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Permit
CITY OF TIGARD MASTER PERMIT 11 1 ' COMMUNITY DEVELOPMENT Permit #: MST2012 -00058 T I G A R T7 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/30/2012 Parcel: 2S114AB14200 Jurisdiction: Tigard Site address: 9385 SW JULIA PL Subdivision: KNEELAND ESTATES NO.2 Lot: 105 Project: SKYBERG 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 Fum <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 add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mid Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0 601 -1000 amp: 0 601 +amp- 1000v: 0 1000 +amplvolt: 0 ELECTRICAL - RESTRICTED ENERGY SF Residential Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: N Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet OTR SF 0 Owner: Contractor: SKYBERG, JON HOWARD 8 SUSAN LEE Required Items and Reports (Conditions) 9385 SW JULIA PL TIGARD, OR 97224 PHONE: PHONE: FAX: Total Fees: $317.88 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 ma o, • • • e • of the les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ' ' —_ �_�� Permittee Signature: i.LfG, G,J Ca a•Fj • 7:00 a.m. for the next available inspection da This permit card sha • , kept in a conspicuous place on the job site until comps on of the project. Approved plans are required on the Job site at the time of each Inspection. 11 • ' Building Permit Application Residential I *9,.1 I of OFFICE IC.L: SIl ONLY City of Tigard j l `v Received ,� Permit No.. , I /�. 1 Date/B q 13125 SW Hall Blvd., Tigard, c4 , -. O� Plan Review a , C Phone 503.718.2439 Fax: 51` °> ' :.1960 93 1 ' D : � '{0 12 &LN der Permit: 1 . i :� !i �� Inspection Line: 503.639.4175 � P � Date ReadyBy: H See Page 2 for Internet: www.tigard -or.gov G ��S10 Notified/Method: Supplemental Information TYPE OF 0 REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction 121%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: PV SOLAR equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® m 1- and 2- family dwelling ❑ Comercialfmdustrial 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: 9385 SW Julia Place New dwelling area: square feet City/State/ZIP: Tigard / OR / 97224 Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: Skyberg 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. . Install 3.06 KW PV Solar System Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Jon Skyberg Type of construction: Address: 9385 SW Julia Place Occupancy groups: City /State/ZIP: Tigard / OR / 97224 Existing: Phone: (503)624-6322 Fax: ( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* • Business name: Willamette Crest Properties dba Advanced Energy S (Please refer to fee srhedute) Structural plan review fee (or deposit): Contact name: Julia Werner FLS plan review fee (if applicable): Address: 14775 SE 82 Dr City/State/ZIP: Clackamas / OR / 97015 Total fees due upon application: Phone: (503) 635-0117 I Fax: : (503) 635-0157 Amount received: s to E -mail: julia@advancedenergyoregon.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES" CONTRACTOR Commercial and residential prescriptive installation of roof -top mounted PhotoVoltaic Solar Panel System. Business name: Willamette Crest Properties dba Advanced Energy Sv Submit two (2) sets of roofplan with connection details and fire department access, along with the 2010 Oregon Address: 14775 SE 82 Dr Solar Installation Specialty Code checklist. City/State/ZIP: Clackamas / OR / 97015 Permit Fee (includes plan review $180.00 and administrative fees): Phone: (503) 635-0117 / I Fax: (503) 635-0157 State surcharge (12% of permit fee): $21.60 3/t CCB lic.: 180882 7 / /.� Total fee due upon application: $201.60 Authorized signature: ?Ai !!! U This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Julia Wen I Date: 3/23/12 * Fee methodology set by Tri -County Building Industry Service Board. 1:\ Building \Permits\BUP- RESPernitApp.doc 02/24/2011 440 -46I3T(I I /02/COM/WEB) RECEIVED i' 0005 coy 01 1 spa a DstriBie ..a.