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Permit 11CITr, Y OF TIGARD MASTER PERMIT �1 s • COMMUNITY DEVELOPMENT Permit#: MST2014-00090 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/18/2014 Parcel: 2S104BB03000 Jurisdiction: Tigard Site address: 14121 SW NORTHVIEW DR Subdivision: CASTLE HILL Lot: 37 Project: Mueller Project Description: Installation of 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. $5,355.00 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 Oise 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 1 500 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&Stereo. N HVAC: N Security Alarm N Vaccuum System N Garage Opener N All Ecom asin N Other. N Other Description: p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: MUELLER,ULRICH M& SOLARCITY CORPORATION Required Items and Reports(Conditions) KAREN E 6132 NE 112TH AVE 14121 SW NORTHVIEW DR PORTLAND,OR 97220 TIGARD,OR 97223 PHONE 503-894-6903 PHONE 503-894-6903 FAX: 866-445-7459 Total Fees: $361 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 oft uses ordirect questions to OUNC by calling 503.232.1987 or 1.800.332.2344 ---------- - / --7 Issued By: �iij-��- _ —_-- Permittee Signature: - %/� L ,4.■ Call A 1 .y 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. e Building Permit Application Residential RECEIVED I I-.I , City of Tigard mite=` Off r7 Permit No.: r 5ro2o/ -0G10'a III 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Revie • Phone: 503.718.2439 Fax: 503.598.1960 N - 9 2 014 Hatch : !!:� • ra I I,, , I, Inspection Line: 503.639.4175 ►. �.•v" lucre ® See Pane 2 far Internet: www.tigard-or.gov CITY OF TIGARD .1•11 Sapplemeaat lefarmatioa �NGllIVISIUN ��"�'!` � TYlE REQL)A®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 ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I-and 2-family dwelling ❑Commercial/industrial Valuation: S 5,355 1:1 Accessory building ❑Multi-family Number of bedrooms: ❑Master builder Number of bathrooms: 5 El tt�±!!��... JOB SITE INFORMATION AND LOCATION Total number of floors: F, Job site address: 14121 SW Northview Dr, New dwelling area: square feet y City/State/ZIP: Tigard OR 97223 Garage/carpon area: square feet Suite/bldg./apt.no.: I Project name: Mueller, Karen Covered porch area: square feet ,tin' Cross street/directions to job site: Deck area: square feet S Other structure area: square feet ,, REQUIRED DATA:COMMERCIAL-USE a' I '111* 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. PV ROOF MOUNT 5.35 KW Valuation: S Existing building area: square feet • New building area: square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: Name: Mueller, Karen Type of construction: Address: 14121 SW Northview Dr. Occupancy groups: City/State/ZIP:Tigard OR 97223 Existing: Phone:(503) 545 1930 Fax:( ) New: ® APPLICANT ® cONTtcr PERSON BIJRBI lc mama Fu Business name:SOLAR CITY "ism Haarbiasseia** Contact name:MELISSA BENTLEY Structural plan review fcc(or deposit): FLS plan review fee(if applicable): Address:6132 NE 1127}1 AVE Total fees due upon application: City/State/ZIP:PORTLAND OR 97220 Phone:(503)894 6903 I Fax::(1866)445-7459 Amount received: E-mail:ABENTLEYQaSOLARCITY.COM PDOTOV(LTAICSOLARPANELSYS=Fu OONTRAC I OR Commercial and residential prescriptive installation of roof top mounted Photovoltaic Solar Panel System. Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details Address:6132 NE 112'"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)894-6903 I Fax:(1866)445-7459 State surcharge(12%of permit fee): $21.60 CCB lie.:180498 Total fee due upon application: 5201.60 Authorized signature: This permit application expires if a permit is Not obtained within 180 days after it has beta accepted as complete. I Print name:A. MELISSA TLE I Date: 06/06/2014 I *Fee methoice dology set by Tri-County Building Industry Sery Board. I:\BuildingTermitstBUP-RFSPermitApp.doc 02/24/2011 440-46131(1 I/02/COM/WEB) Electrical