Permit p CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00137
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2015
Parcel: 1 S 133 DC 10300
Jurisdiction: Tigard
Site address: 13220 SW BRITTANY DR
Subdivision: BRITTANY SQUARE NO.3 Lot: 69
Project: Wise
Project Description: Installation of residential solar photovoltaic system.
BUILDING
Floor Areas Required Setbacks Reauired
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: $6,000.00 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 addl 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:
WISE,JONATHAN&LINDSEY SOLARCITY CORPORATION Required Items and Reports(Conditions)
13220 SW BRITTANY DR 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: 503-679-8635 PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $361.19
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 Cent r. These rules are set forth in OAR
952-001-0010 t _• •AR/952--001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503..42 t 1. .:00.332.2344.
95
Issued By. - L �0' /L Permittee Signature: r/ V ,
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 • --ject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application"rEIvED
Residential FOlt()mu t. csi.: ()NI )
City of Tigard JUL 2 7 2015 ���KI61 Permit No.:ti Tar/5--a0 j. •
•: • 13125 SW Hall Blvd.,Tigard,�f F TIGARD PLtn Review 4�"Vi�_l�
Phone: 503.718.2439 Fax. l`S 9 G 1)ate/0 : . r Other Permit:
I I t ` ,l) Inspection Line: 503.639.41 I G DIVISION Date Ready/B turn. ®See Page 2 for
Internet: www.tigard-or.gov Notified/Method: //y �� ifi, Supplemental Information
G'i p-P-' - /Y EIarf
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 CONSTRUCTION work indicated on this application.
IR 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 6 QQQ
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
_
Job site address: 13220 SW BRITTANY DR New dwelling area: square feet
City/State/ZIP: TIGARD OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:WISE RESIDENCE 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
I 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
_
PRESCRIPTIVE - 5.72 KW New building area: square feet
c PROPERTY OWNER I 0 TENANT Number of stories:
Name: L I N D S EY WISE Type of construction:
Address: 13220 SW BRITTANY DR Occupancy groups:
City/State/ZIP: TIGARD OR 97223 Existing:
Phone:(503) 679 8635 Fax ( )
New:
1E1 APPLICANT I PERSON CONTACT PERSO ___.--__-_— BUILDING PERMIT FEES*
_Meatsca
Business name:SolarCity Corp ferrefeeschedule) � u
Structural plan review fee(or deposit):
Contact name_-Melissa Farias
FLS plan review fee(if applicable):
Address: 6132 NE 112th Ave.
Total fees due upon application:
City/State/ZIP: Portland OR 97220
Phone: Amount received: -------c `
(503)894-6903 Fax: :(1866 445-7459
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Meli.ssa.Farias @SolarCity.com .
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PholoVoltaic 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 lnstal/alion Specialty Code checklist. -
Cit /State/ZIP: Permit Fee(includes plan review
y Portland OR 97220 and administrative fees)•
$180.00
Phone:( 5O3) 894-6903 Fax:(1866 445-7459 State surcharge(12%of permit fee): $21.60
CCB tic.: I, . 'Total fee due upon application: 5201.60
Authorized signature: +•+. This permit application expires if a permit is not obtained
g ( j 4
V within ISO days after it has been accepted as complete.
Print name: 7/24/2015 *Fee methodology set by Tri-County Building Industry
Melissa Fari, Date:
• Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(1 I/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
tY an uauniy Fermi No.:
■ 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.7182439 Fits: 503398.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 ❑ itahical El Numbing ❑ Meal
1t G At D
Internet: www;tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW e '�.
I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. r r •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑
4 Fire district aiproval required. Name of district: ❑ ❑_
5 Septic system permit or authorization for remodel. Existing system capacity U 0 ❑
6 Sewer permit. ❑ ❑ . D
7 Water district approvaL 0 ❑ C1---
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑
9 Erosion control ❑plan ❑pennit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑
basin protection,etc.
I0 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
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 2-11.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 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,morn identification,window size,location of smoke detectors,water heater, El • ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross sections)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑
floor,wall construction,rool'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. ❑ ❑ Cl
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addcndurns 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 Cj ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ El
systems,sce 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 i0 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss des�l n details. ❑ El R
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 ❑ ❑ -0
architect licensed in Ore on and shall be shown to be at, lieable to the.ro'eet under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for item 11 above. Site plans must be 8-1/2"x I I"or 1 1"x 17". • • •
24 Two(2)sets each arc required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
25 Building plans shall 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&System l)evelepmcnf Fees doctimeut.
27 "Drawn to scale"indicates standard architect or engineer scale.
28 Site plan to include tree size,typo and location per approved project street tree plan(if applicable),and City of Tigard C] ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ El
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.
