Permit __ p
CITY OF TIGARD MASTER PERMIT
s, COMMUNITY DEVELOPMENT Permit#: MST2015 00211
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2015
Parcel: 2S110BB06100
Jurisdiction: Tigard
Site address: 14111 SW 120TH PL
Subdivision: REDWOOD VISTA Lot: 3
Project: Henry
Project Description: Install prescriptive 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: $8,000.00 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 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:
HENRY,GARY E& SUNRUN INSTALLATION SERVICES INC Required Items and Reports(Conditions)
HENRY,JEANNE E 3380 SE 20TH AVE
14111 SW 120TH AVE PORTLAND,OR 97202
TIGARD,OR 97224
PHONE: PHONE: 503-501-6377
FAX:
Total Fees: $318.38
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. AT • •,. : -.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set fo•. ' 'AR
952-0' -0010 through OAR•52-•: '090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
fir, ,
Issu•d By: // ,� 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 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Renoidential itt+, CHIV EP FOR OFFICE USE ONLI
City of Tigard Received DateB t NH
. '/ffallillUIM Permit No.: ir r�/s 00gt i
" 13125 SW Hall Blvd..Tigard, 2 2 n+' Plan Revue �� �
l � „a is:la. Other Permit:
Phone: 503.718.2439 Fax: 5 5 1 Date/B : t
TIGARD Inspection Line: 503.639.4175 Date Re.."''': ions: ® See Page 2 for
Internet: www.tigard or.got,'l'V k i�+ i 16ARLj Notified/Method:// /4/ ) err. Supplemental Information
S x -C 11.1'- &Sp J+- ,a.,1'� l s.€fi1
Tit . O[ WORK ` REQUIRED DATA:I-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
VAddition/alteration/replacement ❑Other: _ equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
I-and 2-family dwelling ❑Commercial/industrial
❑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: 14111 S NA( .0.0, p 1 New dwelling area: square feet
City/State/ZIP: IT G.ra /> 61 74...1M Garage/carport area: square feet
t../ /
Suite/bldg./apt.no.:Si Project name: (-/€x)11 y 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.
1[ U�, w Pv ra 2t.m, Valuation: $
"[ CY+` }f v Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: /22.— 6n". Type of construction:
Address: J Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
J APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: SUP1f'(!Y► (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: S of-1,1 . i mnni r ,4
,rr � FLS plan review fee(if applicable):
Address: . 38a S f cle` !fit/
+an ` D / 9740 Total fees due upon application:
City/State/ZIP: es
Phone:(soz) g ,11.(4„7 Fax::( ) Amount received: ....Z1.....---....Z1.....---
: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail / Sttk.7:Mile crtek.ne Sc.nfuntwr(la,Co✓bq Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: / 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.
c
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: 1 Uy
6Y Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:�,r1Mm Date: *Fee methodology set by Tri-County Building Industry
l k of VIALN If/1� Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-44613 (11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY .
Received
11111 - City of Tigard Perin it No.:
q 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By.
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
TIGARD
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW I Yes I Not N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation, historic district,etc. ❑ ❑ ❑
3 . 'Verification of approved plat/lot. ❑ ❑ CI-
.
• . 4 Fire district approval required: Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑• ❑
6 Sewer permit. ❑ ❑ ❑ .
7 . Water district approval. ❑ ❑ ❑ .
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ .❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 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. .
!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 of coverage;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,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. CI CI ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums 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 ❑ ❑ ❑
locations. Show attic ventilation. .
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ . ❑ ❑
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 ❑ ❑ ❑
• over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is.required.' ❑•, ❑ ❑
•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 Oregon and shall be shown to be as elicable to the'irelied under review.' .
JURISDICTIONAL SPECIFICS 1 1
23 Three(3)site plans are.required for Item I I above. Site plans must be 8-1/2"x I I"or I I"x 17". ❑ CI CI• 24' Two(2)sets each are required for Items 16, 19,20 and 22 above. . . ." ' CI ' ❑ CI .
• 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 Development Fees document. . ❑ ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard -❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines. ❑ ❑ ❑
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:\Building\Permits\BLIP-R ESPermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB) • .
Electrical Permit Application FOR OFFICE USE ONLY
Received
....45 City of Tigard Date/B Ii /
Permit#• r15f�alS Qoarl•
- a 13125 SW Hall Blvd.,"Tigard,OR 97223 Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1960 Date/B :
Inspection Line: 503.639.4175 Ready Date/By: kris: 0 See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑ Other:
where the available fault current 0 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
®
1-and 2-family dwelling [' Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump. p Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived
❑Addition of new motor load of system.
Job 4: Job site address: 1411 sw 120°'pl 1 OOHP or more.
City/State/ZIP:Tigard OR,97224 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total l
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less . 168.54 4
Tax map/parcel 4:
Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
4.40kw solar roof mount Limited energy,multi-family
• 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
❑ PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 1 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale, lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps . ' 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT ❑ CONTACT
PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Sunrun above service or feeder fee, -
7.42 2
each branch circuit
Contact name:Seth Zimmerman B.Fee for branch circuits without
Address:3380 SE 20th Ave service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Portland OR,97202 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)863-1427 Fax: :( . ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:seth.zimmerman @sunrunhome.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:SAME Sign or outline lighting 67.84 2
Address: Signal circuit(s)or limited-energy ❑ Sec Page 2 2
panel,alteration,or extension.
City/State/ZIP: • Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
•Phone:( ) Fax:( ) Investigation(I hr min) 90.00/hr
• Industrial plant(1 hr min) 78.18/hr
Email: • -
Inspections for which no fee is 90.00/hr
CCB Lic.: 180464 Electrical Lie.' 447s Suprv. Lie.: C492 specifically listed('A hr min)
ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required:C ,,/ Subtotal:
Print name: Shane Surgeon Date: i 00_5 ❑Plan Review Required(25%of permit fee):
...e.,-. State surcharge(12%of permit fee):
Authorized signature�j�lsTOTAL PERMIT FEE:
— This permit application expires if a permit is not obtained within 180
Print name: Seth Zimmerman Date: 11/13/15 days after it has been accepted as complete.
* Number of inspections allowed per permit.
[Ana ilding\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 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
14111 SW 120TH PL, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00211
Chip Barnett
Violation Summary:
Inspector Contractor