Permit 1,1,4
CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2019-00268
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/11/2019
Tic"� g Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 15055 SW SEQUOIA PKWY
Project: Pacific Star Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: Remove and reinstall solar PV system 8'to the west.
Contractor: SYNCHRO SOLAR LLC Owner: PACIFIC REALTY ASSOCIATES LP
1339 SE 8TH AVE, STE B ATTN: N PIVEN
PORTLAND, OR 97214 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-208-4786 PHONE:
FAX: 503-290-1507
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: OTR Type of Const: VB Info Process/Archiving-Sm$0.50(up to 12/11/2019 $22.50
11x17)
Occupancy Grp: B Occupancy Load: 0 Solar Photovoltaic System 12/11/2019 $180.00
Dwelling Units: 0 12%State Surcharge-Building 12/11/2019 $21.60
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $0
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $224.10
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 Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may•stain a cop •f the rules or direct questions to OUNC by calling 503.232.1987 or x.800.332.2344.
Issued By: - •. 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
Residential coni ✓Ci'm / FOR OFFICE USE ONLY
City of Tigard Received ////� jw r �! —O.
O
g Date/By: 7 /i t l �� 7 � g
" 13125 SW Hall Blvd.,Tigard,OR 97223 an Review el
'rill a' Phone: 503.718.2439 Fax: 503.598.1960 ��C'\/ ate/By: . Z_6` ) "" Other Permit:
TIGARD Inspection Line: 503.639.4175 L V ate Ready/By: / / Jur. Ed See Page 2 for
Internet: www.tigard-or.gov NotiyQ/Method:l r l` Supplemental Information
sEP 1 8 2019 ,,�
TYPE OF WORK QUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑DeiQTY N T IG DIVISION I SIOION Permit fees*are based on the value of the work performed.
O
SINIndicate the value(rounded to the nearest dollar) f all
®Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑1-and 2-family dwelling ®Commercial/industrial
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15055 SW Sequoia Pkwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 ,.De-G/FC S^. Garage/carport area: square feet
Suite/bldg./apt.no.: Project name ear— Covered porch area: square feet
Cross street/directions to job site:South of SW Bonita on SW 72nd Deck area: square feet
Other structure area: square feet ( N
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. ''
Tax flap/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.
Removal and reinstall of Solar PV System 8'to the west Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Pac Star Type of construction:
Address:15055 SW Sequoia Pkwy Occupancy groups:
City/State/ZIP:Tigard,OR 97224
Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Pac Star
Structural plan review fee(or deposit):
Contact name:Jezell Halton
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Amount received:
Phone:(503)403-3000 x367 Fax::( )
E-mail:jhalton@pacstar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CCommercia Ind residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Synchro Solar LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:2870 NE Hogan Rd Solar Installation Specialty Code checklist.
City/State/ZIP:Gresham,OR 97030 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:(503)208-4786 Fax:(503)290-1507
State surcharge(12%of permit fee): $21.60
CCB lie.:188766 _ /f //7402
/ 1 + —
?rTotal fee due c.r t,pplication: $201.60
Authorized signature: i? This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:John Kim Date:9/16/19 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)