Permit CITY OF TIGARD MASTER PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MST2014-00047
T j G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2014
Parcel: 2S102DD06000
Jurisdiction: Tigard
Site address: 13910 SW 87TH CT
Subdivision: 2003-004 PARTITION PLAT Lot: 2
Project: DELAVAN
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: $6,750.00 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
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvcIFeeders 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:
DELAVAN,ROBERT&LYDIA SOLARCITY CORPORATION Required Items and Reports(Conditions)
13910 SW 87TH CT 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: PHONE: 971-201-5278
FAX: 866-592-2249
Total Fees: $366.19
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 5# 232.1987 or 1.800.332.2344.
S.
�Issued By. 0' ' " Permittee Signature: - ��LI w
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
Residential , e„ ()I , ,e I 1 ,1 ,,N, ,
City of Tigard iteceired
13125 SW Hall Blvd.,Tigard,OR 97223 P I it V ri •.
a ��"= Other PoxoaB:
it. Phone: 503.718.2439 Fax: DaWg : -/..
I I Inspection Line: 503.639.41 Date Ready/By: 0 Bee hoe 2 for
Internet: www.tigard-or.gov Notified/Method: Rig Swlememollaf.rmatl..
Tyra or . a 20 11 BQI DATA:I-AM i-PALYLY DIVEAJ4G
❑New construction ' it • Permit fees*are based on the value of the work performed.
f ' • N Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement : �ti 019 equipment,materials,labor,overhead,and the profit for the
CATEGORY , • „, I.
work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: S 6750
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder CI Other: Number of bathrooms:
JOB fur's 1NPORMATIION AND LOCA111)14 Total number of floors:
Job site address: 13910 SW 87th Ct New dwelling arca: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldgJapt.no.: I Project name: Delavan, Robert A Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
=QOM DATA: 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
DEBCRI mor4 Or WORK work indicated on this application.
PV ROOF MOUNT 6.75 kw Valuation: S
Existing building area: square feet
New building area: square feet
® raorBJR7y OWNER I 0 T'aNANT Number of stories:
Name: Delavan, Robert A Type of construction:
Address: 13910 SW 87th Ct Occupancy groups:
City/State/ZIP: Tigard OR 97224 Existing:
Phone:( 503) 956 4275 Fax:( ) New:
to ArridCANT IN CONTACT MOWN BUMMING rl WIERI fIP
oo Business name:SOLAR CITY M ��
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
Trr FLS plan review fee(if applicable):
Address:6132 NE 112 AVE
City/State/ZIP:PORTLAND OR 97220
Total fees due upon application:
Phone:(503)894 6903 I Fax::(1866)445-7459
Amount received:
E-mail:ABENTL,EYQSOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM PEW
OOKrLtACI'OR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
Address:6132 NE 112T”AVE and fire department a°°"cc,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review 5180.00
and administrative fees):
Phone:(503)894-6903 I Fax:(1866)445-7459
Stale surcharge(12%of permit fee): 521.60
CCB lie.:180498
(IP Total fee due upon application: $201.60
Authorized signature: 1 This permit applcatioa expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:A. MELISSA TILE 1111 I 04/07/14 I 'Fee methodology set by Tri-County Building Industry
S Board.
I:1Buidding\Permits1SUP-RESPemitApp.doc 02/24/2011 440.4613T(11/02/COM/WEB)
.Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE: USE ONLY
City of Tigard Received
7/1 Datdny. Permit No.:
- 13125 SW W I fall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing Li Mechanical
I I li 1 lit!
interneC www.tigard-or.gov ❑ other:
THE FOLLOWING; ITEMS ARI.. RI Qt IRE!) FOR I'L.AN REVIEW acs No N;a
I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. ❑ ❑ ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ n
4 Fire district approval required. Name ofdistrict: 0 ❑ D
5 Se.tic stem ermit or authorization for remodel. l xistin' s'stem ca.acit . ❑ 0 0
6 Sewer permit. . 0
7 Water district approval. ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑
basin protection.etc.
10 3 Complete sets of legible plans. Must he drawn to scale.showing conformance to applicable local and state ❑ ❑ 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if ❑ ❑ ❑
there is more than a 4-fl.elevation differential,plan must show contour lines at 2-ft.intervals);location of casements
and driveway; footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator:lot area;building coverage area;percentage of coverage;impervious area;existing structures on site:and
surface drainace.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size, location of smoke detectors,water heater, ❑ ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. _
14 Cross sections)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑
floor,wall construction,roof construction. More than one cross section may he required to clearly portray
construction. Show details of all wall and roof sheathing„roofing.roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation.etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size shed addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing.spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems,see item 22."Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist corryl a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 ❑
21 Energy Code compliance. identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ El
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e..shear wall,roof truss)shall be stamped by an engineer or 0 ❑ ❑ '
architect licensed in Ore on and shall be shown to be a licable to the project under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11 •x 17". ❑ ❑ 0
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. _❑ ❑ 0
25 Building plans shall not contain red lines or tape-ores. "Mirrored"building plans will not be accepted. ❑ n ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. '—a---0--U
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ E
28 Site plan to include tree size,type and location per approved project street Tree plan(if applicable),and City of"Tigard U 0 []
_ Street'Tree List,
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ '
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9. 1995.
