Permit IN q
CITY OF TIGARD MASTER PERMIT
' It • • COMMUNITY DEVELOPMENT Permit#: MST2015-00159
Date Issued: 09/08/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 DA09000
Jurisdiction: Tigard
Site address: 8948 SW GRAVENSTEIN LN
Subdivision: APPLEWOOD PARK NO.3 Lot: 83
Project: Wachsmuth
Project Description: Installation of solar photovoltaic system
BUILDING
Floor Aroas 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: $4,000.00 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
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:
WACHSMUTH,TED K&STEPHANIE M SOLARCITY CORPORATION Required Items and Reports(Conditions)
8948 SW GRAVENSTEIN LN 6132 NE 112TH AVE
TIGARD.OR 97224 PORTLAND,OR 97220
PHONE: 503-309-4462 PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $324.38
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 of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: __ _
1 503.639.4175 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 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential City of Tigard RECEIVED �� 1 1111 OFFICE tst:clxL-,
IN 13125 SW Hall Blvd.,Tigard,OR 9722�3�8g�I plan Review ,
Phone: 503.718.2439 Pax: 503.598.196P_-G 3 2015 Date/l3 : i ]17�i��:1�i■
Inspection Line: 503.639.4175 Date R fB— lure:
I ll�.\! I� eadY Y� ® See Page 2for
Internet. www.ligard-or.gov CITY C:.:' . - RD Notificd/Mcthod: / �,, 'y MA' Supplemental Information
RUj1, , , z, )t. � 1i. MAt / ,a,,,1'y
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: i equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® t-and 2-family dwelling ❑Commercial/industrial Valuation: 4000
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
.IOB SITE INFORMATION AND LOCATION Total number of floors:
'^
lob site address: 8948 SW GRAVENSTEIN L N New dwelling area: square feet
City/State/ZIP: TIGARD OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:WACHSMUTH RESIDENCE Covered porch area: square feet
Cross streeUdirections 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
PRESCRIPTIVE - 3.9 KW New building area: square feel
`+ PROPERTY OWNER -- ❑ TENANT Number of stories:
Name: TED WAC H S M U T H Type of construction:
'
Address: 8948 SW GRAVENSTEIN LN Occupancy groups:
City/State/ZIP: TIGARD OR 97224 Existing:
Phone:(503) 309 4462 Fax:( ) New
....
(gi APPLICANT ISI CONTACT PERSON BUILDING PERMIT FEES*
(Please ntor raise eeheAr ._.__....._..
Business name:Solari,ity arU
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
Amount received: ---7-
Phone:(503)894-6903 Fax::(1866 445-7459
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Melissa.Farias @SolarCity.com
CONTRACTOR Commercial and residential prescriptive installation of
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 fees): 5180.00
Phone.( 503) 894-6903 Fax:(186 445-7459 State surcharge(12%ofpermit fee): $21.60
CCB lie.: 180498
Totsl fee due upon application: $201.60
•
Authorized signature: ( a °,P This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
Print name: Melissa Fari. Date: 8/28/2015 "Pee methodology set by Tri-County Building Industry
Service Board.
I:1 Building\Perrnits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
Permit No.:
13125 SW 11e11131vd.,Tigard,OR 97223 Associated peritdts:
1 rt •� I'honc: 503.718.2439 Fats 503.598.1960
1'tGA' 24-Hour Inspection Line: 503.639.4175 ❑ r[ectrieal El Plumbing 0 Me.I. tent
Internet: www;tigard-or.gov 10 Oilier:
THE FOLLOWING ITEYIS ARE REQUIRED FOR PLAN REVIEW ),. `" ''
I Land use actions completed. See jurisdiction criteria for concurrent reviews. li a S
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. • ❑ ❑
3 Verification of approved plat/lot. 0 • III
4 Fire district approval required. Name of district: • U ■
5 Septic system permit or authorisation for remodel. Existing system capacity 0 _■ ■
6 Sewer permit CI 1=I!_
7 Water district approval. ❑ ••••
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ • •
9 Erosion control 0 plan ❑pennit required. Include drainage-way,prolcetion,silt fence design and location of catch- ❑ ❑ ■
basin protection,etc,
I 0 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 ❑ E
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.
I I 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-ft.elevation differential,plan must show contour lines at 2-R.intervals);location of casements
and driveway;footprint of structure(including decks); location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage arca;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bons,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
13 Floor pies. 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- ❑ ❑ ❑
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 footat building envelope.
