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Permit CITY OF TIGARD MASTER PERMIT ' • COMMUNITY DEVELOPMENT Permit#: MST2015-00092 E GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/09/2015 T Parcel: 1 S134DC04900 Jurisdiction: Tigard Site address: 11340 SW TIGARD ST Subdivision: MUTTLEY'S ADDITION Lot: 26 Project: JENSEN 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'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: OTR SF VB R-3 0 Owner: Contractor: JENSEN,LARRY JAMES SUNRUN INSTALLATION SERVICES INC Required Items and Reports(Conditions) 11340 SW TIGARD ST 3380 SE 20TH AVE TIGARD,OR 97223 PORTLAND,OR 97202 PHONE: PHONE: 503-501-6377 FAX: Total Fees: $321.88 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 obtain a copy of th- • - • direct questions to OUNC by calling 503.232.1987 or 1.8 0.332. 44. Issued By: •e ••nature: Call • .• •.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 �" y, Itrtt1>Illt 11 ,1 f0.I l City of Tigard ti ' rZ Permit No.: Aa. rig, •, a • 13125 SW Hall Blvd.,TrganJ,OR 97223 "1 Plan Revie.• PLA , l� = Phone: 503.718.2439 Fax: 503.5982,1%0� �` DateB : Other Permit: S�� ./I T I G R D Inspection Line: 503.639.4175 \\` � (� Date Ready c • Juris: ® See Page 2 for Internet: www.tigard-or.gov `�°�� C,��) Notified Method:�D�d' ; �> t Supplemental Information ‘'N' Or Gtr VI/ C{Zk--77 TYPE _IL, 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 S.Addition/alteration/replacement ❑Other equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. . [x I-and 2-family dwelling ❑Commercial/industrial Valuation: $ ('!a q0 ❑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: 1134 b S\..,./ 1'\ ate . 5i- New dwelling area: square feet City/State/ZIP: pv f a,1, ,2) R '\--n.), Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Lol _3i0 VS 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*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. Valuation: $ T�slz,11�1-tom of- a k 4/ 54,1, e.t.a LOVl fit; rOd� w..m45 k t Sy SVcAn.3.444.4 Existing building area: square feet New building area: square feet 1 ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: 4, r� TthSol,‘ Type of construction: Address: 11140 S• `1 ). S k. Occupancy groups: City/State/ZIP: ?6,t �) aN 1 ll J Existing: Phone:(sal) 6\( — / 3 64 Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* 1 ` ` (Please refer to fee schetbrk) Business name: St kk km^ S i�ct►l\ T�7*,+ S,G,tV (e 5 I A C y Structural plan review fee(or deposit): Contact name: �V,a,^ Z%„,, Kr' Address: \v�'d AV FLS plan review fee(if applicable): n q1 Total fees due upon application: City/State/ZIP: Qvr �� Ok I1 1 (� ` Amount received: Phone:(7u\ )Yia -35Lj( Fax::( ) E-mail: 551 ©St.Aatak�aAAkt . PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* {VOA,I-65 Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Sum+ t1�1�� S Tt,�c 5 Lk(. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: N Permit Fee(includes plan review $180.00 and administrative fees): Phone:(ScA ) no -35 Liq Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: ,O Lit,t.i 1 Total fee due upon application: $201.60 Authorized signature: v� This permit application expires if a permit is not obtained �/��///�./��—��---- within 180 days after it has been accepted as complete. Print name: E Tc 5 t/15 *Fee methodology set by Tri-County Building industry SS`G( Date: I Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/242011 440-4613T(11/02/COM/WEB) Electrical Permit Application w 1.OI2(1141( 1.. i SI.;()NI.) City of Tigard i l Received Permit Noetif j O/S'_ a Ddo9 13125 SW Hall Blvd.,Tigard,OR 97223 , ,1/4 h? ' Plan Review Phone: 503.718.2439 Fax: 503.598.190 Date/B : Other Permit: TIC;A K t) Inspection Line: 503.639.4175 Date Ready/By: Juris El See Page 2 for Internet: www.tigard-or.gov i ..klptified/Method: Supplemental Information j TYPE OF WORK x 4.:1. 