Permit _ CITY OF TIGARD MASTER PERMIT
II ��
. COMMUNITY DEVELOPMENT Permit*: MST2014-00193
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 25//1
Date Issued: 11/06/2014
TIGARD Parcel: 25111 DA17000
Jurisdiction: Tigard
Site address: 8952 SW ASHFORD ST
Subdivision: APPLEWOOD PARK NO.3 Lot: 163
Project: Salehi
Project Description: Installation of 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: $5,865.00 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 0 Storm Sewer 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 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'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:
ALT SF VB R-3 0
Owner: Contractor:
BOBAK SALEHI SOLARCITY CORPORATION Required Items and Reports(Conditions)
8952 SW ASHFORD ST 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: 503-557-0446 PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $361.19
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 001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2232.1987 or 1.800.332.2344. - /
Issued By: t//If r1� Permittee Signature: 0"' �i/ L /e�UA/
Call 503.639.4175 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.
I
Building Permit An',Kcal&
Residential CEIVEP , „,t „, , 1, , I ,, , , ,
City of Tigard nnrr net /O 6Z9 M Permia No.:/y6/—"! —co/93
14 • • 13125 SW Hall Blvd.,Tigard,OR 97¢Y3T 2 9 2014
Phone: 503.718.2439 Fax: 503.598.1960 • pV��R , Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD Dale Ready/ay: Juris fa See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental laferwadea
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DV/CLUNG
❑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.
® l-and 2-famil dwelling Valuation: $ 5865
2-family 8 ❑Commercial/industrial
❑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: 8952 SW Ashford St New dwelling area: square feet
City/State/ZIP: Tigard, OR, 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: Salehi Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE 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
® PROFERTY OWNER I [] TLNA4T Number of stories:
Name: Salehi, Bobak Type of construction:
Address: 8952 SW Ashford St Occupancy groups:
City/State/ZIP: Tigard, OR, 97224 Existing:
Phone:(503 )557-0446 Fax:( ) New:
® APPLICANT El CONTACT PERSON WILDING PERMIT FEES
Business name:SOLAR CITY
Contact name:MELISSA BENTLEY Structural plan review fce(or deposit):
FLS plan review fee(if applicable):
Address:6132 NE 112TH AVE
Total fees due upon application:
City/State/ZIP:PORTLAND OR 97220
Phone:(503)894 6903 I Fax::(1866)445-7459 Amount received:
E-mail:ABENTLEY(�SOLARCITY.COM PHOTOVOLTAIC SOLAR PATCH,SWIM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. 1
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 S180.00
and administrative fees):
Phone:(503)894-6903 I Fax:(1866)445-7459 State surcharge(12%of permit fee): $21.60
CCB lic.:180498 Total fee due upon application: $201.60
` % of Authorized signature:�1 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 114 Print name:A. MELISSA ; 10/27/14" TLE I Date: Service Board.
l:\Building\PcrmitslBUP-RESPermitApp.doc 02/24/2011 440.4613T(I I/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE °NLY
City of Tigard Received
Date./13 P�Ylnit Na,:
Date./13
13125 SW rl Blvd.,Tigard.OR 97223 -
_ Assoeialed pernurs:.
Phone: 503.718.2439 Fax: 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical O Plumbing 1.I Mechanical
I WARD
Internet: www.tigard-or.gov 17 Other-
TI-IE FOLLOWING ITEMS ARE REQUIRE)) FOR !'LAN REVIEW 1'es No Nil,
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 ❑ ❑
3 Verification of approved plat/tot. ❑ 0 ❑ ..
4 Fire district approval required. Name of district: ❑ ❑ 0
5 Se,tics stem emit or authorization for remodel. I xistin s'stern cal acit • ❑ j]
6 Sewer permit. _• • [�
7 Water district approval. _❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ 0
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.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if ❑ ❑ 0
there is more than a 4-fl.elevation differential,plan must show contour lines at 2-I1,intervals);location of easements
and driveway; footprint of structure(including decks):location of wells/septic systems;utility locations:direction
indicator: lot area building coverage urea;percentage ofcovcragc: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 abovcgrade,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 be 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. ❑ t ❑ 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. _ t
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 0 ❑ ❑
locations. Show attic ventilation.
l8 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑
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 carrygt a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 p
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,root'truss)shall be stamped by an engineer or ❑ 0 ❑
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x II"or 11"x 17". ❑ ❑ _
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 0_
25 l3uildin: .tans shall not contain red lines or tat -ons. "Mirrored"buildin_ Mans will not be accc.ted. ❑ ❑ ❑
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 ❑ ❑ 0
Street Tree 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 approved prior to September 9. 1995.
