Permit 71 CITY OF TIGARD MASTER PERMIT
a . COMMUNITY DEVELOPMENT Permit#: MST2013 00228
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2013
Parcel: 25111 DD03200
Jurisdiction: Tigard
Site address: 8855 SW HAMLET ST
Subdivision: STRATFORD Lot: 26
Project: Himmelwright
Project Description: Installation of 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 SrvcIFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 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
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 VB R-3 0
Owner: Contractor:
HIMMELWRIGHT FAMILY REV LIVING T SOLARCITY CORPORATION Required Items and Reports(Conditions)
8855 SW HAMLET ST 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: 503-804-7002 PHONE: 971-201-5278
FAX: 866-592-2249
Total Fees: $329.38
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 mLobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. .
Issued By: i ermittee Signature: �
Call 503. by 7:00 a.m.for the next available Inspection da .
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 J rin
Residential TI Li)J,. 47 r tfi iT,it l ri .1_,- tii?ali:,-
City of Tigard OCT 2 4 2013 Received d
Da :
/' 04 A� Permit No.: M
r'_,l oap
,.•
III- ° 131SW Hall Blvd.,Tigard,OR 97223
.. ,1\ Phone: 503.718.2439 Fax: 503.598Mv O F TI GAp D Daum' , ; " Ina Other Permit:
Inspection 9 75 Date Read) ®See m�i a ) � tigerd or BUILDING DIVISION Nl71ethodli 13 ./ „�,eeoal Infarmadoa
TYPE OF WORK [ REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees'are based on the value orate work performed.
®Addition/alteration/replacement ❑Other: 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.
®1-and 2-family dwelling ❑Commercial/industrial Valuation: $ I pr� �`��;
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMAnON AND LOCATION Total number of floors:
lob site address: Cej r)1 6 e v. St' New dwelling area: square feet
City/StatelZl . c jipc,/t eq..... q'7 Garage/carpon area: square feet
Suite/bldgJapt.no.: '►�" Project name: \1►t&,i- i \k 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.
Roof Mount PV System Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: ir `, , 8, ii, _ ■1. Type of construction:
—
Address: 0I�) M`n ilaM Occupancy u
_ Y 8ro Ps:
City/State/ZIP: 1\ ID C11 A Existing: _
Phone:( ' 1009 Fax:( )
New
® APPLI ANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:SolarCity Corporation (Plasm refer mtee,chedrrta�
Contact name , C11 i K a l� Structural plan review fee(ar deposit):
m FLS plan review fee(if applicable):
Address:6132 NE 112 Ave
City/State/ZIP:Portland,OR 97220
Total fees due upon application:
Phoneg1 '.7J1 58 7 I Fax:: %(.,—5qr1)61a1 q Amount received:
E-mail: �'e (I Cf �\ /i d- (r 1 t oar\ —1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEW
CONTRACTOR i Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:SolarCity Corporation Submit two(2)sets of roof plan with connection details
,n and fire department access,along with the 2010 Oregon
Address:6132 NE 112 Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97220 Permit Fee(includes plan review $180.00
l and administrative feesL _
Phone:(q 7 1 (9O 5�`� I Fax 7 '(„ 5 4&,1 I GJ State surcharge(12%of permit fee): $21.60
CCB lic.:180498 ``�� `1 1
Total fee due upon application: $201.60
Authorized signature: l�ll1 This permit application expires If a permit is not obtained
//// within 180 days after It has been accepted as complete.
Print name:MC) •� •Fee methodology set by Tri-County Building Industry ,
rein pi 2 Service Board.
I:,Building\Pennits\BUP-RESPermitApp.doe 02/24/2011 440-46137'(11/02/COM/WEB)
Electrical Permit Applicatioj r- I ll r ri 1z cl l ri:,:l u s�;c L
City of Tigard 1 LU L G( N� Receives ' (�
Da : . l0®�a . Permit No.: <7 �l3-�d 0.2.9--;
• 13125 SW Hall Blvd.,Tigard,OR 972233,,
Phone: 503.7182439 Fax: 503.598.1 ,,T 2 4 2013 Date Review Other Perrin:
`,Ii,.;.% ;,ii; inspection Line: 503.639.4175 Date Roadl•'By: hob: ®See Page 2 for
Wand: www.tigerd-or.gov CITY 1 Y ETIGARD Notified/Method: Supplemental Information
I-- -•---- - e 1 ;Iii by i -ti . -y�'YLAN°1T4-tl It __77 7:__,,-_ ---.____71
❑New construction ®Addition/alteration/replacement Please check all that apply(submit g sets of plans wlilema checked below):
❑Service or fader 400 amps or more ❑Building over three stories.
❑Demolition ❑Other where the evarLbk Soh current ❑Marinas and boatyards.
I 1- . �C�T O1 Yi NSfRUssI101�f v� -�' ^_y-j exaeds 10.000 amps at 150 volts m ❑ owing buildings.
