Permit CITY OF TIGARD MASTER PERMIT
`r1 '- COMMUNITY DEVELOPMENT Permit#: MST2014-00105
TI G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2014
Parcel: 2S 109DA 15500
Jurisdiction: Tigard
Site address: 15298 SW GREENRIDGE PL
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 74
Project: HAGGERTY
Project Description: Solar photovoltaic system.
BUILDING
Floor Area; 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
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 Tvoes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<10OK: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temo 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:
HAGGERTY,KELLY P&JACKIE ENERGY UNLIMITED LLC Required Items and Reports(Conditions)
15298 SW GREENRIDGE PL 38888 PIONEER BLVD SANDY
TIGARD,OR 97223 SANDY,OR 97055
PHONE: PHONE: 503-668-6864
FAX: 503-482-0048
Total Fees: $209.60
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 co. •- ,ln�direct questions to OUNC by calling 501232.1987 or 1.800.332.2344.
Issued By: _ _— Permit ee nature.; •
all 503:111h 75 by 7:00 a.m.for the next available inspects n 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 1��� FO]Z OIl I( I I ,,I (rv1 ,
City of Tigard ��� Received Permit No.:
II
• 13125 SW Hall Blvd.,Tigard,O .aaneB I� t al -0�0t
I Phone: 503.718.2439 Fax: 503960 `tQ�4 Dazes : Ie�/W � Other Permit.
T I�;.�h D Inspection Line: 503.639.4175 `�� Q Date Read ' B See Page 2 for zir Internet: www.tigard-or.gov J �Q _..,i-.4 ,,...: ,�� FM Supplemental Information
1\jr \ ►� tw•
TYPE of "`"' �� "gyp REQUIIIMODATA2 I AND 2.FAMILY DWELLING
El New construction [�demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replacement ❑Other: equipment,the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling El Commercial/industrial
Valuation: $
❑Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITII: D1FORIIIATION AND LOCATION Total number of floors:
Job site address:15298 SW Greenridge PI New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Haggerty Solar Covered porch area: square feet
Cross street/directions to job site: �W19'.`` vNy Deck area: square feet
_,�\ r Other structure area: square feet
pi-'t 1 3 ) REQUIRED DATA: CHEODEJST
Subdivision: �A ,J.. 'Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: t . Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION WORK work indicated on this application.
Install Prescriptive roof mounted 3.3 kW solar PV system Valuation: $
Existing building area: square feet
New building area: square feet
.:4 PROPERTY OWNER , ❑ TENANT Number of stories:
Name:Kelly and Jackie Haggerty Type of construction:
Address:15298 SW Greenridge PI Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
g
Phone:(503)929-3933 Fax:( ) New:
0 APP1iCANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Energy Unlimited LLCM
Structural plan review fee(or deposit):
Contact name:Steve Carpentier
FLS plan review fee(if applicable):
Address:38888 Pioneer Blvd
City/State/ZIP:Sandy,OR 97055 Total fees due upon application:
Phone:(503)333-8050 Fax::( ) Amount received:
E-mail steve@energyuolimitedllc.com PHOTOVOLTAIC SOL.ARPANELSYSTEMFI
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Energy Unlimited LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:38888 Pioneer Blvd Solar Installation Specialty Code checklist.
City/State/ZIP:Sandy,OR 97055 Permit Fee(includes plan review
$180.00
and administrative fees):
Phone:(503)668-6864 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:185705 3/11 f i S
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Steve Carpentier Date:7/1/2014 *Fee methodology set by Tri County Building Industry
Service Board.
l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
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
15298 SW GREENRIDGE PL, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
July 31, 2014 at 8:05:10 AM
MST2014-00105
Jeff Grove
Violation Summary:
Inspector Contractor