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Permit (2) • IICITY OF TIGARD MASTER PERMIT - rl Permit#: MST2019-00456 COMMUNITY DEVELOPMENT TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/30/2019 Parcel: 2S111DA14400 Jurisdiction: Tigard Site address: 15520 SW EMPIRE TER Subdivision: APPLEWOOD PARK NO.3 Lot: 137 Project: Epstein Project Description: Rooftop 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: $0.00 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 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckfiw 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 add9 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: Roof Top Solar PV System 7.68 kW 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: EPSTEIN,DANIEL&BREANNA SUNBRIDGE SOLAR LLC Required Items and Reports(Conditions) 15520 SW EMPIRE TER 706 W 17TH ST TIGARD,OR 97224 VANCOUVER,WA 98660 PHONE: PHONE: 503-407-6820 FAX: Total Fees: $357.69 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 0 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling503.232.1987 or 1.800.332.2344. Issued By: i � � Permit ee afore: '64 U 1 1 1 C 5 . 39.4175 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 FOR OFFICE USE ONI.I Received p City of Tigard RECEIV DateBy: &//7/�/ � PeruatNST�/C�_�O C�j�p 13125 S W Hall Blvd.,Tigard,OR 97223 1 q Plan Review +� Sl Phone: 503.718.2439 Fax: 503.598.196°D E C 2 20 1 9 DateBy: I �� Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: / / IDS. Ed See Page 2 for Internet: v♦tiw.tigard-ocgov CITY OF TIGARD oti5e pZ [ % Supplemental Information BUILDING DIVISION TYPE OF WORK REQ ED DATA:1-AND 2-FAMILY DWELLING construction ❑Demolition Permit fees*are based on the value of the work performed. ��jj Indicate the value(rounded to the nearest dollar)of all El Addition/alteration/replacement g� )ther: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1-and 2-family dwelling ❑Commercial/industrialValuation $5,000 ElAccessory building ❑Multi-family Number of bedrooms: ID Master builder ID Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15520 SW Empire Terrace New dwelling area: square feet City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Epstein Solar System 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: 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 DESCRIPTION OF WORK work indicated on this application. 7.68kW rooftop solar pv system.(24)Panasonic modules(24)Enphase microinverters Valuation: $ IronRidge racking system. Existing building area: square feet New building area: square feet In PROPERTY OWNER ❑ TENANT Number of stories: Name: Daniel Epstein Type of construction: Address: 15520 SW Empire Terrace Occupancy groups: City/State/ZIP: Tigard,OR 97224 Existing: Phone:( 541 ) 521-7890 Fax:( ) New: © APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Sunbridge Solar Structural plan review fee(or deposit): Contact name:Haley Polk FLS plan review fee(if applicable): Address: 421 C St Unit 5A Total fees due upon application: City/State/ZIP: Washougal,WA 98671 Amount received: Phone:(971 )325-4164 Fax::( ) E-mail: haey@sunbridgesolaz.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Sunbridge Solar Submit two(2)sets of roof plan with connection details Address: 421 C St Unit SA and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Washougal,WA 98671 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 971 )325 4164 Fax.( ) State surcharge(12%of permit fee): $21.60 CCB lit.: 189787 ' 0 '/�{p ///� Total fee due upon application: $201.60 Authorized signatures/1 ry kJ//y�y This permit application expires if a permit is not obtained III///���� Ivl/ l within 180 days after it has been accepted as complete. HaleyPolk K____13 I/J'�/� I Q *Fee methodology set by Tri-County Building Industry Print name: ate: `',' .1 / W Service Board. I:1Building\Permits'BUP-RESPermitApp.dac 02/24/2011 440-4613T(11/02/COM/WEB) • Electrical Permit Application FOR OFFICE.1'SF ONLY City of Tigard Tl RECEIVE',I'eceived RECEIVE Date/B : Permit jitcrAj/9—pe, ;/S(p • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Related Permit ii: DEC Z019 Date/B : Inspection Line: 503.639.4175 U `, 1 Ready Date/By: Anis: ® See Page 2 for i t"AR Internet: www.tlgard-OL goy Notified/Method: Supplemental Information RKCITY OF TIGARD TYPE OF WO t3UiLDING DIVISION PLAN REVIEW ❑New construction ©Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more ElBuilding over three stories. ❑Demolition El Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. x 1-and 2-familydwellingless to ground,or exceeds 14,000 ❑Commercial•use agricultural ❑ ❑Commercial/industrial 0Accessory building amps for all other installations. buildings. 