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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00350 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2016 Parcel: 1 S134CD06300 Jurisdiction: Tigard Site address: 11690 SW SUMMER CREST DR Subdivision: BURLWOOD NO.3 Lot: 23 Project: Halstead Project Description: Install new 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: $4,500.00 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 Fum<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: N Other Description: PV roof top system 5 KVA or less Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADU SF VB R-3 0 Owner: Contractor: HALSTEAD,JEFFREY L&SARAH M SOLARCITY CORPORATION Required Items and Reports(Conditions) 11690 SW SUMMERCREST DR 6132 NE 112TH AVE TIGARD,OR 97223 PORTLAND,OR 97220 PHONE: 503-260-5886 PHONE: 503-894-6903 FAX: 866-445-7459 Total Fees: $326.88 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 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling Permittee Signature: OA/503.232.1987 or 1.800.332.2344. // Issued By: �t°l�_ Pittee #747, �G/ e A v 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. .,,, > i Bu It ang Permit Au lie ti►>r Residential VEDEl 1'1512 01 l�lt'I I Sl.t iN1 5 Cityili of Tigard E Received wi 1/ 13125 SW Hall Blvd.,Tigard,OR �' 2016 llatelBy �6 �7 Permit Na.:/ 13-2, 6--�35� _ Phone: 503.718.2439 Fax: � pian Rem Q / �-}- r Inspection Line: 543.634.4V r' ��GAR" Date/By: (')3.4 O ...1 1 Ehler Permit: Internet: Line: rd-ar. (�{{ t ��-yy ii �.^. r� `pt /�,pp{{ Date Ready/By: / 0 See Page 2 tar gaUILDiNIt DfItlS;0r�" Nittificd/Mcttxut: 9/��'t) Eu' hem 1 SapplementatInt'ormation 0 New construction ®Demolrtton Permit fees*are based on the value of the work performed. ? Addition/alteration/replacement - Indicate the value(rounded to the nearest dollar)of all 0 Other: equipment,materials,labor,overhead,and the profit for the ..._ » 1 �� *� s t - _ work indicated on this application. CI 1-and 2-family dwelling ❑Cvaluation, $ 4500 ❑Accessory building 0 Multi-family Number of bedrooms: [3 Master builder ®Other: Number of bathrooms: * ' Total number of floors: Job site address: 11690 SW Summer Crest Dr, New dwelling area: square feet City/State/ZIP: Tigard OR 97223, United States q. Garage/carport area: square feet Suite/bldg./apt.no.: I Project name:Jeff Halstead Covered porch area: square feet Crass street/directions to job site: Deck area: square feet Other structure area: square feet Subdivision: t rt1---:7-''''.+ a= 'r t 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 t f:� -. work indicated on this application. Valuation: $ PV ROOF MOUNT Existing building area: square feet New building area: square feet �.a » ,r - Number of stories: Name: Jeff Halstead Type of construction: Address: 11690 SW Summer Crest Dr, City/State/ZIP:Tigard OR 97223, United States Occupancy groups: Phone Pax:( ) (503} 260 5886 Existing: New: � i 9 Business name: SolarCityCorp . Contact name: MelissaStructural plan review fee(or deposit): Ferias Address: I I I tli Ave FLS plan review fee(if applicable): City/State/ZIP: Portland OR 9722 7 atal fees due upon appticatian:. Phone:(S3)894-6903 Fax::(I86( 445-7459 Amount received: �-- E mart i-- Melissa Fariast SolarCity Cot, > e` t r �y r> ,..,--,7, -,----'44-''''7:4,,,,,='-,-,--_,rOjty Corp.-t'`.--:1* t , -`` ‘ roof-lop Commercial and residential prescriptivearPaneltSystem.of .' ,. roof lop mounted Photovoltaic Solar System. Business name: ubmit two ' (2)sets of roof plan with connection details Address: 6132 NE 112th Ave and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP:Portland OR 97220 Permit Fee(includes plan review Phone:( } and administrative fees): $180.00 543 894-6903 ) Fax:(186# 445-7459 CCB Be': State surcharge(12%of permit fee): $21.60 184498. Total fee due upon application: $201.60 Authorized signature: ,tgr V #r ( This permit application expires its permit is not obtained within 180 days after it has been accepted as complete.name: Melissa Fari.�. Date: 08.31.16 1 *Pee methodology set by Tri-County Building industry Service Board. 1:lBuildingTermitsLBUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COWWEB) r. - Building Permit Application Checklist One- and Two-family Dwelling FOR OFFICE LSE ONLY City of Tigard Received 4 13125 SW 1-tall Blvd.,Tigard,OR 97223 AssocL Permit No.: Phone: 503.718.2439 Fax: 503.598,1960 ssocitricdpcnuils: T t G F,R D 24-Hour inspection Line; 503,639.4#75 ❑ Electrical 0 Plumbing 0 Mechanical Internet: wwwaigard-or.gov ❑ Other: THE FOLLOWINiG ITEMS ARE REQUIRED FOR PLAN REVIEW yes No ,N A I Land use actions completed. See jurisdiction criteria for concurrent reviews. • i 1111 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district;etc. 0 0 ❑ 3 VeFir district ist onice of approved pi0 ❑❑ 4 Fire dlstr set approval required. Name of district: _ 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 6 Sewer permit ❑ ❑ ❑ 7 Water district ap rroval. 0 0 Q 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 0 9 Erosion control ©plan ❑pennit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ basin protection,etc, 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 ❑ building codes. Laleral 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. t I i Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if n 0 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 arca;percentage ofcoverage;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 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,eta. 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 constriction,rool'conslruclion. More than one cross section may be required to clearly portray construction. Show details ofall 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 is.grcater 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 LI 0 0 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 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 D J . 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 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 Ore_on and shall be shown to be a i 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 11"or 11"x 17". 0 0 lil 24 Two(2)sets each arc 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 l)evelinpment Foes document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 [] Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,(hiplines, 0 0 0 1 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 structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. t:\BuildinglPermits\BUP-RESPcrmi(App.doc 02/24/2011 440-4613T(11/02/COM/WED) RECEIVE?' , - ... Electrical Permit Auplication I tilt 01 11( 1 I 'A ()‘4,i '4 City of Tigard SEP 1 2016 Received 9 ATAIIIMI Permit No.:H5f. -ift-co 35Z) A- 111---- 13125 SW Hall Blvd.,Tigard,OR 9722 ,„ Plan Review Phone: 503.718.2439 Fax; $03398.11.60 1 Y OF TIGAR'i,ThaefB.,•• ,„ r=11111111111111111111 Inspection Line;Line: 503.639,4175 BUILDING DIV'S;lug.ti°t---Y-Y.led/Method: IIMI Supplemental Information Id See Page 2 for Internet: www-tigard-or-gov ‘,„ - , . . 0 New construction Addition/alteration/replacement Please cheek all that apply(submit/Set&of plans whterns checked below): I 0 Service or feeder 400 amps or mom 0 Building aver three stones. 0 Demolition 0 Other: _ _ where the available fault current 0 Marinas and boatyards. exceeds 10,000 amps at 150 volts or 0 Floating buildings, less to ground,or exceeds 14,000 0 Commercial-use agricultural 0'4 I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. 0 Kiln-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or 0 Emergency system. larger separately derived system, *TE--P11Pktirt 't ')01,0„„,,,,,,4 ' -°'..:',,, '''---,4-;-=--=!,-, 0 AdditMn of new motor load of 0"A","E","1-2","1-3", 100HP or more. occupancy. Job no.: Job site address: 11690 SW Summer Crest Dr, 0 Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: Tigard OR 97223, United States 0 Health-cam facilities, 0 supply voltage for mote than 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name:Jeff Halstead Elserviee or feeder 600 amps or more. Cross street/directions to job site: Description 015, Pet, Tete/ New residential single-or multi-family dwelling unit. Includes attached garage. 