11 -{tip Permittee Signature: sviA.)j1----------- -
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat
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 laplication
Residential FOR OFFICE USE ONLY
City of Tigard Received Permit No:
`.7 g �� Dateive: // __ �. _
13125 SW flail Blvd.,Tigard.O Plan Roil • ;
' a Phone: 503.718.2439 Fax: 503 1-° Date/Bv: _G.j+ ,� her Permit:
I IGARD Inspection Line: 503.639.4175 3 Date Ready 7:- . ' m see rage 2 tor
hotified/Method: Su a ent Info• atio•
Internet: www.tigard-or.gov MP AAO fi Supple, e
TYPE OF W,l''�����4(..S.1V.. • " REQUIRED t TA:1-AND 2-FAMILY DWELII G '
❑New construction Htdiition Permit fees'are based on the value of the work performed.
,// Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement E ther: p a c"/A72 , _ equipment.materials, labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
I-and 2-family dv4elling ❑Commercial/industrial _
CI Accessory building ❑Multi-family Number of bedrooms:
El Master builder CI Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION
Total number of floors:
Job site address: New dwelling area: square feet
City/State/ZIP: 7r/I-y-44 (jam 0,22Y Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: j2 /2),,c1,0 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feel
Other structure area: square feet
IST
Subdivision: 11.ot no.: Permit lees'are based on the value of the%sork 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.
!t{ Valuation: S
, I L /C v,,J -:c v/n ri _
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:t i Fax:( ) New:
APPLICANT y
liusinc'ss name. 1'ii/IA,,,,,e I/c_ (,le, A yr efhF' � __ :C.0-- _
I � Structural plan review fee(or deposit):
Contact names. _ /. , _ FLS plan review fee(if applicable):
Address: f! 775— 57. �z ) 7.
�7� Total fees due upon application:
City/State/ZIP: vliar kAZy , r .)7O/
Amount received:
Phone:(SU3) (c,3 'G//7 I Fax: :(,$7iJ)63s-- GI$ 7
E-mail a".3.—, PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
r e- gCIL/AAC(' C.1 Gr'P, G,cJ•
�J Commercial and residential prescriptive installation of
f CONTRAGTI4R roof-top mounted PhotoVoltaic Solar Panel System.
Business name: 1,,j,1/4/)'7 .e.lk. (fir PAt, —fie? LL(2- Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: /tf 7 7 5-- $'C `-4 712 Solar Installation Specially Code checklist.
City/State/ZIP: _ j AAA oa- q-76/5 Permit Fee(includes plan review
$180.00
(Lf and administrative fees):
Phone:(55oo )ir:,3 S•-U/17 Fax:(503.)k,35"--- a5—7 State surcharge(12%of permit fee): $21.60
CCB lie.: r c(0L
Total fee due upon application: $201.60
�xixed signature: /-_ �� This permit application expires if a permit is not obtained
vY't°� within ISO days after it has been accepted as complete.
/'�/f{. )e�•' I Date: � �/ I
*Fee methodology set by Tri-County Building Industry
• Service Board.
.'ermits113tJP-RESPermitApp.doc 02/24/2011 4404613T(I 1102/COM/WEB)
03-12-14; 17:41 ; 5036322421 A 1/ 3
Electrical Permit Application ruts urrl( I.I..}L°NIA
City of Tigard kwarvie
=
_ Drrn+Y Fans:Nh
° 13125 SW HMI Blvd, I igurd.OR 97223 Plan Roma*
Phrase: S03 711 2439 r4a. 503.598,1960 Dicta miler Pamir
1 ! ,�t:f) Inspection 1 Inc 503 63Po.,.4175 I).re Re . :y. s. Id Set Pare 2 tar.
Internet wwwrigard•nr.ttov 4.1h6SIA4efCtk Sypple..c.tallnfora..tivw
',r;.,-+ : ? r ybik4OF!WIOitIC... f 4. , . y !-;;`.elic;' 73.1 :1).4; ,OU'lli KATO*0 4i0e C') .,xr5;^t,q'•.. -
Li New construction LJ Add itionlal Ignition/replacement Rage crack all ism apply faalam:i+on nTploos+Ara.tn clinched t»Inw)
❑Service or kola(41.10 Impt or*arm ❑1rnlcbIK over Ibraa ak,i
Demolition ®Other PV Solar ,hcrc!1.nvallsblc fouls urinal ❑Mansaa aid b)ntyarda
. • , • CATEGORY OF CQNSTBLICTIFON. •.-i rcteedt 16000..np,sr 150 v..lts of ❑Pla.emg blrld.anc,
lent;0 6mwrrl•or crecah 14.050 0 Ct,a ntc,eaIl•••••aOeulu.ral
® I-and 2-family dwclling []Commert:iallindustriiil 0 Accessory building 1mot for au otlrar∎ntrallall0nt ben thin.
❑ Multi-fain i ly ❑Mager builder ❑Other: Q Fero pomp ❑Inndlanom of 15n CvA or
— • JOB SITIt.'.INPOWKAT10.N ANn,LOCATION . . O Lmnlcacy ayrrcla laser 7t9ar1-2 amine tyaleM
• • ❑Adealunr all new motor Isar alt 0-A" "B" "1-2"-1.3"
Joh no.: lob site address 10145 SW Serena Way !weir ....crrprancy
❑ht.n.m.ore rcudenh.a mini 0 Rrtraarioaal vehJ.rsarla.
City/State/ZIP Tigard,Ok 97224 ❑Health-cane facari., 0 Slwoly whine'barmen tenon
❑Ituatdo.stotaboas 600 volts nrniryl.