•..x oa: N 13125 SW fl l Blvd., Tigard OR P 3 O 2012 Plan Review Phone: S03.639.4171 Fax 503.598.1960 = l7ste/8v __ � T c.:. r) Inspection Line: 503 6394176 CITY OF TIGA D ate rlsr I Gil too Pogo 2 for wd.O rgov Burr rn G Notifed/Notified/Method: 1 Supplemental Information ww,tigan ,, vg g • Mai: N � ,�1�,-i:u«ry�y.l; ur , ,•. alp � . " ; , , - 7, °t.,a.c- �7��.. .in:+S a.... _. - �" .t':lU`7 :'G�,k'if4 :t "�rt::�431" � :kF��N :iF.7�fG�L :�.i�J�ir�� JL`� ❑New construction Pr-Addition/alteration/replacement Pisses check all that apply (whale j, ens orphan wr ss checked below): © Demolition ❑Other; D Sim or W040 lama or more D &aiding over t stories. _ mow. ` whore rho available fault current D Marinas and boatyards, l n � ,4r } }f.M r �' "`'r r ^ s' *,'tilNkz - exceeds 10 000 amps at 150 volts or 0 Floating boldings. • and 2- family dwelling ❑ Commercial/ industrial ❑ Accessory building lime to ground, er tamed,' ors. 0 Cotmoercialwm ogeialtiwl ry mB ampsforallotboriaetatlntions. buildings. ❑ Multi family ❑ Master builder ❑ Other, D Fire paap. D lnstatlr ion of 75 KvA or f � � � �ri •: ' �,, p�err Y ^"%:f' ,s 4i D : •y Baer yderived r ��, , ,_. ' ap 471. �tt «,�,� ur 0 Addition anew motor load of D "A ", `E - 1 -2 ". - 1.3 ", Job no.: V lD [7 Job site address: �j S' 5/A, C ) oil G�, eL rr rupee. oeeua D Six Six or more residential salsa. D dentresidential sals Reerenaooal vehicle pm'lu. City/State/21P: I I /71 D 1 "1,-7.22J-1 D Healdscare dignities. 0 SnPp11'voleggo for more than D Hazardous locatiotro 600 volts nasal. Suitc/bldgJapt. no.: I P r o j e c t name: c },444'1 JON) D Service er per 600 amps or more. U J"T +9 t` 'v. F yIC?ly0 Cross street/directions to job site: ramrod*, I on. I Tex. I Toter 1 • New residential single or mufti-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq, ft. or less 168.54 4 Tax map/parcel no.: Ea. add'l 500 SQ. R or portion 33.92 1 Limited energy. residential `n ev.: r, a2 ': r , +;.; t , 61r It V '{ 'Y'� , '�t•V[ .�.r .�,i �Y ::i uT' ; . (ti • r ev (With Obc is ft. 75.00 2 Limited energy, tnulti•family 75.00 2 _C CV i Witfle 4:01r .(1.er —. residential (with above s4,ft,) Services or feeders iaseallation and/or relocation • 200 amps or less I, 100.70 - 2 ";ei K , ` 14SNOVZSRAMEITIMISZO, 1 amps to 400 amps 133.56 Name: 401 amps to 600 amps 200.34 2 - . 601 amps to 1.000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26' 2 Temporary services or faders Install tion, alteration, and/or City /State/ZIP: relocation Phone: ( ) I Fax: ( ) 200 amps er Ins 59.36 - I • Owner installation: This installa*iofl is being made on property 201 amps to 400 amps 125.08 2 n6 p periy that I own which is not 401 to 599 amps 168.54 z intended for sale. lease, rent. or exchange, according to ORS 447, 449, 670. and 701. Branch circuits - new, alteration, or extension, panel Owner signature: Date: A. Fee for branch circuits with - ;:, _;.�;' !. ,�,` ' 0, :. ., t, .. l��. rac ate a t 'k+� . • � �g - a ileb_k or fader 7.42 2 _,. �, �r• r;� y Gt � r: �:" "'" toe. 2 " each &saws Business name: B. Fee for bench circuits wooer Service or feeder fee. that 56.18 2 Contact name: branch circuit Each add`I branch circuit 7.42 2 Auuenao. Miscellaneous (service or feeder not Included) City/State/ZIP: Each manufactured or modular 6784 - 2 dwell, smite and/or feeder Phone: ( ) I Fax: : ( ) Reconnect _only 67.84 2 : Pumpor irrigation circle 67,84 2 : . ,env q ... o • , �!.., �,• � w �. Signor Dalian lighting �:.g a `i' a+". '•;t,a :i. a - CiDD&,,.,.eis�s`�.r� W >:.,.tifiw�,�nn*i:'rw 8 67.84 2 Signal cireuit(s) or limil ed•emetgy Busmtss West Side Electric Co. , Inc. t> abandon, ormdeitsroa. Page 2 _Each additional inspection over allowable in soy of the above Address: 1834 SE 8th Ave. Additional inspection (l hr mm) 66.25/ hr City/state/ZIP: Portland /OR/97214 �� lnvestigation(1hrmin) 66.25 /br Industrial plant (1 hr min) 78.18/ hr Phone: 231 -1548 I Fax: (503) 736 -0677 Inspections for which no fee is ' a: !P+'fcdI listed (6 hr min CCB Li ) 90.00/ hr 1 3306 I El earicalLit). 5c Suprv. '�� 0:"a'r. -r ,r ' 'w Suprv. Electrician signature., required: i` Subtotal: , P lan review (25% of pemrit fee): Print nacre: Randall F Roberts I Date: e/11". ' /2 State surcharge(12% permit fce): -" Authorized signature: TOTAL PERMIT FEE: This permit applierttion expires Ira permit a got obtained within 180 Print name: [ Date: days sifter it has bees accepted as complete, • Number of inspections allowed per permit. 1.19ui18nawer,nnaa c aimitApp.doe notno 440.1615rp tro5acOMiwge a L /L # L866L£Z£09 0961.869E0S: 0!.110@13 ap!S lsaM:woa3; 8E:EL'ZL —OE —CO