Permit CITY OF TIGARD MASTER PERMIT
71 s COMMUNITY DEVELOPMENT Permit#: MST2015-00018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/17/2015
Parcel: 2S 109DA13700
Jurisdiction: Tigard
Site address: 15176 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 56
Project: CLARAMUNT
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 8 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:
CASO,JOSE LUIS CLARAMUNT SOLARCITY CORPORATION Required Items and Reports(Conditions)
PEREZCABELLO,ARACELY 6132 NE 112TH AVE
15176 SW SUMMERVIEW DR PORTLAND,OR 97220
TIGARD,OR 97224
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 issu-•ce, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi •:nter. Thos' rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You v_obtain a c,•• • as or direct questions to OUNC by callin: -∎•i •:7 or 1.:.11.332.2344.
___...
Issued By: Permittee Signature: kI,�
r • .•39.4175 by 7:00 a.m.for the next available inspection
'
This permit card shall be kept in a conspicuous place on the job site until compl•_ •• e project.
Approved plans are required on the job site at the time of each inspection.
dr
Building Permit Application
Residential
City of Tigard �Ill • 13125 SW Hall Blvd.,Tigard,lxPlu R ►`llri ��
J Phone: 503.7182439 Fax: 503.598.1960Q $��`� p�B : Atli a Other Permit
Inspection Line: 503.639.4175 ��V r 0 See Paget for
Internet: www.tigard-or.gov v(�c 110 ,1.., . i �yi IM SuppkaaNal laf r.atime
TYPE or ae y 1`rT�r±- OOP „1.kt I4(x
‘ V 1RRQIIRED DATA:1-AP01PAi1/.Y IIIIIMUUDIG
❑New construction ► �'i dition Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the neatest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OP CONS2 work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: S 8,000
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
. JOB SITE 11MTPOSI1MIik't70ltl M LOCATION Total number of floors:
Job site address: 15176 SW Summerview Dr. New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg,/apL no.: I Project name: Claramunt,Jose vol Covered porch area: square feet
Cross streel/direc Lions to job site: ,I �11P` ;N- �.�v- Deck area: square feet
fA (4/;!•)/')/1)•�'r Other structure area: square feet
I ,1 S a, SSQ
34181,- REQUIRED DATA: CHECKLIST
Subdivision: �'11L dill
Lot no.: 8 Permit fees*arc based on the value of the work performed.
Tax map/parcel no.: e Indicate the value(rounded to the nearest dollar)of all
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
® PIOOPBZTY mica I ❑ TENANT Number of stories:
Name: Claramunt,Jose Type of construction:
Address: 15176 SW Summerview Dr, Occupancy groups:
City/Slate/ZIP:Tigard OR 97224 Existing:
Plain'(971)371 6913 Fax:( ) New:
® APPLICANT _ SI CONTACT PERSON BUILDING puma oar
Business name:SOLAR CITY Qltaarntritlrtil
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
Address:6132 NE 112Th AVE FLS plan review fee(if applicable):
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.EYQSOLARCITY.COM PHOTOVOLTAIC SOLAR PAIN'SYSTEM FEES`
Commercial and residential prescriptive installation of
CONTRACTOR 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.
Permit Fee(includes plan review
City/State/ZIP:PORTLAND OR 97220 5180.00
and administrative fees):
Phone:(503)894-6903 I Fax:(1866)445-7459 State surcharge(12%of permit fee): $21.60
CCB lie.:180498 • Total fee due upon application: S201.60
Authorized signature: ,i it i 0 This permit appliatioa expires if a permit is not obtained
within 180 days after it has been accepted as complete.
1 Print name:A. MELISSA TLE pate: $2.$5.15 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1 Building'Permits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(I 1/02ICOM/WEB)
.-
•
Building Permit Application Checklist
One- and Two-Family Dwelling 1 Uit 011:10: USE ONLY
City of Tigard Received
Date/By.
Permit Na
11111 -`r 13125 SW I fall Blvd.,Tigard,OR 97223 Associated nails
• a Phone: 503.718.2439 Fax 503.598.1960 t1t
['UAW
24-1-lour Inspection Line: 503.639.4175 ID Electrical ID Plumbing Li Mechanical
Internet: www.tigard-or.gov ❑ other:
THE F OLJ.)WINC ITEMS .\RE Rt:Ql IRED FOR PLAN REVIEW 1 e No Ni%
l Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 D •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. _ _ ❑ ❑ ❑
3 Verification of approved plat/lot. EL; ❑
4 Fire district approval required. Name of district: El ❑ Q
5 Septic system permit or authorization for remodel. Existing system capacity rl 0 ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. U ❑ ❑
8 Soils report. Must carry original atpplicablc stamp and signature on file or with application. El ❑ (�
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt knee design and location of catch- ❑ ❑ °❑°`1
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.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if ❑ 0 ❑
there is more than a 4-R.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 area;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 floor beams,headers,joists,sub- 0 ❑ ❑ 1
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,rooting.rool'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 0 0
locations. Show attic ventilation.
18 Basement and retaining walk. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets ofcalculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist corry't�n 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 ❑ r ❑ ❑
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 ❑ ❑ ❑
architect licensed in Ore•on and shall be shown to be atslicablc to the •ro'ect under review.
