Permit CITY OF TIGARD BUILDING PERMIT
IN i! • COMMUNITY DEVELOPMENT Permit #: BUP2011 -00001
T i G A RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/06/2011
Parcel: 1 S136CB08800
Jurisdiction: Tigard
Site address: 11084 SW 81ST AVE
Project: DEES Subdivision: HERB + PEGGY'S PLACE Lot: 26
Project Description: Photovoltaic solar array.
Contractor: DYNAMIC POWER INNOVATION LLC Owner: DEES, DANIEL L SHIRLEY M
112 W ILLINOIS ST 11084 SW 81ST
NEWBERG, OR 97132 TIGARD, OR 97223
PHONE: 503 - 857 -0416 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: SF Solar Photovoltaic System 01/04/2011 $180.00
Class of Work: ALT 12% State Surcharge - Building 01/04/2011 $21.60
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $0
Floor Areas:
Total Area: 0
Accessory Struct: 0
r, 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 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 co. - • : - or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By /� -� !! _� ; ittee Signature: .,
Call 503.6 , .. •_ 7:00 a.m. for the next available inspect. n date.
This permit card shall be • , i nspicuous 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 0 ®-- h , ; fc V e:,
Residential Fol2 OFFICE USE: OiNI.A
City Recei
}�� and
of Ti Permit No.: 8 Li _ � I
`d Tigard Received
,! 3i I o J "dCLJ l
•
13125 SW Hall Blvd., Tigard, OR 9 Y Plan Rev
I Phone: 503.639.4171 Fax: 50 �'
��' t Y Date/By: " / r� ' Other Permit:
T I G A R D Inspection Line: g 03.6394175 3 0 rl Q 10 Date Ready/By: / � ` ' i ru h See page 2 for
Internet: www.ti ardor. 8 ov
6C' L Notified/Method: t -„ ty Supplemental Information
TYPE OF W � N15. REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction 1tiAliCioln 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: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
,11- and 2- family dwelling ❑ Commercial/industrial Valuation: $ 3 Sr li
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: //e 9y lb) i/ /1., New dwelling area: square feet
City /State /ZIP: t / M p [ � r 17,9- 2.3 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project n e: Altz4 a 1 , Covered porch area: square feet
Cross street/directions to job site: 5 W ` A/ ++ Deck area: square feet
Other structure area: 3 / 52.... 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
/s /3 G 3 ��8 ao a equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
,12, r.te.u. G iiy io iv akt 5
�� Existing building area: square feet
New building area: square feet
(PROPERTY OWNER ❑ TENANT Number of stories:
Name: , / 0.14 4-1 Type of construction:
Address: /J7 fry '5 0 5I.d t &AL( Occupancy groups:
City /State /ZIP: dr/, (� / a P--- Existing:
Phone:) &�03 U 753 ' Q " - 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: L 0"4 / . 4447/4,€) ,o d / 12,01.4/.44e./.40:„..A.4 BUILDING PERMIT FEES*
Address: // ay �de� i��,� (Please refer to fee schedule) —
City/State /ZIP: / 7/z/AJ r Q 44 hvX1 / H l3 c3 Structural plan review fee (or deposit):
vv FLS plan review fee (if applicable):
Phone: (53) 851. ozm Fax: ( ) -
Total fees due upon application:
Amount received: 1 fi t (®
Authorized signature: , ', L This permit application expires if a perm ts obtained
L (�v within 180 days after it has been accepted as complete.
Print name: K O�Z y rt �k / Date:/.2 ,109/e) * Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits \BUP -RES PermitApp.doc 10/01/09 440- 4613T(11/02 /COM/WEB)