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Permit
CITY OF TIGARD MASTER PERMIT IN II Permit#: MST2014-00083 : COMMUNITY DEVELOPMENT Date Issued: 06/05/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 6/05/2 A01500 Jurisdiction: Tigard Site address: 12255 SW BELL CT Subdivision: BELLWOOD Lot: 64 Project: LIVENGOOD 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 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 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 N Other: N Other Description:n. BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 0 Owner: Contractor: LIVENGOOD,TERRY W&ROBERTA L SOLARCITY CORPORATION Required Items and Reports(Conditions) 12255 SW BELL CT 6132 NE 112TH AVE TIGARD,OR 97223 PORTLAND,OR 97220 PHONE PHONE 503-894-6903 FAX: 866-445-7459 Total Fees: $345.16 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 503.`2322..1987 or 1.800.332.2344. Issued By: V �y� Permittee Signature: c14 / L/C eit-7740'V 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. s a Buildini Permit Application Residential -WY)�1 1 1 I)1 2 ()1 1 1 1 1 I '1 (∎\I 1 City of Tigard REC `1�" , ,.lr merit No.: • al — _ . . r ihPone: 503.718.2439 TF�503.598 1960 Iry Inspection Line: 503.639.4175 ,1 A Y 2 2014 ��_J i� � . 'n B See Page 2 f r Internet: www.tigard-or.gov Ivy p4, Supplereutal Womanise 0 flGk' t) .rm or ci, to N Dash aTAt I-AND lrAMBY 19vWNG ❑New construction ❑D lIN G Permit fees'are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ®Add tion/altaa ion lacanent ❑Other. equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I-and 2-family dwelling ❑CommerciaUiedusttial Valuation: S 1 9-)0 Number of bedrooms: ❑Accessory building ❑Multi-family _ ❑Master builder ❑Other. Number of bathrooms: Sfilt Ina rwoamcnes me LOCATION Total number of floors: Job site addles': t 222 ID i) S 6C`\ c71-- New dwelling arca: square feet City/Stale/ZIP. l VIC( ()19-- °fl 2,93 Garage/carport area: square feet Suite/bldgJapt.no.:J I Project name:t.,\N/en pr( "` - Covered porch area: square feet -- Cross street/directions to job site: Deck area: square feet Other structure arca: square feet REQUIRED DATA!COMPAINCIALADECNECXLIET 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 DROCRIFTIOF4 OF WALK work indicated on this application. PV ROOF MOUNT 9.18 KW Valuation: S Existing building area: square feet New building area: square feet gil moMi7Y owns I © mow Number of stories: ' Name:T4/Y L1vori O o0 Type of construction: Address: I p- S S W 60\ CA . Occupancy groups: City/State/ZIP:` 4 t OF■.. 0.'1 —2 Existing: Z' Phone:ern ) Z 5- L4 lY G G Fax:( ) New: III AFFLICANT IN CONTACT PEIVIO r RIiDJIGifi*WV FEW ruartaik 1. Business name:SOLAR CITY arm Contact name:MELISSA BENTLEY Address:6132 NE 112 Structural plan review fee(or deposit): FLS plan review fee(if applicable): AVE City/State/ZlP:PORTLAND OR 97220 Total fees due upon application: Phore:(503)8916903 I Fax::(1866)445-7459 Amount received: cZzs E-mail:ABENT LEY@SOI.ARCITY.COM !'dOr1�OVi0/.TAIC SOLAR lANEI.SYSTEM ROW Commercial and residential prescriptive installation of CONTRACTOR 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 access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)894903 J Fax:(1866)44.i-7159 administrative fees): State surcharge(12%of permit fee): $21.60 CCB lie.: 180498 Total fee due upon application: $201.60 Authorized signature:liP f ' 0 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:A. MELISSA #TLE I Date:051 1-a/ ` Li I *Fee methodology set by Tri-County Building Industry Service Board. 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Other Panic Inspection Line: 503.639.4175 p�Q\ Date Ready/By: >rrh RI See rata 2 kr Internet www.tigard or.gov D „a Notified/Method Supplea,arW Infonomia. TYPE OP . +C�v`Y'�cyItkr0 , PLAN REVIEW ❑New construction ®AdditigtJalitxat �� Please check all that apply(submit I sets of plans wires:checked Weer ❑Demolition ❑Other: V' `�' ❑ or feeder 400 amps or more 0 Buildia8 her stones _ L when the available fault mien* 0 Marinas and CAT$Q(*Y exceeds 10,000 amps at 150.rotes or ❑Homing be Wry,. I- 2-family dwelling less so ground,or exceeds 14,000 0 Coaaacial use asrioah.al ® Y g ❑Commercial/industrial ❑Accessory building amps for as other installations. buildings. ❑Multi-family ❑Master builder ❑Other O Fire pump. O h■ulimies of 150 K VA or i01<1�R 11tlOR>fiATION AlE ',mason ❑Emergency system. larger sus&lived system. ❑Addition of new motor load or ❑-A", E.9-2°.'1_3'. Job no.:( f�, MM t 1 I lob site address: 12255 SW BeII Ct, IO or or more. may. O six or more residential units. ❑Reaeadonal vehicle paste City/State/ZIP: Tigard OR 97223 ❑Health-care facilities. 