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Permit
CITY OF TIGARD MASTER PERMIT 1111 ■ COMMUNITY DEVELOPMENT Permit#: MST2020-00096 T[GAR.j7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/15/2020 Parcel: 2S103DC06100 Jurisdiction: Tigard Site address: 11205 SW FAIRHAVEN ST Subdivision: EXODUS Lot: 2 Project: KOSMALA 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: $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 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 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 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvcfFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 WI 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: Y Other Description: Roof top PV system 8.36 kW Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF V8 R-3 0 Owner: Contractor: KOSMALA,MICHAEL W&SUSAN S ENERGY SOLUTIONS LLC Required Items and Reports(Conditions) 11205 SW FAIRHAVEN ST PO BOX 887 TIGARD,OR 97223 BEAVERCREEK,OR 97004 PHONE: PHONE: 503-680-3718 FAX: Total Fees: $365.19 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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: & "1-4/I e//1 Permittee Signature: ©i✓ /194'e rii'f]eJ.‘,/ )) 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 ' E-GEIVEI Received Cityof Tigard Permit xo.: :1 2 3 2020 �'�Y t3 T0. /c)-CO) 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review l Phone: 503.718.2439 Fax: 503.598.19ti i Y OF C� Date/By: �j 2O -z, Other Permit: 'I'IG A RD Inspection Line: 503.639.4175 't 1l, ! /3 GAR® Date Ready/Byy. �s him Si See Page 2 for Internet www.tigard-or.goV � �lI r-. otiSed/ od: 7 Supplemental Information TYPE OF WORK REQ ED DATA:I-AND 2-FAMILY.DWELLING ❑New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. \1.\ 2-family dwelling ❑Commercial/industrial 1-and Valuation: $ ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: I\ZoS Sw Pc., r 1i1,..,.�" 5-4- New dwelling area: square feet City/State/ZIP: c; I 1„,,y( U(-- 61 9-Z,y'Zj 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. 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. // Valuation: $ Existing building area: square feet New building area: square feet PROPERTY OWNER ❑ TENANT Number of stories: Name: .!1 i L(„H,C, �v �, „(` Type of construction: Address: (/VL U 5 sill C ,✓ H..„ c+. Occupancy groups: City/State/ZIP: .."7 r4 r„✓c( (1/L fi7 -f 3 Existing: Phone:( ) ( Fax:( ) New: i PPAPPLICANT F CONTACT PERSON BUILDING PERMIT FEES* Business name: eyt `V.iric. ' Li (Please refer klieg schedule)`/`� 'CV 1 Structural plan review fee(or deposit): Contact name: fc,N + lA✓c)5 I•-e_y.-- v FLS plan review fee(if applicable): Address: pv (Jo,c F 0-4— City/State/ZIP: Total fees due upon application: e_ c�p Gite.k CPC— Ci 1'00'14 Amount received: Phone:(503)Co e(A 3 7 ( Ga Fax::( ) n PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* a E-mail. 4 l r1 4-` C'Se;�..a o .S�,U r, (�Un.--. m JI Cornercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: E. ✓G Submit two(2)sets of roof plan with connection details N ! `� S'' i L, t `I— S and fire department access,along with the 2010 Oregon Addres@: p0 1.Oa p5:3-7-- Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review ccr.<JC f+.�� Cfloog $180.00 (1?'Z and administrative fees): Phone:( Tj) (D eX), 3-4-(ej Fax:( ) State surcharge(12%of permit fee): $21.60 CCI3 Ito.: ' .c ZIX?'Z-- , 3/ L / , 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 najne: (,,,,�-(— Date: *Fee methodology set by Tri-County Building Industry [� �� 5 Date: 3 (20'2d'Z.L) Service Board. 1:\Building\Permits\BUP-RESPermitApp.docv02f�"2244/2011 440-4613T(11/02/COM/WEB) r. �e.Electrical Permit ApplicationRE�j �� •• ; EOR OTUIt'E I SE()NI I A City of Tigard MAR 2 3 2020 Received .1114 ° 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit#: Phone: 503.718.2439 Fax: 503.598.19 Plan Review Inspection Line: 503.639.4175 CITY OF `r�y r) `"± Ready ; Related Permit#: f I G A R q t/1 I I �-1 f11�P'➢T" Ready Date/BY: kris: ® See Page 2 for Internet: www.tigard-or.gov RI ll! fl% ("fl \Ji"•, 1`totified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction (paddition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition Otheit ❑Service or feeder 400 amps or more 0 Building over three stories. CATEGORY OF CONSTRUCTION where the available fault current 0 Marinas and boatyards. exceeds 10,000 amps at 150 volts or ❑Floating buildings. 