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Permit
CITY OF TIGARD MASTER PERMIT ,14„..„ 41 COMMUNITY DEVELOPMENT Permit#: MST2016-00347 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016 T t '" g Parcel: 2S 109DA12000 Jurisdiction: Tigard Site address: 12968 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.2 Lot: 109 Project: COOPER 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: No Total: 0 sf Value: $7,000.00 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: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 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: Y Other Description: 5.01 to 1.5 KVA solar panals 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: COOPER,MICHAEL A&MICHELLE M SOLARCITY CORPORATION Required Items and Reports(Conditions) 12968 SW KOSTEL LN 6132 NE 112TH AVE TIGARD,OR 97224 PORTLAND,OR 97220 PHONE: PHONE: 503-894-6903 FAX: 866-445-7459 Total Fees: $368.69 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 952-001-0099taii .. of the rules or direct questions to OUNC by calling 503.232.1987 or 1,800.332.2344. Issued By: 1� Permittee Signature: c— . - X11/ all 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. b. - Buildin2 Permit Application Residential FOR(It-Hct t ‘,1 ( \I 't City of Tigard -, 13125 SW Hall Blvd„Tigard,OR vil 1,14 Received iP.DEc;IFIk. ,....._ Date.y, 2.7--to Permit No. /PVT9e/L,—64)311 7 Nan Review ...zi-.._ )c Other Permit; Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.6394175 AUG 2 5 '2' .\ Data Ready/By: See Page 2 far Internet: wwwtigard-or.gov Notified/Method:. ti/ /(0, 'P%ro Supplemental Information rn 0 New construction si I emolitiort Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 1:1 Acklitiori/alieration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the -----_- ' '' EAT'e-l;'''s1 ' ---- ••-=•4 -,"------- - - : ' -=_'I- work indicated on this application. Valuation: $ 7000 4 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: IN70J., TION AND LOCATION -' Total number of floors: Job site address: 12968 SW Kostel Ln, New dwelling area: square feet City/State/ZIP: Tigard OR 97224 Oarage/camort area: square feet Suite/bldg./apt.no.: Project name: Mike Cooper Covered porch area: square feet - Cross street/directions to job site: Deck area; square feet Other structure area: square feet 2-2 ,'2j RED V4TA000MMERCIAL-ISECIIRCILLIN' Subdivision: I 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 -- ,, - --` ' DEttMrIlON 00 WORK '----- , work indicated on this application. Valuation: $ PV ROOF MOUNT Existing building area: square feet New building area: square feet PROPERTY OL TENANT----.a""-.';,`` Number of stories: Name: Mike Cooper Type of construction: Address: 12968 SW Kostel Ln, Occupancy groups: City/State/ZIP: Tigard OR 97224 Existing: Phone:(503) 894 6903 Fax:( ) New: 4:442,i-r-z- 124 2,2'2' 444;-;' 2,:,24,$..711.2:.:1,. ---T-,r,;---,--T---, , ---TL-=,---=- Business name:SoiarCity 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 Amount received: Phone:(503)894-6903 I Fax':(186A 445-7459 Email:Melissa.Farlas@SolarCity.coin Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:soiarcit y 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 Specially Code checklist. City/State/ZIP:Portland OR 97220 Permit Fee(includes plan review $180.00 and administrative fees): .. Phone:( 5va--) 894-6903 Fax:(186d 445-7459 State surcharge(12%of permit fee): $21.60 CCB lie.: 180498Total fee due upon application: $201.60 ... Authorized signature: Al& 0 jr v f This permit applieation expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Melissa Fail. , Date:08.23.16 *Fee methodology set by Tri-County Building Industry Service Board. 