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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2014-00085 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2014 7[G A R p 9 Parcel: 2S114BC01000 Jurisdiction: Tigard Site address: 10100 SW RIVERWOOD LN Subdivision: PICK'S LANDING NO.1 Lot: 65 Project: Boekelheide 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 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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: BOEKELHEIDE,LINDA TRUSTEE STELCOR ENERGY LLC Required Items and Reports(Conditions) 10100 SW RIVERWOOD LN 9150 SW PIONEER CT,STE D TIGARD,OR 97224 WILSONVILLE,OR 97070 PHONE PHONE: 503-381-6187 FAX: Total Fees: $321.88 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. 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 throug 95 ;• 1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344 Issued By: Permittee Signature: Call 503.• .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. A Building Permit Application FIECEI V ED I ()lt 1)1 I It I I "L UvI 1 MAY 29 2014 Received City of Tigard Date/B : /y 441 Permit No.iiii 7-Sr ,, —O/,/, 13125 SW Hall Blvd.,Tigard,OR 97223 CITYOF r1GARD Plan Revue-urr: ■ q� �.tM©� Other Permit: Phone: 503.718.2439 Fax: 503.598.1 R Date/B 1 Inspection Line: 503.639.4175 �U�L© './��IIS�ON Date Rea.-r.y; // 0 See Page 2 for I I l n ll tl g g tp�s�y ate' 1rr Supplemental www.ti azd-or. ov Notifi ethod: %. Su lementallnformafion td Aiiifbg TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all fli Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 01-and 2-family dwelling ID Commercial/industrial Valuation: $ El Accessory building CI Multi-family Number of bedrooms: El Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 0 1 00 5 w 121 ' 'Cr () L c New dwelling area: square feet City/State/ZIP: ( I 44-94) 1 '12. q q-z 2 4 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: (30i-l.H6,i o&-- 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: 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 DESCRIPTION OF WORK work indicated on this application. 1 v . '( S `(- M (f 5WLA"( s aft Valuation: $ 12-CO .ktfAVNI- Existing building area square feet New building area: square feet 1;1 PROPERTY OWNER I ❑ TENANT Number of stories: Name: L,i N L)k v v . L�!-1 owl Type of construction: Address: 10100' S l/u {z t V l kvvo LA--&- Occupancy groups: City/State/ZIP: T ( :1A- -'c) 012 R-1-z2 i Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed.If the City/State/ZIP: applicant is exempt from licensing,the following reasons apply: Phone:( ) Fax: :( ) E-mail: CONTRACTOR BUILDING PERMIT FEES* Business name: ()��_e Q p EN e 1� ■ 1 L C` (Please refer to fee schedule) \ Permit fee: Address: g I S16 S vo p 1(pm, --e-e.„ (:t Ste. t/ City/State/ZIP: i LSON )1 V�/E b g_ el 0� State surcharge(12%of permit fee): FLS plan review(40%ofpermit fee): Phone:( ,I ) 3 co( - 1, 1'?17_ Fax:( ) (Due upon application.) CCB lic.: 2.Q)z.,-L t z- -i. Total permit fees: Authorized signature: Of, Amount received: This permit application expires if a permit is not obtained Print name: Qobtr+ N {Oft 6r:kC Tl , Date: 5/2 R //Ot/ within 180 days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board. I:\BuildingWPerma6FPS-PermitApp.doc Rev 01/05/2012 440-4613T(I l/02/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2- Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ❑ Addition ❑ 1-10 heads: No plan review required. ❑ Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: T s e of S stem Com•lete A, B, C or D as a• .licable : A.) Commercial Sprinkler ❑ Wet ❑ Dry Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ B.) Type I - Hood Fire Suppression System Hood Project Valuation: $ C.) Fire Alarm Submittal shall Battery Calculations ❑ Yes include: Individual Component ❑ Yes Cut Sheets Fire Alarm Project Valuation: $ D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq.ft. Fire Protection Permit Fees Project valuation subtotal(sec A,B&C above): $ Permit fee based onproject valuation(see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12%of permit fee): $ FLS Plan Review(40% of permit fee): $ TOTAL: $ Plan review requires a completed application and three (3) sets of plans at submittal. Plan review fees are required at submittal. I:\Building\Permits\FPS_PermitApp.doc Rev 01/05/2012 2 leklAVL' ll Electrical Permit Application 1.()1z mi.R I. I til (/\1.1 City of Tigard MAY 2 9 2014 Received' , 4 fn Permit#: i '/ •`O9• Date/B : 29 / 11111 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review I Phone: 503.718.2439 Fax: 503.598.196 Date/ : Related Permit#: Inspection Line: 503.639.4175 BUILDING DIVISIO eady Date/By: Juris: ® See Page 2 for i I t ;1 R I> Internet: www.tigard-or.gov otified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction Addition/alteration/replacement Please check all that apply(submit I sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. Vi 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#:0, �Ke I od 'on site address: I f� t2 I J E12-wa.O L A� Ql: E I OOHP or more. ❑"A","E","1-2","1-3", City/State/ZIP: 1-4-211-1 ❑Six or more residential units. occupancy. ty I 4 0 t� ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.4: 1 Project name: Q 0 E et or ❑Hazardous locations. ❑Supply voltage for more than N ❑Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site: _ FEE SCHEDULE Description I Qty. I Each I Total I • New residential single-or multi-family dwelling unit. Subdivision: Lot 4: Includes attached garage. Tax map/parcel 4: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential pV (with above sq.ft.) 75.00 2 I/5 f�'rn I N i41-�tt ( I t Limited energy,mufti-family • !1 cy�,i ^ , O )k); residential(with above sq.ft.) 75.00 2 YwvC ✓�/l,V\lJ lv Renewable Energy -See Page 2 PROPERTY OWNER ❑ TENANT Services or feeders installation, teration,and/or relocation Name: L i 0 200 amps or less 100.70 2 Address: 1 201 amps to 400 amps 133.56 2 `� 0� s vv �1 VV110()(� L�1N 401 amps to 600 amps 200.34 _ 2 City/State/ZIP: I 1 6 0 0)2_ 1'1 2 Z 9 601 amps to 1,000 amps 301.04 _ 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale, lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 _ 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel ❑ APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: i Sign or outline lighting 67.84 2 ST'LCorL � ziy I _.G i Signal circuit(s)or limited-energy Address: q 1� S VV VI oN Li: 4 -i D panel,alteration,or extension. ❑ See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: q I L,50 N IL L� t 1 d Additional inspection(1 hr min) 66.25/hr Phone:(off) 5 FA , (P ( (6-1- Fax:( ) Investigation(1 hr min) 66.25/hr Email: /17 (I(� Industrial plant(1 hr min) 78.18/hr ., �� Inspections for which no fee is specifically listed(%z hr mi ) 90.00/hr SPJ32S CCB Lic.: Z�2 Z f �( ectrical Lic.: 13 (Suprv.Lic.: ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 'Dl ? Subtotal: Print name: v I (,y �� �L l3 Date: Z Cj—/i ❑Plan Review Required(25%of permit fee): 1/ State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 04/21/2014 440-4615T(II/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. 1 Each I Total I • Fee for all residential systems combined: $75.00 Renewahle electrical energy systems: I Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: _ ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ I Ieating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* 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 66.25/hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed(%3 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ 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 :\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 04/21/2014 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10100 SW RIVERWOOD LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2014-00085 Jeff Grove Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10100 SW RIVERWOOD LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2014-00085 Jeff Grove Violation Summary: Inspector Contractor