Full-size sheet addendum 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 LI ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered LI ❑ ❑
s stems,sec item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss dell n details. ❑ ❑ ❑
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 ❑ ❑ ❑
architect licensed in Ore_on and shall be shown to be a livable to the'iu cct under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 1 I above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ U
24 Two(2)sets each arc required for Items 16. 19,20 and 22 above. _ ❑ ' ❑ ❑
25 Buildin: lans shall not contain red lines or to eons. "Mirrored"builds - lans will not be acce led. ❑ ❑
26 "Reversed"building plans rriust meet criteria outlined in the Permit&System Development Fees document. [�
27 "Drawn to scale"indicates standard architect or engineer scale. 0
28 Site plan to include tree size,typo and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ Ei
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 Q
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:\Building1Pcrmits\l3UP-RESPcnnitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
RECEIVED
t Electrical Permit Application roR 01:1:1(1; I ,t O\I 1
City of Tigard /146 3 1 2015 alan VIM Penn"No.: f- L7 S—ez)/51
i 13125 SW Hall Blvd.,Tiaard�$ V23 Plan Review
B Phone: 503.718.2439 r•F ,51)3.59R.1940;GA}�D DatcB : Other Permit:
I 1,[ Inspection Line: 503.B3'Jt�t`liSDiNG DIVISION Date Ready/By: /urn MI See Ptge2 far
Internet: www.tigard-or.gov t V Notificd/Method: Supplemental Information
TYPE OF WORK _ 's ma PLAN REVIEW
El New construction ®Addition/alteration/replacement
Please check all that apply(submit 2 sets of plans w/items 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 CONS fRUCT8O*. Illr exceeds 10,000 amps at 150 volts or ❑Floating buildings
-_-- less to ground,or cxaceds 14,000 ❑Commercial-use agricultural
® 1-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
0 Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","F.", '1.2"'1-1^
Job no.: Job site address: 8948 SW GRAVENSTEIN LN
100I-1P Six more residential occupation.
❑Six or more residcnual units. ❑Recreational vehicle perks.
City/State/ZIP:y TIGAR D OR 97224 ❑Health-care facilities ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: WACHSMUTH RESIDENCE . ❑Service orfccder600 amps ormore.
FEE SCHEDULE
Cross street/directions to job site: Description I Qtr. I Fee. I T.iat 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
(with above sq.
75.00 2
DESCRIPTION OF WORK ( q )
ft.
Limited energy,multi-family
75.00 2
PV ROOF MOUNT residential(with above sq.ft.)
PRESCRIPTIVE - 3.9 KW Renewable Energy El See Page 2
Services or feeders installation_alteration,and/or relocation_
tI4 PROPERTY OWNER I ❑ TENANT I 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: TED WACHSMUTH 401 amps to 600 amps 20034 2
Address: 8948 SW GRAVENSTEIN LN 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: TIGAR D OR 97224 Temporary services or feeders installation,alteration,and/or
Phone:(503) 309 4462 Fax:( ) relocation
200 amps or less 59.36 I
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.Foe for branch circuits with
above service or feeder fee,
7.42 2
Business name:SOlarCity Corp. 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.]branch circuit 7.42 _ 2
Miscellaneous(service or feeder not included)
City/Slate/ZIP: Portland, OR 97220 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: Melissa.Farias @SolarCity.com i Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: SolarCity Corp_ Signal circuit(s)or limited-energy See a
y panel,alteration,or extension. Page 2 _ 2
Address: 6132 NE 112th Ave Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP: Portland OR 97220 Investigation(1 hr min) 66.25/hr
Phone:(503) 894-6903 I Fax:(1866) 445-7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 180498 ElectricalLic.: C562 Suprv.Lic.: 58735 specifically listed(Yzhrmint
ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:
�' — Subtotal:
Print name: Nicholas Armstrong Date:
Plan review(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: c • ./ , • TOTAL PERMIT FEE:
This permit application expires if a permit is mil obtained within 180
Print name: Melissa Faria I Date: 8/28/2015 days after it bas been accepted as complete.
• Number of inspections allowed per permit.
I.113UildatglPermirs0ELC_PermilApp_ELR ERE.doc Rev 05/21/1011 440440 ST(11 MS/COMJWEE
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WOE ONLY: F sc v
Fee for all residential systems combined $75.00 v r. re Taut •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or lass 1 100.711 100.70 2
5.01 to 15 kva 133.56 2
El Audio and Stereo Systems* 15.01 to zs kva 200.34 2
riBurglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with , 552.26
❑ Heating,Ventilation and Air Conditioning OAR 91 8-309-0040
System* Solar generation systems In excess of 25 kva;
Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva-no additional charge 0.0 3
E] other: additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at at hourly(I hr min) 66.25/1a
Inspections for which no fcc is 90.001 hr
spcufic:Ey kslexl('■ hr mm
COMMERCIAL WORK O Lf' EL RIC PST T FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of pet-mil fee):
Slate surcharge(12;0 of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permh is aol obtained within ISO
❑ Audio and Stereo Systems days after it has been accepted as eamplee.
• Number of infpuaiopc allowed per permit.
(l Boiler Controls
❑ Clock Systems
❑l Data Telecommunication Installation
❑ Fire Alarm installation
❑ HVAC
❑ Instrumentation
El 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
illkilthastPerrniskEIC ferounpp GI R IRE..'' Rr.05/21/2013
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
8948 SW GRAVENSTEIN LN, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00159
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
8948 SW GRAVENSTEIN LN, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00159
Jeff Grove
Violation Summary:
Inspector Contractor