Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00071
TIGAA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2020
Parcel: 2S 104BB00800
Jurisdiction: Tigard
Site address: 14269 SW WINDSONG CT
Subdivision: CASTLE HILL Lot: 59
Project: SHUREIH
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: $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
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvoes 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
Fum'=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 st 0 201-400 amp: 0 201-400 amp: 0 W/O SvclFdr: 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 8 Stereo: NI HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: Y Other Description: Solar Glass Roof System 8.361 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:
SHUREIH,TARIQ M TESLA ENERGY Required Items and Reports(Conditions)
13515 SW SANDRIDGE DR 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $360.69
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 u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR1952-0/01-0090. Y ay obtain copy of the r s or direct questions to OUNC by calling 503.232.1987�19 or 1.800.332.2344.. ,
Issued By: .iv 1 Permittee Signature: (X f y'Aece-71�-
Call 503.639.417E 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.
JBuilding Permit Application
Residential FOROFFICI. Csi ONI_1
Cityof Tigard ),, t+ .-' 3C ��
;lig i � 13I SW Hal Bhd,Tigard,OR 97223 /71 _." 1 y ��a a•
g Ian Review. i.y _
I Phone: 503.718.2439 Fax: 503.598.1960 __ 2 Date/B : • l !� Other Permit.
TIGARD Inspection Line: 503.639.4175 Fr_ 4 2021 Date Ready/By luris. See Paget for
Internet: w w.tigard-or.gov Notified/ ethod' /.. —M.ice.- Supplemental Information
TYPE OF WORK '` REQUIRED DAT :Al-AND 2-FAM1LY DWELLING
❑ New construction ❑Demolition Permit lees`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.
51 1-and 2-family dwelling ['Commercial/industrial Valuation. $ $000
ll� ElAccessory building El Multi-familyNumber of bedrooms
❑Master builder ❑Other: Number of bathrooms:
JOB_SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14269 SW Windsong Ct, New dwelling area: square feet
City/State/ZIP: Tigard- OR 97223, US Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Tariq Shureih Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRF.D DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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 55 5 work indicated on this application.
SOLAR ROOF 8.361 KW Valuation: $
Existing building area: square feet
New building area: square feet
a PROPERTY OWNER i 5 5'' ElTENANT Number of stories:
Name- Tariq Shureih Type of construction:
Address: 14269 SW Windsong Ct, Occupancy groups:
City/State/ZIP:Tigard, OR 97223, US Existing:
Phone:(503) 545 1398 Fax ( ) New
Eli APPLICANT KI CON'IACI PERSON BUILDING PERMIT FEES* t
(Please refer to foSekedule) �
Business name: 'FESLA
Structural plan review 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: :(1866)445 7459
L-mail' AFARIAS��I TF_SLA.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: TESLA Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 6132 NE 112th Ave, Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP: Portland OR 97220 and administrative fees):
Phone:( 503 ) 894 6903 X1 ll)`w Fax:( 1866)445 7459 State surcharge(12%of permit fee): $21.60
CCB lie.. 180498 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: A. Meliss arias Date: 2.21.20 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits'BUP-RESPermitApp.doe 02/24/2011 440-4613T(I I/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Permit No
. Datet
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
C Phone: 503.718.2439 Fax: 503.598.1960
TIGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical El Plumbing El Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes So N/A
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 ❑ ❑
3 Verification of approved plat/lot. 0 ❑ ❑
4 Fire district approval required. Name of district: . ❑ El ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ El El
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ El ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- El ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
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 ❑ ❑ ❑
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 El ❑ ❑
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- ❑ ❑ 0
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- ❑ 0 ❑
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 ❑ 0 ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 0
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 ❑ 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 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El ❑ ❑
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 El ❑ ❑
architect licensed in Ore on and shall be shown to be a. licable to the rro'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. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. El El El
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 El El El
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, El ❑ El
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:1Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
f
City of Tigard ,'' t /l l 1 iT'.4Jate/B - Permit No:
1111 • 13125 SW Hall Blvd.,Tigard,OR 97223 ' Plan Review
■ Phone: 503.718.2439 Fax: 503 598 1960 .J„ Date/B : Other PermPermit:T I O i,\R n Inspection Line. 503.639.4175 F Lb 2 4 / L' Date Ready/By.- runs: la See Page 2 for
Internet' w'ww.tigard-or.gov NotifiediMethod: Supplemental Information
111 'OF WORK PLAN REVIEW
['New construction ®Addition/alteration/replacement
Please check all that apply(submit 2 sets of plans w/items checked below).