1,000 sq.ft.or less 168.54 4 Subdivision: Lot no.: . , Ea.add'l 500 sq.It,or portion 33.92 I Tax map/parcel no.: Limited energy,residential 75.00 2 441ItH .4f',„ ft,-,; ' ---'4.,,,..,! : (with above sq.ft.) Limited energy,multi-family 75.00 2 PV ROOF MOUNT residential(with above sq.ft.) Renewable Energy , o See Page 2 Services or feeders installationLaiteration,and/or relocation . - - - 200 amps orles dd, 021 'd-0,1 -dadoW -.i ddd '''' 'ddij TEfrrAilt - 5 0 , 100.70 2 - - „.. - ,- „.....d....d.—.... - ' 201 amps to 400 amps 13336 2 Name: Jeff Halstead 401 amps to 600 amps 20034 2 Address: 11690 SW Summer Crest Dr, 601 amps to i,000amp 301.04 2 Over 1,000 amps or volts 552.26 1 2 City/State/ZIP: Tigard OR 97223, United States Temporary services or feeders installation,alteration,and/or Phone:( 503) 260 5886 Fax:( ) relocation 200 amps or less 59,36 I Owner installation:This installation is being made on property that Town 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 JicA. - Fee for branch circuits with above service or kcdcr fee, 7.42 2 Business name:SOiarCit Col'•. each branch circuit B.Fee for branch circuits without Contact name: 1•-1=- wielissa Farias service or feeder fee,Om 56.18 2 branch circuit , Address: 6132 NE 112th Ave Each midi branch circuit 7,42 2 Miscellaneous(service or feeder not included) City/State/ZIP:Portland OR 97220 Each manufactured or modular 67.84 2 dwelling,service antihn feeder Phone:(503 ) 894-6903 Fax::(1866) 445-7459 Reconnect only 67.84 2 E-mail:Melissa Farias@SolarCjt .corn _ Pump or irrigation circle 67.84 ,, :..., 2 z•va.._,,,,_ `,.`,--4,,,4 ,,,,, ,', , .„'..T -vr --4,4mk1-i---,-,-,„, ----;-._-!.A-__ Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy See Business name: e 1. t i a a 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;p• 1.n s 0 a 7,)•)rt k . 'I/4,454 Investigation(I hr min) 66.25/hr Phone:(503) 894_6903 Fax:(1860 445-7459 Industrial plant(I hr min) 78.18/hr Inspections for which no fee is , 90.00/hr CCB Lie.:180498 Electrical T.-ic.: C562 Suprv.Lie.: 58735 upeeitieutty listect.,v2ti:mini ,. ,,,, 1d. d I-_ t: p,;.-7T Suprv.Electrician signature,required: AI ag --- Subtotal: : Print name: Nicholas Arrnstron: Date: 08.31.16 Plan review(25%of permit fee) State surcharge(12%of permit fee): Authorized signature: A-- .,llar TOTAL PERMIT FEE: Meglimpw1.10.111. Date; 08.31.16 This permit application expires it's permit is not obtained within 180 imoaditigirermsMELC__PennitApp_akERE doe Res 092 1,2013 44044151(11,05/COM/WP.11 days after it has been accepted as complete. * Number of inspections allowed per permit, Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined..... .. $75.00 LeseAatlnn , tln. € Pee I 'rmat Renewable electrical energy systems: Check Type of Work Involved: 5 kva or leas 1 10030 100.70 2 ❑ Audio and Stereo Systems* 5.01 to 15 kva 133.56 2 15.01 to 25 kva 200.34 2 ❑ Burglar AlarmWindfieneration systems in excess of 25 kva: 25.01 le 50 kva 301.04 2 0 Garage Door Opener* 50.01 to 100 kva 552.26 2 0 7100 kva(fee in accordance with . Heating,Ventilation and Air Conditioning OAR 918-309-0040) 552.26 System* Solar generation systems in excess of 25 kva: Each additional kva over 25 1 7.42 3 0 Vacuum Systems* >10o kva—no additional chow 0.0 I 3 ❑ Other: Earl additional h tpectiun over allowable in any of the above: Each additional Inspection is charged at all hourly(1 hr min) 66.251 hr 1 Inspections For which no fee is CO11 .I RCIAL WORK.ONLY specifically listed[h hr min) 90.Op.'hr Fee for each commercial system $75.00 LECT ICALP PERMIT'FEES (SEE OAR 91S-309-0000) PlanSubtotal.review,if required(25%ofpertnil fee):); Check Type of Work Involved: Slate surcharge(12%ofpermit fee): TOTAL PERMIT FEE: This permit application expires if a permll is nal obtained within 180 ❑ Audio and Stereo Systems days after it MN been'templet,as complete. * Number of inspcclioas 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 7 El Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *Nn licenses are required. Licenses are required for all other installations L•1f3u ieeigkerrabbAELC rerreaMpp MR van din Rev(11,2112013