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Permit 1y CITY OF TIGARD MASTER PERMIT 11111 ' COMMUNITY DEVELOPMENT Permit#: MST2014-00200 TiGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/25/2014 Parcel: 1 S134BD07600 Jurisdiction: Tigard Site address: 11651 SW PENN CT Subdivision: PENN LAWN ESTATES Lot: 4 Project: Brandt 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: $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/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: BRANDT,GEORGE E 8 ALISSA J SOLARCITY CORPORATION Required Items and Reports(Conditions) 11651 SW PENN CT 6132 NE 112TH AVE TIGARD,OR 97223 PORTLAND,OR 97220 PHONE: 503-381-4412 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. ATTE S.• • -.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0r .110 through OAR•-2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 87 or 1.800.332.2344 J I ♦/ / / , Is: ed By:. _/ �� Permittee Signature: V 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. Building Permit Application RCEIVED Residential 1 I (1k UI I It I. I "I 1)\1.1 1 City of Tigard NOV 0 2014 Received �� Penn" • 13125 SW Hall Blvd.,Tigard,OR 97223 r DatdB : �1 S� // -�Q�OQ g Phone: 503.718.2439 Fax: 503.598.1Q6�'jy OFTIGAP &W Other Permit- 1 It ,1 It I) Inspection Line: 503.639.4175 Date Rcady/By: Juts: Si See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISIO' Nmified/Method: I//!q/A� / _ '71�'f Supplemental Information TYPE OF WORK REQUIRED DATA:I-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 CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling El Commercial/industrial Valuation: S 5335 ❑Accessory building ❑Multi-family Number of bedrooms: ❑ Master builder ❑Ott: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11651 SW Penn Ct New dwelling area: square feet City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: l Project name: Brandt 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: 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 ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Brandt, Alissa Type of construction: Address: 11651 SW Penn Ct Occupancy groups: City/State/ZIP: Tigard OR 97223 Existing: Phone:(503 1381-4412 Fax:( ) New: ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:SOLAR CITY (Please refer so fee schedule) Contact name:MELISSA BENTLEY Structural plan review fee(or deposit): 112Th FLS plan review fee(if applicable): Address:6132 NE 112 AVE Total fees due upon application: City/State/ZIP:PORTLAND OR 97220 Phone:(503)894 6903 Fax::(1866)445-7459 Amount received: E-mail:ABENTLEY a(�SOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:SOLAR CI1'Y Submit two(2)sets of roof plan with connection details rtr and fire department access,along with the 2010 Oregon Address:6132 NE 112 AVE Solar Installation Specialty Code checklist. City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review and administrative fees): $180.00 Phone:(503)894-6903 I Fax:(1866)445-7459 State surcharge(12%of permit fee): $21.60 CCB lie.: 180498 t Total fee due upon application: $201.60 Authorized signature: 14 This within permit 180 application er expires has been ha acc pee rP mted it is as not co obtained• it m lete. P 'Fee Date: methodolo gy set by Tri-Count Building Industry Print name:A. MELISSA TLE 11/05/14 Service Board. 1:\Building\Pcrmits.BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WFB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received g Date/By: F rin+l 13125 SW I tall Blvd.,Tigard,OR 97223 Associated penuits: t. Phone: 503.718.2439 Fax 503.598.1960 I IL 1117 24-Hour Inspection Line: 503.639.4175 ❑ Electrical Phut+bing Mechanical Internet: www.ligard-or.gov ❑ Others THE FOLLOWING ITEMS ARL REQUIRED FOR PLAN REVIEW les No NI I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. ❑_ D • 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/tot. ❑ ❑ ❑ 4 Fire district approval required. Name ofdistrict: 0 ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacity - ❑ 0 ❑ 6 Sewer permit 0 ❑ ❑ 7 Water district approval. El ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ [J basin protection,etc. 10 3 Complete sets of legible plans. Must be 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-fl.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 drainaee. 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 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 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 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. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ 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 ❑ 0 ❑ over 10 feet long and/or any beam/joist carrying 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 0 ❑ ❑ 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 limbic to the project under review. 23 Three(3)site plans are required for ltcnt 1 I 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.25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. Fra_ 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. 