Permit v CITY OF TIGARD MASTER PERMIT
II ,* COMMUNITY DEVELOPMENT Permit#: MST2014 00186
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2014
T j�'A L7 9 Parcel: 2S 111 DA01700
Jurisdiction: Tigard
Site address: 8624 SW LODI LN
Subdivision: APPLEWOOD PARK Lot: 13
Project: CALLAHAN
Project Description: Solar photovoltaic system.
BUILDING
Floor Are Required Setbacks Reauired
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
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 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!Feederg 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:
OTR SF VB R-3 0
Owner: Contractor:
CALLAHAN,ROGER D&JEANNETTE A SOLARCITY CORPORATION Required Items and Reports(Conditions)
8624 SW LODI LN 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $366.19
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 through OAR 952-001-0090. You may obtain a cop f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344."
JO' M111111
Issued By: � ,,,,_ _ f Permittee Signature: sop...e_ V.,...... ...t...:
Ca,sr .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.
r
Building Permit Application
Residential �� Fulit�r•FU 1 1 �LtrNl.1
City of Tigard Re«rved '
13125 5W Hall Blvd.,Tigard,OR 9723glik\t/
Rem *% Il �5"''� R Ph : 503718.2439 Fax: 503598 q 1 'tQ�4 p��gy. 4 �� Ocher Permit
I I c;A ll l) Inspection Line: 503.639.4175 oCi N Date Read tv B See�e 2 for
Internet: www.tigard-or.gov r [l Notified/Method: .i /A a1, 1- SapplemeatalInformation
tL7t�+'# vv ;31/t
TYPE OF W0140. S�; '1!'�1{1� � �1 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 C'ONSI'Rl'C'I'ION work indicated on this application.
® I-and 2-family dwelling Valuation: S 7,140
❑Commercial/industrial 1
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 8624 SW Lodi Ln, New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: J Project name: Callahan, Roger Covered porch area: square feet
Cross streeUdirections to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-l'SE CHECKLIST
Subdivision: I.ot no.: Permit fees*arc 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
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Callahan, Roger Type of construction:
Address: 8624 SW Lodi Ln, Occupancy groups:
City/State/ZIP:Tigard OR 97224 Existing:
Phone:( 503) 430 1674 Fax:( )
New:
® APPLICANT ® CONTACT PERSON BI ILDING PERMIT FEES*
Business name:SOLAR CITY (Please refer re2er xkrdr!)
Structural plan review fcc(or deposit):
Contact name:MELISSA BENTLEY
Address:6132 NE 112"AVE FLS plan review fee(if applicable):
—' Total fees due upon application:
City/State/ZIP:PORTLAND OR 97220
i
Phone:(503)894 6903 J Fax::(1866)445-7459 Amount received:
F-mail:ABF;NTLEY{iSOLARCITY.COM PHOTOVOLTAIC'SOLAR PANEL SYSTEM FEES'
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6132 NE 112T"AVE Solar installation Specialty Code checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review
T180.00
and administrative fees):
Phone:(503)894-6903 ( Fax:(1866)445-7459
State surcharge(12%of permit fee): $21.60
CCB lie.: 180498
Total fee due upon application: $201.60
Authorized signature: i .v i • 1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I *Fce methodology set by Tn-County Building Industry
Print name:A. MELISSA • " TL' , I Date: 10/20/14 Service Board.
I\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-46131(1 1/02/COM(/WEB)
•
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE: USE oNLI.
City of Tigard Received
Dat�tny: Pintail No.:
lig r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated pennies
• Phone: 503.718.2439 Fax 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plambiag LI Mechanical
1l .OR )
internee www.tigard-or.gov O otl,er7
THE FOLLOWING ITEMS .ARE REQI lRE:l) FOR PLAN REVIEW 1 e \o ";a
I band use actions completed. Scc jurisdiction criteria for concurrent reviews. ❑ ❑ •
2 Zoning. Flood plain,solar balance points,seismic soils designation.historic district,etc. Li - 0 ❑
3 Verification of approved plat/lot. __❑ ❑
4 Fire district approval required. Name ofdistrict: . ❑ ■ •
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 ❑
6 Sewer permit. 0_ _❑ 0
7_ Water district approval. [TI ❑ MI
8 Soils report. Must carry original applicable stamp and signature on file or with application. • ❑ •
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- • ❑ •
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-fl.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,plumbing fixtures,balconies and decks 30 inches above grade,etc. _
14 Cross seetion(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 11 ❑ ❑
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. ❑ ❑ El
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 analysisprovide 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.
l8 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ ❑
systems,see item 22,"Engineer's calculations."
I9 Beam calculations. Provide two sets ofcalculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carry a non-uniform 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 ❑ ' ❑ ❑
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 0 - ❑ ❑
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 11"or 11"x 17". ❑
24 Two(2)sets each are required for Items 16, 19.20 and 22 above. 0 ❑ 0
25 Building plans shall not contain red lines or tape-ors. "Mirrored"buildingplans will not be accepted. ❑ n 0
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 ❑ ❑ ❑I
Street'free List
29 Site plan to include trees and tree protection measures as required by conditions of approval. Trcc 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 foram 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 approved prior to September 9. 1995. _
1:\13uilding\Pcrmits113UP-RESPennitApp.doc 02/24/2(111 440-461 3T(I l/02/COlv1/W HB)
Electrical Permit Application l t)It OFFICE I SE ONL1
City of Tigard �. �� /• , I ',y Permit No /4„) — . / — :• Al.
