Permit ,
I CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2011 -00179
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/01/2011
T t P1R� Parcel: 25111 DB14500
Jurisdiction: Tigard
Site address: 15130 SW 93RD AVE
Subdivision: KESSLER ESTATES Lot: 2
Project: LATT
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
Drywell- Trench Drain 0 Other Fixtures 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 <100K 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 add9 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:
OTR SF 0
Owner: Contractor:
LATT, CHRISTOPHER H RS ENERGY LLC Required Items and Reports (Conditions)
15130 SW 93RD AVE 20915 SW 105TH AVE
TIGARD, OR 97224 TUALATIN, OR 97062
PHONE PHONE 503 - 752 -2885
FAX 503 - 228 -2770
Total Fees: $201.60
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 •52 -001 -0090 You may obt, . - '• he rules or di ; ct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued B l /`' _._ /f - " Perin Signature: �� j-L
C.1 , 0 4175 by 7:00 a.m. for the next available inspection date. a--
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 • i FOR OFFICE USE ONLY .
Received
City of Tigard �! Date/B . 1 <G Permit No "- '-
M il II
a 13125 SW Hall Blvd., Tigard, OR 97223 , C ` / , Plan Review (��
; .- Phone: 503.718.2439 Fax. 503 598.1960��� Date /By: �� IA �La Other Permit-
TIGARD Inspection Line: 503.639.4175 � Date Ready/By: funs H See Page 2 for
Internet www.tigard- or.gov RD \ a �,� ,� Notified/Method.1 7 / //i �" '/_ Supplemental Information
° TYPE OF WOW" G'� � P ' '- a' REQUIRED DATA: f- AND.2- FAMILY DWELLING,
❑ New construction ❑ D t p - Permit fees* are based on the value of the work performed.
(� Addition/alteration/replacement ❑ 01
\�!`' Indicate the value (rounded to the nearest dollar) of all
� equipment, materials, labor, overhead, and the profit for the
. CATEGORY OF 'CONSTRUCTION work indicated on this application.
p. I- and 2 -famil dwellin Valuation: $
y g ❑Commercial /industrial .-&_, o C)
❑ Accessory building ❑ Multi- family Number of bedrooms:
1:] Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: . 5 l3 p 5 9 rcl A J , L New dwelling area: square feet
City /State /ZIP: --i"; a ,A I ()2 e l 1 11. ,4 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: 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.
I Valuation: $
Li I r w rJ roc) / Existing building area: square feet
'C New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Cam)^ r ■ 5 (te -t-( Type of construction:
Address: SK,,,.,_,, Occupancy groups:
City/State /ZIP: s.� v .......— Existing:
P h o n e : ( ) 34'--i..., 5 Fax: ( -- ) — New:
❑ APPLICANT ❑ CONTACT PERSON `BUILDING PERMIT '
(Please refer to fee schedule) ed++le)
Business name: 1Z, 5 G.., vl -e r ! � L � (-- I + Structural plan review fee (or deposit):
Contact name: //
`' ° ` rr 5 ` FLS plan review fee (if applicable):
Address: 0 5 I S 5 IA) I us " f u
/State /ZIP: Total fees due upon application:
Ci
h I J ( o,. --- , t D 2 " 0 G Amount received:
Phone: (S'1 ) �S Z - --2. v c70, 5 I Fax : : ( So,) 6 et z -1 0o s
E - mail: r,, PHOTOVOLTAIC SOLAR PANEL °SYSTEM FEES*
r5 S Z . C 0."-. Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System.
Business name: Submit two (2) sets of roof plan with connection details
I 5 K -C-/ `{ I LA -e . and fire department access, along with the 2010 Oregon
7 Address: U ci 1-z„ S J / A t1- A-Lit Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee (includes plan review $180.00
1 " ti ) 2 6 - a- o --i and administrative fees):
Phone: ( coy ) ? r 2 _ 2 e , e. S Fax: ( (01) t et Z - may' au AS State surcharge (12% of permit fee): $21.60
CCB lic.: (s 54. v Total fee due upon application: $201.60
Authorized signature: /1 J 4--f- ---- Cit \ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Dat . * Fee methodology set by Tri- County Building Industry
Print name:
.. S U ' f Z- Service Board
I: \ Budding \Permits\BUP- RESPermitApp.doc 02/24/201'1 440- 4613T(I1 /02 /COM/WEB)