Permit (105) CITY OF TIGARD MASTER PERMIT
'� . Permit#: MST2017-00366
2: COMMUNITY DEVELOPMENT
n
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2017
�[raR. 9 Parcel: 1S134BD11400
Jurisdiction: Tigard
Site address: 10893 SW 118TH CT
Subdivision: PENN LAWN ESTATES NO.2 Lot: 42
Project: HERR
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:
Total: 0 sf Value: $15,630.00 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 RainStorm Sewer: 0
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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'I 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 0
Owner: Contractor:
HERR,STEPHANIE ELEMENTAL ENERGY LLC Required Items and Reports(Conditions)
10893 SW 118TH CT 3123 SE BELMONT ST
TIGARD,OR 97223 PORTLAND,OR 97214
PHONE: PHONE: 503-967-5786
FAX:
Total Fees: $317.38
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: Oreg1,r' law requires you to follow the rules adopted by the Oregon Utility Notification C-nter. Th• e rules are set forth in OAR
952-001-0010 through O 52-0' '090. i u may obtain a/--• of the-s or direct questions to OUNC by calling 503.2 11987 or :'.332.2344.
/ ./
Issued By: Permittee Signature: r p, ��
/ Call 503.639.4175 by 7:00 a.m.for the next available inspection d(,Y
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
Building Permit Application
Residential e2 ' 1 FOR OFFICE USE ONL1
Cl of Tigard 1,-3 ` t , 0 4"•.ceived IC //
City g Date By: , f ! Permit No.41 7 01?—1.0 7/ /
III ° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review y ,/_-`� r/V d C>DJv
_ Phone: 503.718.2439 Fax: 503.598.1960 i r� 98 I / Date/By: 10 - 3 ' 1 Other Permit:
Inspection Line: 503.639.4175 C� Date Read/B Juris'
fIC;AKll Ready/By -T S See Supplemental
age 2 for
Internet: www.tigard-or.gov ,. Notifed/Method: at� /2 /�� Supplemental Information
TYPE OF WO;r< III�I)I ( `I I.� QUIRED 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
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling El Commercial/industrial Valuation: $ / 3 d
111Accessory building 111Multi-familyNumber of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10893 SW 118th Ct New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97223 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
DESCRIPTION OF WORK work indicated on this application.
4.35 kW Prescriptive roof mount solar installtion Valuation: $
Existing building area: square feet
New building area: square feet
/� PROPERTY OWNER 0 TENANT Number of stories:
Name:Stephane Herr Type of construction:
Address: 10893 SW 118th Ct Occupancy groups:
City/State/ZIP:Tigard,Oregon 97223 Existing:
Phone:(503)314-4417 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Elemental Energy (Please refer aofee schedule)
Structural plan review fee(or deposit):
Contact name:John Grieser
FLS plan review fee(if applicable):
Address:6819 SE Foster Rd
City/State/ZIP:Portland,OR 97206 Total fees due upon application:
Phone:(503)967-5786 Fax::( ) Amount received:
E-mail:permits@elementalenergy.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:Elemental Energy Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6819 SE Foster Rd Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97206 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(503)967-5786 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:195141IP'
-
_ Total fee due upon application: $201.60
Authorized signatur-. .�7: ) This permit application expires if a permit is not obtained
L within 180 days after it has been accepted as complete.
Print name: -5 - + .0 Date *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RES'ermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
_ Associated Date/ByPermit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 permits:
T 1 GARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ 0 ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ 0 0
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
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. 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 11 ❑
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 p ❑ ❑
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 ❑ p ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
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 ❑ ❑ ❑
architect licensed in Ore.on and shall be shown to be a..licable 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". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑
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 ❑ p ❑
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 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, ❑ ❑ ❑
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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
••t
, Electrical Permit Application , FOR OFFICE USE ONLY
;,' z�
CityofTigard t Received
g -iri. . ' Date/B : Permit 4:
111 r 13125 SW Flail Blvd Tigard,OR 97223
aPlan Review
Phone: 503.718.2439 Fax: 503.598 1 Date/B : Related Permit 4:
P -1 i*,,---
s turfs. RE See Page 2 for
Inspection Line: 50�639.4175 f \�' Ready Date/By:
T l t�A RI) p otified/Method: Supplemental Information
Internet: www.tigard-or.gov ,
t Ni
TYPE OF WORK 4,, "It N }1 Print name: John Grieser D,
❑New construction ./ Addition/alteration/ "MemoriE
4..'`y;.s PLAN REVIEW
❑Demolition El Other:
Please check all that apply(submit 2 sets of plans w/items checked):
CATEGORY OF CONSTR ON ❑Service or feeder 400 amps or more 0 Building over three stories.