IIIII
13125 SW Hall Blvd.,Tigard,OR 97223- Plan Review
■ ` Other Permit
Phone: 503.718.2439 Fax: 503 598.1960: Date/BY:
t 1 c A It a Inspection line: 503.639.4175 y 2014 Date Ready/By: /aria ® See Page 2 for
Internet: www.tigard-or.gov OCT 1 Notified/Method. -,T3—,....,, Supplemental Information
TYPE OF W r a I j PLAN REVIEW
�, i Please check all that apply(submit 2 sets of plans winems checked below)
❑New construction ®Addition/alt- i�-•1 (����
�� � ❑Service or feeder 4U0 amps or more ❑Bwldrng over three clones.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building an for all other installations buildings
❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of ISO K VA or
❑Emergency system larger separately derived system.
JOB SITE, INFORNIA'rION AND LOCATION i ❑Addition of new motor load of ❑"A","E","I-2 "1-1
Job no.: 9722236 Job site address: 8624 SW Lodi Ln, Six or or omore. Recreational❑Stx or more residential units ❑Recreational vchtcle parks
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. ❑Supply voltage t-or more than
❑Hazardous locations. 600 volts nominal
Suite/bldg./apt.no.: Project name: Callahan, Roger ❑Service or feeder 600 amps or more
FEE: SCHEDULE
Cross street/directions to job site: D se'sttieo
I Q ._I Fee. I Total L '_
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 s4 11 or less 168.54 4
Ea_add'l SW sq.ft.or portion 33.92 I
Tax map/parcel no.:
Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft)
75.00 2
Limited energy,multi-family 75.00 PV ROOF MOUNT residential(with above sy II)
Renewable Energy I ® See Page 2
Services or feeders installation,alteration,and/or relocation_ I
® PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Callahan, Roger 401 arnps to 600 amps 200.34
Address: 8624 SW Lodi Ln, 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Tigard OR 97224 Temporary services or feeders installation,alteration,and/or
Phone:(503 ) 430 1674 Fax:( ) relocation
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
® APPLICANT I ® CONTACT PERSON — _ A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name:SOLAR CITY CORP each branch circuit
B.Fee for branch circuits withow
Contact name:A. MELISSA BENTLEY service or feeder fee,first 56.18 2
branch circuit
Address:6132 NE 112Th AVE Each add•/branch circuit 7.42 2
City/Stale/ZIP:PORTLAND OR 97220 Miscellaneors(service or feeder not included)
Each manufactured or modular
- 67.84 2
Phone:(503)894 6903 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 CORP. Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:6132 NE 112T"AVE Each additional inspection over allowable in any of the above
City/Stale/ZIP:PORTLAND OR 97220 Additional inspection(t hr min) ' 66.25,hr '
Investigation(I hr min) 66 25/hr
Phone:(583)894 6903 Fax:(1866)445 7459 Industrial plant(I hr min) 78 18/hr
-
Inspections for which no fee is 90.00/hr
CCB Lie.: 180498 Electrical Lie.: C562 Suprv.Lie.: 5873S , specifically listed('h hr min)
ELECTRICAL. PERMIT FEES
Suprv.Electrician signature,required: 171-- Subtotal:
Print name: NICHOLAS ARMSTRONG Date: 10/20/14 Plan review(25%ofpermit fee):
— State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name: A. MELISSA BENTLEY —1 Date: 10/20/14 This permit application expires if a permit is obtained within ISO
days after it t has been accepted as s complete.
• Number of inspections allowed per permit
11Bu1 Idinecrmiti••F.LC fcrmnApp_El A ERE dot■m092 pNS 440.461 ST(I I/05/COMNVEB
•
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: • Renewable Energy Permit Fees:
Fee for ill residential systems combined $75.00 aesc.riales l otr.) rat I Tet.t I
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* 13.x1 to 25 kva 200.34 2
❑ Burglar Alarm Wird getteradoasystems in excess sf25 kva: _
25.01 to 50 kva 301_04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(Ice in accordance with 55226 2
D Heating,Ventilation and Air Conditioning OAR 918-3a9 cloao)
System* Sour generation systems in excess of 25 kva:
Each additional kva over25 7.42 3
Vacuum Systems* >i00 kva no additional charge 0.0 3
Each additional inspection over allowable In any of the above:
❑ Other: Each additional inspixtion is
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is 90 00!hr
specifically listed(Vi hr mir9
Fee for each commercial system............ $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review.if required(25%of permit fee):
Stale surcharge(12%of permit fce):
Check Type of Work Involved: TOTAL PERMIT'FEE:
This permit applicati.a expire,if a permit is not obtained witkia t>c0
❑ Audio and Stereo Systems days after it has hems accepted as complete.
• Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ NVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other .
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
I Bu ilder 'rrmits'ELC PermitApp ELK EKE dvc Rev 05/:1/2013
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
8624 SW LODI LN, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00186
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
8624 SW LODI LN, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00186
Jeff Grove
Violation Summary:
Inspector Contractor