0 Multi-family ❑Master builder 0 Other: ['Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION - _ ❑Emergency system larger separately derived Empire Terrace ❑100 Addition of new motor load of system. Job#: Job site address: 15520 SW Em p 1001IP or more. ❑"A","E","1-2","1-3", 0 Six or more residential units. occupancy. City/State/ZIP: Tigard,OR 97224 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Epstein Solar System 0 Hazardous locations. El Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: • Ea add'l 500 sq.R or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 7.68kW rooftop solar pv system.(24)Panasonic modules(24)Enphase microinverters (with above sq.ft.) 75.00 2 Limited energy,multi-family IronRidge racking system residential(with above sq.ft.) 75.00 2 ® PROPERTY OWNER ❑ TENANT Renewable Energy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name: Daniel Epstein 200 amps or less 100.70 2 Address: 15520 SW Empire Terrace 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard,OR 97224 601 amps to 1,000 amps 301.04 2 Phone:(541 )521-7890 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:oy.veh@comcast.net relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: _ 401 amps to 599 amps 168.54 2 APPLICANT Branch circuits-new,alteration,or extension,per panel ® ® CONTACT PERSON A.Fee for branch circuits with Business name:Sunbridge Solar above service or feeder fee, 7.42 2 each branch circuit Contact name:Haley Polk B.Fee for branch circuits without Address: 421 C St Unit 5A service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Washougal,WA 98671 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(971 )325-4164 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: haley@sunbridgesolar.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 • Business name: Sunbridge Solar Sign or outline lighting 67.84 2 • Address: 421 C St Unit 5A Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Washougal,WA 98671 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 971 )325-4164 Fax:( ) Investigation(1 hr min) 90.00/hr Email: haley@sunbridgesolar.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 189787 Electrical Lic.: C1123 Suprv.Lie.:3947S specifically listed(v hr min) ��y�� — ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: a/ rpW , /ifFr�,. - Subtotal: Print name: Dennis Patrick Date: 0 Plan Review Required(25%of permit fee): oK State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: t This permit application expires if a permit is not obtained within 180 Print name: Haley Polk Date: I Z! I D'/2,0I4� days after it has been accepted as compkte. f ' Number of inspections allowed per permit. 1,Buildmg\Pernuts\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I1/05/COM/WEB Electrical Permit Application—City of Tigard Page.2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE DeFee for all residential systems combined: $75.00 Renewable I Qrr. I Each Total y electrical energy systems: Check Type of Work Involved: 5 kva nrless 100.70 2 5.01 to 15 kva 1 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* 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 66.25/hr I charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed(14 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ 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 ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:1Budding1Permds\ELC_Perm,sApp_EIR_ERE.doe Rev 06/17/2015 Julie Drinkwater From: Julie Drinkwater Sent: Thursday, December 19, 2019 2:40 PM To: 'Haley Polk' Cc: #Building Permit Technicians Subject: RE: MST2019-00456, 15520 SW Empire Terrace, Epstein Attachments: Invoice.pdf Hello Haley I have added the mailing fee of$5.00 to this permit. Attached please find the revised invoice for your review. To pay the fees online,you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the Building tab, enter the permit number in the Record Number field,and click Search. Please let us know once the permit fee has been paid so that we may mail the permit to you. Julie Drink-water Permit Technician City of"Tigard I Building Department 13125 SW IIall Blvd Tigard,OR 97223 503-718-2804 From: Haley Polk [mailto:haley@sunbridgesolar.com] Sent:Thursday, December 19,2019 10:14 AM To:Julie Drinkwater<JulieD@tigard-or.gov> Subject: Re: MST2019-00456, 15520 SW Empire Terrace, Epstein I 1 Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender verify the sender. Great, thanks! Can we have this permit mailed to us? I paid the fees online. Our address is 421 C St Unit 5A Washougal, WA 98671. Best, Haley Polk I Project Coordinator (p) (971) 325 -4164 Sunbridge Solar Your NW Solar Installers 421 C Street, Unit 5A Washougal,WA 98671 1