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Permit
CITY OF TIGARD MASTER PERMIT s - COMMUNITY DEVELOPMENT Permit#: MST2014-00091 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/18/2014 Parcel: 25111 DB03800 Jurisdiction: Tigard Site address: 9190 SW SUMMERFIELD CT Subdivision: SUMMERFIELD NO.8 Lot: 424 Project: Mansfield 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: $4,895.00 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 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvpes 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 addl 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: ALT SF VB R-3 0 Owner: Contractor: MANSFIELD,MARY A SOLARCITY CORPORATION Required Items and Reports(Conditions) COATE,WALTER Z 6132 NE 112TH AVE 9190 SW SUMMERFIELD CT PORTLAND,OR 97220 TIGARD,OR 97224 PHONE: 503-894-6903 PHONE: 503-894-6903 FAX: 866-445-7459 Total Fees: $324.38 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 c en o direct questions to OUNC by calling 5033 2322..119987 or 1.800.332.2344. , Issued By: l' Permittee Signature: '�S� _ .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. Buildin Permit A licItCEIVEI) • Residential l , I, ,,; it l , ,1 ,,\ 1 City of Tigard 'I'nI Received , `iI �r Permit No.: r�! -ekv9 • 13125 SW Hall Blvd.,Tigard.OR 9.4- — 9 2014 — ' w 1' � Phone: 503.718.2439 Fax: 503.598.1960 Dale/B Plan Revie: l�3l !__ , , ,, Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready: kris ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUILDING DIVISION 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 ®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 4,895 ra ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: Z'`' JOS SITE INFORMATION AND LOCATION Total number of floors: Job site address: 9190 SW Summerfield Ct, New dwelling area: square feet 1 City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet 2 Suite/bldg./apt.no.: I Project name: Mansfield, Mary Covered porch area: square feet Cross streel/directions to job site: Deck area: square feet wi Other structure area: square feet REQUIRED DATA: T'CHECKLIS 1 Subdivision: I Lot no.: Permit fees'arc 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 DERCRUMON OF WORK work indicated on this application. PV ROOF MOUNT 4.8 KW Valuation: S li Existing building area: square feet New building area: square feet ® PROPERTY OWNER 1 0 TENANT Number of stories: Name: Mansfield, Mary Type of construction: Address: 9190 SW Summerfield Ct, Occupancy groups: City/State/ZIP: Tigard OR 97224 Existing: Phone:( 503)245 1968 Fax:( ) New: ® APPLKANT 18I CONTACT PERSON NALMH6 PERMIT PUS" Business name:SOLAR CITY dilatrrllir`istadriid Structural plan review fee(or deposit): Contact name:MELISSA BENTLEY FLS plan review fee(if applicable): Address:6132 NE 1121"AVE Total fees due upon application: City/State/ZIP:PORTLAND OR 97220 Phone:(503)894 6903 l Fax::(1866)445-7459 Amount received: E-mail:ABENTLEVQSOLARCITY.COM PHOTOVOLTAIC'OWL PANEL SYSTEM FEW 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 and lire department access,along with the 2010 Oregon Address:6132 NE 112"AVE Solar Installation Specially Code checklist. City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review 5180.00 and a Phone:(503)894-6903 I Fax:(1866)445-7459 administrative fees): State surcharge(12%of permit fee): $21.60 CCB lie.:180498 Total fee due upon application: $201.60 Authorized signature: 1 ' 0 I This permit appikatior expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name:A. MELISSA 7 TLE` I Date: 06/02/2014 I *Fee methodology Board. set by Tri-County Building Industry Sery I:1Buldding\Permits\BUP-RESPernitApp.doc 02/24/2011 440-46131(1 I/02/COM/WEB) -Electrical Permit ApplicatioRECEIVED 1 4 Ill t II 1 It 1 1 �1 c t\1 1 RICity of Tigard ll ,©� � 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Permit. Phone: 503.718.2439 Fax: 503.598.1M _ 9 2014 Datem Inspection Line: 503.639.4175 Date Ready/By: lum B See Page 2 for Other Internet: www.tigard-or�o� OF��� Notified/Method: �N REVIEW Supplemental Information a ❑New construction ®Additio i 11 11, 4 . ) k 4 ION Please check all that apply(submit j sets of plans w/items checked below): ❑Demolition ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Other: where the available fault current ❑Maiias 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 I50 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency systGm. larger separately derived system. ❑Addition of new motor load of ❑"A""E--1-2 1.3", Job no.:9721951 I Job site address: 9190 SW Summerfield Ct, I more. R creation. ❑Six x or or m more residential units. ❑ ecreational vehicle parks. City/State/ZIP: Tigard OR 97224 ❑Halh-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal Suite/bldg./apt.no.: I Project name: Mansfield, Mary OSe cc or(ecder600 amps or more. FEE SCHEDULE Cross street/directions to job site: Desert:. 1 Qty.. . 1 I F«. I Total I New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4 Ea add'I 500 sq.11.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.IL) Limited energy,multi-family 75.00 2 PV ROOF MOUNT 4.8 KW residential(with above sq ft) Renewable Energy ' 121#Seit Page 2 Services or feeders installation.alteration,and/or relocation 0 POPERTY OWNER I ❑ mum* 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: Mansfield, Mary 401 amps to 600 amps 200.34 2 Address: 9190 SW Summerfield Ct, 601 amps to 1,000 amps 30104 2 Tigard OR 97224 Over 1.000 amps or volts 552.26 2 City/State/ZIP: 9 Temporary services or feeders Installation,alteration,and/or Phone:(503 )245 1968 I 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: Brawl'circuits-new,alteration,or extension,per panel 0 APPI.ICAN I' I 0 G10KFACr l6RBON A.Fee for branch circuits with above service or feeder fee, Business name:SOLAR CITY each branch circuit 7.42 2 B.Fee for branch circuits without Contact name:MELISSA BENTLEY service or feeder fee.first branch circuit 56.18 2 Address:6132 NE 112Th AVE Each add.'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 gSOLARCITY.COM pump or irrigation circk 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 iaspeetion over allowable in any of the 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.Lie.: 520IS specifically listed listed(le hr min) SAL PERMIT FI18;R Suprv.Electrician signature,required: Subtotal: Print name: DEREK CROPP I Date: 6/2/14 Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: i i TOTAL PERMIT FEE: Print name: A. MELT S� t Date: 6/2/14 This permit application k cif a permit Is net obtained wi hie 180 yes accepted as-ospMte - • Number of inspections allowed per permit. 1-VauildineWermirstELC_PerartApp_ELlt_ERE doe nay OS/21/2013 440 4615TO 1/03 COAUWEa 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 9190 SW SUMMERFIELD CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2014-00091 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 9190 SW SUMMERFIELD CT, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2014-00091 Chip Barnett Violation Summary: Inspector Contractor