Permit 14' 1 CITY OF TIGARD MASTER PERMIT
U
COMMUNITY DEVELOPMENT Permit#: MST2015-00215
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/02/2015
Parcel: 2S104BA12800
Jurisdiction: Tigard
Site address: 13710 SW MARCIA DR
Subdivision: CASTLE HILL NO.3 Lot: 158
Project: MOREJON
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'l 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+a m p/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:
MOREJON,GREG&TARA THUY SOLARCITY CORPORATION Required Items and Reports(Conditions)
13710 SW MARCIA DR 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: PHONE. 503-894-6903
FAX: 866-445-7459
Total Fees: $358.69
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 ofAb .wtes or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Sa�L � e Signature:
Call 5 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.
ow.
_c k\ie
Building Permit Applic
Residential ti0 Received 1.)Ir OFFICE USEONLY
6 1
City of Tigard v 1 6P' llatc/B . t �_��7�
NO i, \ c_1^` l (trim Permit No.i . `� L[J�—1
u 13125 SW Hall Blvd.,Tigard,OR 97 ' �� V` t Plan Review
•
Other Permit:
' Phone: 503.718.2439 Fax: 503r� . 9 QApG�\ UatclO : `' ��
T ter A R IJ inspection Line: 503.639.4175Q'it \\��``�� Date Ready t L tures: 63 See Page 2 for
Internet: www.tigard-or.gov 11060,-."-- Notified/Method: i I ).7 1 ilif Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
0 New construction Cl 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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 8000
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13710 SW MARCIA DR, New dwelling arca: square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: MOREJON Covered porch area: square feet
Cross street/directions to job site: Deck arca: 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
(l PROPERTY OWNER 0 TENANT Number of stories:
Name: MOREJON, TARA Type of construction:
Address: 13710 SW MARCIA DR, Occupancy groups:
City/State/ZIP: Tigard OR 97223 Existing:
Phone:( 503 524 8459 Fax:( 1 New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
•Business name: (Please refer to fee schedule)
SolarCity Corp 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:(503)894-6903 Fax::(1866 445-7459 Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Melissa.Farias@SolarCity.com
CONTRACTORCommercial 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
y Portland OR 97220 and administrative fees): $180.00
Phone:( 503) 894-6903 Fax:(1864 445-7459 State surcharge(12%of permit fee): $21.60
CCB lie.: 180498 Total fee due upon application: $201.60
•
Authorized signature: !•? / , This permit application expires if a permit is not obtained
E
V within 180 days after it has been accepted as complete.
Print name: Date: 1 1.13.15 *Fee methodology set by Tri-County Building Industry
Melissa Fari.. Service Board.
I:1Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
.01
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
Cita,of Tigard Received
1101 City
Date/By:
Pcrnsit No.:
q 13125 SW Flail Blvd.,Tigard,OR 97223
Associated sensing:
• Phone: 503.718.2439 Fax: 503.598,1960 1
TIGARD
24-Hour Inspection Line: 503.639.4176 0 P,[ccsri al 0Plumbing f] Mechanical
Internet: www:tigard-or.gov ❑ Oilier:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ I N
2 toning. Flood plain,solar balance points,seismic soils designation,historic district;etc. ❑ ❑ ❑
3 Verification of approved plat/lot. 0 ❑ 0
4 Fire district approval required. Name of district: • 0 Li 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0-1:_r
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing con fonnance to applicable local and state 0 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 lie 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 0
there is more than a 4-ft.elevation differential,plan Hurst show contour lines at 2-it.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 ofcoverage;impervious area;existing structures on site;and
surface drains pc.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ LI
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 ❑
furnace,ventilation fens,plumbing fixtures,balconies and decks 30 inches above grade,eta.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ 0 ❑
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. ❑ ❑ 0
Exterior elevations must reflect the actual grade if the change in grade is.grcater titan four footat building envelope.
Full-size sheet addcndums 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- 0 ❑ 0
prescriptive path analysis provide specifications and calculations to engineering.slandards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing in 0 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑
systems,sec item 22,"Engineer's calculations."
19 Ream 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 design details. ❑ 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 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> licable to the m'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-I/2"x I 1"or 11"x 17". 0 0 U
24 Two(2)sets each arc required for Items 16. 19,20 and 22 above. 0 0 ❑
25 Building plans shall,not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑
26 "Reversed"building plans rriust meet criteria outlined in the Permit&System Development Fees tloctiment. 0 U 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 ❑
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, ❑ ❑ 0
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, 0 0 0
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.
