Permit p CITY OF TIGARD MASTER PERMIT
`'1 1 COMMUNITY DEVELOPMENT Permit#: MST2015-00016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2015
Parcel: 2S103CA00203
Jurisdiction: Tigard
Site address: 11820 SW JAMES CT
Subdivision: WOODCREST NO.2 Lot: 17
Project: Bird
Project Description: 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: $4,500.00 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
Other Fixtures: 0
Drywell-Trench Drain: 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:
BIRD,THOMAS C SOLARCITY CORPORATION Required Items and Reports(Conditions)
11820 SW JAMES ST 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: 503-367-2328 PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $326.88
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 py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344s,
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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 Applicatittm r n
Residential EVEIVE n I I)Il ti I It I I .I ct\I 1
City of Tigard FEB 4 2015 � e d a y ���-// p<,,ni,rte.
i� a • 13125 SW Hall Blvd.,Tigard,OR 97,E OF TIGARD ���� �� D/S�a// /
Phone: 503.718.2439 Fax: 503.5 OF (i,� ��.Other Permit
,, Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready�- Juris ® See Page 2 for
Internet: www.tigard-or.gov Notiliicd/Method: ■ . — kr. Supplemental Information
61 .■ 0 C. InrPli Ste.
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 ('ONSI'RUC rION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: S 4500
❑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: 11820 SW James Ct, New dwelling area: square feet
City/state/zip: Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Bird 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.
Fax map/parcel no.: 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
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Bird.Tom Type of construction:
Address: 11820 SW James Ct. Occupancy groups:
City/State/ZIP:Tigard OR 97223 _ Existing:
Phone`( 503)367 2328 Fax:( ) New: -
0 APPLICANT 0 CONTACT PERSON BI It.DINC PERMIT FEES"
Business name:SOLAR CITY (Please refer rofee schedule)
Contact name:MELISSA BENTLEY Structural plan review fcc(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:ABENTLEYQSOLARCrrY.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 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 I Fax:(1866)445-7459
State surcharge(12%of permit fee): $21.60
CCB lie.: 180498 fee due upon application: $201.60
Authorized signature. it , 1 This permit application expires if a permit is not obtained
1.r4�r...� _ within 180 days after it has been accepted as complete.
I Print name:A. MELISSA IT TIE, Date: 1.3 0.15 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440.4613T(I I/02/COM/WEB)
II
Electrical Permit Application RECEIVE -
i 1,1< 111 1 it 1 ,, , i ,
El
City of Tigard FEB 4 2015 ',
Review
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 e/g dltar Panalt:
Inspection Line: 503.639.4175 CITY OF TIGA' �: 0 see Page:for
Internet: www.tigard-0r.gov BUILDING DIVIS Supp lementallnfrmatian
TYPE OF WORK PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit I ids of plans w/items checked below):
CI Demolition ['Other: ❑Service or feeder 400 amps or mom ❑Building over three stories.
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
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 130 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A""E""1.2""1-3"
Job no.: 9722402 I Job site address: 11820 SW James Ct, IOOHP or more. 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.
Suite/bldgiapt.no.: Project name: BIRD ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: lrescri*t.a 1 Qty. I tee. I Tet.t I •
New residential single-or multi-family dwelling omit.
Includes attached garage.
Subdivision: 1.ot no.: 1,000 sq.ff.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential
2
DESCRIPTION OF WORK (with above sq.ft.) 75.00
Limited energy,multi-family 75.00 2
PV ROOF MOUNT residential(with above sy R)
Renewable Energy __ 0 See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
Name: 201 amps to 400 amps 133.56 2
Bird,Tom 401 amps to 600 amps 200.34 2
Address: 11820 SW James 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)367 2328 I Fax:( 1 . 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 ® 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 56.18 2
branch circuit
Address:6132 NE 112TH AVE Each add'l 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 112T11 AVE Each additional inspection over allowable in any o f the above
Atkiitiunas inspection(1 hr min) 66.25.,hr
City/State/ZIP:PORTLAND OR 97220 Investigation(I hr min) 66-25/hr
Phone:(503)894 6903 Fax:(1866)445 7459 Industrial plant(I hr min) 78.18/hr
1 - Inspections for which no fee is 90.00/hr
CCB Lie.: 180498 Electrical Lic.: C562 Suprv.Lic.: 5873S specifically listed('h hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ,_ Subtotal:
Print name: NICHOLAS ARMSTRONG I Date: 1/30/15 Plan review permit fee):
Slate surcharge(12%of permit fee):
Authorized signature: h L�1, TOTAL PERMIT FEE:
This permit application expires if a permit Is nut obtained within 180
Print name: A. MELISSA BENTLEY Date:
1/30/15 days after it has been accepted as complete.
' Number of inspections allowed per permit.
I lauild'm,1PermitiW.LC PermitApp_FLR_ERE doe Rev 05/21/2013 440.461 ST(1 i/05/COM/WER
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Rg E.T.A14 WOO ON.Y Wig.uctrabt .>;
Fee for all residential systems combined 575.00 ones,ea i �.1 re. I 'T.ul
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 100.70 2
•
5.01 to'Skye 133.56 2
Cl Audio and Stereo Systems*
15.01 to 25 kva zooid 2
[1] Burglar Alarm Wird gereradonsystems it excess of 25 kva:
25.01 to 50 kva 301.00 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
-100 kva(fee in accordance with
55126 2
OAR 918-309.0040)
❑ Heating,Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
f:.ach additional kva over 25 7.42 3
❑ Vacuum Systems* X100 kva• no additional charge 0.0 3
Each additional inspection over ailowabk in any of the above:
❑ Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/Ix
inspections for which no fee is 90.00/hr
seccificaily listed(Y�hr min)
COMRGL4L-WOW ONLY ELE CAL. i ;m ss:
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of penult fcc):
Check Type of Work Involved: TOTAL reRMrr FEE:
This permit application expires ifs permit is not obtained within 150
❑ Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
•
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
lrluilthaeremtir\ELC PermitApp ELR EREdoc Rev O M/2013