3,�� PLAN REVIEW Please check all that apply(submit 2 sets of plans w/items checked below): ❑New construction rg Addition/alteration/replacement ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: • where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRI41*' 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 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","1-2","I-3", 1V1 0 [` , T 1 rl )A- 100HP or more. occupancy. r�r J W G/ ❑Six or more residential units. ❑Recreational vehicle parks. y U `/ ❑Health-care facilities. ❑Supply voltage for more than {U�'r y / O •�� I ❑Hazardous locations. 600 volts nominal. ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description •I Qty. I Fee. 1 Total 1 Subdivision: Lot no.: 168.54 4 Ea.add'I 500 sq.ft.or portion 33.92 1- Tax map/parcel no.: Limited energy,residential 75.00 2 T `1 r DESCRIPTION OF 'WORK (with above sq.ft.) ' ys •1K4o,.. a r CA ' W ()La �va` �C Limited energy,tial(with multi-family aoe q. 75.00 2 y residential(with above sq.ft.) 3.11K14/ \ Renewable Energy ❑ 35b)—t‘"%- ■• ❑ PROPERTY OWNER I ❑ TENANT 100.70 2 201 amps to 400 amps 133.56 2 Name: Lca 1^` -It tisA� 401 amps to 600 amps 200.34 2 Address: ,�f co u\0VUt 601 amps to 1.000 amps 301.04 2 cJMI ` 5a\ _ 61 - (0,1 Over 1,000 amps or volts 552.26 Owner installation:This installation is being made on property that I own which is not • intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. Owner signature: Date: Branch circuits—new,alteration,or extension,per panel ❑ APPLICANT J ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: SLM,,, A -1.,,„,,I,4%.,L 1: SeCvt�c[ i v.c• each branch circuit 77--" J B.Fee for branch circuits without Contact name: C^Jul t SS l C\ service or feeder fee,first branch circuit 56.18 2 Address:n33W O SCR I kv AVE Each add]branch circuit 7.42 2 i 0'+ -L4M I O\� `--)_`16.1 Each manufactured or modular Phone:(5,A) %TO_yat-t‘ Fax::( ) dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 E-mail: t,.v(IH • f icifit C V St rt.w►■A4.1w.t . Gw. Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: e T 4�t Signal circuit(s)or limited-energy See ]l.lti►1/1v�n �v.S��III1��u�H�' SClV�CeS �vC. panel,alteration,or extension. Page 2 2 Address: SGMw■C (tS Ol ■-` l) 66.25/hr Investigation(1 hr min) 66.25/hr Phone:( ) Os Fax:( ) Industrial plant(I hr min) 78.18/hr Inspections for which no fee is CCB Lie.: Kati L4 Electrical Lie.: CL+Q1 Suprv.1 Lie.: Lill specifically listed('/hr min) 90.00/hr Suprv.Electrician signature,required: ; �.- tOf/i ELECTRICAL PERMIT FEES Sl, „{ S Yam Si i1 f`C Plan review(25%of permit fee): Print name: Date: / J Authorized signature: TOTAL PERMIT FEE: Print name: CUC�n� 5S'C t Date: 5/iy/15 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\Permits\ELC_Perm6App_ElR_ERE.doc Rev 05/21/2013 440-4615T(II/05/COM/WEB 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 11340 SW TIGARD ST, TIGARD, OR, 97223 Residential - Master Permit 199 Electrical ﬁnal PASS MST2015-00092 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 11340 SW TIGARD ST, TIGARD, OR, 97223 Residential - Master Permit 699 Mechanical ﬁnal PASS MST2015-00092 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 11340 SW TIGARD ST, TIGARD, OR, 97223 Residential - Master Permit 299 Final inspection PASS - No C of O MST2015-00092 Jeff Grove Violation Summary: Inspector Contractor