.Suilrlbldg.apc.nca. I Projectnallic.Brown ❑Smumor leader 60011.30.tot roan.
C r O r 4 Slrect/directiona to.job site: _ [t1Gti SGNED,ifLt';
11,1,00 y. I trio. T PT Tow )
New teenierrinl tiacle-ma milli-txbilly dwelling unit.
— Include.rahehed gnrnge.
Subdivision.. —Fnl nU.; .000 sp.R M Teas 1671 54 4
Tax msplttorcel no.: Fa aJJ'I S00 ie 0 0,purl.0n ^39.92 1
Lashed energy,retidenuai•. with above sy.It) 75 00 7
JDI8SCR11!TION OP WORK l
Limited energy.mutu.feanity 75 ■
2.16 kW PV Solar rcardeniral(with..bevc;4_01 -
Rerewebte Eneres _ 4ea je 2
Servicca m•feeders instetlatlea.'iteration,aoJlrr relneador
`- zoo alumni 7esx tuu70 2
C7.PROPERTY OWNER , : 1 ry',;i 1 t,(.3,TENANT:.,., 1 . :.
1 —4 2111'miry to 400 nits 133 5, 2
Name: 401 inapt is OW amps 200.34 2
Address: 401 amp to boon amps 301 04 ' 2
"" • Over 1,000 amp,or von.' 552 26 T 2
C ity/Statc/Z)I Temporary Iervieer or feeders iaatallatlsa,rlceraneo,4adfor
Phase:t ) l Tint:( ) reMcatiaa -
Y00 rumps or hots 59 36 .:
Owner installation:This installation is being manse on property that I own which is not 27 amp,l0 400 wart 125.01
intended for sale,(ease.rent.or exchange,according to ORS 447 449.670,and All. 401 mpg In ivy amp 1611.54 12
()wrier signatures Date: Branch circuits-new.rlteraicwn,orealenrinn, panel
.0 APPLICANT I'," ; '. 0 CONTACT PtItsaN A "1"far branch circuila wrlir 1
shove service or(cadet rev, 7,42 2.
Bucinesa nnirno:Willamette.Crest Properties,LLC rich branch arcr,it
- B Fce fiw ls.rnch taunt wrbour
Contact fame:Julia am vice or feeder lea.Fru SG IA
"-1 branch Circuit
Address:14775 S[82nd Dr Each add'I branch virtual 7 42 2
City/Stote17.1P:Clackamas,OR 97015 Mntelnaloui Inenfee sr feeder not included)
Fisch namuleuraod or rw eta 67 W 2
l'luxae:(503)635.0117 I Fax:.(503)635-0I S7 d wdb.rs arrvir c wlorrr.Fsedrr _
Reeonocci only 67 64 2
E-roaif;julia@advancedenergyoregan.com _Flair ur turps;at cigar 67 e4 2
—
CONTRACTOR. :, .:'• Sims or uulline hetaiutg 67.84 2
9usincss name:Clackamas Electric Inc. 1nil aircrrn(t)or BauteaLcncrgy See
panel,allocation.ur cxtdm on Ilya 2 2
Address"PO ROx 51 Fads additional inaptefen over allowable IN sr of abp.•e
Add.rwrol tnspecinn(I ha warn) 66.25/hr
City/sIateJZIP:Bearecreek,OR 97004 lnvcstlguiea(l hr min) 66.25/Ira �_
Phone:(503)632-2420 Pax:(503)632-2421 111Juairiul plant(I h! min) 71,11/hr
- — Ipsoe:liuna tor whic1 u Tea is 90 00r ltd Ar-CCH 1.k. 161923 I Bloearical Lie.: 3-606C .oprv.Lie.: S t reeuitwny hued('4 hr non)
��
Suprv.Ehrician signature,rcyuircd: 61,LCZ71iCiiL PERI1rJTf>E63:',
/f —
Print name: W � Dale:3 1
Plan rcriaw(25%orpc,.nil Re):
time surcharge(1246 of perms!the):
Authorized signature: TOTAL 11-.R MIT FEE:
- Yr...rr r...0 applri..uw*sport HS porrom t.mot*brained,..et...tea
Print mane: Late: ra.y•apt,ii bar Mew•vn1p1114 is castpkta"
• Non by or rhtitn nova snowed psi permit.
t IR..,ralahrrrntis iIt rro..n400 CLR 0ar.4ne I.e ram o013 .4h...a silt!;0ICONM'LJ
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 Transmittal Letter a ette r
I ;1 ;:\ I< I 1 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: /✓cw DATE RECEIVED:
DEPT: BUILDING DIVISION HED71.11/ED
MAR 1 1 2014
FROM: ,. i//A,1C, &e,r P4cpei24 CITY OF TIGARD
COMPANY: j7.4,4, 4- BUILDING D+lIIPIOP!
PHONE: 603- 63 S=c>,/7 By:
RE: /Ui4'5 5 Yecrx)h- w ",,$7t /�1-00005
(Site Address)
( ermtt um r}
B fact)4.)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: I Description: Copies: Description:
Additional set(s)of plans. ✓ Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. _ Engineer's calculations.
Other(explain):
REMARKS: illbv, / p tip ce-- 740 of s/k- .4/int.
FOR OFVIC USE ONLY -
Routed to Permit Technician. Date: �& 112( ( Initials.
Fees Due: ❑ Yes o Fee Description: Amoun ue:
$
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes I ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:1Building\Formsl TransmittalLetter-Revisions.doc 05/25/2012