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Permit (170) .41111 CITY OF TIGARD MASTER PERMIT _ COMMUNITY DEVELOPMENT Permit#: MST2016 00444 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11!14/2016 Parcel: 2S110CB12800 Jurisdiction: Tigard Site address: 12037 SW AUTUMNVIEW ST Subdivision: SOUTH VIEW HEIGHTS Lot: 16 Project: BENDER 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: $8,000.00 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 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: Roof top PV system 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: BENDER,STEVEN L&NANCY A SOLARCITY CORPORATION Required Items and Reports(Conditions) 12037 SW AUTUMNVIEW ST 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 throu. OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ( Ali Aill' ' 71-C--- Permittee Signature: 7,// ''�6../( / 770it./ 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. t R Building Permit Application Residential „ w':Lit V 1(m 01'11( t.Tsi t)vIv City of Tigard , _ 0 ` era /1 3 l6 47T'_ Permit No.�''1 jT ;Lt;. G�i//i/J . :H 13125 SW Hall Blvd.,Tigard,OR 97223 Z. Plan Review 7 Phone: 503.718.2439 Fax: 543.598.191 Q� Date/By: / 1 3 — C — Other Permit: 1 , t n<t J Insertion Line: 503.639.4175 § Dat11 e ReadytBy: p f{ �tu--.� 63 Eiee Page 1t For Internet. www.tigand-or,gov ' u � *'Alot ed/Metdwdk/ ! / 1 /a C.+ Supplementallnfarmation Permit fees*are based on the value of the work performed.. O New construction 0 Demolition Indicate the value(rounded to the nearest dollar)of all ►,t Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the C t 41 of STU _= � , work indicated on this application. ..' ..., .I Comme „ � _. h Valuation: $ 8000 ►1 i-and 2-familydwellingrcial/industrial O Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: . its _ i i Total number of floors: Job site address 12037 SW Autumnview St New dwelling area: square feet City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name: Steve Bender Covered porch area: square feet Cross street/directions to job site; Deck area: square feet Other structure area: square feet tis t Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Fax map/parr el no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the 1, 1 s ] t work indicated on this application: Valuation: 6 PV ROOF MOUNT Existing building area: square feet New building area: square feet ', #+` s ,- 'TV 0;.,,. 1. TEWT,4, Number of stories: Name: Steve Bender Type of construction: Address: 12037 SW Autumnview St , Occupancy groups: City/State/ZIP: Tigard OR 97224 Existing: Phone:(678) 2631 4684 Fax:( ) New: is :� ` ,T ate ,.�'+ _ ,i ' tJt� 44 Business name: CityCorp structural plan . . ( pi SOlat` Ct2r ural lreview 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 Fax::(186a 445-7459 E-mail: t e�, a ' °� i1`; Melissa Farias@SolarCitycoin = a Ana Commercial and residential prescriptive installation of ' N i,� 1** ,5 ! I I a ' x r` � �.. , . . �_ . .-�:.�.t;,�„- ,r � ��;.� roof-top mounted Photovoltai•c Solar Panel'System. Business name:SolarCi l.y Corp. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 6 132 NE 112th Ave Solar Installation Specialty Code checklist. City/9tateJZ1P: Permit Fee(includes plan review Portland OR 97220 and administrative fees): $180.00 Phone:( 503) 894-6903 Fax:(186d 445-7459 State surcharge(12%of permit fee): $21.60 CCI3 lie.: 180498 Total fee due upon application: t $201.60 Authorized signature: Alr+ r #s / This permit application expires if a permit is not obtained t within 180 days after it has been accepted as complete. Print name: Melissa Fan. Date: 11.01.16 1 *Fee methodology set by Tri-County Building industry Service Board. 