Permit Ill CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit MST2014-00168
I
T I G A R L? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014
Parcel: 25111 CB01726
Jurisdiction: Tigard
Site address: 10470 SW KABLE ST
Subdivision: HOOD VIEW NO.2 Lot: 25
Project: SMITH
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: $5,691.00 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 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 Srvc/Feeders 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:
SMITH,RICHARD T SOLARCITY CORPORATION Required Items and Reports(Conditions)
FERN J 6132 NE 112TH AVE
10470 SW KABLE ST PORTLAND,OR 97220
TIGARD,OR 97223
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $358.69
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 Ce ter. Those rules are s= forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 �, 800.33 -
r ► ►AM
Issued By: ,L/ — — —.��� •ermittee Signature:
Call ,Pratt:agr 7:00 a.m.for the next available inspection date. lio!f-r`1. `•This permit card shall be kept in a conspicuous place on the job site until completio
Approved plans are required on the job site at the time of each inspection. ill.
L
____I
Building Permit Application
Residential tNt. 1 , ,i, , I I, 1 i -, ,
City of Tigard
aCt o ��
III lir
13125 SW Hall Blvd.,Tigard.OR plae Review ,� '` a •
a- Phone: 503.718.2439 Fax: 503.598.1960 . lk'Pk paler : r • 0 7 Iv Comer Permit:
i i i Inspection Line: 503.639.4175 OCJ Date Reedy/By: 8 See Page t for
Internet: www.tigard-or.gov k v NaificdiMethod: a Supplemental latormatioa rigeIli
TYPE OF V1G��� REQUIRED DATA&II-Al �ANNLY DWELLING
❑New cansuuction Iy wit
Pcrmit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alterationlreplacernent .. ❑Other equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑ComnierciaUndustrial Valuation: S 5,691
❑Accessory building ❑Multi-family
Number of bedrooms:
❑Master builder ❑Other
Number of bathrooms:
MEND 8TTE INFORMATION AND LOCATION Total number of floors:
Job site address: 10470 SW Kable St, New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldgJapt.no.: I eject name: Smith Richard 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*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.
PV ROOF MOUNT Valuation: S
Existing building area: square feet
New building area: square feet
IN PROPERTY OWNER I ❑ 'TENANT Number of stories:
Name: Smith, Richard Type of construction:
Address: 10470 SW Kable St, Occupancy groups:
City/State/ZIP: Tigard OR 97224
Existing:
Phone:(503 ) 639 5893 Fax:( ) .
® APPLICANT ® CONTACT PENNON BUILDING PERMIT FEES*
Business name:SOLAR CITY B'ltrwrlbt�ai�
Contact name:MELISSA BENTLEY Structural plan review fee(or deposit):
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:
E-mail:ABENTLEYQQ SOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
COITTRACIOR 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 1127N AVE and fire department access,along with the 2010 Oregon
Solar lnsiallalion Specialty Code checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review 5180.00
Phone:(503)894-69113 I Fax:(1866)445-7459 and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB tic.:180498 Total fee due upon application: $201.60
Authorized signature:I . , This permit application expires if a permit is not obtained
within 180 days alter it has been accepted as complete.
•Fee methodology set by Tri-County Building Industry
,
Print name:A. MELISSA " TLE, 10/01/14 I Date: Service Board.
I:\BuildinglPennits\BUP-RESPenniiApp.doc 02/24/2011 440-46131(1I/02R OM/WEB)
' --.
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Ti and Received
g ��dtty:
Pei mil No
•111111 13125 SW Ilan Blvd.,'Tigard,OR 97223
~� Phone: 503.718.2439 Fax 503.598.1960 Associated pennBs•
24-1-iour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing LI iviechanical
i Ic t:t! Internet: www.tigard-or.gov ❑ caller
THE FOLLOWING ITEMS .`Utl. RE:Qt 1RE1) FOR PLAN REVIEW 1 es No Nis
I Land use actions completed. See jurisdiction criteria for concurrent reviews. __ ❑ ❑ •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. 0 a ❑
3 Verification of approved plat/lot. ❑ [Ti
4 Fire district approval required. Name of district: . _ ❑ 0 g
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑
6 Sewer permit. 0 ❑ 0 ,
7 Water district approval. n 0 ❑
- 8 Soils report. Must carry original applicable stamp and signature on file or with application. L ❑ D_
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- u ❑ ❑
basin protection.etc.
10 3 Complete sets of legible plans. Must he drawn to scale.showing conformance to applicable local and state [] ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
I I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if ❑ ❑ ❑
there is more than a 4-11.elevation differential,plan must show contour lines at 2-ft.intervals);location of casements
and driveway;footprint of structure(including decks):location of wells/septic systems;utility locations;direction
indicator:lot area;building coverage urea;percentage of coverage;impervious area;existing structures on site:and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors.water heater, ❑ ❑ ❑
furnace,ventilation fans,piumbing fixtures,balconies and decks 30 inches above grade,etc. ,
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑
floor,wall construction,roof construction. More than one cross section may he required to clearly portray
construction. Show details of all wall and roof sheathing,roofing.roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation.etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ LI ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations:for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing.spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems,see item 22."Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carry a non-unifoml load.