Jt. RIsIDI(i 10\AL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x II"or 11'x l7". ❑ ❑ 0
24 Two(2)sets each are reyuired for Items 16, 19,20 and 22 above. ❑ ❑ D
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ n ❑
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 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ []
Street'I'ree List.
29 Site plan to include trees and tree protection measures to 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 accessory Structures to existing residential dwellings
on a lot of record approved prior to September 9. 1995.
1:1BuildinglPcnnitsl13tJP-RESPennitApp.doe 0204/2011 440-4613T(i 1102/COM/WEI3)
Electrical Permit Application 'Slt-V i ()R O I 111 I I •I (0,1 1
SliCity of Tigard ��� Received a?
13125 SW Hall Blvd.,Tigard,ORS `-'�
Phone: 503.718.2439 Fax: 503.598.1960 5�Q1 Review
Inspection Line: 503.639.4175 �C Date Ready/By: a.:: B See Page 2 fee
Internet: www.ligard-or.gov `,`y� ftedlMethod: Supplemental Information
TYPE of `t' 104 • PLAN REVIEW
❑New construction ®Addidon/altgr�ationl` .‘ .'1" Please cheek all that apply(submit j sets of plans whams checked below):
❑Demolition ❑Other: 0 Service a feeder 400 amps or more 0 Building over three stories.
where the available fault anent ❑Marinas and boatyards.
CATEGORY or CONantucnow exceeds 10,000 amps at 150 volts or ❑Floating buildinp.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building hsstopamd or ons. DCommercial-use ig. apiealtaral
c�rY 8 amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: D Fire pump. D Installation of 150 KVA a
JOE SITE Bo1)t"olMATION AND LOCATION ❑Emer y new m larger separately derived system.
❑Addition of new motor load of ❑"A","E","l-2»°1-3",
Job no.9722391 lob site address: 15176 SW Summerview Dr, I00HPor more. occupancy.
D Six or more residential wits. ❑Recreational vehicle prks-
City/StatefZIP: Tigard OR 97224 ❑Health-care facilities- D Supply voltage for more than
D Hazardous location. 600 volts nominal.
Suite/bldg./apt.no.: Project name: Claramunt,Jose ❑Service a feeder 600 amps or more.
FEE SCHOOLS
Cross street/directions to job site: Desalealen 1 9Iv. I Fee. I Tar I •
New residential single-or multi-family dwelling snit.
Includes attached garage.
Subdivision: 1 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,residradial
75.00 2
DEBCRIITTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
PV ROOF MOUNT residential(with above sq ft.)
Renewable Energy a See Pattie 2
Services or feeders irertallatios,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 . 2
201 amps to 400 amps 133.56 2
Name: Claramunt,Jose 401 amps to 600 amps 200-34 2
Address: 15176 SW Summerview Dr, 601 reps 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:( 971)371 6913 I Fax:( 1 relOdetion
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 12548 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 Si 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.III 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
CONTRACIGR Sign Of 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 112TH AVE Each additional inspection over allowable in any of the above
Additional inspectiun(t hr min) 66.251 hr
City/State/ZIP:PORTLAND OR 97220
Investigation(1 hr min) 66.251 hr
Phone:(503)894 6903 I Fax:(1866)445 7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 180498 I Electrical Lic.: C562 Suprv.Lic.: 5873S specifically listed(44 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: NICHOLAS ARMSTRONG Date: 2.5.15 Plan review(25%of permit fee):
• State surcharge(12%of permit fee):
I
Authorized signature: t 41 TOTAL PERMIT FEE:
This permit application expires if a permit is sat obtained within ISO
Print name: A. MELISSA BENTLEY Date: days after it has ban accepted as complete.
• Number of inspe
11uitdinaWermitELC_PermnApp_ELR_EREdoe Rev 05121/2013 440.46)ST(IIASeCOMAVEa dionsalb
D wedper permit.
a
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
��. �` 'r:'•. .i.:�;�.. .. TAE 6CIIEQ ;
Fee for all residential systems combined........ $75.00 Description 1 (Ay. I /tee I T«.i I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
•
5.01 to 15 kva 1 13356 13 3.56 2
❑ Audio and Stcrco Systems*
15.01 to 25 kva 200.34 2
H .
Burglar Alarm Wind generation systems in excess of25 kva:
25.01 to SO kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 55126 - 2
>100 kva(fee in accordance with
OAR 918-309-0040) 55126 2
❑
Heating.Ventilation and Air Conditioning
ySte133* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
1 Vacuum Systems* >100 kva no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑
Other: Each additional inspection is
charged at at hourly(1 hr min) 66.25 hr 1
Inspections for which no fee is 90 ,hr
specifically lasted(Vi hnnin
COMMERCIAL W OR ( lt: I E agehai;Ogitm T F»BS
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 91 8-309-0000) Plan review,if required(25%ofpermit fee):
Stale surcharge(12%of permit fcc):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application*spires if*permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
Number of inspections allowed per permit
n Boiler Controls
❑ Clock Systems
I I Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nursc Calls
I Outdoor Landscape Lighting*
❑ Protective Signaling
n Other _
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I Buildioacarns,ELC I'amitApp ELF EKE doc Rev 05/210013
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
15176 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00018
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
15176 SW SUMMERVIEW DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00018
Jeff Grove
Violation Summary:
Inspector Contractor