Permit .r CITY OF TIGARD MASTER PERMIT
a. COMMUNITY DEVELOPMENT Permit#: MST2015-00011
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2015
Parcel: 1 S134CD01600
Jurisdiction: Tigard
Site address: 11770 SW KATHERINE ST
Subdivision: LERON HEIGHTS NO.3 Lot: 51
Project: Currier
Project Description: Installation of 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: $5,500.00 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'I 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:
CURRIER.LEONARD D&DIANE I SOLARCITY CORPORATION Required Items and Reports(Conditions)
11770 SW KATHERINE ST 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: 503-302-2349 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 rul= o.ted by the Oregon Utility Notifica.• , C- -r. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of theect questions to OUNC by calling 51 \198 or 1.800.332.23 .
r
/
Issued By: Li.......a.../G_ ..„,,_—... Permittee Signature:
Call 50 i!�5 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 - oject.
Approved plans are required on the job site at the time of each inspection.
. w
Building Permit Application
Residential I O R m i l( 11 ,1 i I ,
Ili City of Tigard RECEIVED 'Id: 0EI MM
Perim No... . .,ey5 0t/
13125 SW Hall Blvd.,Tigard.OR 97223 Pys Review .
Phone: 503.718.2439 Fax: 503.591044 2 6 2015 Date/B : Jim, lk ECM Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: AligiMIEM Jura la See Page 2 tar
Internet: www.tigard-or.gov CITY OF TIGARD Notifies:Method: nirnMri'ilVM s'°pestefta1 tef'r'ta'd'a
BUILDING DIVISION acacia:144f 1, v-caiLLA
TYPE OF WORK REQUIRED DATA:1-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 CONSTRUCIION work indicated on this application.
Valuation: s
® I-and 2-family dwelling ❑CommerciaUndustrial 5,500
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11770 SW Katherine St, New dwelling area: square feet
City/State/ZIP: Portland OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: Currier,Leonard 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: 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 5.3 KW; PRESCRIPTIVE Valuation: s
Existing building area: square feet
New building area: square feet
® PROPERLY OWNER I ❑ TENANT Number of stories:
Name: Currier, Leonard Type of construction:
Address: 11770 SW Katherine St, occupancy groups:
city/state/zip:Portland OR 97223 Existing:
Phone:(503)302 2349 Fax:( ) New:
is APPLICANT ® CONTACT PERSON BUILDING Maur FEES'
Business name:SOLAR CITY Q ' r�tt �
Contact name:MELISSA BENTLEY Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address:6132 NE 112TH AVE
City/State/ZIP:PORTLAND OR 97220 Total fees due upon application:
Phone:(503)894 6903 I Fax::(11166)445 7459
Amount received: � -�
E-mail:ABENTLEYQSOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
CONTRACTOR Commercial and residential prescriptive installation of
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 1 12TH AVE Solar lnstallaifon Specialty Code checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review S180.00
and administrative fees):
Phone:(503)894-6983 I Fax:(1866)445-7459 State surcharge(12%of permit fee): $21.60
CCB lic.: 180498
`` Total fee due upon application: $201.60
Authorized signature:�1 I 0 This permit applkstioa expires if a permit is not obtained
within 188 days after It has been accepted as complete.
I Print name:A MELISSA TL I 1.21.15 *Fee methodology set by Tri-County Building Industry
Service Board.
1:1BuildnePennits\BUP-RESPermilApp.doc 02/24/2011 440-4613T(II/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling volt ()l•FICIt USE ONLY
• City of Tigard x«�:rca
g Daldny_ Permit No
13125 S W 1 Itdl Blvd.,Tigard,OR 97223 -
-� ' Phone: 503.718.2439 Fax: 503.598.1960 Assoeiared permits
24-Hour Inspection Line: 503.639.4175 E Electrical ❑ Plumbing L Mechanicnl
I1lr 1t I-` Internet: www.tigard-or.gov ❑ °titer
THF. FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1.e no Nfa
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 t pproval required. Name ol'district: El_ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 El
6 Sewer permit. ❑ ❑ LI
7 Water district approval. [-j ❑ ❑
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- ❑ ❑ ❑
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 4-11.elevation differential,plan must shop, contour lines at 241.intervals);location of easements
and driveway;footprint of structure(including decks):location ofwells/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, ❑ ❑ ❑
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 Poor 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. ❑ 0 ❑
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- ' 0 ❑ ❑
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 ❑ ❑ ❑
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 carryig a non-uniform load.
