Permit p CITY OF TIGARD MASTER PERMIT
II 11- COMMUNITY DEVELOPMENT Permit#: MST2014-00197
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/20/2014
Parcel: 25111 CA08600
Jurisdiction: Tigard
Site address: 9940 SW KABLE ST
Subdivision: GULF SIDE ESTATES NO.2 A REPLAT OF" Lot: 30
Project: EDMUNDS
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: $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
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
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!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:
EDMUNDS,ERIC S SOLARCITY CORPORATION Required Items and Reports(Conditions)
9940 SW KABLE ST 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: 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 loll. - =dopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain. • •irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /_>-� Perms'_ ature: 'n `-L� 13
!' ..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.
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Building Permit Application
Residential 1 , , , , ,, , ( .1 , o , ,
City of Tigard �,,, �, � resit No.: , ,/ -CV 1'
lig
Hall Blvd. Ti �� ■J mil/ �r
,- 13125 S W Hal Tigard.OR A P11a I• •
k.. Phone: 503.718.2439 Fax: 503. 1Q1~ DAB : ♦h � Weer Pamir:
Inspection Line: 503.639.4175 `1 Dale Ready/By: Avis: = See Page 2 for
Internet: www.tigard-or.gov \„0,'t � NolitMdfMethed:ii fII' 817- 7-----Co Supplemeetal Information
Cv'k•14p4
Jlft
TYPE OP WOR1 0 g �,\-.. , REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑ r v ,, ,," , Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacetnent ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: S 9,690
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION mat LOCATION Total number of floors:
Job site address: 9940 SW Kable St, New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldgJapt.no.: I Project name: Edmunds,Eric S. Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
' Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE fIW.CKLTST
Subdivision: I Lot no.: Permit fees*arc based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
PV ROOF MOUNT 9.69 KW Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I 0 TENANT Number of stories:
Name: Edmunds, Eric S. Type of construction:
Address: 9940 SW Kable St, Occupancy groups:
City/State/ZIP:Tigard OR 97224 Existing:
Phone:( 971) 506 8516 Fax:( ) New:
® APPLICANT a OOMTAGT PERSON BUILDING PERMIT MS*
Business name:SOLAR CITY QOert�Arat�tl�
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
Address:6132 NE 112T"AVE FLS plan review fee(if applicable):
City/State/ZIP:PORTLAND OR 97220 Total fees due upon application:
Phone:(503)894 6903 I Fax::(1866)445-7459 Amount received:
F.-mail:ABENTLEYQSOLARCITY.COM PHOTOYOLTAIIC SOLAR PANEL SYSTEM FEW
CONTRACTOR 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
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 5180.00
Phone:(503)894-6903 I Fax:(1866)445-7459
and(12%of fees):
State surcharge(12°/.of permit Ca): $21.60
CCB lie.:180498
till Total fa due upon application: $201.60
Authorized signature: �`I , ' This permit application expires If a permit is not obtained
_ .. within 180 days after it has been accepted as complete.
Print name:A. MELISSA r TLE' Date: 11/03/14 •Fee methodology set by Tri-County Building Industry
Service Board.
1:t BuildingtPermils\BUP-RFSPemiitApp.doc 02/24/2011 440.46131(11/02/COM/WEB)
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Building Permit Application Checklist
One- and Two-Family Dwelling alit (WI tt t: USE OMLV
City of Tigard Received
III Date/ny: Plxmii No.:
13125 SW I lrtll Blvd.,Tigard.OR 97223
Phone: 503.718.2439 Pax: 503.596.1960 Associated txrniiis
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing LI Mechanical
II l;A l 17 Internet' www.tigard-or.gov ❑ ogee:
I Land use actions completed. See jurisdiction criteria for concurrent reviews. . ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . _ ❑ EL_EL
5 Septic system permit or authorization for remodel. Existing system capacity 0 0
6 Sewer permit. 0 ❑ U
7 Water district approval. n El 8 Soils report. Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑plan 0 permit required, Include drainage-way protection,sill 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 ❑ ❑ 0
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 1 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 easements
and driveway; footprint of structure(including decks):location of wells/septic systems;utility locations:direction
indicator:lot arca;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, C ❑ ❑
furnace,ventilation fans,plumbing 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 ol'two elevations for additions and remodels. ❑ 0 ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addcndums 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.
l8 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ f-
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 ❑ ❑ ❑
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 f o r Item I I above. Site plans must be 8-1/2"x I I"or 11"x l7". _
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-ors. "Mirrored"buildingplans will not be accepted. ❑ rJ 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. El 0----
27 "Drawn to scale"indicates standard architect or engineer scale. I "'"
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard U Li Q
_ Street Tree List,
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 0
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, ❑ 0 ❑
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. 1 995.