❑Service or feeder 400 amps or more ❑Building over three stories.
['Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
az?:i ' x, ( .. exceeds 10.000 amps at 150 volts or 0 Floating buildings.
CATEGORY OF CONSrRI
" less to ground,or exceeds 14,000 0 Commercial-use agricultural
E 1-and 2-family dwelling ['Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑ Multi-family ❑ Master builder 0 Other: ❑Fire pump, ❑Installation of 150 KVA or
JOB SITE 1NEORMATION AND LOCATION 0 Emergency system. larger separately derived system_
_... 0 Addition of new motor load of ❑"A","E" "!2" "l-9"
Job no.: Job site address: 14269 SW Windsong Ct, 00HP or more. occupancy.
Cl❑Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97223, US ❑Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations_ 600 volts nominal,
Suite/bldg./apt.no.: Project name: Tariq Shureih ❑Service or feeder 600 amps or mote
FEE SCHEDULE
Cross street/directions to job site: oescriplmn I Qty. I Fee "I Iola) 1 .
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq,ft.or less 168.54 4
Ea.add'!500 sq ft.or portion 33 92 1
Tax map/parcel no.: Limited ener gy,residential 75.00 2
above sq. _)
DESCRIPTION OF WORK W (withft
"1`"3 Limited energy,multi-family
residential(with above s .ft.) 75.00 2
SOLAR ROOF-8.361 KW q
Renewable Energy l:3(See Page 2
Services or feeders installation,alteration,and/or relocation
GI I'ROPERrl OWNER ❑ '1 ENANT, 200 amps or less 100.70 2
1 201 amps to 400 amps 133.56 2
Name: Tariq Shureih 401 amps to 600 amps 200.34 2
Address: 14269 SW Windsong Ct, 601 amps to 1,000 amps 301.04 ._- 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Tigard, OR 97223, US Temporary services or feeders installation,alteration,and/or
Phone:(503) 545 1398 Fax:( ) relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that I 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 599 amps 168 54 2
Owner signature! Date: Branch circuits—new,alteration,or extension, _er panel
APPLICANT : 0 }n'ACT PERSON A.Fee for branch circuits with
- - • • . `.th. ' - above service or feeder fee.
Business name: each branch circuit 7.42 2
TESTA B.Fee for branch circuits without
Contact name: MELISSA FARIAS service or feeder fee,first 56.18 2
branch circuit
Address: 6132 NE 112TH AVE, Each add'l branch circuit 7.42 2
City/State/ZIP: PORTLAND OR 97220 Miscellaneous(service or feeder not included)
Each manufactured or modular 67 84
Phone:( Fax: :( dwelling,service and/or feeder
503 ) 894 6903 1866) 445 7459 Reconnect only 67.84 2
1—mall: AFARIAS@TESLA.COM Pump or irrigation circle 67.84 2
- CONTRACTOR' Sign or outline lighting 67.84 2
Business name: TESLA Signal circuit(s)or limited-energy See
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: PORTLAND OR 97220 Investigation(I hr min) 66.25/hr
Phone:( 503 ) 894 6903 Fax:(1866)445 7459 Industrial plant(1 hr min) 78.1 8/hr
inspections for which no fee is CCB Lic.: 18049810 lectrical Lie.: C562 Suprv.Lic.: 5873s specifically listed( ',In Rnin) 90 00 hr
17,. ELECTRICAL PERMrf FEES
Suprv.Electrician signature,required: 1\ior Subtotal
Print name: Date: 2.21.20 Plan review(25%of pcnrtit tee):
NICK ARMSTRONG� p State surcharge(12%of permit fee):
Authorized signature: , ir.2 TOTAL PERMIT FEE:
Print name: A.MELISSA FARIAS 2,21,20 This permit application expires if a permit is not obtained within 180
Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
L'Building\Permits1ELC_PermitApp_ELR ERE_dor Rev 05/21/2013 440-4615T(I I/05/COMAVEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDVU(
Fee for all residential systems combined $75.00 Description I Qty. I Fee I Total I -'
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
❑ Audio and Stereo Systems*
1501 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
Heating, Ventilation and Air Conditioning
OAR 918-309-0040)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
i Other: Each additional inspection is 66.25/hr
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
s.ecificall listed 0/3 hr min)
COMMERCIAL WORK ON
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee)
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
* Number of inspections 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
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\euilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/212013