20 Manufactured floor/roof truss design details. -0 ❑
2 I Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ Er
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 die ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑
24 Two(2)sets each are required tor Items 16, 19.20 and 22 above. 0 ❑ 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. ❑ 0 ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. , ❑ ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. El 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of"Tigard U U [{�
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
and roteetion measures must be drawn to scale and must include the roject arborist's signature of a .roval.
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.
l:l Building\PcnnitsUBUP-RESPannitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB)
r '*,
Electrical Permit Applicl CEIVED , 1,K O, I It I I "I t,\I 1
City of Tigard JAN 2 6 2015 "`" 0®�/,�11� Permit No.. MC — f
13125 SW Hall Blvd.,Tigard,OR 97223 plan R '
• laspection L IICg.$U3 639 4. 1�TIGARD �eR By: Other Permit: B See Page 2 far
Internet: wwN.ugard-or.gov��11LDING DIVISION NotlfiedJMethod: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 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 CONSIMIC1'ION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® I-and 2-famil 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 ISO KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
dditi
❑Addition of new motor load of ❑"A","E","1-2","1-3",
I00HP or more. occupancy.
Job no.: 9722379 Job site address: 11770 SW Katherine St, ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: Portland OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: Currier,Leonard ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qtr. I Fa. I Thai 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 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 '-
Limited energy,multi-family
75.00
PV ROOF MOUNT residential(with above sq.ft.)
Renewable Energy ® See Page 2
5.3 KW Services or feeders installation,alteration,and/or relocation_
® PROPERTY OWNER I ❑ TENANT 200 amps or less j 100.70 2
201 amps to 400 amps 133.56 2
Name: Currier, Leonard 401 amps to 600 amps 200.34 2
Address:11770 SW Katherine St, 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Portland OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:(503)302 2349 Fax:( ) relocat o
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 A.Fee for branch circuits with
® CONTACT PERSON
above service or feeder fee,
Business name:SOLAR CITY CORP each branch circuit 7.42 2
B.Fee 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'/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 112"AVE Each additional inspection over allowable in any of the above
City/State/ZIP:PORTLAND OR 97220
Additional inspection(t hr min) ' 6625,hr
Investigation(I hr min) 66.25/hr
Phone:(503)894 6903 Fax:(1866)445 7459 Industrial plant(I hr min) 78.18/hr
CCB Lic.: 180498 Electrical Lic.: C562 Su Inspections for which no fee is
prv.Lic.: 5873S specifically listed('h hr min) 90.00/hr
ELECTRICAL PERMIT PUS
Suprv.Electrician signature,required: Subtotal:
Print name: NICHOLAS ARMSTRONG Date: 1.21.15 Plan review(25%of permit fee):
— State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name: A. MELISSA BENTLEY Date: 1.21.15 days after it has been accepted as complete.
' Number of inspections allowed per permit.
I\HuildiasTe miisELC_Pe oirApp_ELR_ERE doe Rev 05/21/2013 440.461 ST(11/05/COMAMEa
A w.
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
:RESIDENTIAL TIAL WOW ONLY: 1 ;)$CHEtOLK
Fee for all residential systems combined ... $75.00 guruaion Cee I____ Toni F
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 13 3.5 6 2
❑ Audio and Stereo Systems* l5.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 55226 2
,100 kva(fee in accordance with
OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning -
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
I I Vacuum Systems* >100 kva no additional charge 0.0 3
Esch additional inspection over in any nfthe above:
❑
Other: Each additional inspection is
charged at at hourly(1 hr mm) 6G.25�lx 1
Inspections for which no fee is 90 00,hr
specifically listed(7:hr min)
COMMERCIAL: R Q LY: :;::: :::: :'° I?�LEf"1'A[CAIe IT:;MSS
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%ofpermit fcc):
State surcharge(12%of permit fcc):
Check Type of Work Involved: TOTAL PERMIT PEE:
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
Fl Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
Fl Outdoor Landscape Lighting*
n Protective Signaling
f Other _ .
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I Duildioy'Yemas!ELC Pcrmithpp ELR ERE doc Rev O5/.lPOl3
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
11770 SW KATHERINE ST, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00011
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
11770 SW KATHERINE ST, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2015-00011
Jeff Grove
Violation Summary:
Inspector Contractor