28 Site plan to include tree size,type and location per approved project street tree plait(if applicable),and City of Tigard ❑ Street'l'ree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,(hiplines, ❑ ❑ ❑ 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\Pcnnits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application RECEIVElil City of Tigard Received Permit No./Is7�/Ll 010.2 60 13125 SW Hall Blvd.,Tigard,OR 97223 N O V 1 0 2014 Dal Review g Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: l Inspection Line: 503.639.4175 Dm`Resdy/By. lur:�/ 0 See Page 2 for Internet: www.tigard-or.gov CITY N vtahod: ��;� plemental Information i G DIVISIGN ❑New construction ®Addition/alteration/replacement Please check all thou apply(submit 1 sets of plans wtitems checked below) ❑Service or feeder 400 amps or more ❑Building over three stories ❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards C.Alleallet Of torarravertart exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building snips for all other installations buildings ❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE IVEORIIY?!ON AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A "E","I-2"."l-3", Job no.:9722260 I Job site address:11651 SW Penn Ct 100HPormore occupancy. ❑Six or more residential units. ❑Recreational vehicle parks- City/State/ZIP: Tigard OR 97223 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal Suile/bldg./apt. no.: I Project name: Brandt ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty, I Fee. I rout I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1.000 sq.ft.or less 168.54 4 Ea.add''500 sq.ft or portion 33.92 I Tax map/parcel no.: Limited energy,residential 75.00 2 DESCRIPTION OF WORK (with above sq.fl.) Limited energy,multi-family 75.00 2 PV ROOF MOUNT residential(with above sq ft) Renewable Energy "See Page 2 Services or feeders installation,alteration,and/or relocation_ ® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: Brandt, Alissa 401 amps to 600 amps 200.34 2 Address: .11651 SW Penn Ct 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Tigard OR 97223 Temporary services or feeders installation,alteration,and/or Phone:(503 )381-4412 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 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 sa 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel a. I ® COKIAcr mina 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 112T11 AVE Each add'/branch circuit 7.42 2 City/State/ZIP: PORTLAND OR 97220 Miscellaneous(service or feeder not included) Each manufactured or modular Phone:(503)894-6903 I Fax: :(1866)445-7459 dwelling,service and/or feeder 67 84 2 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 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 City/State/ZIP: PORTLAND OR 97220 Additional inspection(I hr min) 66.25/hr Investigation(1 hr min) 66.25/hr Phone:(503)894-6903 I Fax:(188)445-7459 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: 180498 1 Electrical Lic.: C562 l Suprv.Lic.: 520IS specifically listed 1,4 hr min) 90,00/hr PERIM IMP ---1� Suprv. Electrician signature,required: Subtotal: Print name: DEREK CROPP f D81e: Plan review(25%of permit fee): State surcharge(I 2%of permit fee): Authorized signature: TOTAL PERMIT FEE: 1 t �l 12/05/14 This permit application expires if a permit is not obtained within 180 Print name: A. MELT 'A I Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I Wudding0'ermits0ELC_PermiApp_ELR_ERE doc Rev 05/21/2013 440-461ST(t t/05/COM/WEa Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ' SA #NT'Z ti 6NE ': r � scR t Fee for all residential systems combined .. $75.00 nestripnfe. I Qt. 1 Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva m less 100.70 2 5 01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15-01 to 25 kva 200.34 2 I ( Burglar Alarm Wind generation systems in excess of 25 kva: 35.01 to 50 kva 301.04 2 I I Garage Door Opener* 50.01 to 100 kva 552.26 2 100 kva(fee in accordance with 552.26 2 ❑ 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 ❑ Vacuum Systems* >100 kva no additional charm: 0.0 3 I Each additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 66 251 hr :. .. Inspections For which no fee is (tOr specifically li al(;i hr min RCJA.TL WORT `f ONLY It;�Rt Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fcc): 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. n B• oiler Controls El Clock Systems ❑ D• ata Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls IT O• utdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number ot'commercial systems: *No licenses are required. Licenses are required for all other installations I.0 tuddingd'ennitslE.LC_PermiiApp_f:Ltt_hRE dot 14,05/31/2011 CITY OF TIGARD FEE AND PAYMENT HISTORY a ■ • 13125 SW Hall Blvd.,Tigard OR 97223 i 3 503.639.4171 TIGARD MST2014-00200 - 11651 SW PENN CT, TIGARD, OR 97223 Revenue Payment Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due Solar Photovoltaic System 230-0000-43104 $180.00 $180.00 $180.00 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $7.50 $7.50 $7.50 11x17) 12%State Surcharge-Building 100-0000-24001 $21.60 $21.60 $21.60 5.01 to 15 kva 220-0000-43103 $133.56 $133.56 $133.56 12%State Surcharge-Electrical 100-0000-24001 $16.03 $16.03 $16.03 Misc Administration Fee 230-0000-45319 $5.00 $5.00 $5.00 Totals for Fees $363.69 $363.69 $0.00 $363.69 Receipt# Payment Method Check# Pavor: Receipt Date Receipt Amount Total Payments: $0.00 Balance Due: $363.69 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 11651 SW PENN CT, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O MST2014-00200 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 11651 SW PENN CT, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2014-00200 Jeff Grove Violation Summary: Inspector Contractor