1:\Ruilding\Permits1BUP-RESPermitApp.doe 02/24/2011 440-4613T(l 1/02/COM/WEB) l f. BuildintPermit Application Checklist One- and Two-Family Dwelling F()it OFFICE LSIt ONLY , Ciba,of Tigard Received `r Uatclti : Permit No.: III13125 SW Hall Blvd.,Tigard,OR 97223 Associated: permits: ]hone: 5(33.7182439 Fax: 503.598,1960 T I G AA D 24-Hour Inspection Line: 503.639.4175 0 F;IecIr cal ID Plumbing © Mechanical In lernei: wwwaigard-or.gov ❑biter: THE FOLLOWINC ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No NA I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. _ a • ■ 2 Zoning. Flood plain,solar balance points,seismic sails designation,historic district,etc. ❑ 0 ❑ 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit ❑ E.: ❑ 7 Water district approval. 0 0 0 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 ❑ basin protection,etc. 14 3 Complete sets of legible plans. Must be drawn to scale,showing conformance 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. I I Site/plat plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ 0 ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.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 ofcovcrage;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 plans. 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,cte. 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. El ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is.grcatcr 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 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 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ D 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 over 10 feet long and/or any beam/,foist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. _❑ 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 far 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 a livable to the.ro'ect under review. ,JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plants must be S-1/2"x 11"or 11"x 17". 0 0 U 24 Two(2)sets each arc required for Items 16. 19,20 and 22 above. 0 ❑ [n 25 Building plans shail.not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. C3-0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit 3e System i)evelnpmenf Fres document. ❑ 0 0 27 "Drawn to scale"indicates standard architect or engineer scale, 0 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 0 and protection measures roust 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. I:1Building\Ferrniis\BUP-RESPernitApp.doc 02/24/201 I 440-4613T(I 1102/COM/WEB) * , , Electrical Permit Application I-Olz 011 It F.I ‘,I Ws I 1 City of Tigard R EC r'i v1":11-12 Permit No.: III -- 13125 SW Hall Blvd.,Tigard,OR 97223 C Itaiu 10A11.1111.111111.11. Other Permit: Phone: 503.718.2439 Fax: 503.598,1960` •I' s Inspection Line: 503,639.4175 Date Ready/11y: 0 See Page 2 far Internet: www.tigard-or.gov AUG 2 20 : °fifiediMeth°d: Supplemental Information VTide'-- -;1;01C' '41.irs.Iiiite , ,, .L...--', , .....„, ,,,.,;irt ''--"''''''1' Please check all thin-apply(submit 2 sets of plans wiitims checked below): U New construction ra Addition/alteratistyrtooment-, lifIT nvisION 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Markets and boatyards. "11 exceeds 10,000 amps at 150 volts or 0 Floating buildings. - leas to ground,or exceeds 14,000 0 Commercial-use agricultural 0'41 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. El Mulli-family 0 Master builder 0 Other: 0 Emergency 0 Installation of ISO KVA or 0 .system, larger separately derived system. i.,:-? slit,,,,,04.014,4n*44.0. '#i,..,.,1 14 ' ----,', ''' '1' 0 Additional new motor load of El"A","E","1-2,"1-3", occupancy. Job no.: Job site address: 12968 SW Kostel Ln, o Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: Tigard OR 97224 0 Health-care facilities. 0 Supply voltage for more than El Hazardous locations, 600 volts nominal. Suite/bldg./apt.no.: Project name: Mike Cooper 0 Service.or feeder 600 amps or more. 'L. -,,,,Lif11,---' Cross street/directions to job site: Dm-denim 1 Qw. ( Fee; I futia 1 * New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq.ft.or less I 1611.54 14 E,a.addi 500 sq.it or portion 33.92 J I Tax map/parcel no.: _ ,.,, „_ _ „ ,,,, Limited energy,residential 75.00 12 1,1` !C471111 - 5Y04 ,-,1.