Permit r,
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00240
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/16/2015
Parcel: 2S111AA03000
Jurisdiction: Tigard
Site address: 8660 SW GREENSWARD LN
Subdivision: GREENSWARD PARK Lot: 8
Project: ESPINOZA
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: $4,000.00 Rear0
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
0
Tubs/Showers: 0 Garbage Disp 0 Water Heaters 0 Water Lines: 0 Drains: 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
F u rn>=100 K: 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:
OTR SF VB R-3 0
Owner: Contractor:
ESPINOZA,HUGO E&NORA J SOLARCITY CORPORATION Required Items and Reports(Conditions)
8660 SW GREENSWARD LN 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX 866-445-7459
Total Fees: $333.38
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 riot 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 ma n es or direct questions to OUNC by calling 503.232.1987 or 1 800.332.2344,
Issued By: Perm, e-Signature:
C . 9.4175 by 7:00 a.m.for the next available inspection ate.
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.
1
Building Permit Application
Wsidential 'Asxi �
City of Tigard "Rcccivod Permit No.: t�
u 13125 SW Hall Blvd.,Tigard,OR 9722Ito Plan kcviu
0 Other Permit:
Phone: 503.718.2439 Fax: 503.598.19 Uatelt3
Inspection Line: 503.639.4175 �.p�gt(`��� Date Rc Jura: 0 See Page 2 for
Internet: www.tigard-or.gov (, ® C 8G1➢ NotifiedM. d: ? lS (y Supplemental Information
TYPE OF REQUIRED DATA:I-AND 2-FAMILY DWEIAANG
❑New cowstruction ❑Demolition Permit Ices"are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®
Add ition/aIteration/rep lacenment ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONS-rRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $
4000
❑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: 8660 SW Greensward Ln, New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Ciarage/carport area: square feel
Suile/bldg./apt.no.: Project name: Espinoza, Hugo Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure arca: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I-ot 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 but[ding arca: square feet
PROPERTY OWNER ❑ TENANT dumber of stories:
Name: Espinoza, Hugo -type of construction:
Address: 8660 SW Greensward Ln, Occupancy groups:
city/State/ZIP: i and OR 97224 Existing:
Phone:( 971) 227 7291 Fax:( ) New:
® APPIACANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: SolarCityCprp
Ptrase refer ra re srlrrAulr
Structural plan review fee(or deposit):
Contact name: Melissa Farias
FLS plan review fee(if applicable):
Address: 6132 NE 112th Ave.
Total fees clue upon application:,
city/State/Z1P: Portland OR 97220
Amount received:
Phone:(503)894-6903 Fax::(1866 445-7459
E-mail:Melissa.Farias@SolarCit .cora
PIIOTOVOL'1'AIC SOLAR PANEL SYSTEM FEES''
CONTRAC'T'OR Commercial and residential prescriptive installation or
roof'-top mounted PhotoVoitaic 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 Specialrj,Code checklist.
City/State/zip. Portland OR 97220 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) 4-6903 Fax:( 868 445-7459 State surcharge(12%of permit fee): $21.60
CCB lie.: i 8o4ga Total fee due upon application: S201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: *Fee methodology set by Tri-County Building Industry
Melissa Fari 12.04.15 Service Board.
1:1BuildingU'ermitslBUP-RESPetmitApp.doc 02/24/2011 4404613T(I1/02/COM/WEB)
Electrical Permit A licatio . 0i
'i>p
City Tigard jp15 Datc/0 :Received Permit No.: S /�
® 13125 SWW Hall Blvd.,Tigard,OR 97223 EC 6 CJ4A'I
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960D 1 Date/B : Other Permit:
Inspection Line: 503.639.4175 �� g p6h% Untc Ready/By: 3,u is 0 See Page for
internet: www.tigard-or.gov d ty 66 tificd/Methal: Supplemental tnrormadon
TYPE OF !90�1 PLAN 14EV'IF W
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 scLs of plans w/itcros checked below):
❑Sc,vice or feeder 400 amps or more ❑Building over threc stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEWRY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial [I Accessory building maps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Oiher: ❑Fire pump. ❑Installation of I So KVA or
❑rimergcncy system. larger separately derived system.
.JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A""P" "1.2""1-t"
Job no.:9723138 Job site address: 8660 SW Greensward Ln, IOOHP omors, occupancy.
re
❑Six ormore residential units. ❑Recrsahotnl vehicle parks.