1:\Building Permits\BUP-RESPennitApp.doe 02/24/2011 440-4613T(I IJ02/COM/WEB) /1147/„. i()/ '/‘i /°,9-7.6 Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE ESE ONLY City of Tigard Received •_ Uatc/B IIIIt 13125 SW Flail Blvd.,Tigard,OR 97223 Associated: patens: Phone: 503.718.2439 Fax: 503,598,1960 24-Hour Inspection Line; 503.639.4175 0 P,(ecrsical 0 Plumbing 0 Mechanical TIGARD Internee wwwaigard-or.gov ❑ Other: THE I'OLLOWINiG ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No lN',, I Land use actions completed. See jurisdiction criteria for concurrent reviews. • ■ ■ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district;etc. 0 , 0 ❑ 3 Verification of approved plat/lot. 0 _ 0 0 4 Fire district approval required. Name of district: • ❑ ❑ 0 5 Septic system permit or autitorii tion for remodel. Existing system capacity . 0 0 0 6 Sewer permit 0 ❑ ❑ 7 Water district approval. 0 ❑ ❑_ 8 Soils report. Must carry original applicable stamp and signature on file at with application. ❑ 0 0 -9 Erosion control 0 plan ❑permit 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 —Cr 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 cope ight violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ ❑ there is mord than a 4-ft.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 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fiins,plumbing fixtures,balconies and decks 30 inches above grade,eta. 14 Cross section(s)and details. Show all framing-member sins 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. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is.grcaler 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 providepecifications and calculations to engineering.standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Shaw attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of mbar. For engineered 0 0 0 systems,sec item 22,"Engineer's calcululions." 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 0 • 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 t livable to the.ro'cct under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plaus must be 8-1/2"x 11"or 11"x 17". 0 0 ■ 24 Two(2)sets each arc required for Items 16. 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shali.not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. T fl ❑ 26 n "Reversed"building plans est Meeh criteria outlined in the Permit 3e.*stem'Development Fees doetiment. 0 U Cr 27 "Drawn to scale"indicates standard architect or engineer scale, 0 D 0 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, 0 0 ❑ and protection measures must be drawn to scale and must include the project arbarist'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. 1:113nildinglPermirs\BUP-RESPcnnitApp.doc 02/24/2011 440-4613T(I 1102/CDM/WEB) Electrical Permit Application ,,.-, 4 City of Tigard Remived permit Nn: yj 1312$SW Hall Blvd.,Tigard,OR , omeruy: /1f 0/k-� 9X Plan Review Inspection he:5L 18 5039639.4:7503.598.1960 �� Other Permit: ,• bine ea see Page 2 tor 3,� ti tl�� �. Ready/$Y; Internet: www.tigard-or.gov „; 4,50.,.% " . 'ted/Method: Supplemental tnformatlon 0 New construction P,.! Addition/alteratio Please check all that apply(submit sc of plans w ins checked below): v' 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition ❑Otho where the available fault current 0 Marines and boatyards. `` ,. ', i..5 exceeds 10,000 amps at t50 volts or 0 Floating buildings. 2 ` less toround,or exceeds 14,000 0 Gommereial-use 1-and 2-family dwelling 0 Commercial/industrial 0 Accessorybuildinga agricultural ® amps for all other installations. buildings. El Multi-family 0 Master builder Q Other: 0 Fire pump. ©Installation of 150(CVA or a $_ ©iimergency systema larger separately derived system. .-tft '.an/. r ''.,. Lis t ;i ''',1� 0Addition ofnew motor load of ❑..�«..E ..!_2..,.1.3» Job no.: Job site address: 12037 SW Autumnview St , or mr merei Recreation. 0 Sixx or mare tesidentiat units. 0 Recreational vehicle parks. City/State/ZIP;; Tigard OR 97224 ©Health-care facilities, 0 Supply voltage for mom than 0 Hazardous locations 600 volts nominal. Suite/bldg.dapt.no.: Project name: Steve Bender 0Service orfeeder 600amps ormote. Cross street/directions to job site: Oneriation Olt. Fee. Tedd 4T' New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1.000 sq.ft.or less 168.54 4 !!! Ea.add'1500 sq,II.or portion 33.92 I Tax map/parcel no.: Limited energy, tial �_ _.. residential 175,00 2 t) -'-41,444"s;; ' � (with energy,q, ltd Limited multi-family 75m 2 PV ROOF MOUNT residential(with above sq.it.) Renewable Eaorgy 0 Sec Page 2 Services or feeders installation alteration,and/or relocation r� f 3 a :i _ 200 amps or less 100.70 2 "... 