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Permit CITY OF TIGARD BUILDING PERMIT , COMMUNITY DEVELOPMENT Permit #: BUP2010 00228 T [ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/29/2010 Parcel: 2S110BA05300 Jurisdiction: Tigard Site address: 11815 SW WILDWOOD ST Subdivision: SHADOW HILLS Lot: 11 Project: Johnson Project Description: Solar photovoltaic system, roof mounted 7.56 kw Owner: FEES JOHNSON, GARY E & Description Date Amount SIBLEY, BARBARA D, 11815 SW WILDWOOD Solar Photovoltaic System 10/15/2010 $180.00 ST 12% State Surcharge - Building 10/15/2010 $21.60 PHONE: Contractor: SOLARCITY CORPORATION 6132 NE 112TH AVE PORTLAND, OR 97220 PHONE: 503 - 964 -0489 FAX: 503- 926 -9101 Specifics: Type of Use: SF Class of Work: OTR Dwelling Units: 0 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 $201.60 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 • • 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 sus. - '.ed for l e 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules a - s= forth i • � 952- 001 -0010 through 0A 001 -0100. You may obtain a cop of a rules or direct questions to OUNC by calling 50 . • .99 or,� .23. Issued By: /Z . Permittee Signature: .639.4175 by 7:00 a.m. for an inspection t '• usin:: s day. This permit card shall be kept in a conspicuous place on the job site until c • mpletion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application • Residential �J ,A4A - rnli /�I 1 1 I ()NI. ' City of Tigard ` 5 1t\ 1 4 y No '" %D /S /0 Permit No a .2/0 /0 — DOp2 air .' 1 h 1 n e S50 Hall Bl Tigard OR 9 4 ^�� �� 'Ian Review '- C t , . per Permit:6 5020 /0 -d 0.5 • Phone: 503.639.4171 Fax: 503.598.19:! N. \- � J �T</ I i ;� i; n bon line: 503.639.4175 .. 1 e 1 Date > ' fL, C� + �4� Notified/Method: 4 4 ®Sce Page Information Internet: www.tigard or.gov j Supplemental At' v0-44_ Cu( 1,.)1c:k. 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 lgt Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ `, 76() IR 1- and 2- family dwelling El Commercial/industrial ❑ Accessory building ❑ Multi- family Number of bedrooms: I ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11 i S S Vi 121 \ vitiA, S t New dwelling area: square feet City/State/ZIP: ,,�- � l G(L (kill Garage/carport area: square feet , Suite/bldg. /apt. no.: J l Project name: , n 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. , Tax map /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. O\,R,S \� ,tiNLe. Valuation: $ 1 . W'V ti ,I A Qv S. S Existing building area: square feet v New building area: square feet PROPERTY OWNER I ❑ TENANT . Number of stories: Name: ©�n• \ ` Type of construction: ■ Addres \VCA S vi . W l * Occupancy groups: City/ State/ZIP: \ -1 t 1 (A— � U`- ^ `1,t Existing. Phone: ( ) �.1�.V \ JJ Fax: ( ) New: ❑ APPLICANT ❑ CONTACT PERSON NOTICE Business name: All contractors and subcontractors are required to be Contact name: licensed with the Oregon Construction Contractors Board ' under ORS 701 and may be required to be licensed in the Address: jurisdiction in which work is being performed. If the City / State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax:: ( ) E -mail: CONTRACTOR / Business name: 301A ry �R ogA'rr0/V BUILDING PERMIT FEES* Address: ress: 6,/,.. /Y //2 c (Please refer (elm schedule) Structu lan review fee (or deposit): /MQ , cti City/State/ZIP: 4:164./ 0 ` / q D f 65 - ?22.0 -/ p / ' - ..4 :� , /� Phone: ( W3 ) — O"[ (� / Fax: ( 5)3 ) /2t1 — / � o CCB lic.: ' ' !7/ 9 Total fees due upon application: J Amount received: i „1 v /, 4,,,o Authorized signature: -- - -- - This permit application expires if a permit is not obtained 1 within 180 days after it has been accepted as complete. Print name: , /c i ��r� 7,t/ei Dater t � ) t b * Fee methodology set by Tri -County Building Ind v, Service Board. ! d; i r ,. I:\Building\Permits\BUP -RES PemritApp.doc 10/01/09 440 -4613T(1I /02/COM/WEB) fl,V_,w