Permit (45) CITY OF TIGARD MASTER PERMIT
71 ■ ' COMMUNITY DEVELOPMENT Permit#: MST2016 00151
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2016
T I i_'; R.n 9 Parcel: 25111 CA10800
Jurisdiction: Tigard
Site address: 15213 SW 98TH AVE
Subdivision: TAMI PARK Lot: 15
Project: Robbins
Project Description: Installation of roof mount 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: $15,000.00 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:
ROBBINS,CASEY SUNRUN INSTALLATION SERVICES INC Required Items and Reports(Conditions)
15213 SW 98TH AVE 3380 SE 20TH AVE
TIGARD,OR 97224 PORTLAND,OR 97202
PHONE: PHONE: 503-863-1427
FAX:
Total Fees: $340.16
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.OA-
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. . • • .=!•332.2344.
Issued By:`lt // Permittee Signature: 4 --
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 proje
Approved plans are required on the job site at the time of each inspection.
Building Permit Applic
Residential RECEIVED 1012 OF I I( I: I SI.ON IA
- City of Tigard Received
g /apDpp p eivy: �/ I7��I(p j Penn itNo. �� � 5I
13125 SW Hall Blvd.,Tigard,OR WUa33 19 2016 Plan Revie f
Phone: 503.718.2439 Fax: 503.598.1960 Date'By: �=i'. J /�.111:3Other Permit:
T I G A R D Inspection Line: 503.639.4171'f v O F T 1( R I) Date Ready:•. loris: ® See Page 2 for
Internet: www.tigard-or.gov r' x l" Notified'Method. Supplemental Information
BUILDING DIVISION
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
7-Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
1/ CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation:
4 1-and 2-family dwelling El $
Commercial/industrial l5(-00
❑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: /J Z /2 S vu 9f5 7 j n� New dwelling area: square feet
City/State/ZIP: T4,9- 7 o2V ?72.2.4 Garage/carport area: square feet
Suite/bldg./apt.no.: % Project name: 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
Mar
OF WORK work indicated on this application.
. 9_.c--4k) ES
``-"'aCRAiNj DV Valuation: $
/! / Existing building area: square feet
New building area: square feet
.PROPERTY/'OWNER
❑ TENANT Number of stories:
��/
Name: /29-52 //1/..5 Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
/V/e6
_ i (Please refer to fee schedule)
Business name: �/�/ Structural plan review fee(or deposit):
Contact name: / ,t,c J/?721 1
FLS plan review fee(if applicable):
Address: 33/3o ' • 2-cni
7 Total fees due upon application:
City/State/ZIP: 7' Q 72--c)2_
Phone:( (S0r Amount received: I
_ � 3 - �� /�� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: Cle(4-4'•I/0 M. C .Sufxi,v4/move. G►/O/37
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Iic.: /&29d6 a/ir
Total fee due upon application: $201.60
This
Authorized signature: /, 1 ` permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: °74IA ,(12%1 Date: .09//k, *Fee methodology set by Tri-County Building Industry
Service Board.
I:A Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling 1.0R 014I( 1. 1 I: 0\I.1
City of Tigard Received Permit No.:
III
13125 SW Hall Blvd.,Tigard,OR 97223
Associated
■ Phone: 503.718.2439 Fax: 503.598.1960 DateAssociated permits:
24-Hour Inspection Line: 503.639.4175 ElElectrical ElPlumbing ❑ Mechanical
IIG1RD
Internet: www.tigard-or.gov ❑ Other:
'HIE FOLLOWING ITFyIS ARE IZEQUIRFU FOR PLAN REVIEW 't' ytt y'X
1 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. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ 0
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. Cl 0 ❑
8 Soils report. Must carry original applicable stamp and signature on tile or with application. ❑ ❑ Cl
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- El ❑ El
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.
11 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. ❑ ❑ ❑
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. El ❑ ❑
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 El ❑ ❑
architect licensed in Ore:on and shall be shown to be a..livable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x I l"or 11"x 17". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑
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 ❑ ❑ El
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 he 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:A Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Applica 1; '4r1U1V17 I OR() FI( t. I til OM 1
ti/ILIA dy Received s
City of Tigard Date/B : / Permit No.: _pot /
14 13125 SW Hall Blvd., Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598^q�R19 2n CEgri Other Permit:
Inspection Line: 503.639.4175 A r R' 'J 1 U Date Rea /B tari5.
