Permit y v CITY OF TIGARD MASTER PERMIT
ir1 ' COMMUNITY DEVELOPMENT Permit#: MST2014-00181
T[G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2014
Parcel: 2S109AB12900
Jurisdiction: Tigard
Site address: 14204 SW STELLERS JAY LN
Subdivision: ALPINE VIEW Lot: 10
Project: Stephens
Project Description: Install 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: $9,690.00 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
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 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:
STEPHENS,CHRISTOPHER L&DENISESOLARCITY CORPORATION Required Items and Reports(Conditions)
14204 SW STELLER'S JAY LN 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: 206-714-3366 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 •- 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• •f the ru- • direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4---G Per : Signature: __ -
175 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.
Building Permit Application
R e s i d e n t i a l 1 , ,,; . ,, I , .I , 1 ,
IN City of Tigard ECBUED oDi a 7Dri OXLIP= Permit No.: Tel�/ ig5
13125 SW Hall Blvd.,Tigard,OR 972 plea R —�
Phone: 503.718.2439 Fax: 503.598.1960 OCT 2 0 20'14 D.ds : A�i.�"��)(/; ',��9 al"`Pans :
i Inspection Line: 503.639.4175 Date R. Nits -• Sc.Page:far
Internet: www.tigard-or.gov CITY O I tt-.ARD Notified/Method: } ,a S.ppk.esed lef r..11w•
TYPE OF '+ 1'� RBQ[TtBtBD DATA:I-AND 2-FAMILY IHMILLING
❑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 CONSIRUCI1ON work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: 8 9 690
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other Number of bathrooms:
JOB sn s INPORMATION AND LOCATION Total number of floors:
Job site address: 14204 SW Steller's Jay Ln, New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: STEPHENS Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CIIECKUSr
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
DISCRIPIIUN OF WORK work indicated on this application.
PV ROOF MOUNT Valuation: S
Existing building area: square feet
New building area: square feet
® PROPQIY OWNER 1 Q TENANT Number of stories:
Name: Stephens, Denise Type of construction:
Address: 14204 SW Steller's Jay Ln, _ Occupancy groups:
City/State/ZIP:Tigard OR 97224 Existing:
Phone:(206) 714 3366 Fax:( ) New:
® APPIACANT ® CONTACT PERSON BUILDING realm FEES`
Business name:SOLAR CITY
QrmsilrtlrJms i
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
FLS plan review fee(if applicable):
Address:6132 NE 112TH AVE
City/State/ZIP:PORTLAND OR 97220 Total fees due upon application:
Phone:(503)894 6903 I Fax::(1866)445-7459 Amount received:
E-mail:ABENTLEY*SOI.ARCITY.COM PHOTOVOLTAIC IOLAR PANEL SYSTEM near
CUIPIRA4TOR 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 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 5180.00
and administrative fees):
Phone:(503)894-6903 I Fax:(1866)445-7459 State surcharge(12%of permit fee): $21.60
CCB tic.: 180498 Total fee due upon application: $201.60
Authorized signature: This permit applkatios expires if a permit is not obtataed
within 180 days after It has been accepted as complete.
I Print name:A. MELISSA TLE I-Date: 10/16/14 1 •Fee methodology set by Tri-County Building Industry
Service Board.
1:\BuildingPcrmits\BUP-RESPermitApp.doc 02/24/2011 440-46131(I I/02/COM/WEB)
\
c i
Electrical Permit Appl' o ,�1r� I (/I 1 � e I t 1 ()..., „
City of Tigard L.. R'°"`"d (� I•errrci,No.: ->'
Sli
1> /e : f�m ?'15 �! c l J
13125 SW Hall Blvd.,Tigard, 97223 P�Review
Phone: 503.718.2439 Fax:
503M.-1961 0 2014 Dame Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: r a see Page 2 for
Internet: www.tigard-or.gov ( W of.r�'y D Notified/Method: Supplemental laferauHoa
TYP�t 1�� 1 PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please died all that Apply(submit 2 sets of plans wlitems checked below):
❑Demolition El Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available faith current ❑Marinas and boatyards.