I:Mau itding\Permitsll3UP-RESPermitApp,doc 02/24/2011 440-4613T(I 1/027COM/WEB)
Electrical Permit Application RECEIVE r
FOR t,l''FICE l ,sl t)\l
City of Tigard JUL 2 7 2015 Received Permit Ho.�ys��o�� o,'3 7
Hate/By:
. • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 50.598.13$TY OF TIGAR r Date/I) : Other Permit:
i 1,, \i,it Inspection Line: 503.6394175 BUILDING I t DateReady/By: turn. Ed See Page 2for
Internet: www.tigard-or.gov '•`" D•t1 Ivy 1 t l�loi liied/Method I Supplemental Information
TYPE OF WORK PLAN REVIEW
ID New construction ®Addition/alteration/replacement Please check all that apply(submit I sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stores.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or ❑Floating buildings.
` -- less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps forall other installations. buildings.
❑Mttlli-family ❑Masier builder ❑Other: ❑Fire pump ❑Installation of 150 KVA or
❑Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A",°L","I-2","1-3",
Job no.: Job site address: 13220 SW BRITTANY DR Iixormonoes. Raueation
❑Six nr more residential units. ❑Rccrcammni vehicle parks.
City/State/ZIP: TIGARD OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Ha2ardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: WISE RESIDENCE . ❑Scrvicc or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description — j Qty. I Fee I fatal I ,
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no,: 1.000 sq.H.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: T 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.B.)
PRESCRIPTIVE - 5.72 KW Renewable Energy ® SeePage2
Services or feeders installation alteration,and/or relocation
S PROPERTY OWN ER 0 TENANT 200 amps or less 1 100.70 2
201 amps to 400 amps 133.56 2
Name: LINDSEY WISE �� ��
401 amps to 600 amps 200.34 2
Address: 13220 SW BRITTANY DR 601 amps to 1.000 amps 301.04 2 1
Over 1.000 amps sir volts 552.26 2
City/State/ZIP: TIGARD OR 97223/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:(503) 804 2764 Fax:( ) 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,der panel
El APPLICANT I ® CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
742 2
Business name: c 1arCit COI's. each branch circuit
B.Fee for branch circuits without
Contact name: Melissa Farias service or feeder fee,first 56.18 2
branch circuit
Address: 6132 NE 112th Ave Each add'I branch circuit 7.42 2
City/Stale/ZIP: Miscellaneous(service or feeder not included)
Portland, OR 97220 Each manufactured or modular 6784 2
(503 ) 894-6903 (1866) 445-7459 dwelling,service and/or feeder
Phone: Fax: :(
Reconnect only 67.84 2
E•mail: Melissa.Farias@SolarCity.com.y Pump or irrigation circle 67.84 2
CON'T'RACTOR Sign or outline lighting 67.84 2
Business name: Signal circuit(s)or limited-energy See
$OIar. ltv Coro- _.. panel,alteration,or extension. Page 2 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/ZLP: P0rtlanCl OR..97220 Investigation(l hr min) 66.25/hr 1
Phone:(503) 894-6903 I Fax:(1866) 445-7459 Industrial plant(1 hr min) 78.18/hr
inspections for which no fee is 90.001 hr
CCB Lie.: 180498 Electrical Lie.: C562 Suprv.Lie.: 58735 specifically listed(',hrmint,
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: - �'
�'".-- Subtotal:
Print name: Nicholas Armstrong Date: 7/24/2015 Plan review(25%of permit fee):
State surcharge(12%of permit fee): _
Authorized signature: C, TOTAL PERMIT FEE:
Print -7 ,,..01 5 This permit application expires ifs permit is not obtained within ISO
I riot name: Melissa Faria '• Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
I',nmMingU'ttmisWELC_PcrindApp_ELR L'RE.doc Rcv 05410013 410.4615T(11 N5/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY" P
Fee for all residential systems combined .. $75.00 +ol»a I Qt.. I pm I Teal I •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to IS kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to zs kva 200.34 2
❑ Burglar Alarm Wind generation systems fa excess of 25 kra:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26
-
>100 kva(fee in accordance with 55226 ?
111 Heating,Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems in excess of 25 kva:
�--( Fach additional kva over 25 7.42 3
# I Vacuum Systems* >100 kva-no additional charge 0.0 3
❑ Each additional inspection over slinwable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 6G.25/hr
Inspections For which no fee is r
sttccifctlty kraal('h hr min) �•hr
COIy[ifwIERCILA,L WORK ONLY EtkettuCAG PERMJT FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
Stale surcharge(12%o of permit fee):
Check Type of Work involved: TOTA1.PERMIT PEE:
This permit application cspires if•permit is NM obtained within ISO
❑ Audio and Stereo Systems days alter it kin been'weepiest as complete.
" Number of insputioas 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
❑ Other
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
Lliluilvhnercroviltal.0 ra App ELK PRB..Mc Re.av2trztlt1
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
13220 SW BRITTANY DR, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2015-00137
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
13220 SW BRITTANY DR, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00137
Jeff Grove
Violation Summary:
Inspector Contractor