Permit NI p CITY OF TIGARD MASTER PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MST2014 00208
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/25/2014
Parcel: 2S102CC06400
Jurisdiction: Tigard
Site address: 13605 SW GARRETT CT
Subdivision: BEREA Lot: 28
Project: Burns
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: $11,220.00 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 SrvcfFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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:
BURNS,MICHAEL L AND SOLARCITY CORPORATION Required Items and Reports(Conditions)
ALICE DIANE 6132 NE 112TH AVE
13605 SW GARRETT PORTLAND,OR 97220
TIGARD,OR 97223
PHONE: 503-789-9343 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0 hrough R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 1987 or 1.800.332.2344...
Issu d By: ����2� r "T Permittee Signature: LA..............._,
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
Residential j1lII.E I OR OFFICE. USE O.NI.1
City of Tigard `ice 1'i ra, . .0�,
I'ennit No.: er
' • 13125 SW Ilall Blvd.,Tigard,OR 97223 Nov 1 9 �� n
Phone: 503.718.2439 Fax: 503.598.1960 �j IMLR a her Permit:
1 I t.\It 1, Inspection Line: 503.639.4175 CITY 1 n= 1 bate R " J ® See Page 2 for
Internet: www.tigard-or.gov �/ ii' 6 Notified/Method: /✓{/AV f if 877 Supplemental Information
:I ' Of/rY\a►t t.e..d Me.l t Sx
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑New construction ❑ Demolition Permit fees*arc 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 ('ONSTRUCIION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: S 11,220
Accessory building Number of bedrooms:
❑ ry g ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 3605 SW Garrett Sites�� New dwelling area: square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project none: 13I[IZNS 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*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 Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: BURNS.MICHAEL Type of construction:
Address: 13605 SW Garrett Ct, Occupancy groups:
City/State/ZIP: Tigard OR 97223 Existing:
Phone:(503 )789 9343 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:SOLAR CITY (Please refer refee Schedule!)
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
nt E S plan review fee(if applicable):
Address:6132 NE 112111 AVE
_ Total fees due upon application:
City/State/ZIP:PORTLAND OR 97220 I.--_
Phone:(503)894 6903 I Fax::(1866)445-7459
Amount received:
E-mail:ABENTLFY(e)SOLAR('fTY.(OM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 1 OR roof-top mounted PhotoVoltaic 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 112"'AVE 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 1 Fax:(1066)445-7459
State surcharge(12%of permit fee): $21.60
CCB lic.: 180498
`` Total fee due upon application: $201.60
Authorized signature: 1� II , r This permit application expires if a permit is not obtained
N.��ili.mailik — within 180 days after it has been accepted as complete.
Print name:A. MELISSA r TLE` Date: *fee methodology set by Tri-County Building Industry
I l I 3 14 Service Board.
I:\Building\Permits'IBUP-RESPermitApp.doc 02/24/2011 440.4613T(11/02/COM/WF.B)
Electrical Permit Application FOR OFFICE USE ONLI
City of Tigard Rec Date/B m.v.d: W
+r/
rt 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
a Phone: 503.718.2439 Fax. 503.598.1960 Date/B Other Permit-
I I e,\Ii 1 Inspection Line: 503.639.4175 Date Ready/By: hats S5 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction 1:0
Addition/alteration/replacement Please check all that apply(submit]sets of plans w/items checked below)
❑Service or feeder 400 amps or more ❑Building over three stories
❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other 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","I-2 "l-3
Job no.: 972-'737 I Job site address: IOOHP or more. occupancy
13605 SW Garrett CL ❑Six or more residential units ❑Recreational vehicle parks
City/State/'LIP: Tigard OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal
Suite/bldg./apt.no.: Project name: BURNS ❑Service or feeder 600 amps or more
FEE SC7fEDULE
Cross street/directions to job site: oaeriptie. I Qty. I Pee. I Tea I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: 7 Lot no.: 1,000 sq.B.or less 168.54 4
— Ea.add'I 500 sq.ft.or portion 33 92 I
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 '`
Limited energy,multi-family
PV ROOF MOUNT residential(with above above sq IL)
Renewable Energy ® See Page 2
Services or feeders installation,alteration,and/or relocation
0 PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: BURNS,MICHAEL 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
11.6115 SW Garrett Ct., Over 1,000 amps or volts 552.26 2
City/State/ZIP:Ttgard OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:( 503 789 9343) I Fax:( ) relocation
200 amps or less T 59.36 I
Owner installation:This installation is being made on property thatl 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—new,alteration,or extension,per panel
0 APPLICANT I 0 CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42
Business name:SOLAR CITY CORP each branch circuit
B.Fcc for branch circuits without
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
67.84 2
Phone:(503)894 6903 Fax::(1866)445 7459 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:A BENTLEY@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 112"AVE Each additional inspection over allowable in any of the above
Addiuunai inspection(1 hr min) 66.2Sr hr _ t
City/State/ZIP:PORTLAND OR 97220 Investigation(I hr min) 66.23/hr
Phone:(503)894 6903 I Fax:(1866)445 7459 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 180498 I Electrical Lie.: C562 Suprv.Lic.: 5873S specifically hr
fically listed(ii hr min)
ELFA 1'RI('Al. PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: NICHOLAS ARMSTRONG Date: Plan review(25%of permit fee):
11/13/14/13/14 State surcharge(12!%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
1 A tiii.erst
This permit application expires if a permit is not obtained within 180--i Print name: A. MELISSA BENTLEY Date:
11/13/14 days after it has been accepted as complete.
• Number of itupedtons allowed per permit.
I\Buitdina\Pom,ts\El.0 PermnApp_F/.R_ERE do Rev 05/218017 4464615'I(11/0SICOM/WE6
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
13605 SW GARRETT CT, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2014-00208
Jeff Grove
Violation Summary:
Inspector Contractor