Permit n CITY OF TIGARD MASTER PERMIT
III I COMMUNITY DEVELOPMENT Permit#: MST2014-00207
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/25/2014
Parcel: 25111 CB01721
Jurisdiction: Tigard
Site address: 10250 SW KABLE ST
Subdivision: HOOD VIEW NO.2 Lot: 20
Project: Dorr
Project Description: Solar photovoltaic system
BUILDING
Floor Areas Required Setbacks Required
Stones: 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: $7,140.00 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/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:
ALT SF VB R-3 0
Owner: Contractor:
DORR.PATRICK M SOLARCITY CORPORATION Required Items and Reports(Conditions)
JANICE M 6132 NE 112TH AVE
10250 SW KABLE ST PORTLAND,OR 97220
TIGARD,OR 97224
PHONE: 503-639-1100 PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $358.69
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. TIO : rep on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
-001-0010 through OAR 2-0 - 9 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232. 87 or 1.800.332.2344.
t
Issued By: `\ ' Permittee Signature: (
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.
r .
Building Permit Applicatio ii:rd)
Residential AEcEu I , ;, i I,
IN City of Tigard Readvod
Dawn : 1f/Irjra `✓'' Permit No.: y --eD:2407
�? 1 3125 SW Hall Blvd.,Tigard,OR 97223 V 1 9 21::,4
plea R " „ ��
le= Phone: 503.718.2439 Fax: 503.598.1960 _ 4 e/9 :Allt1a� Other Permit:
I I k, Inspection Line: 503.639.4175 C'�'!f�!�.�� Dale R- 1�.is ® See Page 2 for
Internet: www.tigerd-or.gov vl�_____}� n Notified/Method: Supplemental Information
LRJ1ItRa�''T±1 9'fRir '
TYPE OF Mme. - REQUIRED DATA I-AND 2-FAMILY DWEL i1VG
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
®Addition/alteration/replatxrnent ❑Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercialondustrial Valuation: $ 7,140
1:1 Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB Irr'E INFORMATION AND LOCATION Total number of floors:
Job site address: 10250 SW Kable St. New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: DORR Covered porch area: square feet
Cross stree/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA CHECKLIST
Subdivision: I Lot 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 7.14 KW Valuation: S
.
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ 7ENArrr Number of stories:
Name: PATRICK.DORR Type of construction:
Address: 10250 SW KABLE ST Occupancy Y SrouPs:
City/State/ZIP: TIGARD OR 97224 Existing:
Pte:(503 )639 1100 Fax:( ) New:
is APVUCANT IN CONTACT PERSON BUILDING mum 11/8"
Business name:SOLAR CITY Qiom rINYrrsNaiM -
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
Te FLS plan review fee(if applicable):
Address:6132 NE 112 AVE
City/State/ZIP:PORTLAND OR 97220
Total fees due upon application:
Phone:(503)894 6903 I Fax::(1866)445-7459 Amount received:
F-mail:ABENTLEY SOLARCITY.COM PHOTOVOLTAIC SOLAR PANE!.SYSTEM FEES
tyTOR 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 112TH 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): 521.60
CCB tic.: 180498 . Total fee due upon application: $201.60
{
Authorized signature:�1 I 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 TLE Date: 11/14/14 I *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPernnitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
f I
Building Permit Application Checklist
One- and Two-Family Dwelling FOR 01.1.1(1: USE OM_l'
City of Tigard Qeceivrd
g Dale/13y:
Ponnir No
q 13125 SW I kill Blvd.,Tigard,OR 97223 Associated Ennui's:
• Phone: 503.718.2439 Fax: 503.598.1960
• 24-1-lour Inspection Line: 503.6394175 C Electrical ❑ Phiinbing Li Mechanical
IIU.11\17
Internet: www.tigard-or.gov ❑ other:
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. ❑ ❑ El
3 Verification of approved plat/lot. _ 0 ❑ ri
4 Fire district approval required. Name ofdistrict: ❑ ❑ 0
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ 0
6 Sewer permit. 0 ❑ U
7 Water district approval. [1 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ __n
9 Erosion control ❑plan 1:1 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 he 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
coptnight violations exist.
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 4-11.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 arca;building coverage area;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 ❑ 0 ❑
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- ❑ ❑ ❑
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. ❑ ❑ ❑
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 Wail 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.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ' ❑ '
systems,see item 22."Engineer's calculations.-
19 Beans 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 carry a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑
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 ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x I I"or 11"x 17". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ D
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ rJ El
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. . ❑ 0_❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. 0
28 Si le plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ Li ❑-
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 acce&sory structures to existing residential dwellings
on a lot of record approved prior to Septemher 9. 1995.
