Permit q CITY OF TIGARD MASTER PERMIT
I s COMMUNITY DEVELOPMENT Permit MASTER
MST2014-00191
Date Issued: 11/06/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104CA06900
Jurisdiction: Tigard
Site address: 13430 SW HILLSHIRE DR
Subdivision: HILLSHIRE Lot: 69
Project: Young
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: $3,891.00 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
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Tema 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:
OTR SF R-3 0
Owner: Contractor:
YOUNG,BRADLEY RONALD&REBECC/STELCOR ENERGY LLC Required Items and Reports(Conditions)
13430 SW HILLSHIRE DR 9150 SW PIONEER CT,STE D
TIGARD,OR 97223 WILSONVILLE,OR 97070
PHONE: PHONE: 503-381-6187
FAX:
Total Fees: $321.88
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 i• - .•ance 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. • ENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00 0010 hrough AAR 952-00 r90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: — 141 Permittee Signature:
4 .
Call 503.639.4175 by 7:00 a.m.for the next available inspec'ite.
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 FOR OFFICE. I SF(1�1.1 7 City of Tigard RECElV ' Date/By: /o/17/I1 Permit No.: /h s r i f-00 i 9(
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revielo-
Phone: 503.718.2439 Fax: 503.598.1960 201 t Date/By:
�I • Other Permit:
i; , ,,1, Inspection Line: 503.639.4175 0ci Date Ready/�3y': f Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 11 j ,,.. Mak Supplemental Information
TYPE OF WOR CITY OENGINEERVA C"'.cl J utt T 3 k4-"4
KI,, ^A1N�NG) REQUIRED DATA:1-AND 2-FAMILY DWELLING
Lion Permit fees*are based on the value of the work performed.
❑New construction ❑Demolition Pe
t��t Indicate the value(rounded to the nearest dollar)of all
�l Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
rx I-and 2-family dwelling ❑CommerciaUindustrial Valuation: $ , V
1:1 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: 13 i-‘3() 5'i )�/��) ire Dr- New dwelling area: square feet
a
City/State/ZIP: Ti e t^ C) - (47 X X 3 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: yCuyt Covered porch area: square feet
ff"
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
fax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
I � t,� „S ll Pt 1 Z( 2 7 j�w Valuation: $
l t L 1 0` f ' V kcl J VI 4----- Existing building area: square feet
Sr New building area: square feet
g PROPERTY OWNER ❑ TENANT Number of stories:
Name: Jt. YO V yt c) Type Type of construction:
Address: zl 3v� t (t ,r t° '�r Occupancy groups:
City/State/ZIP: l tc,,..„✓i. 0 c C1`77,a-.13 Existing:
Phone:( ) Fax:( ) New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: �Votn _t,I`er I (Please refer to fee sit):fe)
Structural plan review fee(or deposit):
Contact name: c:;(,..),‘uJC1 Jq
/e /7 q� FLS plan review fee(if applicable):
Address: C1[ 5 0 r� r,itvt�r (- ' r 1)
City/State/ZIP: I 4,1 u,11e O2 9 7o7 Total fees due upon application:
' l
Phone:( ��_1`164 Fax::( ) Amount received:
E-mail: �� kt 514 C °UCY-eiTer9 y . �0 tt�t PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
JCommercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: S.r.,e kb r- c(r Submit two(2)sets of roof plan with connection details
�1 y and fire department access,along with the 2010 Oregon
Address: dtk er t 9e " Solar Installation Specially Code checklist.
City/State/ZIP: "1_/ l i,,1)1,(At, op._ L'`707 , Permit Fee(includes plan review $180.00
C and administrative fees):
Phone:&)3) 9\7_ c.,),- o Fax:( ) State surcharge(12%ofpermit fee): $21.60
CCB lic.: /a,\v'aaV.-X.._
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.
*Fee methodology set by Tri-County Building Industry
Print name: 50461 in U r74) Date: ill a III Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(Il/02/COM/WEB) /i-tC-
I
Electrical Permit Application I OI?OIll( 1 I "I ( I 1
City of Tigard r Received
\ � Date/By: Permit No.:,MC +lei I.�-t7 e)i�
i i 13125 SW Hall Blvd.,Tigard,OR • ' 4 �/ Plan Review ' V/R`�
= Phone: 503.718.2439 Fax: 503.5' 1 I Date/Bv: Other Permit:
l i 7 I l Inspection Line: 503.639A175 `0�� Date Ready/By: kris 0 See Page 2 for
Internet: www.tigard-or.gov VI (• Notified/Method: Supplemental Information ii
TYPE OF WORK \ i��R� PLAN REVIER'
❑New construction ®Addition/alterati ]y L (� Please cheek all that apply(submit 2.sets of plans w/irents checked below):
F7��t�1�S�V ❑Sentee or feeder 400 amps or more ❑Buildmg over three ctorwc.