E 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building where the available fault current 0 Marinas and boatyards.
exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑Multi-famil ❑Master builder ❑Other:
y less to ground,or exceeds 14,000 0 Commercial-use agricultural
JOB SPIE INFORMATION AND LOCATION amps for all other installations. buildings.
Job#: Job site address: 10893 SW 118th Ct 0 Fire pump. 0 Installation of 150 RVA or
0 Emergency system. larger separately derived
City/State/ZIP:Tigard,Oregon 97223 0 Addition of new motor load of system.
100HP or more. ❑"A","E","1-2", '1-3",
Suite/bldg./apt.#: Project name: 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Cross street/directions to job site: ❑Hazardous locations. ElSupply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
FEE SCHEDULE
Subdivision: Lot#: Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Tax map/parcel#: Includes attached garage.
DESCRIPTION OF WORK 1,000 sq.ft.or less 168.54 4
4.35kW Prescriptive roof mount PV installation Ea.add'1500 sq.ft.or portion 33.92 i
Limited energy,residential 75.00 2
C (with above sq.ft.)/` Limited energy,multi-family
eft ®'PROPERTY OWNER 0 TENANT 75.00 2
residential(with above sq.ft.)
t, Name:Stephane Herr Renewable Energy 0 See Page 2
--. Address:10893 SW 118th Ct Services or feeders installation,alteration,and/or relocation
•� 200 amps or less 100.70 2
' City/State/ZIP:Tigard,Oregon 97223 201 amps to 400 amps 133.56 2
• Phone:(503)314-4417 Fax:( ) 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Email: Over 1,000 amps or volts 552.26 2
Owner installation:This installation is being made on property that I own which is not Temporary services or feeders installation,alteration,and/or
I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. relocation
Owner signature: Date: 200 amps or less 59.36 1
'7 201 amps to 400 amps 125.08 2
0 APPLICANT 0 CONTACT PERSON
401 amps to 599 amps 168.54 2
Business name:Elemental Energy Branch circuits—new,alteration,or extension,per panel
r Contact name:John Grieser A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Address:6819 SE Foster Rd each branch circuit
B.Fee for branch circuits without
City/State/ZIP:Portland,OR 97206 service or feeder fee,first 56.18 2
branch circuit
Phone:(503)967-5786 Fax: :( ) Each add'I branch circuit 7.42 2
Email:permits@elementalenergy.net Miscellaneous(service or feeder not included)
Each manufactured or modular
67.84 2
CONTRACTOR dwelling,service and/or feeder
T Business name:Elemental Energy Reconnect only 67.84 2
si Pump or irrigation circle 67.84 2
Address:6819 SE Foster Rd Sign or outline lighting 67.84 2
City/State/ZIP:Portland,OR 97206 Signal circuit(s)or limited-energy
0 See Page 2 2
11 panel,alteration,or extension.
Phone:(503)967-5786 Fax:( ) Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Email:permits@elementalenergy.net Investigation(I hr min) 90.00/hr
(z. CCB Lie.: 195141 Electrical Lie.: C1228 Suprv.Lie.:1-1 7 S Industrial plant(1 hr min) 78.18/hr
/� Inspections for which no fee is 90 00 hr
Suprv.Electrician signature,required: l specifically listed(%hr min)
Print name: Charles Henry Date: 9122/17 ELECTRICAL PERMIT FEES
Subtotal:
0 Plan Review Required(25%of permit fee):
Authorized signature: State surcharge(12%of permit fee):
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(I 1/05/COM/WEB
V
•
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 Each I Total
Renewable electrical energy systems:
5 kva or less X 100.70 100.70 2
Check Type of Work Involved'
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n B• urglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
G• arage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
n H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
n 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 66.25/hr I
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%?hr mm)
COMMERCIAL WORK ONLY•# ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Pagel):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
n Clock Systems
n Data Telecommunication Installation
n Fire Alarm Installation
HVAC
n Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
n Nurse Calls
Outdoor Landscape Lighting*
n Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELCPermitApp_ELRERE.doc Rev 06/17/2015
City of Tigard ., .