201 amps to 400 amps 133.56 2 Name: Steve Bender 401 amps to 600 amps 200.34 2 Address: 12037 SW Autumnview St , 601 amps to 1,000 amps 301.04 1 2 Tigard OR 9 72 24 Over 1,000 amps or volts 552.26 2 C ty/Staie/ZlP; g Temporary services or feeders installation,alteration,and/or Picone:(678) 231 4684 Fax:( ) relocation, 200 amps or less 59.36 1 Owner installation:This installation is being made on property that T 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$99 amps 168.54 2 Owner signature Date: Branch circuits--new,alteration,or extension,per panel r� '`'' ,i:4-`,_,54,--4.1p� , �" �� <o � A.Fug for branch circuits with ::::::-.--7-P- E = above service or feeder fee, 7.421 2 Business name:SolarCitY Corp. each branch circuit B.Fee for branch circuits without Contact namc: Melissa Farias service or feeder fee,first 56.18 2 branch circuit Address: 6132 NE 112th Ave Each addi branch circuit 7.42 2 Portland. OR 972 Z� Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 Phone:(503 ) 894-6903 Fax::(1866) 445-7459 dwelling,sorvieeand/or feeder Reconnect only 67.84 2 E-mail:Melissa.Farias@SolarCit cam �,r Pump or irrigation circle 67.84 2 1',, 66' '" , t «. --21':. Sign or outline lighting 67.84 2 Business name: Signal circuit(s)or limited-energy See Solaat'City Corp. panel,alteration,or extension. Page 2 2 Address: Each additional inspection over allowable in any of the above 6132 NE 11 tlt Ave Additional inspection(1 hr min) 66.25/hr City/State/ZIP: ,a a ■ ( . 2213 investigation(1 Morin) 66,25i hr Phone:{r-.-,-.u.). 894-6903 1 Pax:(1866) 445-7459 Industrial plant(I hr min) 78.18/hr Inspections for which no fee is CCB Lie.:180498 Electrical Lk.: 0562 Suprv.Lie.: 58735 ,,,s,,,,,„;trial/ listed Yzhrtnin) 9000/hr lome Suprv.Electrician signature,required: s ' "! Subtotal: Print name: Date: 11.01.16 Plan review(25%of permit fee): Nicholas Armstrong State surcharge(12%of permit fee): Authorized signature: . illTOTAL PERMIT FEE: ` 'This permit application expires itu permit 3s net obtained within 180 Print name: Melissa Feria �'� Dater 1 1.01.16 days after it has been accepted as complete. Number of inspections allowed per permit,, I:1nmidingiPerntnslELC PernatApp_ELR ERE.doe Rev 05/21/2011 440.S6IST(tl/05/COMIWEn 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 beseelpeun Qtv. € pee Tetal I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 io 15 kva 1 133.56 133.56 2 ❑ Audio and Stereo Systems* 15111 to 25 kva 200.34 z ❑ Burglar AlarmWiodyeneralion 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 I00 kva(fee in accordance with ❑ OAR 918-309-0040) 553.26 Heating,Ventilation and Air Conditioning SystemSolar generation systems hi excess 0125 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 ❑ Each additional inspection over altnwahlo in any or the above: Other: Each additional inspection is charged at Int hourly(1 hr min) 66.Z51 hr Inspections for which no fcc is 90.001 hr spec fin t I y islexi('h hr min) :. L[ICG}TItUGyrilL::PFvtlwiY#1'C a��S Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%ofpermit fee): Check Type of Work Involved: TOTAL PERMIT FEE: Ibis permit application expires if a permit is Hal obtained within 180 Audio and Stereo Systems days rifler it Ws been nrceplml as campleta, * Number of inspa:lions allowed per permit. ❑ Boiler Controls ❑ Clock Systems • El Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ]1 Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* ❑ Medical ❑ Nurse d�//Calls • 1 {� ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations r:vial,d,nllrer.ihA c PcrnItnpp.ELK.raa..l.,e Rev 092II2013 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 12037 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00444 Inspector: Jeff Grove Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 12037 SW AUTUMNVIEW ST, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00444 Inspector: Jeff Grove Contractor