I:1Building\Pcnnits\Bt1P-RESPennitApp.doc 02/24/2011 440-4613T(I I/02/COM/WHB)
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•
Electrical Permit Application i , ,i , i, : ,, , ,
ill
City of Tigard �� �;� pcnnit .: .,/K'�.� c
13125 SW Hall Blvd.,Tigard,O' s p Rm
Phone: 503.718.2439 Fax: 503 ( i\ c/1110
t)tlrsr Permit
Da
Inspection Line: 503.639.4175 20� ' Dale Rady/By: Bea M 2 fir
Internet: www.tigard-0r.gov w\OV `,,�
Notified/Method: M Sup�eniallafarnatlan
TYPE OF C`lvi;"tnt� /LAN>AiM#�►
❑New construction ®Addition/alt. : ,", •Y i.,� Plena check all that apply(submit 2 ads deists willems checked below):
❑Demolition ❑Other ��
El service or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 1 0,000 amps•150 volts or ❑Flostina buildings.
® I-and 2-family dwelling ❑Commercia�ndustrial 0 Accessory building lass to round,all o e exceeds 14,000 ❑Commercial-use agricultural
amps for all Aker iataWlstioas. baildinga.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
MI SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition anew motor load of ❑
Job no.: 9722254 Job site address: I00HP or more. occupancy.
9940 SW Kable St, ❑six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: Tigard OR 97224 ❑Health-are facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg.apt.no.: I Project name: Edmunds,Eric S. 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: n u kelm 10t,. I /se. I Taal I •
New residential single-or malts-family dwelling wail
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'I 300 sq.ft.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential
75.00 2
DESCRIPTION OP WORK (with above sq.ft.)
PV ROOF MOUNT Limited energy,multi-family 75.00 2
9.69 kw residential(with above sq ft.)
Renewable Energy ® See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps Of less 100.70 2
201 snips to 400 amps 133.56 2
Name: Edmunds, Eric S. 401 amps to 600 snips 200.34 2
Address: 9940 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:(971 )506 8516 I Fax:( ) relocation
200 amps or less 59.36 I
Owner installation:This installation is being made on property that 1 own which is not 201 an 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: Dale: Branch circuits—new,alteration,or extension,per panel
Si 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 wiihoef
Contact name:A. MELISSA BENTLEY service or feeder fee,first
56.18 2
branch circuit
Address:6132 NE 112"AVE Each add'I branch circuit 7.42 2
City/State/ZIP:PORTLAND OR 97220 Miscellaneous(service or feeder not Included)
Each manufactured or modular 6784 2
Phone:(503)894 6903 Fax::(1866)445 7459 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:ABENTLEYBSOLARCITY.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 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) 66.251 M
Phone:(503)894 6903 I Fax:(1866)445 7459 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 180498 Electrical Lie.: C562 I Suprv.Lie.: 5873S specifically listed(1/2 hr min) 90.00/Iv
RI.ECIRICAL PERb i a FM
Suprv.Electrician signature,required: Subtotal:
Print name: NICHOLAS ARMSTRONG Date: 11/03/14 Plan review(25%ofpermit fee):
/ - State surcharge(I2%of penult fee):
Authorized signature: I 46 TOTAL PERMIT FEE:
Print name: A. MELISSA BENTLEY Dale: 11/03/14 This permit applkados expires if a permit is net obtained within 180
days after it has been accepted u complete.
nut du Wamits%ELC_PermiIIApp_ELRERE doe Rev OS/tI 20Ii
• Number of inspections allowed per Rpermit.1
daa.ear sTt I uasncoewaEa
a
Electrical Permit Application—City of Tigard
Page 2--Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
•
Fee for all residential systems combined ... $75.00 'Description 1 oty. Fee I Tat 1 •
Renewable electrical energy systems:
Check Type of Work involved: 5 kva or kss 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
Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
nG• arage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
❑ H• eating, Ventilation and Air Conditioning OAR 418-30441040)
System* Solar generation systems in excess of 25 kva:
Each additional kva aver 25 7.42 3
E 1 Vacuum Systems* >100 kva no additional charge 0.0 3
Each additional inspeclion over allowable in any of the above:
❑
Other: Each additional inspection is
charged at an hourly(I hr min) 66.25 hr
Inspections for which no fee is qp 00'hr
specifically listed(V2 hr min)
E1ZCTRFCAL PERMIT FEES
Fee for each commercial system..... $15.00 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 eapirm if a permit is not obtained winds 1110
❑ Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspection s allowed per permit.
n Boiler Controls
❑ Clock Systems
❑ D• ata Telecommunication Installation
❑ Fire Alarm Installation
n H• VAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n O• ther
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
I'BuitliaeremaIs\ELC fermitApp 11.R ERE doe Rev05/:1/?017
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
9940 SW KABLE ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00197
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
9940 SW KABLE ST, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00197
Jeff Grove
Violation Summary:
Inspector Contractor