1 I G A R I) p Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov q Notified/Method: Supplemental Information
s4 it(a.9i'U
,;
TYPERpO,�Ti��riririy�� �ii a��,i PLAN REVIEW
0 New construction �•':ddltla7/IBICELIMA7C}IS Please check all that apply(submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition II Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
21-1--and 2-family dwelling ❑` • ' ' • ' ❑ ' ' '' amps for all other installations. buildings.
Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
0 Addition of new motor load of ❑"A","E","I-2","I ",
L-Z, CIA/
7� ?gni
- IOOHP or more. occupancy.
CJ > ?6�a ❑Six or more residential units. ❑Recreational vehicle parks.
774'4-rap774'4-rap /�� 7 ❑Health-care facilities. 0 Supply voltage for more than
`�/ �!� ❑Hazardous locations. 600 volts nominal.
0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions toob site:
J Description I Qty. I Fee. I Total
Subdivision: Lot no.: 168.54 4
Tax map/parcel no.: Ea.add'I 500 sq.ft.or portion 33.92 1
Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family
9s- /n� e P17 A,2 7'- /2evr AeyN residential(with above sq.ft.)
75.00 2
�(/ ( , Renewable Energy 0
al-PROPERTY OWNER 0 TENANT 100.70 2
a201 amps to 400 amps 133.56 2
Name: �%�`/ �e!/v/ 401 amps to 600 amps 200.34 2
Address: J 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26
Owner installation:This installation is being made on property that 1 own which is not
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. - •
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
0 APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with
Business name: 5u/1//2.-{,,,(/i/ each branch circuit
7.42 2
B.Fee for branch circuits without
Contact name: / /9 44 vv7� service or feeder fee,first 56.18 2
branch circuit
Address: 3 7> s�(D �C j�?/t 777,' � Each add'I branch circuit 7.42 2
(70-,- -) V �/ Q! 7^7.-ci� Each manufactured or modular
67.84 2
Phone:(� �i dwelling,service and/or feeder
�_Z 3�v�� Fax: :( )
Reconnect only 67.84 2
E-mail: Pump or irrigation circle 67.84 2
•
CONTRACTOR Sign or outline lighting 67.84 2
Business name: /✓
A A c• Signal circuit(s)or limited-energy See
panel.alteration,or extension. Page 2 2
Address:
66.25/hr
1 ,,, Investigation(1 hr min) 66.25/hr
Phone:( ) Fax:( /11111 011 xY Industrial plant(I hr min) 78.18/hr
� � ,,(( �A� ) Inspections for which no fee is yp,00i hr
CCB Lie.: /696) - Electrical Lic.: ` Z Suprv.Lic.: 1275 specifically listed('G•hr min)
�Y'' II 111 ELECTRICAL PERMIT FEES
Suprv.Electrician signature.required: _. ,..Print name: �C teci Date: 09//46
Authorized signature:
�� ,(_.......0TOTAL PERMIT FEE:
0,/,6
This permit application expires if a permit is not obtained within 180
Print name: ,////z( / a. Date: days after it has been accepted as complete.
`moi ' Number of inspections allowed per permit.
E',Building1Pennits,ELC PeimitApp ELR ERE.doc Rev 05n12013 440-46151111,05 COM.WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems*
15.01 to zs kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm
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 2
OAR 918-309-0040)
❑ Heating,Ventilation and Air Conditioning
* Solar generation systems in excess of 25 kva:
System
Each additional kva over 25 7.42 3
❑ 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) 66.25/hr 1
Inspections for which no fee is 90.00/hr
specifically listed(V:hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT 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 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per permit.
n Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ F• ire Alarm Installation
❑ HVAC
❑ Instrumentation
n Intercom and Paging Systems
n L• andscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ O• utdoor Landscape Lighting*
❑ Protective Signaling
n O• ther
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I.Building Pennits'.EL' PevnitApp ELR EREcloc Rec 0521.2013
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
15213 SW 98TH AVE, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
May 26, 2016 at 12:27:45 PM
MST2016-00151
Chip Barnett
Violation Summary:
Inspector Contractor