1:\l3uilding\Perm its\Bt1P-RESPennitApp.doc 02/24/2011 440-4613T(I I/02fCOM/W1_e)
d r
Electrical Permit Applies 1 . ,,... I(I It 1)11 1( 1 1 s l (l",l 1
M City of Tigard V 19 /1 AFAXWEll Permit No.: h 1 ,/ 210 ',G-7
13125 SW Hall Blvd.,Tigard,OR 974 Plan Review
Other Push:Phone: 503.718.2439 Fax: 503.5 jf t1, !VI U
Inspection Line: 503.639.4175
Date Ready/By: kris tII See Pap 2 ter
Internet: www.tigard-or.gov ry,ILryWrr�,x��q' Notified/Method_ Supplemntallafermarien
TYPE OF WORK ! PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit sus of plain whims checked below):
El Demolition ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Other: where the available fault arrest ❑Marinas and boatyards.
CATEGORY OW coramucnop, exceeds 10,000 amps at 150 volts or ❑Flossing buildings.
® I-and 2-fermi! dwellin less to ground,or exceeds 14.000 ❑Commercial-use agricultural
y g ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 K VA or
WS i#IWORMATION AND !LOCATION ❑Emergency system. larger separately derived system.
JOS ❑Addition of new motor load of ❑"A"«E^„1-2""1-3"
Job no.:9722208 Job site address: 100HP or more. occupancy.
9722208 10250 SW Kable St. ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: Don ❑Service or feeder 600 amps or more.
PEE SCHEDULE
Cross street/directions to job site: nacrieti. I Oft. I Fee. I Tsui I
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq_ft or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential
75.00 2
DESCRIPTION OF WORK (with above sq.tt.)
Limited energy,multi-family 75.1x1 2
PV ROOF MOUNT 7.14 residential(with above sq ft.)
Renewable Energy El See Page 2
Services or feeders installation,alteration,and/or relocation_
ag PRr OWNER IAA 200 amps or less 100.70 _ 2
l 201 amps to 400 amps 133.56 2
Name: DORR.PATRICK 401
amps to 600 amps 200.34 2
Address: )0250 SW Kable 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:( ) I relocation
503 639 1 l00 Fes'( ) 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 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—sew,alteration,or extension,per panel
® SCANT 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 without
Contact name:A. MELISSA BENTLEY service or feeder fee,first 56.18 2
branch circuit
Address:6132 NE 112TH 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
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 11211.AVE Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25e hr r
City/State/ZIP:PORTLAND OR 97220 Investigation(1 hr min) 66.25/hr
Phone:(503)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('b hr nun) _
EItaRiCAL PERMIT PUS
Suprv.Electrician signature.required: — Subtotal:
Print name: NICHOLAS ARMSTRONG Date: Plan review(25%of permit fee):
rr I 1/14/14 State surcharge(12%of permit fee):
1
Authorized signature: 1 VA TOTAL PERMIT FEE:
\ j /
Print name: A. MELISSA BENTLEY 7 Date:
This permit applicatioa expires if a permit Is a.t obtained witlia 180
11/14/14 days after it has bees accepted as complete.
• Number of inspections allowed per permit.
11BuitdinmlPamitslEt.C_PumiiApp_ELR_EREdoe Rev 05/21/2013 440-461 S'1 IuovcoM/wra
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESJDItNTIAL WORK ONLY i sc>Q> tr t
Fee for all residential systems combined $75.00 Description I oir. I Fee I Y.ui I •
Renewable ekctrical 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* 15.01 to25kva 20034 2
[1] BUfglar Alarm Wind generation systems in excess of 25 kva:
25.01 to SO kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26
❑ Heating,Ventilation and Air Conditioning OAR sta-3a9 cxwa)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Fitch additional inspection is
charged at an hourly(I br min) 0+6.25/hr 1
Inspections for which no fee is qO 00'hr
medically listed(Yr he min)
COMMEERCIAL WOW(MV:: 1 EC1"1tFCAL 'FRMCT Ops
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review.if required(25%of permit fee):
State surcharge(12%ofperntit fce):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if permit is not obtained witkia 180
❑ Audio and Stereo Systems days after it has beta accepted as coimpkte.
• Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
El HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
El Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I Bteldiap'i'ennilr\E.LC jumitApp EU ERE doe Rev 05/21/2011
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
10250 SW KABLE ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00207
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
10250 SW KABLE ST, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00207
Jeff Grove
Violation Summary:
Inspector Contractor