IN 'a Building Division k `
- • 13125 SW Hall Blvd,Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 LP S /O1
T I OARD Inspection Line: 503.639.4175
www.tigard-or.gov ' - t,'ti `.al
Gaff
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 10893 SW 118th Ct
City: Tigard Zip: 97223
Owner's Name: Stephane Herr Date: 9/22/17
Contractor's Name: Elemental Energy CCB #: 195141
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation El Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? ® No OSSC or ORSC for
design requirements.
Is the wind exposure ® Yes If"Yes"
Wind Exposure , qualifies for
"C" or less? ❑ No the prescriptive path.
Installations on detached Is the Ground Snow
single/two-family Load 70 psf or less?
dwelling/single/two- If"Yes", qualifies for
family townhomes E Yes the prescriptive path.
and/or their accessory
Ground structures. [ No
Snow Load Is the Ground Snow
Installations on all Load 50 psf or less?
structures other than If"Yes", qualifies for
Yes the prescriptive path.
above
No
1
I:/Building/Forms/PhotoVoltaic-Checklist.docx
Is the construction
material wood and does ® Yes
Type of If"Yes", qualifies for
the construction qualify
Construction No
the prescriptive path.
as "conventional light
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. ® Yes If"Yes", qualifies for
the prescriptive path.
7 No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. If"Yes", qualifies for
Yes the prescriptive path.
n No
Is the combined weight M Yes
of the PV modules and If"Yes", qualifies for
racking less than or n No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation
M
layout in accordance Yes
with Section 305.4(3) of If"Yes", qualifies for
the 2010 Oregon Solar n No the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
Roofing Check the type of n of wood one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
11 of composition
shingle.
Is the roof mounted ® Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
n No the prescriptive path.
to the roof framing or blocking
directly?
2
I:/Building/Forms/Photovoltaic-Checklist.docx
1
Fl Yes If"Yes", qualifies for
Is the gauge 26 or less? ❑ No the prescriptive path.
115 lbs for 60 inch
spacing or less?
If"Yes", qualifies for
® Yes the prescriptive path.
n No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes", qualifies for
® Yes the prescriptive path.
n No
Attachment of
roof mounted Minimum 24 inches If the spacing falls
solar systems Spacing of clamps? within 24 inches and 60
directl to 48 inches inches, qualifies for the
Y Maximum 60 inches prescriptive path.
standing seam
metal panels Width of roofing If the width of the panel
panels? 18 inches or less is less than 18 inches,
inches qualifies for the
prescriptive path.
Minimum#10 at 24
inches o/c?
Size and spacing of Yes If"Yes", qualifies for
fastener? ® the prescriptive path.
No
Is the roof decking of
WSP min. %2"thickness, Z Yes
decking connected to If"Yes", qualifies for
framing members n No the prescriptive path.
w/min. 8d nails @
6"/12" o/c?
Is the height less than or
Maximum 18 inches equal to 18 inches?
Height of the from the top of the If"Yes", qualifies for
solar modules module to the roof ® Yes the prescriptive path.
surface. 7 No
3
I:/Building/Forms/PhotoVoltaic-Checklist.docx
Submittal Documents required for Prescriptive Installations
Show the location of the PV system in relation to buildings, structures,
property lines, and, as applicable, flood hazard areas.
Site Plan Details must be clear and easy to read.
Minimum size of the plan is 8.5 x 11 inches.
Attach a simple structural plan showing the roof framing (rafter size, type, and
spacing) and PV module system racking attachment.
System must be shown in sufficient detail and clarity to assess whether it
Structural Plan meets the prescriptive construction requirements as listed earlier above in the
matrix.
Minimum size of the plan is 8.5 x 11 inches.
PV Modules
Manufacturer: Hyundai
Model Number: HiS S290-RG
Listing Agency: UL 1703
4
l:/Building/Forms/PhotoVoltaic-Checklist.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10893 SW 118TH CT, TIGARD, OR, 97223 October 5, 2017 at
1 :54:57 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00366
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10893 SW 118TH CT, TIGARD, OR, 97223 October 5, 2017 at
1 :56:05 PM
Record Type: Record ID:
Residential - Master Permit MST2017-00366
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor