HomeMy WebLinkAboutPermit CITY OF TIGARD MASTER PERMIT
11111 III
8 r COMMUNITY DEVELOPMENT Permit#: MST2020-00198
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/01/2020
Parcel: 2S112BC09100
Jurisdiction: Tigard
Site address: 14777 SW 80TH AVE
Subdivision: RAZE MEADOWS Lot: 14
Project: Teyler
Project Description: Solar PV installation,6.18kW.
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
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 WI Svc or Fdr: 0
Ea add l 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
N
Other: Y Other Description: Roof top PV system 6.18 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
TEYLER FAMILY REVOCABLE TRUST PRO STAT SERVICES LLC Required Items and Reports(Conditions)
BY TEYLER,PAUL A&ELIN R TRS 1721 NE 64TH AVE STE 120
14777 SW 80TH AVE VANCOUVER,WA 98661
TIGARD,OR 97224
PHONE: PHONE: (360)859-3749
FAX:
Total Fees: $356.69
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 OAR 952-001-0090. You ma obtain a opy of the ru- •r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By .� - _�..._ Perm •.ture: 'e— */.0....—e-424an'
c.-• .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 pro
Approved plans are required on the Job site at the time of each inspection.
Building Permit Application t r 14:./ i"
Residential
JUN 16 2020
City of Tigard _ may: , 2e� 2D ,�p PennitNcilS r2910-00(9�
.74 • 13125 SW Hall Blvd.,Tigard,OR 97223 CITY O l IGr�I Review J / T ° �f/
■ Phone: 503.718.2439 Fax 503.598.1 r' i(� \ ' Si( `bie/B ' 111000iiii -7 O2 ) OterPermic
�1�..�� i ���.>9- > e
T t c n it o Inspection Line: 503.639.4175 Date Ready/By. runs: ® See Page 2 for
Internet www.tigard.or.gov Nonfied/Method: 7 f/?L) 7 Supplemental Information
TYPE OF WORK REQUIRED 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:SOLAR equipment,materials,labor,overhead,and the profit for the
' r=e4TEGORV OF CONSTRUCTION work indicated on this application.
\ ® 1-and 2-family dwellingValuation: $
❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION =1`I. Total number of floors:
Job site address:14777 SW 80th Ave Tigard,OR 97224 New dwelling area: square feet
City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:TEYLER 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.
SOLAR PV INSTALLATION Valuation: $
6.18 kW Existing building area: square feet
New building area: square feet
074 PROPERTY OWNER ❑ TENANT Number of stories:
Name:TEYLER,ELIN&PAUL Type of construction:
Address:14777 SW 80th Ave Tigard,OR 972243 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)707-6412 Fax:( ) New:
I ® APPLICANT ® CONTACT PERSON: BUILDING PERMIT FEES*
(Please refer ro fee schedule)
Business name:PROSI'AT ELECTRIC
Structural plan review fee(or deposit):
Contact name:DALE KRUEGER
FLS plan review fee(if applicable):
Address:1721 NE 641u AVE
Total
City/State/ZIP:VANCOUVER,WA 98661
fees due n application:
Phone:(503)539-7772 Fax::( )
Amount received:
E-mail:dale.krueger@comeast oet PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installatio
ystem.
Business name:PROSTAT ELECTRIC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1721 NE 64ra AVE , Solar Installation Specially Code checklist.
City/State/ZIP:VANCOUVER,WA 98661 Permit Fee(includes plan review 5180.00
and administrative fees):
Phone:(503)539-7772 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB he.:189902 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:DALE KRU ER Date:6/11/20 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\PermitslBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application r-f ri,7:::IV F FOR orrl( r I sl 0v11
City of Tigard ReceivedPermit#: tom,,,—
iggi
13125 SW Hall Blvd.,Tigard,OR 97223 V R �3 2 ZO Dat may. Mr 'aTivYFJ �i'1
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 ('. (-1.1•- 1 i'-i"` °
P t�� t;t. +. -Read Date/By: tuns:
1 i<,AIiD �; .- Y Y Supplemental
See Paget for
Interact www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW '°' ' J) I s, y„'.i
❑New construction ❑Addition/alteration/replacement Pkase check all that apply(submit 2 sets of plans w/items checked):
❑Demolition El Other 0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
T .' ATEGORY OF.CONSTRUCTION - exceeds 10,000 amps at 150 volts or ❑Floating buildings.
El 1-and 2-farrlil less to ground,or exceeds 14,000 0 Commercial-use agricultural
y dwellin g ❑Commercial/industrial ❑Accessory buildingg
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION .AND LOCATI t 'ti` ❑emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: t {11 /�$W Q IOOIm or more.
City/State/ZIP: I 1,G' A 0- I. '�'V,.,('�... a{Z ❑Six or more residential units. occupancy.
l ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or mom. 600 volts nomural.
Cross street/directions to job site: FEE SCIPEDUI,E
Description Qtr Each TotalT•
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
Ea.add'!500 sq.ft.or portion 33.92 1
DESC PITON OF WORK Limited energy,residential
rcta\� V ' a, 4. � %0 IA— (with above sq.ft.) 75.00 2
�L p Limited -family 75.00 2
t f is mobil(with a ve sq.ft.)
..:./" Renewable Energy See Page 2
PROPERTY OWNER ❑-'(7T'ENANT ( seem stallation, teration,and/or relocation
Name: ;'j�}�j� '} {r,.,/ (,�(ttiif ... S �yp Z 200 amps or less 100.70 2
Address: /��7 L 17 Ca TJ v 201 amps to 400 amps 133.56 2
City/State/ZIP: VI,,5 a„r- 1 ,- �.- et 12 x,� 401 amps to 1,600 0 amps 200.341 2
601 amps to I,000 amps 301.04 2
Phone:(5%3.1 r l . (+%Z.-- Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 1
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
[ ,APPL ANT ''L°ONTACT PERSON Branch circuits-new,alteration,or extension,per panel
Business name: g 5,TA c +C Aaboforervichrifeeiets wuh
ll 1�. above service or feeder fee, 7.42 2
each branch circuit
Contact name: t t K_ �J.�� , elk_ B.Fee for branch circuits without
4 service or feeder fee,first 56.18 2
Address: { -7 6 C� - et-- branch circuit
Ci /State/ZIP: l + Each add'!branch circuit 7.42 2
tsr tow►.a w tJt,.l�• DIPS ��ti ie�
Phone:(51 3� +s3 - Z '�'•t 1 Fax: : Miscellaneous(service or feeder not included)
( ) Each manufactured or modular
Email: Ck�ie- , tt;,1'µp, t,{. 1 �,r y`�4,s4 • tro dwelling,service and/or feeder 67.84 2
d Reconnect only 67.84 2
,,rQ , `, CONTRACTOR Pump or irrigation circle 67.84 2
Business name: i aik f j Q, Sign or outline lighting 67.84 2
�\ Signal circuit(s)or limited-energy g
Address: I x A� r Q_ panel,alteration,or extension. 0 See Page 2 2
City/State/ZIP: 1A. `'` c PI Q Q I 4 Each additional Inspection over allowable in any of the above
p +�`�' { w j o w Additional inspection(1 hr min) 66.25/hr
Phone:( 503 . S' 1 - / s/ X Fax:( ) Investig
ation(1 hr min) 90.00/hr
Email: (�oie.. a L A.e/c Cs.�( •-nt� - Industrial plant(1 hrmin) 78.18/hr
t7 Inspections for which no fee is gp.00/hr
CCB Lic.: L( �, Electrical L. Suprv.Lic.: 224 5.S specifically listed A hr min)
Suprv.Electrician signature,required. ,CC 0 c Ili - Subtotal:
�' _ _e.Print name: \" D ate: (.. (Sr y + ❑Plan Review Required(25%of permit fee):
r r ' v� State surcharge(12%of permit fee):
Authorized si ture: -- TOTAL PERMIT FEE:
4 This permit application expires ff a.permit is not obtained within 180
Print name.. l .0. .a _ .S. r I t O AA I l7ntP• 1. l t t� `1�1t I aa..after is r.a.n.....,.�..,.,,......n...r...