City/State/ZiP: Ti and OR 97224 El Health-care facilities. Cl Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: Espinoza, Hugo ❑Service or feeder 600 amp%or more.
FEE SCHEDULE
Cross street/directions to job site: uescri tion I QTY. I tree. I Total
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq.fl.or less 168.54 4
Ea.add']500 sq.fl.or porion 33.92 1
Tax map/parcel no.:
Limited energy.residential 75.00 2
DESCRIP'rioN OF WORK with above sq.ft.)
Limited energy,muni-lumily 75.00 2
PV ROOF MOUNT residential with above. .fl.
Renewable Energy I ® See Page 2
Services or feeders installation alteration and/or relocation
PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Mine: Espinoza, Hugo 401 amps to 600 amps 200.34 2
Address: 8660 SW Greensward Ln 601 amps to 1.000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
CitytState/7_iP: Tigard OR 97224 'Temporary services or feeders installation,alteration,and/or
Phone:( 971) 227 7291 Fax:( ) relocation
200 amps or less 5236 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 extensionper panel
APPLiCAN'r CONTACT PERSON A.Fcc 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
City/state/ZIP: Miscellaneous service or feeder not included
Portland OR 97220 Euchmanufactured ormodular
dwelling,service and/or feeder 67.84 2
Phone:(503 ) 894-6903 Fax: :(1866) 445-7459 Reconnect only 6284 2
E-mail: Melissa.Farias@SolarCity.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: S IaTCiCorp. Signal circuit(s)or limited-energy See
panel,alteration,or extension. Pae 2 2
Address: 6132 NE 112th Ave Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.251 hr
City/State/ZIP: POWand QR._9_722Q. _,...._ Investigation(I hr min) 66.251 hr
Phone:(503) 894-6903 Fax:(1866) 445-7459 Industrial plant(I hr min) 78.181 hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 180498 Electrical Lie.: C562 Suprv.Lia: 5873S specifically listed(u In min)
ELECl`RICAI, PERMIT FEES
Suprv.Electrician signature,required:
Subtotal:
Print name: Date: flan review(25%of permit fee):
Nicholas Armstrong12.04.15
. State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEL':
]'his permit application expires if n permit is not obtained within 180
Print name: Date: 12.04.15 days Ater it tins been accepted as complete.
Number of inspections allowed per permit.
I9nuiMiatglPtnnnstHLC_PcrmitApp_GLK ERe.doc Rcv O5/21R(n3 441>461 S'r(I VWXObbWL•B
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees- Renewable Energy Permit Fm:
f
Fee for all residential systems combined........ $75.00
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less I 1 100.70 1100.70 2
5.01 to 15 kva 133.56 2
El Audio and Stereo Systems*
15.01 to 25 kwa +200.34 2
❑ Burglar Alarm Wind generalion systerns in excess of 25 kYA-
25-11 to 50 kva 301.04 2
El Garage Door Opener* 50,C)I to 100 kva 552.26 2
5100 kva-(fee in accordance with 552.26 2
❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems fit excess of 25 kva:
Each additional kva over 25 7,42 3
❑ Vacuum systems- —>100 kva-no add 3
❑ Each additional intpectiun over allowable in any of the above:
Other: Each additional frispection is 66.25/hr I
charged at att hourly(I lir min)
Inspections for which no fee is 90.00!lir
specificiffly lisled('A llr min)
".�E?L CT-RiCA er
:FEES
Fee for each commercial system....................... $75.00 subtotal:
(SEE OAR 918-309-0000) Plan review,if required(2540 nfperrnil Fee):
State surcharge(12%ofpertnit fee):
Check Type of Work Involved: TOTAL PERMiT mu::
This permit application expires if 0 PCrMil is 1101 obtained within 180
❑ Audio and Stereo Systems days after it ka,b—n omvpled as rainplc4c.
NLltnberofinspmli(insallowed perpelma.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
F] Fire Alan-n Installation
❑ HVAC
F] Instrumentation
F] Intercom and Paging Systems
F1 Landscape Irrigation Conti-oil'
❑ 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
PanulApp L1A.1'REd- R"(M/2112013
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
8660 SW GREENSWARD LN, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00240
Chip Barnett
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
8660 SW GREENSWARD LN, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00240
Chip Barnett
Violation Summary:
Inspector Contractor