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building ens to ground,or exceeds 14,000 0 Commercial-use agricultural jigamps for all other installations. buildings. El Multi-family 0 Master builder El Other: JOB SITE INFORMATION AND LOCATION ❑E erg pump. 0 lIargerlse separately l5dKVA or - ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 1-l-US $w e'o:r tor.....+, cy}, 100HP or more. ❑"A", 'E" '•1-2""1-3" City/State/ZIP: i N r t a 1-�Z ❑Six or more residential units. occupancy. Suite/tat /a t.#: CI Health-care facilities. 0 Recreational vehicle parks. g• p I Project name: cS _ r uS�-,, 1 ee ❑Hazardous locations. 0 Supply voltage for more than cross street/directions t0 job site: 0 Service or feeder 600 amps or more. 600 volts nominal. FEE SCHEDULE Bowerman I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: _i Lot#: Includes attached garage. Tax map/parcel#: - 1,000 sq.ft.or less 168.54 4 DESCRIPTION OF WORK - Ea.add 00 sq.ft.oential on 33.92 I Limited energy,residential 8. 3(o 1 Su(c,1 1.- 4--.--5 �.- l (with above sq.ft.) 75.00 2 �" �'"`- Limited energy,multi-family T t3 O residential(with above sq.ft.) 75.00 2 ❑ PROPERTY OWNER I. El TENANT Renewable Energy ❑ See Page 2 Name: Services or feeders Installation,alteration,and/or relocation M i L I,-4- I Ago 5 r',-c-( S 200 amps or less 100.70 2 Address: 1)Z V - 201 amps to 400 amps 5 5W ��tr Li `74. p 133.56 2 City/State/ZIP: q A,,C,( p� —{- Z,Z 401 amps to 600 amps 200.34 2 / of 3 601 amps to 1,000 amps 301.04 2 Phone:(r Sul ) c15,. S S 4- N I Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relOwner installation:This installation is being made on property that I own which is not zoo a�cation intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 too less 59.36 iI amps to 400 amps I25.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 ig APPLICANT I g"CONTACT"PERSON Branch circuits-new,alteration,or extension, er panel 2 ( A.Fee for branch circuits with Business name: r- r-"t'(r� `i .)d( v'� o�S 1... Lc_ above service or feeder fee, Contact name: c i each branch circuit 7.42 2 ro,..4- �,Fri` ,5(••v.^1/ B.Fee for branch circuits without Address: to tl GK Q/9, V service or feeder fee,first branch circuit 56.18 2 City/State/ZIP: 17,r. ,r c r4y.-L bi '1-"014 Each add'i branch circuit 2 1 t-- 7.42 Phone:( 5 r3) 6.,NU 311 p I Fax::( ) Miscellaneous(service or feeder not included) Each manufactured or modular Email: S -o , GCr� /'/if�'i't r>> �e Sev t v�-i�• dwelling,service and/or feeder 67. 4 2 1J CONJ,'RACTOR.. Reconnect only 67.84 2 Business name: Pump or irrigation circle 67.84 2 f 1 .."t" ""5 \.-e r.�ri c_ Sign or outline lighting 67.84 2 Address: 010 s ` Signal circuit(s)or limited-energy R.l c 1-e_ l.✓49 panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: G / C Each additional inspection over allowable in any of the above Phone:(5U3) u r �_ G •fir/ ( ) N 7-GK l Additional inspection(1 hr min) 66.25/hr ?Fax: Investigation(1 hr min) 90.00/hr Email; „f'`f 1 Industrial ' ir.`c- G}�c�e�a^••GS �1K.G--r re_ , C.tiM plant whichnn) 78.18/hr �� Inspections for no fee is CCB Lic.: 1te(h Z-5 IElectrical L> .: uprv.Lic.:J{ p � specifically listed(%:hr min) 90.00/hr Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Print name: 1r Subtotal: (J co r t I,(.4{.4cS O Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%ofpertnit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires ifs Print name: may,. t ipermit is not complete. within 180 `^�uG r re h e rr} I Date: days after It has been accepted as complete. Lnicadisecreits\ELC_eemdtAcp ELURE.doc Rev eyl7/2015 r Numberofiaspeetiee anowedpttpe.. 440.4615T(11103/COM/wSE '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 °e Renewable electrical energy systems: Check Type of Work Involved: s kva or leas 100.70 2 5.01 to 15 kva 133.56 \ 5 2 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 7 Burglar Alarm Wind generation systems in excess of 25 kva: 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 OAR 918-309-0040) 552.26 2 Heating,Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: 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 charged at an hourly(1 hr min) 66251 hr Inspections for which no fee is specifically listed('/n hr nun) 90.00/hr COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) Number of inspections allowed per permit. Check Type of Work Involved: Audio and Stereo Systems U Boiler Controls n Clock Systems I Data Telecommunication Installation 7 Fire Alarm Installation n HVAC —1 Instrumentation ❑ Intercom and Paging Systems n L• andscape Irrigation Control* n Medical 7 N• urse Calls ❑ O• utdoor Landscape Lighting* ❑ P• rotective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\BuildingPermiis\ELC YwmitApp EL2_ERE.doc Rev 06/17/2015