CATEGORY OF COYIBI' JC1'KON exceeds 10.000 amps at 150 votes or ❑Floating buildings.
® I-and 2-family dwelling 0 Commercial/industrial less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Accessory building amps for an other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of ISO KVA or
JOB SITE INFORMATION AND LOCATION ❑['Addition of new system. larger E'separately derived system.
ddition of new motor load of ❑"A","E","I-2","I-3",
Job no.: 9722233 I Job site address: 14204 SW Steller's Jay Ln, lixormrmore Recreational y ❑Six or more residential units. ❑RecrcMioral vehicle parks.
City/State/ZIP: Tigard OR 97224 ❑Health-care lhcilities. ❑Supply voltage for more than
❑Headous locations. 600 votes nominal
Suite/bldgJapt.no.: I Project name: Stephens, Denise ❑service or feeder 600 amps or more.
Cross street/directions to job site:
FEE SCHEDULE
J Br+erlNira I QMY• I Far. I Tsui I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 000 sq.N.or less 168.54 4
r
Ea add'I 500 sq.IL or portion 33.92 I
Tax map/parcel no.: Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.IL)
PV ROOF MOUNT Limited residentiall((with abovesq fl)
75.00 2
Renewable Energy 1'Sce Page 2
Services or feeders installation,alteration,and/or relocation
gig PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Stephens, Denise 401
amps to 600 amps 200.34 2
Address: 14204 SW Steller's Jay Ln, 601 amps to 1,000 amps 30104 2
Over 1.000 amps or volts 552.26 2
City/State/ZIP: Tigard OR 97224C Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( ) relocation
206 714 3366 200 amps or less 59.36 I
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
® APIUCANT I ® CONTACT PERRON 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
branch circuit 56.18 2
Address:6132 NE 112TH AVE Each add'I branch circuit 7.42 2
Gity/SlalelZlP: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@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)894-6903 I Fax:(188)445-7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90 hr
Lic.: 180498 Electrical Lic.: C562 Suprv.Lic.: 5201S specifically listed(S4 hr mint)
Y �f Ill�('11tK'AL PERMIT al:
Suprv.Electrician signature,required' Subtotal:
Print name: DEREK CROPP Date: 10/16/14 Plan review(23°/.of permit fee):
s _ - State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit apptkatlan expires if a permit is net obtained within ISO
Print name: A. MELI 'A 11 I Date:
10/16/14 days after It bas been accepted as complete,
• Number of inspections allowed per permit.
ttBuildineenniilELC_Perr.Upp_EUt_ERE doe Rev OS/31/2013 4444615T(t t/OS/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
': rS111 E1!1"!l` �1.•:' VO11 .o i4 ;.::;::;;: i?I€P 8 [1E1>iti ` :.
Fee for all residential systems combined .. $75.00 Ion -LQt?.1 Pee f *rw I •
Renewahte electrical energy systems:
Check Type of Work Involved: 5 kvu or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
❑ Audio and Stereo Systems*
1 5.01 to 25 kva 200.34 2
nBurglar Alarm Wind generation syxterns in excess of 2.5 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 2
❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040?
SyStC117'v Solar generation systems In excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva noadclirionai charge 0,0 3
Each additional inspection over allowable in any of the above:_
f j Other: Each additional inspection is 66 25/hr I
charged at MI hourif j1 hr min)
Inspections for which no fee is 90 tpr hr
specifically listed t`i In min)
EL1CC IOCAt eE i = Fringe
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge:(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
T1Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit
n Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
n 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
I IUurrdingrerev irsELC_Pemeii App_k:LR_hmi dec Rev nt/21R017
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
14204 SW STELLERS JAY LN, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00181
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
14204 SW STELLERS JAY LN, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00181
Jeff Grove
Violation Summary:
Inspector Contractor