Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit #: BUP2011 -00141
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/28/2011
Parcel: 2S104DA02900
Jurisdiction: Tigard
Site address: 13308 SW 129TH AVE
Project: SHRESTHA Subdivision: QUAIL HOLLOW - WEST Lot: 15
Project Description: Photovoltaic system.
Contractor: ENERGY UNLIMITED LLC Owner: SHRESTHA, DAVE B & ANUPAMA
38888 PIONEER BLVD SANDY 13308 SW 129TH AVE
SANDY, OR 97055 TIGARD, OR 97223
PHONE: 503 - 668 -6864 PHONE:
FAX: 503 - 482 -0048
FEES
Specifics: Description Date Amount
Type of Use: SF Solar Photovoltaic System 06/28/2011 $180.00
Class of Work: ALT 12% State Surcharge - Building 06/28/2011 $21.60
Dwelling Units: 0
Stories: 0 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $0
Floor Areas:
Total Area: 0
Accessory Struct: 0
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 acc nce 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. AT TION: Oregon taw requ es you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -00 010 through OAR 952 - 001 -•.90. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
I /
Issue By: , �' Permittee Signature:
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 FOR OFFICE USE ONLY
City of Tigard :a= 8
il
R eceived Date/13 : / � j , Penn it No.: — I ,, n 13125 S W Hall Blvd., Tigard, 0!..41, 2 r\.' Plan Plan Review
' Phone: 503.718.2439 Fax: ? '`a :. '..• . 0 mil, . \" Q \ Date /B :��J Other Permit:
TLGARD Inspection Line: 503.639.41 Q D. R . • B •. y to See Page 2 for
Internet: www.tigard- or.gov ' , \C C Notified/Method: / / i IF Supplemental Information
TYPE OF WOlt �c REQUIRED DATA: 1- AND 2- FAMILY DWELLING
I=1 New construction ❑ D �rtion 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.
® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $
❑ 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: 1312 I 1 33 c' cST ,j, i dl r i New dwelling area: square feet
City/State /ZIP: Tigard OR 97223 �"/ a _ Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Shrestha Solar Covered porch area: square feet
Cross streeijdirections 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.
Install 12 panel PV system Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER - El TENANT Number of stories:
Name: Dave Shrestha Type of construction:
Address: 13308 SW 129 ' Ave Occupancy groups:
City/State /ZIP: Tigard OR 97224 Existing:
Phone: (503)936 -8712 Fax: ( ) New:
® APPLICANT . ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Energy Unlimited LLC (Please refer to (ee'sc[ledule)
Structural plan review fee (or deposit):
Contact name: Steve Carpentier
FLS plan review fee (if applicable):
Address: 38888 Pioneer Blvd
City/State /ZIP: Sandy OR 97055 Total fees due upon application:
Phone: (503) 333 -8050 Fax: : (503) 482 -0048 Amount received:
E -mail: steve@ energyunlimited Ilc.com PHOTOVOLTAIC SOLAR PANEL.SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Energy Unlimited LLC Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 38888 Pioneer Blvd Solar Installation Specialty Code checklist.
City /State /ZIP: Sandy OR 97055 • Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (503) 668 -6864 Fax: (503) 482 -0048 State surcharge (12% of permit fee): $21.60
CCB lic.: 185705 '7/i/
/3
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: Steve Carpentier Date: 6128/11 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\ Building \Permits\BUP - RESPermitApp.doc 02/ 24/2011 440- 4613T(11 /02 /COM/WEB)
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
IN City of Tigard
Buildin g Division
TIGARD
TRANSMITTAL LETTER
TO: DATE `' _
V :
DEPT: BUILDING DIVISION . f .
JUL 0 7 2011
CITY OF TIGARD
( " FROM: 1 -(�v -L r >�� BUILDING DIVISION
COMPANY: GL V �j (2/-‘
— By:
PHONE: 55-3‘j..7 3 3 3- €O S U / .
RE: -b0 c� l021�� / CJ / � / /`6o( /
(Site Address) (Permit Number)
(Projec ame or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain): •
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\ Forms \TransmittalLetter - Revisions.doc 02/08/2011