❑Demolition ❑Other \lV�j ,v where the available fault current
vYY"� ❑Marinas and boatyards.
CATEGORY OF C ON exceeds 10.000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-famil dwellin less to ground.or exceeds 14,000 ❑Commercial-use agiculturai
y g ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump ❑Installation of 150 KVA Of
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately devised system.
�} ❑Addil ion of new motor load o( ❑"A",'E°,"I 2""l-i"
3 1{3C) S U) I( I��f 0,- I00FIP or more occupancy.
Job no.: [Job Site address: J r t I I ft
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: f. r-, c;c_ q`i).")..-75 ❑Health-Lam forditics. ❑Supply voltage for more than
\, ❑Hazardous locations 600 volts nominal.
Suite/bldg./apt.no.: Project name: 1 L,.',tc} ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: y.
nasrriplw I
. ( Qty. I Fee. I resat I •
New residential single-or multi-family dwelling unit.
includes attached garage.
Subdivision: Lot no.: 1.000 sq.ft.or less 168.54 l 4
Ia.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.:
Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 2
/ (� ',17 Limited energy,multi-family
�-.00 oke`Jl•(- r v 51s+et, k.■,,, residential(with above sq.ft) 7500 2
Renewable Energy k See Page 2
Services or feeders installation,alteration,and/or relocation_
® PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: (� t Cu A-'
{ r�L C l `� 401 amps m 600 amps 200.34 2
Address: 1-3 4�IJ ,R\,,,, '.�t i+c``7 re 1 . 601 amps to 1,000 amps 301.04 2
_l Over 1.000 amps or volts 552.26 2
City/State/ZIP: f:C�cw c) r cit., C179,13 Temporary services or feeders installation,alteration,and/or
Phone:( ) 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 16854 2
Owner signature: Date: _ Branch circuits-new,alteration.or extension,per panel
CRA.Fee for branch circuits with
APPLICANT ❑ CONTACT PERSON above service or feeder fee,
7.42 2
Business name: each branch circuit
13.Fee for branch circuits without
Contact name: �� -� �� �� service or feeder fee.first
56.18 2
f branch circuit
Address: r Each add'I branch circuit 7.42 2
City/State/ZIP: CC'‘;..1+ I C c. _ tr feeder not included)
Each manufactured or modular 67 84 2
Phone:( ) Fax::( ) dwelling,service and/or feeder
— _ Reconnect only 67 84 2
E-mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 1 2
Business Blame: �.p jJ, Signal circuit(s)or limited-energy See
t l [ n(r� v)`i r� LL( panel.alteration.or extension. . Page 2 2
Address: (//( Ci,.,' I'f vt•lLcr Li. ID Each additional inspection over allowable in any of the above
t f 1` Additional inspection(I hr min) 66.25/hr
City/State/ZIP: `1,(� °1v Et.li l,'K, Ct`2')7 ,. Investigation(I hr min) 66_25/hr
Phone:((Q),.) 1-1C;--
.- z) 'l C.1-\ , Fax:( ) Industrial plant(1 hr min) 78.18/hr
`1 inspections for which no fee is
CCB Lie.: `),U as\ Electrical Lie.: C 1633 Suprv.Lie.:50 90 & specifically listed(V:hr mm) _ 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: o 4i r� Subtotal:
Print name: _ 7 Date: Plan review(25%of permit fcc):
Jose.?h W;„7•C(S 10-2/-/Y State surcharge(12e/.of permit fee):
Authorized signatu a_ J''l. _.'ur TOTAL PERMIT FEE:
Print name: ���� (( 1 I(J
ilk permit application expires if a permit is net obtained within inn
���1 �• ql�-L Date: �,l(�1/` l days after it has been accepted as complete.
• Number of inspections allowed per permit.
I lBuilding\PrnnusdELC_PomitApp_ELR_EltE doe key 0521r213t3 440.4615 T(I I/05MOM/WEB
Eledtrical Permit Application—City of Tigard
• Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined $75.00 Description I Qtr. 1 Fee I Total I •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
H A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2
nB• urglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
n 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
•
H Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
Other: ?\1 1"T }kA0J0- "3„).-1 Each additional inspection is
66.25/hr
charged at an hourly(I hr min)
Inspections for which no fee is
90.00/hr
specifically listed('A hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
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 ISO
nA• udio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
n Instrumentation
U Intercom and Paging Systems
H Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
H Protective Signaling
n O• ther
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I.\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013
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
13430 SW HILLSHIRE DR, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00191
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
13430 SW HILLSHIRE DR, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2014-00191
Jeff Grove
Violation Summary:
Inspector Contractor