Permit CITY OF TIGARD MASTER PERMIT
III • " COMMUNITY DEVELOPMENT Permit#: MST2015-00111
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2015
Parcel: 2S 104AC09000
Jurisdiction: Tigard
Site address: 13173 SW BOUNEFF ST
Subdivision: MORNING HILL NO.9 Lot: 233
Project: Ernster
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: $6,500.00 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:
ERNSTER,EUGENE J&CARLA E SOLARCITY CORPORATION Required Items and Reports(Conditions)
13173 SW BOUNEFF ST 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $356.19
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 Cente. Tho rules are set forth in OAR
952-001- throu, •AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 8 r . 00.332.2344.
Issue y: �.• _� Permittee Signature: '
Call 503.639.4175 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 pro t.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application 4 ,44 i V .'
Residential OFFICE USE ONLY
City of Tigard Permit No.: id /S-'4O
; ■•• 13125 SW Hall Blvd.,Tigard,OR,97221 . i iR.ARD � RI� Other Permit:
Phone: 503.718.2439 Fax: 503.59>Ll r
i I G A It I) Inspection Line: 503.639.4175 DI1V O DIVISIOl� Date Rca■ T : El Sec Page 2 for
Internet: www.tigard-or.gov ' D N Notified/Method: — AA Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
F. ❑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 CONSTRUCTION work indicated on this application.
ilif ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 6500
❑Accessory building ❑Multi-family Number of bedrooms.
[11 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13173 Bouneff St, New dwelling area: square feet
City/State/ZIP! 13: OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Ernster,Carla 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.
Tax 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.
Valuation: $
PV ROOF MOUNT Existing building area: square feet
New building area: square feet
PROPERTY OWNER 0 TENANT - Number of stories:
Name: Ernster,Carla Type of construction:
Address: 13173 Bouneff St, Occupancy groups:
City/State/ZIP:Portland OR 97223 Existing:
Phone:(503 ) 521 8577 Fax:( 1 New:
:4 APPLICANT C.1 CONTACT PERSON BUILDING PERMIT FEES*
(Pima,r r to aMbr4
Business name: ----
SolarCity QQrp Structural plan review fee(or deposit):
Contact name: Melissa Farias
Address: FLS plan review fee(if applicable):
6132 NE 112th Ave.
Total fees due upon application:
City/State/ZIP: Portland OR 97220
Amount received: ----- -
Phone:(503)894-6903 I Fax::(1868 445-7459 _
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Melissa.Farias @SolarCity.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SolarCity Corp. 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. Permit Fee(includes plan review
Portland OR 97220 and administrative feed $180.00
Phone:( 503) 894-6903 I Fax:(186$ 445-7459 State surcharge(12%ofpermit fee): $21.60
CCB lie.: I , • _ Total fee due upon application: $201.60
Authorized signature: t fig r Af This permit application expires if a permit is not obtained
A 11 within 180 days after it has been accepted as complete.
Print name: Melissa Fari. ( Date: 06/29/15 — 'Fee methodology set by TO-County Building Industry
Service Board.
-
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
1
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
lipq Uato/By Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated ts:
Phone: 503.718.2439 Pax: 503,598,1960 pcmu
TIGARD
24-Hour Inspection Line 503.639.4175 CI Eke/rice] Q Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for coneurrcnl reviews. • 1 II
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ■ ■
3 Verification of approved plat/lot. U •
4 Fire district approval required. Name of district: . ■ II
5 Septic system permit or authorisation for remodel. Existing system capacity . • • •
6 Sewer permit j] • ■
7 Water district approval. • ■ ••
8 Soils re art. Must car ori_inal a. licablc st . and si.nature on file or with a,.lication. • • •
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- • • •
basin protection,etc.
10 Complete sets of legible plans. Must be 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
copYrighl violations exist.
I I 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-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage ofcoverage;impervious area;existing structures on site;and
surface drain pc.
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, 0 • ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sines and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑
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,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. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addcndums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysts 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 0 ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement amber. For engineered ❑ ❑ 6
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 CI ❑
over 10 feet long and/or any bcarnitoist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 [] J
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑
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 ❑ Q El
architect licensed in Ore_on and shall be shown to be a n livable to the .m'ect under review.
JURISDICTIONAL SPECIFICS
23 Three S3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 • •
24 Two(2)sets each arc required for Items 16. 19,20 and 22 above. • • ❑
25 Building plans shalt_not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. • • ■
• 26 •
"Reversed"building plans must meet criteria outlined in the Permit Sc System Development Fees document. ❑ U Q
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ■ A
28 Site plan to include tree size,typo and location per approved project street tree plan(if applicable),and City of Tigard ❑
Street Tree List.