1:U 3uilding\t'ermits\B11P-RFSPennitApp.doc 02/24/20H 440-4613T(11/02/COM/WE13)
- Electrical Permit Application , . , ., 1 F, I I I . .. I 1
giCity of Tigard V Permit No.:
13125 SW Hall Blvd.,Tigard,• r `
Phone: 503.718.2439 Fax: 503. 1 C 1 other Permit:
Inspection Line: 503.639.4175 a 1� Date Ready/By: iris B See Page 2 for
Internet: www.tigard or.gov ne� �[ , NotdedlAWhod: Supplemental lammetlw
TYPE OF WO "y 'i2"" ,y\ V PLAN REVIEW
❑New construction ®Addition/alterat'.1 _;1, , - Please check all that apply(submit j sets of plans wlitems checked below):
❑Demolition 0 Other: QV��\'`
—,` ' • ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available ful current ❑Marinas and boatyards.
CATEGORY OF COrentucnord exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to gtamd,or exceeds 14,000 ❑Commercial-we agricultural
C831-and 2-family dwelling 0 Commercial/industrial ❑Accessory building amps for an other instalirions. buildings.
p Multi-family 0 Master builder ❑Other: ❑Fire lump. ❑Installation of 150 KVA or
❑ rime y system saperately derived system.JOB on% B WORMATION AND LOCA10N ❑Emergency
dd itio of new motor load of ❑"A"."E","1-2".
"1-3",
Job no.:9721927 I Job site address: 13910 SW 87th Ct I or mm,.
❑Six x or or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. 0 Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: I Project name: Delavan, Robert A ❑service or feeder 600 amps«more.
PEE BtHEb1AZ
Cross street/directions to job site: oererlaeim I Ob. I pee. 1 Tess I •
New residential single-or multi-family dwelling snit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4
Ea add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
75.00 2
DESC71R17ON OP WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
PV ROOF MOUNT 6.75 kw residential(with above sq.ft.)
Resenaik EttltttrY ilSee Pattie 2
Services or feeders installation,alteration,and/or relocation
® mortirry OWNER I 0 Ti 4ANT 200 amps or less 100.70 2
Name: 201 amps to 400 amps 133.56 2
Delavan, Robert A 401 amps to 600 amps 200.34 2
Address: '13910 SW 87th Ct 601 amps to 1,000 amps 301.04 2
Over 1.000 amps or volts 552.26 2
City/State/ZIP: Tigard OR 97224 Temporary services or feeders installation,alteration,and/or
Phone:( 503 ) 956 4275 Fax:( ) relocation
200 amps or less 59.36 I
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.0E 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Breach circuits-new,alteration,or extension,per panel
® ArPliCANT I ® i1arfTACT PERRON A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Business name:SOLAR CITY each branch circuit
B.Fee for branch circuits without
Contact name:MELISSA BENTLEY service or feeder fee,fire
56.18 2
branch circuit
Address:6132 NE 1 12Th AVE Each add'I branch circuit 7.42 2
City/State/ZIP:PORTLAND OR 97220 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)894-6903 I Fax::(1866)445-7459 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:ABENTLEY @SOLARCITY.COM Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:SOLAR CITY Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:6132 NE 112Th AVE Each additional inspection over allowable In any oldie above
City/State/ZIP:PORTLAND OR 97220 Additional inspection(I hr min) 66.25/hr
Investigation(1 hr min) 66.25/hr
Phone:(503)894-6903 I Fax:(188)445-7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 180498 I Electrical Lic.: C562 Suprv.Lic.: 52013 specifically hr
fically listed(v,hr min)
OoRC CAL MUM PM
Suprv.Electrician signature,required: Subtotal:
Print name: DEREK CROPP Date: 04/07/14 Plan (25X of permit fee):review
State surcharge(12%of permit fee):
-Authorized signature: I TOTAL PERMIT FEE:
Print name: A. MELIS3'A S D i I Date: 04107/14 This it application expires if a permit is set obtained within 180
days after It has been accepted an cnmpice
• Number of inspections allowed per permit.
rlauiihsellamiMELC_PausApp_ELR_EREds Rue 05/2112013 440•46151(1l15/COWWEB
r
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined........ $75,00 oe.crfatw I orr. f Fa I raw {•
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 $133.561 2
❑ Audio and Stereo Systems* 15.01 to 35 kva 200.34 2
Wind generation systems in excess of 25 Ws:
❑ Burglar Alarm
25.01 to SO kva 301.0.4 2
❑ Garage Door Opener* 50.01 to 100 kva _ 553,26 2
!,100 kva(fee in accordance with 55226
El Heating,Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems in excess of 25 atva:
Each additional kva over 25 7.42 3
El Vacuum Systems* >100 kva •no additional charge 0.0 3
�`�} Each additional inspection over allowable in any of the above:
l f Other: Each additional inspection is 66 251 hr
charged at an hourly(.1 hr min)
Inspections for which no fee is 110r hr
c � . teeifically listed I%i in min) ,r
Fee for each commercial system $75.00 subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
Th permit application expires if a persh is not obtained within ISO
❑ Audio and Stereo Systems days after it has bee*accepted as complete.
• Number of inspect ions allowed per permit.
El Boiler Controls
El Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of-commercial systems:
*No licenses are required. Licenses are required
for all other installations
1 IttwldingJ•crmit LC PenneApp L•LR_lRt5 dos Rev ns/21/2011
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13910 SW 87TH CT, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
Scheduled
MST2014-00047
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13910 SW 87TH CT, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
May 1, 2014 at 3:02:04 PM
MST2014-00047
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13910 SW 87TH CT, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
May 1, 2014 at 3:02:04 PM
MST2014-00047
Jeff Grove
Violation Summary:
Inspector Contractor