Permit ApplicationRECEIVEj FOR OFFICE. l'SF ONa.1• City of Tigard RacalS d a Pa„a .: T 13125 SW Hall Blvd.,Tigard,OR 97223f UN y G q D� 5 :/ O Plan Review Phone: 503.718.2439 Fax: 503.598.1960 -9 2014 Date/13 Other Perrnrt. Inspection Line: 503.639.4175 CITY Date Ready/By twit ® See Page 2 for Interrlel: www.tlgafdor.gov ! ��TIl��n NotifiedlMetlad Supplemental Information V R TYPE OVAIALIV G DIVNION PLAN REVIEW ❑New construction ®Addition/alteration/replacement Please check all that apply(submit J sets of plans wlitems checked below): ❑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. less to ground,or exceeds 14.000 ❑Commercial-use agricultural ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump ❑Installation of ISO KVA or JOB SITE INFORMATION AND LIX'A770N ❑Emergency system larger separately derived system. ❑Addition of new motor load of ❑"A",'I "I.2'."1.3 Job no.: 9721914 Job site address:14121 SW Northview Dr, IOIIor or eves. Recreation. ❑Six or more residential units. El Recreational vehicle parks City/State/ZIP: Tigard OR 97223 ❑Health-care facilities. ❑Supply voltage for more than ❑I I:vadous locations. 600 volts nominal Suite/bldg./apt.no.: Project name: Mueller, Karen 0 Service or feeder 600 ampn or more FEE SCHEDULE Cross street/directions to job site: Description I Qtr. I Fee. I Total _ I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq ft.or less 168.54 4 Fa.add'1 500 sq.ft.or portion _ 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.ft.) Limited energy.tnulti•family 75.00 PV ROOF MOUNT 5.3 KW _ residential(with above sq 0.) �/ Renewable Energy p3.See Page 2 Services or feeders installation,alteration,and/or relocation ® PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: Mueller, Karen 401 amps to 600 amps 200.34 2 Address:14121 SW Northview Dr, 601 amps to 1,000 amps 30104 2 Over 1.000 amps or volts 552.26 2 City/State/ZIP:Tigard OR 97223 Temporary services or feeders installation,alteration,and/or Phone:( 503 ) 545 1930 Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I 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 ® APPLICANT I ® CONTACT PERSON A.Fee for branch circuits wish above service or feeder fee. 7.42 Business name:SOLAR CITY each branch circuit B.Fee for 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 I 12 City/Slate/ZIP:PORTLAND OR 97220 Miscellaneous(service ur feeder not included) Each manufactured or modular Phone:(503)894-6903 Fax: :(1866)445-7459 dwelling,service and/or feeder 67 84 2 Reconnect only 67 84 2 E-mail:ABENTLEY@SOLARCITY.COM Pump or irrigation circle 67.84 2 CON"1'RACTOR Sign or outline lighting 67.84 2 Business name:SOLAR CITY Signal circuit(s)or limited-energy Sec panel,alteration,or extension. Page 2 2 Address:6132 NE 112T11 AVE Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/1w City/State/ZIP:PORTLAND OR 97220 Investigation(1 hr min) 66.25/hr Phone:(503)894-6903 Fax:(188)445-7459 Industrial plant(1 hr min) 78.181 hr Inspections for which no fee is 90.0i7/hr CCB Lic.: 180498 Electrical Lic,: C562 Suprv.Lie.: 5201S specifically listed('4 hr min) ' ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: '=`' _ Subtotal: Print name: DEREK CROPP Dalc: 6/6/14 Plan review(25%of permit fee): State surcharge(12%of permit fee): - Authorized signature: TOTAL PERMIT FEE: r s.. This permit application expires if a permit is not obtained within 180 I rint name: A. MEL1 'A : T t Dale: 06/06/14 days after it has been accepted as complete. 4 Number of inspections allowed per permit. I'.nuddingwermasuEi.C_PermnApp_ELR_ERE doe Rev 05/21/2013 440.46151'(11/05/COMM'Ein 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 14121 SW NORTHVIEW DR, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O MST2014-00090 Chip Barnett 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 14121 SW NORTHVIEW DR, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00090 Chip Barnett Violation Summary: Inspector Contractor