20 Manufactured floor/roof truss design details. ❑ 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ' ❑ [r'
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e..shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be a licable to the project under review.
23 Three(3)site plans are required for item 11 above. Site plans must be 8-1/2"x I I"or 11"x 17". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ []
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ n ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ _ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ ❑
28 Site plan to include tree size,type and location per approved project street Tree plan(if applicable),and City of Tigard ❑ ❑ D
Street'I'ree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record ap proved prior to September 9. 1995.
1:\BuildinglPcrmits\BLJP-RESPennitApp.doc 02124/2011 440-4613T(I I/02/COM/Wee)
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Electrical Permit Application , , , 1 ,, 1 , N, \
giCity of Tigard Eiv y413 t Remised .si Lt ,. •
13125 SW Hall Blvd..Tigard,OR 9�
Phone: 503.718.2439 Fax: 503.598 , Other t rail:
Inspection Line: 503.639.4175 �1•! Date Ready/By: U See Page 2 for
Interns: www.tigard-or.gov � ` 1Votifid/Method: Supplemental Information
TYPE OF WORK WkCW,i PLAN REVIEW
❑New construction ®Add ition/alterati�tt+jfplIAS V1S1a�I Please check all that apply(submit 2 sets of plans w/items checked below):
❑Demolition Other: „t�Cj ❑Service or realm 400 amps or more ❑Building over three stories.
❑ 1 r where the available fault current ❑Marinas sad boatyards.
CATEGORY OF exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ate.to ground,or exceeds osis. ❑bummgrcial-Iran agricultural
rY g amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. El Installation of 150 KVA or
JOB SITE INIFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","1-2","1-3".
Job no.: 9722209 I Job site address: 10470 SW Kable St, I or more. r
❑Six x o or r more residential units. ❑Recreational Mional vehicle parks.
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal
Suite/bldgJapt.no.: I Project name: Smith, Richard ❑Service or feeds 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: oeserlan.. I oh,. I se.. I Tad I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,Oon sq.R.or less 1611.54 4
Tax map/parcel no.: Er add'I 500 sq.II.or portion 33.92 I
Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
PV ROOF MOUNT residential(with above sq n) � ' 2
Reatewabk Diem
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I 0 TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name:
Smith, Richard 401 amps
. amps 200.34 2
Address: . 10470 SW Kable 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
Phone:( 503 )639 5893 I Fax:( ) relocation
200 amps or less t,° 59.36 I
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.0E 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 4o1 amps to 599 amps 168.54 2
Owner signature: Date: Broach circuits-new,alteration,or extension,per panel
® APPLICANT' 1 ® (ZINrACI PERSON A.Fee for branch circuits with
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 112111 AVE Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included) _
City/State/ZIP:PORTLAND OR 97220 Each manufactured or modulo 67.84 2
Phone:(503)894-6903 Fax::(1866)445-7459 dwelling,service and/or feeder
. Reconnect only 67.84 2
E-mail:ABENTLEY@a 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
Additional inspection(I hr min) 66.25/hr
City/State/ZlP:PORTLAND OR 97220 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.: 5201S specifically listed 90,00/hr
04 hr mm)
ELEC TIU CAL PERMIT FEES
Suprv.Electrician signature,required: • Subtotal:
Print name: DEREK CROPP Date: 10/01/14 Plan review(25°/.of permit fee):
_ State surcharge(12%of permit fee):
Authorized signature: �� t TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: A. MELT A : Di t Date: 10/01/14 days after It has been accepted as complete.
• Number of inspections allowed per permit.
1\auildinglPermislELC_PeroitApp_ELR ERE doe Rev 05/21/2013 440.46151(11/os/cOMIWFB
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
i
Fee for all residential systems combined .. $75.00 0...iv 1. t Qtr. 1. Fee ( Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kvu nr less 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
❑ Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
nBurglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301 04 2
I Garage Door Opener* 50.01 to 100 kva 552.26 2
!,100 kva(fee in accordance with 552.26
❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems In excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva no additional charge q,0 3
Each additional inspection over allowable in any of the above:
nOther: Each additional inspection is
chaiged at an hourly(1 hr min) - 66 25/hr I
Inspections for which no fee is 90,00!hr
COM KCTAL WI3�
specifically listed(;i hr min)
Fee for each commercial system .... $75.00 subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fcc):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
Tkir permit application expires if a permit is not obtained within 180
nAudio and Stereo Systems days aver it has hero accepted as coatplek.
• Number of inspe;ior:s allowed per permit
n Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑
Fire Alarm Installation
❑ 1-IVAC
❑ Instrumentation
n intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
!11.fuibinsPcmitsELC_Pe.meApp_L•LIt_ERI:riot Re,nS/2 t!2n11
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
10470 SW KABLE ST, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00168
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
10470 SW KABLE ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00168
Jeff Grove
Violation Summary:
Inspector Contractor