Permit (29) p CITY OF TIGARD MASTER PERMIT
III s COMMUNITY DEVELOPMENT Permit#: MST2014-00202
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2014
Parcel: 2S103CB08200
Jurisdiction: Tigard
Site address: 12345 SW QUAIL CREEK LN
Subdivision: QUAIL HOLLOW-EAST Lot: 31
Project: LOPRESTI
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: $5,355.00 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
F urn>=100 K: 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 addl 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:
LOPRESTI,AARON A&SHELLEY M SOLARCITY CORPORATION Required Items and Reports(Conditions)
12345 SW QUAIL CREEK LN 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX 866-445-7459
Total Fees: $363.69
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
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: P ermittee Signature: � �� c�C'r ►-�
3.639.4175 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 INVP i i)1z c∎l I I( I I ',, (■•I 1
Nil- City of Tigard gE,C n wey: l/ /a. is/ Pennii No.:/`.1 /u—r3Q
■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 4
Phone: 503.718.2439 Fax: 503.597223 '�_., Date/By: 4
/ k iri Other Permit
� 1 , i Inspection Line: 503.639.4175 N0 V Date Ready/By J 1w+s: B See Paso 2 for
Internet: www.tigard-or.gov „�/g ��;A Notilied/Melhod: li 11 ,�j� T" ---( Soppleseaal l■tor>.aaoa
CITY i Vt` �eMu �� J�
TYPE ,,t , D1�S10 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 work indicated on this application.
® I-and 2-family dwelling ❑CommerciaVindustrial Valuation: S 5355
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INPORMAIION AND LOCATION Total number of floors:
Job site address: 12345 SW Quail Creek Ln New dwelling area: square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suite/bldgiapt.no.: I Project name: Lopresti Covered porch area: square feet
Cross streeUdirections 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
is PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Lopresti, Shelley Type of construction:
Address: 12345 SW Quail Creek Ln Occupancy groups:
City/State/ZIP: Tigard OR 97223
Existing:
Phone:(971 )322-5651 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT RE1SS*
Business name:SOLAR CITY (Hisor"ttir ar�MtairMd
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
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 I Fax::(1866)445-7459
Amount received:
E-mail:ABENTI.EY®SOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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 112TH 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 I Fax:(1866)445-7459 State surcharge(12%of permit fee): $21.60
CCB tic.: 180498
I Total fee due upon application: $201.60
Authorized signature:1 1 ,t This permit application expires if a permit is not obtained
, within 180 days alter it has been accepted as complete.
Print name:A. MELISSA TLE 1 Date: 11/12/14 1 'Fee methodology set by Tri-County Building Industry
I Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
J - ,.
Electrical Permit Application I ()R ()I I I( I I .I t,\I 1
City of Tigard crG iv� Received ,
-I
13125 SW Hall Blvd.,Tigard,OR 9726 Plan Review - '
Phone: 503.718.2439 Fax: 503.598.1 pn�g ; Other Permit:
Inspection Line: 503.639.4175 ,Z 14 Date Ready/By. 0 See Page 2 for
Internet: www.tigard-or.gov ��v 15 0 Notified/Method: Zr�„ S„ppkaicna1Information
TYPE OF WORK (s ttlj PIAN REVIEW
❑New construction ®Addition/alterath •i*I�w+ IV taw Please check all that apply(submit 2 sets of plans w/Rems checked below):
❑Demolition �11� 1 1� ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Other: where the available fault current
❑Marinas and boatyards.
CATEGORY OF exceeds 10.000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-fault dwelling less to ground,or exceeds 14,000 ❑Commercial-use agricultural
2-family g ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
.11011 SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑'A" 'E" "I-2""1-3"
Job no.:9722224 I Job site address: 12345 SW Quail Creek Ln 100HPor more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: Tigard OR 97223 ❑Heahh-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal
Suite/bldgJapt.no.: Project name:Lopresti ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: oescri■ties I Qty. I Pee. I Tar I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4
Fat.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
PV ROOF MOUNT residential(with above sq.ft.)
Renewable Energy leSee Page 2
Services or feeders Installation,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
Name: Lopresti, Shelley
' 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Address: .12345 SW Quail Creek Ln 601 amps to 1,000 amps 301.04 2
Tigard OR 97223 Over 1.000 amps or volts 552.26 2
City/State/ZIP: g Temporary services or feeders installation,alteration,and/or
Phone:( 971 )322-5651 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 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
® APPLICANT I ® C)I4TAer PERSON A.Fee for branch circuits with
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'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 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(I hr min) 66.25/hr
Phone:(503)894-6903 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.: 5201S specifically listed(1.4 hr min)
ELECTRICAL PERMIT IPMES
Suprv.Electrician signature,required: Subtotal:
l --j
Print name: DEREK CROPP Date:11/12/14 Plan review(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 4 . TOTAL PERMIT FEE:
� r
Print name: A. MELI 'A lr + Date: 11/12/14
MB permit apptkadon expires if penult is not obtained within 18o
days after it has been accepted as complete.
' Number of inspections allowed per permit.
1.43uildingTennitcuELC_PsnanApp_ELR_ERE doe Rev 05/21/2013 440-46151(1 tro5/COM/WEB
1 .. .'
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL.WORK ony: • » st[ ar is
Fee for all residential systems combined .. $75.00 uescrreitim C Qtr. I Fla r nod- 1
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* 16.01 toes kva 200.34 2
n Burglar Alarm Wind generation systems hi excess 4025 kva:
25.01 to 50 kva 30104 2
11 Garage Door Opener* 50.01 to 100 kva 552.26 2
100 kva(fee in accordance with 55226
❑ Heating, Ventilation and Air Conditioning OAR 91 8-309-00403
System* Solar generation systems In excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >loo kva no additional charge 0.0 3
E Other: Each additional inspection over allowable in any of the above:
Each additional inspection is 66.25/hr I
charged at an hourly(1 hr mini
Inspections for which no fee is 90.00'hr
specifically listed(i hr min!
COM IERCI ,L WORK ONLY: IIL ct'RICM.a(, P1ORMf';FLEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
Slate surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
❑ This permit application expires if a permit is not obtained within 180
Audio and Stereo Systems days after it has bete accepted as complete.
* Number of inspeclions allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ 1-IVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
(l Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I IHurdingJ'crmiteELC_PermilApp_ELR_FRE doe Re.R421/201l