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Permit CITY OF TIGARD BUILDING PERMIT • 111 11 C OMMUNITY DEVELOPMENT P ermit #: BUP2010 -00275 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010 Parcel: 1 S134BD03000 Jurisdiction: Tigard Site address: 12025 SW SPRINGWOOD DR Project: Davies Subdivision: ENGLEWOOD NO. 2 Lot: 118 Project Description: Installation to photovoltaic system. Contractor: SOLARCITY CORPORATION Owner: DAVIES, BRIAN 6132 NE 112TH AVE 12025 SW SPRINGWOOD DR PORTLAND, OR 97220 TIGARD, OR 97223 PHONE: 503 - 964 - 0489 PHONE: FAX: 503 - 926 -9101 FEES Specifics: Description Date Amount Type of Use: SF Solar Photovoltaic System 12/22/2010 $180.00 Class of Work: ALT 12% State Surcharge - Building 12/22/2010 $21.60 Dwelling Units: 0 Info Process /Archiving - Sm Sheet (up to 03/02/2011 $4.50 Stories: 0 Height: 0 ft 11x17) Bedrooms: 0 Bathrooms: 0 Value: $2,595 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $206.10 Required: Required Items and Reports (Conditions) Fire Sprinkler: Parapet: Fire Alarm: Protected Corridors: Smoke Detectors: No 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued ByC _ // � � • Permittee Signature: 04./11.-.4016.• Ci Ca ... . • 175 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. n CITY OF TIGARD BUILDING PERMIT 1 11 • COMMUNITY DEVELOPMENT Permit #: BUP2010 -00275 T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010 Parcel: 1S134BD03000 Jurisdiction: Tigard Site address: 12025 SW SPRINGWOOD DR Project: Davies Subdivision: ENGLEWOOD NO. 2 Lot: 118 Project Description: Installation to photovoltaic system. Contractor: SOLARCITY CORPORATION Owner: DAVIES, BRIAN 6132 NE 112TH AVE 12025 SW SPRINGWOOD DR PORTLAND, OR 97220 TIGARD, OR 97223 PHONE: 503 -964 -0489 PHONE: FAX: 503 - 926 -9101 FEES Specifics: Description Date Amount Type of Use: SF Solar Photovoltaic System 12/22/2010 $180.00 Class of Work: ALT 12% State Surcharge - Building 12/22/2010 $21.60 Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $2,595 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: No 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 `of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800 .32.2344. Issued By: Permittee Signature: �? kW .4175 by 7:00 a.m. for the next available inspectio • ate. This permit card shall be kept In a conspicuous place on the job site until c •∎•• pletion of the project Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential � . FOR OFFICE LSE O \ I.1' R ECE\ / E eceived city OfTigara ° DateB : /R a 2 /O : a Permit No.: 6 " /o . 7 • 13125 SW Hall Blvd., Tigard, OR 97223 Plan RevieW C Phone: 503.639.4171 Fax: 503.598.1960 DEC 2 2 2010 aG.► ►�_ Other Permit: F !um: D Inspection Line: 503.639.4175 Date Ready /By: Juris: RI See Page 2 for I nternet: www.tigard or.gov CITY OF TIGARD Notified/Me :l.Z o� �Q � / Supplemental Information _WILDING DIVISION "'� Ai ' /4, TYPE OF WO [ REQUIRED DATA: 1- AND 2- FAMILY DWELLING El New construction emolition 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. . I -and 2- family dwelling El Commercial/industrial Valuation: $ X Commercial/industrial " El 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 / ZS S S g N � rt . � ?? ''e ........ s New dwelling area: , . square feet City /State /ZIP: © YC =LJ " Garage/carport area: square feet Suite/bldg. /apt. no.: / I Project name: l f� s 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. Valuation: $ — Existing building area:, square feet New building area: square feet ❑ PROPERTY OWNER I ❑ TENANT Number of stories: • Name: Type of construction: Address: Occupancy groups: City/ State/ZIP: • Existing: Phone: ( ) 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 y' Address: jurisdiction in which work is being performed. If the 11 City/ State/ZIP: applicant is exempt from licensing, the following reasons apply: Phone: ( ) I Fax: : ( ) . - E -mail: CONTRACTOR Business name: SO LA Ty Cop B��oA BUILDING PERMIT FEES* Address: 67/..7. N4— //Z 77f' k c • (Please refer to fee schedule) � Structural plan review fee (or deposit): /tJr/ • City/State/ZIP: q 0 L' q p �l q p Phone: ( /� t - (I/ a I Fax: (503) /26 - //o able): , �0� CCB lic.: / 80 5/ 9 8' Total fees due upon application: , C - `00 Amount received: Authorized signature This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:c",( J 77L 57D),t/q Date: / 1 / /ro * Fee methodology set by Tri-County Building Industry Service Board. I: \Building\Permits\BUP -RES PermitApp.doc 10 /01/09 440- 4613T(l I /02/COM/WEB) Building Permit Application Residential OFFICE USE ONLY 0 C� Cl of Tigard 1\ Received �� Permit Nn.: • 1312 Hall Blvd., Tigard, OR 9722 1 ��' Date /B : ,� Other Permit: , � j ,�. (� — � 1 c � 1 � <1 1 ` r ate Read Plan Review �� / l� t Phone: 503.639.417 Fax: 503.598.1960 V s ate /B : i ��� TIGARD Inspection Line: 503.639.4175 O�,'� �`S, /By � See Page 2 for Internet: www.tigard- or.gov 6\'‘1* � �V Notified/Method: t u` Supplemental Information 1 ` 3 7, 1 L_ et, t-r,�. 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: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 1- and 2- family dwelling ❑ Commercial /industrial r� (Jl J ❑ 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: 1 2 0 2. 5 sw New dwelling area: square feet Spnn9wdod Dr. City/State /ZIP: I'�� d 1 (11 2..?) 2..?) Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: v•a4 ie, 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. 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. . 4 . 2 kW Rood' Nloua k IN Sys -Vein Valuation: $ Existing building area: square feet New building area: square feet ❑ PROPERTY OWNER ❑ TENANT Number of stories: Name: Type of construction: Address: Occupancy groups: City/State /ZIP: Existing: Phone: ( ) 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: ( ) Fax::( ) E -mail: /� CONTRACTOR � Business name: S O I GYCI i,1 UT Ora ti / ► �/ t BUILDING PERMIT FEES* Address: (Q l ?i2 N r 1 114+- ' •(t (Please refer to fee schedule City/State /ZIP: w 1 l la ^ 2 /�' GG C t 1) g q �Z 20 Structural p lan review fee (or deposit): /1 n 5L G �^ � 1 FLS plan review fee (if applicable): Phone: ( 50 ' V i O 10 Fax: ( 50 3) 5 :J ltl • • � o f5I ,� � j CCB lic.: ` iBO4Q8 Total fees due upon application: , itit _ (u) Amount received: d:0 /, Authorized signature: / o f ^" / This permit application expires if a permit is not obtained I within 180 days after it has been accepted as complete. (Juan Print name: Hasl el Date: 2// ' hi * Fee methodology set by Tri- County Building Industry Service Board. I: \Building\Permits \BUP -RES PermitApp.doc 10/01/09 440 4613T( I/02 /COM/WEB)