------ ::'-' ' '- ' .- untT::::::L1Lknily 75.00 I 2 PV ROOF MOUNT residential(with above sq.ft.) Renewable Energy o See Page 2 Services or feeders installation,alteration,and/or relocation - ''' 200 amps or less g#4t/iMaY ;'11.`'-'`4:4 = 1 ” -- ---,1-;1-7 tft iTi411'r 100.70 2 201 amps so 400 amps 133.56 2 Name: Mike Cooper 401 amps to 600 amps 200.34 2 Address: 12968 SW Kostel Ln, 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Tigard OR 9 72 24 Temporary services or feeders installation,alteration,and/or Phone:(5 03 ) 894 6903 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 ACT Die ,,,,, ., , ' A Fee for branch circuits with '''' `,*1-,-"- -1,, ' 14-1A-4!-:i. 14 14T : `?-4,--1;7 1,.' '4'4 '"'4444"•*7 •.44 r'44`,‘1.44,-.--ft above service or feeder fee, 7.42 2 each branch circuit Business name:SolarCity Corm 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'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/Slate/ZIP:Portland, OR 97220 Each manu(actured or modular 67.84 2 Phone:(503) 894-6903 Fax::ç3 ) 445dwelling,service and/or feeder ReconnectReconnect only 67.84 2 E-mail:Mellssa.Farias@SolarCity.coro _, _, Pump or irrigation circle 67.84 2 ,, 4:!:;' AA '„* ' ' ' , '-6: ' Sign or outline lighting 67.84 2 Business name: SolarCity Corp. Signal circuit(s)or limited-energy Sec panel,alteration,4m-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:P. Ln, OR 97220 Investigation(I hr rain) 66.25/hr Phone:(.-,,,,, t.1,1 894-6903 I Fax:(1866) 445-7459Industrial plant(1 hr min) 78.18/hr . Inspections for which no fee is woo/hr CCB Lie.:180498 Suprv.Lie.: 58738 .. 4ecifieanx 45"cl..!,,.1,1"nth! „..„.4,..1.......,„,r _ Electrical Lie': CS62 --'-*---:-.,--7,-.---!,:-. AL::::;ILL.—.... ,A,„,..,.....ELL14,..-1',-..- ----,---.',' Suprv.Electrician signature,required:I/ ,, Subtotal: Plan review(25%of permit fee): Print name: Nicholas Armstrong Date: 08.23.16 State surcharge(12%of permit fee): Authorized signature: —-I ., cN . TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 1 Print name: Melissa Faria. ‘, I Date: 08.23.16 days after it has been accepted as complete. * Number of inspections allowed per permit, TAB elfeleeMPentRIAELC_PertetitApp_ELR_ERE.doe Rev 05/21/2013 44046151V 1/0.5/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: FUSS�`NI .V�4 UNf Fee for all residential systems combined......,. $75.00 Description I ut.• I Eke I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 10030 2 ❑ Audio and Stereo Systems* 5.01 to 15 kva 1 133.56 133.56. 2 I5.01 to 25 kva 200,34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 [] Garage Door Opener* 50.01 to 100 kva 552.26 2 7I00 kva(fee in accordance with ❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040) 552.26 2 System* Solar generation systems In excess of25 kva: 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(l hr min) 66.251 hr Inspections for which no£cc is L WUIiK QN spccifiadl listed(%hr min) 90.0D.hr COM E1 C ttcc t gj, . Pi lvnT.. • Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee); State surcharge(12%ofpennit fee): Check Type of Work Involved: TOTAL PERMIT FEE; ❑ Tltis perluit application expires if a permit is not obtained within 180 Audio and Stereo Systems days after it bac been accepted as eamplete• Number of inspcxtioes allowed per permit. [] Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* • ❑ Protective Signaling O Other Total number of commercial systems: *Nn licenses are required. Licenses are required for all other installations r:t3 1d.i rrra,:ls.c.permiinpp,ut.e_rar..lh,r 05/2ta013 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 12968 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2016-00347 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 12968 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2016-00347 Jeff Grove Violation Summary: Inspector Contractor