® 1-and 2 family dwelling ❑CommaraeUindustrial less to ground.or exceeds 14.000 ❑Commercial-use agricultural
❑Accessory building amps for all other installations. buildings
❑Multi-family ❑Master builder ❑Other: ❑Fos Pump: ❑Installation of 75 KVA or
❑Emergency m m ore larger separately derive
d sy
st
em.r Y - OB S E N- 370� V - �._j ❑Addition of new motor load of El"A".`E",-I-2'."1-3".
Job no.: I Job site address: 655 1 _ Sirx or mom orsid•eNial units. occupancy.
Recreational vehicle parks.
City'State/LIP: fir (17 q 7//a'1 ❑Healthcare facilities.
C)Hazardous locations. ❑Supply voltage Pon more than
600 volts nominal.
Suite/bldgJapt.no.: V Project name: KI,„,,e,Ct. lt)U a r ,L ❑Service or feeder 600 amps or more.
J I T--._-_--- 13-fargel E iffe j._;.'
Cross street/directions to job site: Deaiptloa I Qty. I Fee. I Tarot
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 • 4
Es.addl 500 sq.ft or portion 33.92 1
Tax map/parcel no.: _ _ _ Limited energy,residential
7 _- _•--- tDESCR1}r10P OF WUI - . _W~ _ (with above sq.ft.) 75.00 2
Roof M cunt PV System
Limited ,multi-family
75.00 2
residential(with above sq.ft.)
Services or feeders IostallationLutteratlon,and/or relocation
_ 200 amps or less ( 100.70 J .702
t,,,�7-0.1 Ut:4,7Y&p } -- _ jr-- -} _p '(: —7-- 7 201 amps to 400 amps 133.56 2
Name: vn`np(�- i eM ' ,A 1 fi (A �f 401 ampsto600amps 200.34 2
QJ e" s h a v V P t/ 601 amps to 1,000 amps 301.04 2
Address: °V /1/)l f• ' Over 1,000 amps or volts 552.26 2
l W`
City/State/ZIP: 'mg Temporary services or feeders installed- alteration,and/or
f,,� /�, e 1 a2 �? 7 relocation
Phone: 1 00 1� Fax:( ) 200 amps or less 59.36 1
Owner trans ation:Th s installation is being made on 201 amps m 400 amps 125.08 2
intended for sale,lease,rent,m exchange, 8 ORS 44 that 1 own which is not 599 16854 2
ge,according to ORS 447,449,670,and 701. sot amps m
Branch circuits-new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with
_r w-. . ® "L!- _ J T---_ AIT 6: POA) - - aeabcoh v e ssarrrcvice
h c omr fdet eder fee
7.42 2
Business name:SolarCity Corporation B.Fee for branch circuits without
r J Q11 kid
service or feeder fa first 56.18 2 i
Contact name . ��vJ�� branch circuit I
Each add'I branch circuit 7.42 2
Address:6132 NE 112th Ave -
MWseellaneomi(service or feeder not included) i
City/State/7.1P:Portland,OR 97220 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:(971) a, Fax: (866) Reconnect only 67.84 2
��5� �� ( )���tau�
E-mail:(v(((�olarrcIty.com Ptttnp or irrigation circle 67.84 2
�G�ON7RC70 = Sign ououtlhnelighmhg 67.84 2
J " __�_._� _ -_. Signal eircuit(s)or limited-energy
Business name:SolarCity Corporation
panel,alteration,or extension. Page 2 2
Each additional Inspection over allowable hi any of the above
Address:6132 NE 112th Ave Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Portland,OR 97220
investigation(1 hr min) 66 25/hr
Industrial plans(I hr min) 78.18/hr
Phone:(971): I Fax:(866) hspections for which no fee is
specifically listed('k hr min) 90.00!hr
CCB Lic.: 180498 I Electrical L/ C562 I Suprv.Lit: 520]S F., ._ :: iEL'eCTR1CALyPERM1TraFEBSr» ,`'' ,
Suprv.Electrician signature,required: J//.�!�� /� T
Subtotal:
! Plan review(25%of hermit feet
Print name: Derek Cropp ! Date: State surcharge(12%of permit fee):
i
i
Authorized signature:
/' a TOTAL PERMfT FEE:
` This permit application expires H a permit is not obtained within 180
Print name: { O days aver it has been accepted as complete.
r of ( , (- Date: Z �r , Number of inspections allowed per permit.
I:&Malin Permits ELC•PeneitApp.doe`o-LINO "l 440-46157(1 03 COM WEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8855 SW HAMLET ST, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
2013-11-25 00:00:00
MST2013-00228
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8855 SW HAMLET ST, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
2013-11-25 00:00:00
MST2013-00228
PASS - No C of O
Violation Summary:
Inspector Contractor