Permit (5) CITY OF TIGARD MASTER PERMIT
I. '. COMMUNITY DEVELOPMENT Permit#: MST2016-00062
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/14/2016
Ti�"� - 9 Parcel: 2S112CB15900
Jurisdiction: Tigard
Site address: 8400 SW NORFOLK CT
Subdivision: HAMPTON COURT Lot: 8
Project: PHILLIPS
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: $2,000.00 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
Fum>=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'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:
PHILLIPS,KENNETH E&GRETCHEN L SOLARCITY CORPORATION Required Items and Reports(Conditions)
8400 SW NORFOLK CT 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $329.38
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 a c•• of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: "-- „xi,/ -Permittee Signature:
C,y •.639.4175 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.
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Building Permit Application
Residential `t� i()K()11 1( 1 i ,i.()'01 1
City of Tigard
Received
13125 SW Hall Blvd.,Tigard,OR $ Plan Rcvicw / �� w
Si
Phone: 503.718.2439 Fax 503.598.1960 fn1 J �o� tip ; ��� �m Other Inspection Line: 503.639.4175 ED .. �C t D'(Ready/. if H See age2 or
Internet: - -
www.ti td or.Dov tfiedlMcthod ._Iii
ga b G � \ 1 1., i �i�/� � Supplemental Information
90��5 01 . ,'( _
i_ _. .. '`i) t-a..t,€x,05 DAT: I-AND8,44.:'' ":.' , 1 a
❑New construction 0 emolition Permit fees'are based on the value of the work performed,
Indicate the value(rounded to the nearest dollar)of all
4 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application,
CA s� _ app
® 1 and 2-family dwelling 0 Commercial/industrial Valuation: S 2000
❑Accessory building I [jMulti-familyNumber of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
. Total number of floors:
Job site address: 8400 Southwest Norfolk Court, New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Garage/carportarea: square feet
Suite/bldg./apt.no.: Project name: Kenneth Phillips Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: Lot no.: Permit Bees 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
MCliturriapj4it WO work indicated on this application.
Valuation: $
PV ROOF MOUNT Existing building area: square feet
New building area: square feet
1f1?4 @it>iI ,TENANT Number of ataxies:
Name: Kenneth Phillips Type of construction:
Address: 8400 Southwest Norfolk Court, Occupancy groups:
City/State/ZIP: Tigard OR 97224
Existing:
Phone:(971)777 9659 Fax:( )
New:
A CA ACT titaSatt BOLDING
' Aloe'afro*it saiVitel
Business name: SolarCity C'Orp 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:
Phone:(503)894-6903 l Fax::(1868 445-7459
E-mailh .VoLTAIC Eos 4"
Melissa Farias@SolarCitx com
--- ` . 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 Address: 6132 NE 112th Ave Solar Installation Srtment access,Calode c the 2010 Oregon
Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
Portland OR 97220 and administrative fees): $180.00
Phone:( 503) 894-6903 Fax:(186( 445-7459 State surcharge(12%of permit fee): $21,60
CCB lie" 180498 Total fee due upon application: $201.60
•
Authorized signature: of-l. s) Al This permit application expires if*permit is not obtained
i within 180 days after it has been accepted as complete.
Print name: *Fee methodology set by Tri-County Building Industry
Melissa Fari., Date: 02.24.16 Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB)
Building_Permit Application Checklist
One- and Two-Family Dwelling FOR OFFlt.:E l'SF: t»t.y
City of Tigard Received
: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:1 hone: 503.718.`439 Fax: 503.598,1960
IN Date/13
24-Hour inspection Line; 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
r e c r.:' Internet: wwwaigard-or.gov 0 Other:
THE l`OLLOWINiG ITEMTS ARE REQUIRED FOR PLAN REVIEW \'es No VA
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ til ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district;etc. 0 0 ❑
3 Verification of approved plattlot. 0 ' • 0
4 Fire district approval required. Name of district: 0 1 0
5 Septic system permit or authorization for remodel. Existing system capacity . 0 I! ■
6 Sewer permit. 0 • ' ❑
7 Water district approval. 0 ■ A
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ U
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 0-Er
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 he completed if
copyright violations exist.
1 i Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if LI ❑ 0
there is more than a 4-R.elevation differential,plan must show contour lines at 2-it intervals);location of easements
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 bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ 0 0
and location.
13 Floor pians. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
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- 0 0 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 0 0
Exterior elevations must reflect the actual grade if the change in grade isgreater 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- 0 0 0
prescriptive path analysis provide specifications and calculations to cngineering.standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 Cl ❑
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 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 n 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 A
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 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 ❑ 0 0
architect licensed in Orc_on and shall be shown to be a s licable to the.re'ect under review.
,1C:RiSDICTIO1:kL SPECIFICS
23 Three(3)site plans are required for Item 11 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. 0 • 0
25 Building plans shall.not contain red lines or tape-ors. "Mirrored"building plans will not be accepted. • I ■
26 "Reversed"building plans must meet criteria outlined in the Permit 3c System bevelninnenf Fees doctittrent. 0 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 ❑ 0 0 .