IABA ildinglPemiirs\BUP-RESPermitApp.doc 02/24/201 I 440-4613T(1 l/02/COM/WEB)
v- i
Electrical Permit Application hf)u t)-1 FIC t�5i,()Nr=v
City of Tigard Received
• 13125 SW Hall Blvd.,Tigard,a rp � Date/t3 : �� til 2 r i 5�
' b fid/ Plan Review Other Permit:
e Phone: 503.718.2439 Fax: 51, . 960 Q�� Datc/By:
t:ft ;l'R.h).. Inspection Line: 503.639.4175 �\ \' 1 Date Ready/By: saris: I See Page 2 for
Internet: www.tigard-or.gov \ro �,P`�0 Notified/Method: �G„ Supplemental information
TYPE OF .f*
t....,-;.„
1 ► PLAN REVIEW
0 New construction /;� Addition/alt- putt', a' ment
Please check all that apply(submit 2 sets of plans w/items checked below):
QL 0 Service or feeder 400 amps or more 0 Building over three stones.
❑Demolition El Other: V where the available fault current 0 Marinas and boatyards.
F
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 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. 0 Installation of 150 KVA or
JQD SITE INFORMATION AND LOCA'1'ION. ❑Emergency system. larger separately derived system.
„."., ❑Addition of new motor load of ❑"A","E" "1.2""I-3"
Job no.:9 72 3066 Job site address: 13 710 SW MARCIA DR IOOHP or more. occupancy.
❑Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: TIGARD OR 97223 ❑Health-care facilities. 0 Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: MOREJON ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total 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
DESCRIPTION OF WORK (with above sq.ft.) 75.00 2
Limited energy,multi-family
75.00 2
PV ROOF MOUNT residential(with above sq.ft.)
Renewable Energy -+ See Page 2
Services or feeders installation_alteration,and/or relocation
PROPERTY Q 4►NER
( TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: MOREJON , TARA 401 amps to 600 amps 200.34 2
Address: 13710 SW MARCIA 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: TIGARD OR 97223 "temporary services or feeders installation,alteration,and/or
Phone:( 503) 524 8459 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,per panel
r4 APPLICAN ;� A.Fee for branch circuits with
T CONTACTPERSON
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'l branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Portland, OR 97220 Each manufactured or modular
67.84 2
(503 ) 894-6903 (1866) 445-745 9 dwelling,service and/or feeder
Phone: Fax:
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: SolarCity Corp. Signal circuit(s)or limited-energy See
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/ZIP: Portland OR_97220, Investigation(1 hr min) 66.25/hr
Phone:(503) 894-6903 I Fax:(1866) 445-7459 Industrial plant(i hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie': 180498 ElectricalLic.: C562 Suprv.Lie.: 5873S sptecificallylisted(V:hr min)
'ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: - Subtotal:
Print name: Date: 11.13.15 Plan review(25%of permit fee):
Nicholas Armstrong •
State surcharge(12%of permit fee):
Authorized signature: , 111 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Melds sa Feria Date: 11.13.15 days after it has been accepted as complete.
• Number of inspections allowed per permit.
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4'
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIt7. E NIA:WORK ONL ;. .
Fee for all residential systems combined .. $75.00 Description I QIV, I Pec 1 Total I r
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or lass 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
❑ Audio and Stereo Systems* ls_ni tozskva 200,34 v 2
Burglar AlarmWind generation systems in excess of 25 kva:
25.01 to SO kva 301.04 2
n Garage Door Opener* 50.01 to 100 kva 552.26 2
5100 kva(fee in accordance with 552.26 2
[11Heating,Ventilation and Air Conditioning OAR 918-309.0040)
SystemSolar generation systems in excess of 25 kva:
Each additional kva over 25 I 7.42 3
n Vacuum Systems* X100 kva—no additional charge 0.0 3
❑ Each additional inspection over allowable in any of the above:
Other: Each additional Inspection is 66.251 hr 1
charged at an hourly(1 hr min)
Inspections for which no fcc is 9000,'hr
specifiatlly listed(%r hr min)
COMMERCI At L;W RTC.:ON LY Lt�lce r , i:`rr t►i r FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Audio and Stereo Systems days after it baa been accepted as complete.
• Kutnber of inspoetioas allowed per permit.
�J Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
I Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
•
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:Ulwtdtng:PcrmU.+IEIC PcrtmtApp UAL CRE tint Rev 05/2 1291 3
• ---,77- CITY OF TIGARD FEE AND PAYMENT HISTORY
.I = 7 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
MST2015-00215 - 13710 SW MARCIA DR, TIGARD, OR 97223
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Solar Photovoltaic System 230-0000-43104 $180.00 $180.00 $180.00
12%State Surcharge-Building 100-0000-24001 321.60 $21.60 $21.60
Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $7.50 $7.50 $7.50
11x17)
5.01 to 15 kva 220-0000-43103 $133.56 $133.56 $133.56
12%State Surcharge-Electrical 100-0000-24001 $16.03 $16.03 $16.03
Totals for Fees $358.69 $358.69 $0.00 $358.69
Receipt# Payment Method Check# Payor: ' Receipt Date Receipt Amount
Total Payments: $0.00
Balance Due: $358.69