29 Site plan 10 include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑
and protection measures must be drawn to scale and must include the p%lect 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.
I:1Build ngtPermits\BUP-RESPennitApp.doc 02/24/201 1 440-4613T(I 1/02/COM/W BB)
i_
. 7
Electrical Permit Applicatioi ECEIVEI�'
City of Tigard Received lei 5 ( Permit No.: No1:90/6-C6/'//
uatclBy:
i r 13125 SW Nall Blvd.,Tigard,OR 97223 Plso Rcvicw
I Phone: 503.718.2439 Fax: 503.598.1960', 3 0 2015 PBy. OtherPermib
1 I �,:.11 Inspection Line: 503.639.4175 Date Ready/By: Mir El Sec Page 2 for
Internet: www.tigard-or.gov . .. Notified/Mcthod Supplemental Information
TYPE OF-WORK _ PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wFitems 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 CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
Eli-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings.
❑Mulli-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""I.2""t-1"
Job no.: 9722778 Job site address: 13173 Bouneff St, I00NP or more. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: ' ( i6,4e OR 97223 ❑Health-cart facilities. ❑Supply voltage for more than
❑Haaardous locations. 600 volts nominal.
Suite/bldg./apt.no.: I Project name: Ernster,Carla ❑Service or feeder 600 amps or more.
Cross street/directions to job site: FEF. SCHEDULE
1
Description I Qty. 1 Rex. I Taal 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
75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
PV ROOF MOUNT residential(with above sq.It)
Renewable Energy el See Page 2
Services or feeders installationy alteration,and/or relocation
El PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2
�.._.. ._._W_ _..... 201 amps to 400 amps 133.56 2
Name: Ernster,Carla 401 amps to 600 amps 200.34 2
Address: 13173 Bouneff 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 Fax: ) relocation
503 ) 521 8577 ( _ 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 :t CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
each branch circuit 7.42 2
Business name:SolarCity Corn.
B.Fee for branch circuits without
Contact name: Melissa Farias service or feeda-fee,first 56.18 2
branch circuit
Address: 6132 NE 112th Ave Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Portland, OR 97220 Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Phone:(503 ) 894-6903 Fax::(1866) 445-7459 Reconnect only 67.84 2
E-mail: Melissa.Farias @SolarCity.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: signal circuit(s)or limited-energy See
SolarCitv Corp. panel,alteration,or extension. Paget 2
Address: 6132 NE 112th Ave Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP: Portland OR.97220 Investigation(1 hr min) 66.25/In
Phone:(503) 894-6903 Fax:(1866) 445-7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.001 hr
CCB Lic.: 180498 Electrical Lie.: 0562 Suprv.Lic.: 58735 specifically listed(.!Jir mint
ELECTRICAL PE:RMI'f FEES
Suprv.Electrician signature,required: _sa--
2--_-""-�� Subtotal:
Plan review(25%of permit fee):
Print name: Nicholas Armstrong Date: 06/29/15 _ - --
State surcharge(12%of permit fee):
Authorized signature: " st • TOTAL PERMIT FEE:
t ` 06/29/15 This permit application expires ifs permit is not obtained within 180
Print name: Melissa Faria Date' days after it has been accepted as complete.
• Number of inspections allowed per permit.
r\U aitdingiPerminsELC_PermitApp_ELR_ERE.doe Rev 0521/20/3 I40.4615T(1 I/o5/COMiWE0
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESU.E+1TYAi WORK ONLY: •IEr�F`5lifLS }
Fee for residential systems combined $75.00 11«M>w»a I Qh. I t'rr l Taut (••
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva orless 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 2.5 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
5100 kva(tee in accordance with
552/6 ?
ID Heating,Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems In excess of 25 kva:
Each additional kva over 25 7.42 3
0 Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over sllowahle in any of the above:
❑ Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr
Inspections for which no fee is
90.00/11:
specifically lly ltatud('fr hr min)
COMMERCIAL WORK ONLY:, ELECTPJJCAt. r FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%ofperrnit fee):
Stale surcharge(12%ofpermit fee):
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 trier it len been accepted as re melee.
• Number of instxa:tieas allowed per permit.
[] Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation •
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other
Total number of commercial systems:
*Nu licenses are required. Licenses are required
for all other Installations
1:It3uildateFcrmrAEI.0_?start/pp.GL[,raa_o.c Re.OS/21/2013
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
13173 SW BOUNEFF ST, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00111
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
13173 SW BOUNEFF ST, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2015-00111
Jeff Grove
Violation Summary:
Inspector Contractor