Street Tree List.
29 Site plan to include frees 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 stntetttres to existing residential dwellings
on a lot of record approved prior to September 9,.1995.
t:U3uitdinglPexmiuli3UP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
1
, Se
Electrical Permit Application ���� 1 t)12 t11 1 U I ,t I)vI ti
City of Tigard G° c � � Y y
13125 SW Hall Blvd.,Tigard,OR ^ \u Plan Review
SB Phone: 503.718.2439 Fax: $03. 60 LO Other Permit:
ti ��� naterB
Inspection Line: 503.639.4175 •` : la See Page 2 for.
Intense.: www.tigard-or.gov �'`�� `�` ? ` Supplemental laformadon
0 New construction ®Additionlalteraw ent Please check all that apply(submit I sets of plans wlitcros checked below):
ElService or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
c +**0 � ( exceeds 10,000 amps at ISO volts or 0 Floating buildings.
®ffi1-and 2-family dwelling 0 Commercial/industrial 0 Accessorybuildingamps s
for all
or exceeds ons,14,0 ❑coldings. use agricultural
fora//other installations. buildings.
0 Multi-family ❑Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or
Wil ^. .,A � 0 Emergency system. larger separately derived system.
❑Addition of new motor load of 0"A»,"E""1-2 "1-3",
Jobno.: Job site address: 8400 Southwest Norfolk Court, looHPormore. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: Tigard OR 97224 CIHealth-carefacilities. ❑Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: Kenneth Phillips 0 Service or feeder 600 amps or more.
vex lawtoxs
Cross street/directions to job site: naetiatim I Qty. I Fa. I Total I
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq.R.or less 16834 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential '
, DESCREPTWN OP WORK (with above sq.ft.) 75.00 2
Limited energy,multi-family
75.00 2
PV ROOF MOUNT residential(with above sq.n.)
' Renewable Energy aSee Page 2
Services or feeders installation alteration,and/or relocation
200 amps or less:+ +I 100.70 2
Name: Kenneth Phillips 201 amps toa00amps 133.56 2
401 amps to 600 amps 200.34 2
Address: 8400 Southwest Norfolk Court, 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/state/ZIP:Tigard OR 97224 Temporary services or feeders installation,alteration,and/or
Phone:( 971) 777 9659 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 166.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
63
A i l A.Fee 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 Each manufactured or modular
dwelling,servlet artdlor feeder 67,84 2
Phone:(503) 894-6903 Fax::(1866)445-7459 Reconnect only 67.84 2
E-mail:Melissa.Farias@SolarCity.com Pump or irrigation circle 67.84 2
CONtRA1I Sign or outline lighting 67.84 2
Business name: a 1 ..r ity 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 9.7220Investigation(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 Electrical Lie.: C562 Suprv.Lie.: 58735 specifically listed(v,hr min)
NNW*inliiili"
Suprv.Electrician signature,required:/" _...- , - .`. a " �►
.� --�.- Subtotal:
Print name: Date: 02.24.16 Plan review(25%of permit fee):
Nicholas Ar strong State surcharge(12%of permit fee):
Authorized signature: t TOTAL PERMIT FEE:
Print name: Date' This permit application expires if a permit is not obtained within 180
Melissa Faria' �. • 02.24.16 days after II has bcen accepted at complete.
Number or inspections allowed per permit.
I1BuitdieglPermirtCLC_PunnitApp ELR ERE.doc Rev 05/21/2013 440.4515T111NS/COM/WEB
1
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1
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
MS;EULN'i[`IA .Wi�RI�41�L7�'.
Fee for all residential systems combined...... $75.00 pe.rflp(Ion I Qh•. I Pee I Taut 1 •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 ions 200,34 2
❑ Burglar Alarm Wind generation systems is excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
5100 kva(fee in accordance with 552.26 3
❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems in excess of25 kva:
Each additional kva over 25 7.42 3
El Vacuum Systems* >100 kva—no additional charge 0.0 3
❑ Each additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 66•25I hr 1
inspections for which no fee is
jpuiftulilylisted('5 hr mm) 90.(10,hr
COMMERCI Lr:WO1 ON EbCGTltt,CA P> �r 1 EES
•
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%ofpertnit fee):
Check Type of Work Involved: TOTAL PERMIT PEE:
This permit appllcalioa expires if a permit is not obtained within ISO
11 A• udio and Stereo Systems days after it has been accepted as rnmplde.
• Number of inspa:tinas allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ D• ata Telecommunication Installation
❑ Fire Alarm installation
❑ i-IVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ L• andscape Irrigation Control*
❑ Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:1t3ui1Juyl:I nsslE1C rerrnlApp,Cit,JORE.dac Rem 05/212013
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
8400 SW NORFOLK CT, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00062
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
8400 SW NORFOLK CT, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2016-00062
Jeff Grove
Violation Summary:
Inspector Contractor