Permit CITY OF TIGARD MASTER PERMIT
Il >- q COMMUNITY DEVELOPMENT Permit #: MST2011 -00170
Date Issued: 10/21/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.718 2439 Parcel: 2S103BD11300
Jurisdiction: Tigard
Site address: 11688 SW ERROL ST
Subdivision: CAPPOEN ESTATES Lot: 4
Project: Walseth
Project Description: Solar photovoltaic system.
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 Storm Sewer 0
Drains 0
Tubs /Showers 0 Garbage Disp 0 Water Heaters 0 Water Lines 0 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 <10OK 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 W/ Svc or Fdr 0
Ea add' 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
Other N Other Description Ecompasing N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF 0
Owner: Contractor:
WALSETH, KATHLEEN & JAMES MR SUN SOLAR ENTERPRISES WEST Required Items and Reports (Conditions)
11688 SW ERROL ST 6125 NE PORTLAND HWY
TIGARD, OR 97223 PORTLAND, OR 97218
PHONE 503 - 747 -6777 PHONE 503 - 222 -2468
FAX 503 - 245 -3722
Total Fees: $216.10
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 -009' You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
. I �� i v
Issued By: / / , Permittee Signature: i ✓�!
Call 563.639.4175 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 completio • • • • project.
Approved plans are required on the job site at the time of each inspects: - .
Building Permit Application
RECEIVED
Residential _ , I��� -
, � = -i'OR OFFICE USE'ON
City of Tigard Received a it) // Permit No
a 1 3125 SW Hall Blvd, Tigard. 0 2011 d 1--/3r /749 g• U Date /B PDalan teBReview y 1 1 1211.,2.011 1 (4 r 11 Other Permit . 00539
13 ,' ', Phone. 503 718 2439 Fax 503 598 1960
Inspection Line: 503.639.417e Date Ready/By his See Page 2 for
T 1 G A R`D, 1. O TIGARD Notified/ hod �� • Supplemental Information
Internet: www tigard-or gov /V
BUILDING DIVISION 2 ,�
� . i `K ,- ` t� - r ' 41 ( TYPE "s OF WORT{ f' ''', � a :. . 41
.`¢_ ��..�� ."�"� " ..`- �.,.v�� -�.� •�� . • >r >t.m �'�c;;a•k.;t; _ `s REQUI DDATA: '�1 APiD2- F AMILY s DWE1:I:IlYG e ,
❑ 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
f � SX WIP o- ' :A .- a ';.. «I; r ,, .fi;,`� 4' work indicated on this application
RI ', `5r�":�-.: °•'��M� CATEGORY .�iOF,�'CO1VS1'RUCTION:� .`r`st, h �'�:�: �`�., x PP
1 - and 2 - family dwelling ❑ Commercial/industrial Valuation: $ 17,136.00
❑ Accessory building ❑ Multi- family
Number of bedrooms
❑ Master builder ❑ Other. Number of bathrooms -
4
WA,7. C'"I '7T - 0,4 - " ',',A0 �1 , �' , ? P , . ' < . '''"'. .';''' - was;. 1-543"'` 543"x �a -_-t. i' � ° ° ),',..,'N
W , ;,' ,'� k J OBs S ITE , : FOR MA' I 70 N . . 1 '� ?y' - Total number of floors
, � I � +win, - A1VD�I;O �CA 1 v� � x - ��
Job site address 11688 SW Errol New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg /apt no.: Project name: Walseth PV Covered porch area: square feet
Cross street/directions to job site Deck area square feet
Other structure area square feet
-, 12EQUIRED,tDAT:'COMMERCL4I. US E;CHECKIsIT-n
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
F " rt``^✓iY Y,.. _ - m A r r+ t equipment, materials, labor, overhead, and the profit for the
P' 7 _ ; 5 ,,, , - ' i DESCRIPTION `O F` # WORK . ' ' r v work indicated on this application
. �..�?�' "L� ,S�'•,� 1�."W`t.' - d ,tr^ : ;N _ n �x =M1.' ...- rt �C_e „e, r g` T,* 3 ;�++ d Yn'a " �',dcv `- +.s Y` 5 ..' �.G � °ir
Install a 3.06 kW Solar Photovoltaic Electric System Valuation: $
Existing building area square feet
New building area: square feet
1 , e t 4,ROPERTY *OWNER N. ,., ' 1 ..f „;',7 w
,, _ k ® TENAN.TQ Number of stories:
Name: Jim and Kathleen Walseth Type of construction
Address: 11688 SW Errol Occupancy groups:
City /State /ZIP: Tigard, OR 97223 Existing:
Phone ( 503 ) 747 -6777 Fax. ( ) New
to fee tiedalei a",. T` :° " u. , Q
5 1 "
Business name Mr. Sun Solar, Inc. Structural plan review fee (or deposit)•
Contact name: Suzanne Olsen
FLS plan review fee (if applicable)
Address: 6125 NE Portland Hwy.
City /State /ZIP Portland, OR 97218 Total fees due upon application
Phone. ( 503) 222 -2468 Fax ( 503) 245 -3722 Amount received:
r,,IP„HOTOYOLTAIC S OLR A P,ANEI STE S5
YSM EEE ".-
E -mail: forms @mrsunsolar.com =..� F. -.
x ", -- ,, „,-'.. ` . '�f r r .: ° ,: , u x 4 , 5 z,.,; -- ., y ,r,- i -, _ -._s- �"a,„�. , ;eh ,*,. ” �i ; '.° � a t;, , x , i Commercial and residential prescriptive installation of
�R , ,, . ; ,f" 1 ;,;,, , " CONTRACR 0 y 7A q r TO a� v - ,. , .,, ,i: i � roof -top mounted PhotoVoltaic Solar Panel System.
Business name• Mr. Sun Solar, Inc. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 6125 NE Portland Hwy. Solar Installation Specially Code checklist.
City /State /ZIP: Portland, OR 97218 Permit Fee (includes plan review $180 00
and administrative fees)
Phones ( 503) 222 -2468 5 Fax ( 503) 245 -3722 State surcharge (12% of permit fee) $21 60
5
CCB lie. 33716 k j ./dr Total fee due upon application. -52
Authorized signature: 4 — //n This permit application expires if a permit is of obtained
within 180 days after it has been accepted as co
Print name John Pa erson Date 9/30/11
* Fee methodology set by Tn- County Building Industry
Service Board
I:ABuilding \Permits \BUP- RESPermitApp doe 02/24/2011 440- 4613T( 1 /02 /COM /WEB)