Permit (47) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2016-00227
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/01/2016
Parcel: 25101 DA00101
Jurisdiction: Tigard
Site address: 13190 SW 68TH PKWY
Project: Tigard Corporate Park II Subdivision: VARNS ACRES Lot: 9
Project Description: Building 2-Roof mounted solar photovoltaic system.
Contractor: NW PHOTON ENERGY Owner: PACIFIC NW PROPERTIES LIMITED PA
10720 SW MOAPA ST STERN FAMILY LIMITED PARTNERSHIP
PORTLAND, OR 97219 STERN, HELEN R REVOCABLE TRUST
6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-793-6620 PHONE: 503-626-3500
FAX: 503-244-1243
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 08/01/2016 $1,256.95
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 08/01/2016 $150.83
Dwelling Units: 0 Plan Review 08/01/2016 $817.02
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 08/01/2016 $16.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $125,000 Info Process/Archiving-Sm$0.50(up to 08/01/2016 $10.00
11x17)
Metro Const.Excise Tax 08/01/2016 $150.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,400.80
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 enter. T4iose rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 08.2/: 987 or 1.800.332.2344.
Issued By: i � lJ 1 ir�� 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
Commercial f" y FOR 01111 F 1 SF ON 1.1
City of Tigard Dat Bed 7 42 rim Permit No.: Ili A9,16,-0O a,27
13125 850 Hall Blvd.,Tigard,OR 97223 PlRiew
N . Min
� Phone: 503.718.2439 Fax: 503.598.19610 i.. �ran DateBev:'� � Other Pennu: z c'e20/6 '(�Q�""
F i G n Ft[� Inspection Line: 503.639.4175 ''' Date ReadyBy:�7 runs ® See Page 2 for
Internet www.tigard-or.gov Notified/Method�/ ��? Supplemental Information
t> # t t) $a , r�'; , Y y�` rt rat ¢N1 3 3 i1t ltttryi�vr��
New construction flew C-
-34A-3G ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
is Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
0 .4 r ''1work indicated on this application.
0 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
llEi'i ; PIiijii4Aitie'i Total number of floors:
Job site address:13190 SW 68th Parkway New dwelling area: square feet
City/State/ZIP:Tigard Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:II Project name:Triangle Corporate Covered porch area: square feet
Cross street/directions to job site:68th&I-5 Deck area: square feet
Other structure area: square feet
1JHt JM A, ii i .
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
' ��1��* t�` work indicated on this application.
,.. W„,,,..,,,,;,-••..:•• �.e-1 ,,,,: .,. V. V� ., ,`, .....F ... ;7 _.int: �C
Install roof mounted solar system Valuation: $ ' j(eat) (`
Existing building area: square feet
New building area: square feet
Y r; � Number of stories:
Name:Pacific NW Property Management Type of construction:
Address:6600 SW 105th Ave Occupancy groups:
City/State/ZIP:Beaverton Oregon 97008 Existing:
Phone:(503)626 3500 Fax:( ) New:
� e' '
Business name:NW Photon Energy
Structural plan review fee(or deposit):
Contact name:Kirk Cameron
FLS plan review fee(if applicable):
Address:10720 SW Moapa Ave
City/State/ZIP:Portland Oregon 97219 Total fees due upon application:
Phone:(503)703 4046 Fax::( ) Amount received
E-mail:kirk@nwphotonenergy.com ,,,,,i,-,:,,,,-„,-_,,,,,,,,,,,,,,.,,,,,,,y.„4:,,,,„ „,-,,, , ,
t t Commercial and residential prescriptive installation of
•. . . . p_. roof-top moun 'hotoVoltaic Solar Panel S -•,..
Business name:NW Photon Energy Submit two(2)sets o • f plan with c ection details
and fire department acces,: .n, • I the 2010 Oregon
Address:10720 SW Moapa Ave Solar Installation Specialty •s• :.•cklist.
City/State/ZIP:Portland Or 97219 Permit fee(incl s plan review $180.00
and.. i inistrative fees):
Phone:(503)703 4046 Fax:( ) Stat-surc ge(12%of permit fee): 21.60
CCB lic.:188056
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:Kirk Cameron Date:7/6/16 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13190 SW 68TH PKWY, TIGARD, OR, 97223
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
BUP2016-00227
Inspector:
Jeff Grove
Contractor