Permit CITY OF TIGARD MASTER PERMIT
'1 COMMUNITY DEVELOPMENT Permit#: MST2014-00120
T[ i A B.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2014
Parcel: 25111 DD02500
Jurisdiction: Tigard
Site address: 8900 SW HAMLET ST
Subdivision: STRATFORD Lot: 33
Project: STEAGALL
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: $9,000.00 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 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
'1 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
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:
STEAGALL,JARED SOLARCITY CORPORATION Required Items and Reports(Conditions)
8900 SW HAMLET ST 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: 503-894-6903 PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $356.19
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 throu R 952-001-0090. You may obtain a copyfirect questions to OUNC by calling 50 132.1987 orr.300.2 .
Issued By Permittee Signature: e ■ -
Call 03 75 by 7:00 a.m.for the next available Inspection da`o
This permit card shal be kept in a conspicuous place on the job site until completion o Project•
Approved plans are required on the job site at the time of each inspection.
-r - -
Building Permit Application
Residential RECEIVED � �; „ , I I , ,
City of Tigard
Receives
III • 13125 SW Hall Blvd..Tigard.OR 97223I'II _ �Nr V 1% "" fir,
Phone: 503.718.2439 Fax: 503.598.196 L 2 3 2014 o.�/s a re ,r m1
Inspection Line: 503.639.4175 CITYOFT Date R. '•gap le al information
Internet: www.ligard-or.gov . .;i:: ,,. , • .III
lcaA,"4 it SIB
TYPE 08E Viiraillie,. V DATA:1-Al 3-FAMILY DIMLING
❑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.
® 1-and 2-family dwelling ❑CommerciaVindustrial
Valuation: S 9,000
❑Accessory building
❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
,101 NM INFORMATION AND LOCATION Total number of floors:
Job site address: 8900 SW Hamlet St, New dwelling area: square feet
City/Stale/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: Steagall,Jared Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: CHECKLIST
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
DESCRIPTION OF WORK work indicated on this application.
PV ROOF MOUNT Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Steagall,Jared Type of construction:
Address: 8900 SW Hamlet St, Occupancy groups:
City/State/ZIP: Tigard OR 97224
Existing:
Phone:(503 ) 319 7960 Fax:( ) New:
® APPLICANT IN CONTACT PERSON BUDDING maw PEW
Business name:SOLAR CITY
Mom l*
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
Address:6132 NE 112tH AVE FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:PORTLAND OR 97220
Phone:(503)894 6903 I Fax::(1866)445-7459
Amount received:
F.-mail:ABENTLEYQSOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 112x"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 5180.00
and administrative fees):
Phone:(503)894-6903 I Fax:(1866)445-7459
State surcharge(12%of permit fee): S2I.60
CCB lie.: 180498
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within ISO days after it has been accepted as complete.
I Print name:A. MELISSA TLE I Date: 7/22/14 I "Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Electrical Permit Anplicati 1 I i, ,,I I I I 1 1 ,1 ,I-.1
City of Tigard N� ' p„ 11==.1/11.0 • • a
13125 S50 Hail Blvd.,Tigard,OR p�Review
Phone; 503.718.2439 Fax: 503.598.19611,E 2 3 2014 oate/B ' Other Permit:
Inspection Line: 503.639.4175 J U Date Ready/By:
kris. 0 See Page 2 for
Internet: www.tigard-or.gov NadiedlMahod. Supplemental Information
1 OF 4WD
TYPIL 1f I PLAN REVIEW
❑New construction ®Addition/ !'■1 1!, I�.∎ti �,11i 1 IT Plate deck all that apply(snit j sets of plans w/items 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 commucrieN exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-fetal! dwelling less to ground,or exceeds 14,000 ❑Commercial-use agricultural
y g ❑Commercial/industrial ❑Accessory building amps for an 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 system.
❑Addition of new motor load of ❑"A","E","1-2""1-3»
Job no.:972143 I Job site address: 8900 SW Hamlet St, IOOHPamore. Recreational vehicle parks.
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal
Suite/bldg./apt.no.: I Project name: Steagall,Jared ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: oescriart.r I Qt). I Pee, I Taal I •-
New residential single-or multi-family dwelling gait.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.fl.or less 168.54 4
FBI.add.'500 sq.fl.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential 75.00 2
DESCRIPTION OF !YORK (with above sq.ft.)
' Limited energy,multi-family 75.00 2
PV ROOF MOUNT residential(with above sq fl.)
Renewable Energy EriSee Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Steagall,Jared 401 snips to 600 amps 200.34 2
Address: . 8900 SW Hamlet St, 601 amps to 1.000 amps 301.04 2
City/State/ZIP: Tigard OR 97224 Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
(503 ) 319 7960 relocation
Phone: Fax:( )
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 1 ® COPITACT PERSON A.Fee for branch circuits with
1 above service or feeder fee, 7.42 2
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_ 2
City/State/ZIP:PORTLAND OR 97220 Miscellaneous(service or 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
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 inspection 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)8944903 I Fax:(188)445-7459 Industrial plat(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 180498 I Electrical Lie.: C562 Suprv.Lic.: 52015 specifically hr
fically listed('4 hr min)
ELEC IIJCAL PERMIT MS
Suprv.Electrician signature,required: _ Subtotal:
Print name: DEREK CROPP Date: 7/22/14
Plan review(25%of permit fee):
- _ State surcharge(12%of permit fee):
Authorized signature: ' t TOTAL PERMIT FEE:
Print name: A. MELT 'A : 1 Date: nib penal*application expire if permit b net obtained within 180
7/27/1 d days after It has been accepted as complete.
• Number of inspections allowed per permit.
I1 Buildinet?rmilstELC_PerrApp_ELS_EREdoe Sw05/2112013 4444615T(1I/03/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
FIEF SCItf.M0
Fee for all residential systems combined... S75.00 Ursccirtion I Qtr. I Kee I Thal 1 •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5 01 to 15 kva 1 133.56 $133.56 2
❑ Audio and Stereo Systems* 15.01 to 23 kva 300.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm
25.01 to 50 kva 301 04 3
I I Garage Door Opener* 50.01 to 100 kva 552.26 2
IOU kva tfee in accordance with
2
111 Heating, Ventilation and Air Conditioning OAR 918-309-0040) 55126
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >}OO kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is
charged at an hotu1 ,j I hr min) 66351 hr
Inspections for which no fee is 90,00 hr
specifically listed to ht min)
CO l(&CI�AL:WORiC.0 8,. -E ,> cfloc , PuRistl ° FEE$
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review.if required(25%of permit fcc):
State surcharge(I25 of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires ifs permit is not obtained within ISO
nAudio and Stereo Systems days after it has been accepted as compktc.
Number of mspealiocs allowed per permit
* Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
❑ 1-IVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
❑ Nurse Calls
1 Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I
■hutdinsPet itiELC_t4mtiiApp_ELIt_ERI: oo Rc os/2I/2011