0 Supply volume far more thew n�, ❑Hazardous locations. 600 was nomiaat SuiteJbldgJapt.no.: I Project name: L IV Y 1 004 0 Service or feeder 600 amps Cross street/directions to job site: Deferl.u.. I Oir. I rm. I T. I • New residential single-or multi-tinily the wit. Includes attached garage. Subdivision: ( Lot no.: 1.000 sq.It or less 168.54 4 Ea add'I 500 sq.IL or portion 33.92 1 Tax map/parcel no.: Limited energy,residential _ 75.00 2 QIO DIESCRIPTION OF RIC (with above sq.ft.) L ,A/ Limited energy,multi-family 75.00 2 PV ROOF MOUNT Ot, r ) l�/`t v residential(with above sq.ft.) Aaaewabe Energy I/See Page 2 Services or feeders installation,alteration,aad/ar relocation ® 1IY OWNER Q =tom 200 amps or less 100.70 2 Ty 1� B V1 1 201 amps to 400 amps 133.56 2 Name: 1 V T r'( L 1.vt,r l G V 401 amps to 600 amps 200.34 2 Address: 1-2255 SW Bell Ct, J 601 amps to 1.000 amps 301.04 2 Over 1,000 amps or volts 55226 2 City/State/ZIP:Tigard OR 97223 Temporary services or feeders installation,alteration,and/or Phony relocation(971 ) 235 4666 Fax:( ) 200 amps or less 59.36 1 Owner installation:This installation is being made on property that 1 own which is not 201 amps to 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 168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel 0 APPLICANT I ® CONTACT PERIM A.Fee for branch circuits with I above service or feeder Am 7.42 2 Business name:SOLAR CITY each branch circuit B.Fee far branch circuits without Contact name:MELISSA BENTLEY service or feeder fee.first 56.18 2 branch circuit Address:6132 NE 112"AVE Each add'I branch circuit 7.42 2 City/SlatelZlP:PORTLAND OR 97220 Miaedlaaeous(service or feeder not included) Each manufactured or modular 67 s• 2 Phone:(503)894-6903 1 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 6714 2 Business name:SOLAR CITY Signal circuit(s)or lirnikd•energy See panel,alteration,or extension. Page 2 2 Address:6132 NE 112"AVE Each additional inspection over allowable in any(lithe above Additional inspection(1 hr min) 6625/hr City/State/ZIP:PORTLAND OR 97220 Investigation(1 hr min) 6625/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 Lie.: 180498 I Electrical Lie.: C562 Suprv.L90 0W M Lk.: 5201S specifically listed(Si hr min) IRLRCI)JCAL PERMIT IRE Suprv.Electrician signature,required: Subtotal: Print name: DEREK CROPP I Qa1C: 91/1 i I LI Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: 1 9_1 I LI •T s permit application expires if a permit b not aim red winds IN Print name A. MELT 'A ; T 1161 I Date: I as enl�tt4a after i nos been I mee4iesWen Ir€EC PerwoAg_EUI_IME doe Rev 05121/2013 44O411ST(1 Ua5QOWwa , Number of inspections allowed per pecan. Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: 410500101anittAVOP4CONtifirl:i-Z;;;V:::::' .101$40:111411111,E Fee for all residential systems combined... 575.00 oe�rririk. Z or, 1 Fee I Total • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5 01 to 15 Eva 1 133.56 2 ❑ Audio and Stereo Systems* 15 200.34 to 25 kva ' 34 , $133.56 2 n Burglar Alarm Wind gereralion systems in excess of 25 kva: 25.01 to 50 kva 301 04 2 I Garage Door Opener* 50.01 to 100 kva 552.26 2 100 kva ate in accordance with ❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040) 552.26 2 System* Solar generation systems In excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva no additional charge 0.0 3 Each additional inspection over allowable in any of the above: Other: Each additional inspection is clanged at tug has (1 la:nin) 66 251 hr inspections for which no fee is 90 00!hr .:........... .. - tti Ia min) I�hsted Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review.if required(25%of permit fee): Stale surcharge(12%of permit fix): Check Type of Work Involved: TOTAL PERMIT FEE: This permit applicatlon expires if a permit is not obtained within 180 nAudio and Stereo Systems days after it has here accepted as comltktc. * Number of inspeniors allowed per permit n Boiler Controls ❑ Clock Systems El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* [1 Protective Signaling LI Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I.lntukiing Per itiJ.l.C_Pand App_L•LR FRF doe Rev n5/21R01] 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 12255 SW BELL CT, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical final PASS June 12, 2014 at 10:41:34 AM MST2014-00083 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 12255 SW BELL CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O June 12, 2014 at 10:42:38 AM MST2014-00083 Jeff Grove Violation Summary: Inspector Contractor