1:113uilding\Permits\BUP-RESPennitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
p iRECEIVEh
Electrical Permit Ap licatio , I ,■: (1 1 i I• , I •I k C., \
City of Tigard Received Permit No.:
lAhlcIB :
13125 SW Hall Blvd.,Tigard,OR 9
Phone: 503.7 t 8.2439 Fax: 503.598.1 722 T 2 9 2014 Plan Review
Date/B Other Permit:
I Inspection Line: 503.639.4175 Date Ready/By. kris WI See Page 2 for
Internet: www.tigard-or.gov CITY OFTIGARI) Notified/Method: Supplemental Information
TYPE oillibilING DIVISION PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit j sets of plans w/items checked below):
❑Demolition ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Other: where the availabk fault current ❑Marinas and boatyards.
CATEGORY OF C'ONS1RUC170N exceeds 10,001 amps at ISO volts or ❑Floating buildings.
less to gr or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building am ps for all ot her 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.: I Job site address:8952 SW Ashford St 100HP or rose. occupancy.
9722244 ❑six or more residential wits. ❑Recreational vehicle parks.
City/State/ZIP: Portland, OR, 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal
Suitelbldg./apt.no.: Project name: Salehi ❑Service or feeler 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description j Q1,. I Ree. I Tatar I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: L000 sq.R.or less 168.54 4
Ea.add'1 500 sq.f.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
75.00 2
DESCRIPTION OF WORK (with above sq.II)
Limited energy,multi-family
residential(with above sq ft) 75.00 2
PV ROOF MOUNT
Raewabie Energy lii1"See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER , ❑ TENANT 200 amps or less 100.70 2
Name: Salehi, Bobak 201 ampsto400amps 133.56 2
401 amps to 600 amps 200.34 2
Address: 8952 SW Ashford St 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 )557-0446 Fax:( ) relocation
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 1 25.08 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,Qer panel
® APIrII.ICAN'r I ® CONTAC F 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 112TH AVE Each add',branch circuit 7.42 _ 2
City/State/ZIP:PORTLAND OR 97220 Miscellaneous(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
Ih Business name:SOLAR CITY Signal circuit(s)or limited-energy See
Si I circuit gy
panel,alteration,or extension. Page 2 2
Address:6132 NE 112TH AVE Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:PORTLAND OR 97220 Investigation(I hr min) 66.25/hr
Phone:(503)8944903 I Fax:(188)445-7459 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90 00/hr
CCB Lic.: 180498 Electrical Lic.: C562 Suprv.Lic.: 520IS specifically listed('h hr min)
ELECIYICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: DEREK CROPP Date: 10 f - Plan review(25%of permit fee):
State surcharge(12%of permit fee):
l arge perm )
Authorized signature:
TOTAL PERMIT FEE:
Print name: A. MELT 'A T I Date: 10/27/14 Tbh penult apptlahtoa expires if a permit Is net obtal ied within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
1\Bui diosWermiteELC_PorneoApp_EUt_ERE doe Rev 05(21/2013 440.46151(1 II05/COM/WEa
a ti
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined .. S75.00 Da,rrrrlba I Qtr. C Fee
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
❑ 5.01 to 15 kva 1 133.56 2
Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
{1 Burglar Alarm
Wind generation systems In excess of 25 kva:
25.01 to50•kva 301.04 2
Garage Door Opener* 50.01 to 100 kva 552.26 2
'-100 kva(fee in accordance with 55226
❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems Is excess of 25 kva:
Each additional kva over 25 ] + 7.42 3
❑ Vacuum Systems* >100 kva••no additinal charge 0.0 I 3
I } Each additional inspection over allowable in any of the above:
f Other: /Each additional inspection is 66.25/hr 1
charged elan hourly(1 hr min)
Inspections for which no fee is
90.00/hr
:.•..
epee a y ns (.', r min
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 de permit is not ebtatned within 180
❑ Audio and Stereo Systems dSYx.a(er it km been incepted in complete.
' Number of inspections allowed per permit.
f] Boiler Controls
❑ Clock Systems
H Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
I I Protective Signaling
❑ Other
Total number ot'commercial systems:
*No licenses are required. Licenses are required
for all other installations
I lBudding'Te its'ELC_Permil App_hLlt_FR1i doe Rev nc/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
8952 SW ASHFORD ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00193
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
8952 SW ASHFORD ST, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00193
Jeff Grove
Violation Summary:
Inspector Contractor