Permit CITY OF TIGARD MASTER PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MST2014-00003
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/16/2014
Parcel: 2S103AC04100
Jurisdiction: Tigard
Site address: 12612 SW 114TH TER
Subdivision: WALNUT GROVE Lot: 10
Project: Durfee
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. DO 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
Tubs/Showers- 0 Garbage Disp: 0 Water Heaters: 0 Water Lines 0 Drains 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 Tvpes 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. 1 0-200 amp 0 W Svc or Fdr 0
Ea add/500 sf: 0 201-400 amp: 0 201-400 amp: 0 WO Svc/Fdr 0
Mfd HomefFeeder/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&Stereo N HVAC N Secunty 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 R"3 C
Owner: Contractor: _
DURFEE,MICHAEL D AND SOLARCITY CORPORATION Required Items and Reports(Conditions)
BUTTERFIELD.MELISSA 6132 NE 112TH AVE
12612 SW 114TH TERR PORTLAND.OR 97220
TIGARD.OR 97223
PHONE 503-810-2567 PHONE 971-201-5278
FAX 666-592-2249
Total Fees: $324.38
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
952-001-001 rough OAR 952-001-0090 You may obtain a copy of the rules or direct questions to OUNC by calling-50-02 1987 or 1 BOO 332 2344
Issued B : �_, yp�4.--7."u4 ./ Permittee Signature: Je 617 117 ;/•l�� cam,,.
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; CYAN-0
Residential �
Lou OF FI('f 1 `I l)SI 1
City of Tigard 13 2414 Reeeived
13125 SW Hall Blvd.,Tigard,OR 9722
III AN a : : i�� `:.. Permit Nn IYSr�i -
II Phone. 503.718.2434 fax: 503.398.1960
C IG N DEe/B : 4 kJ Permit
-t,,,.,h n Inspection Line: 503.639.4175 `I``Y Vi l `'l��ON 0 see.nit1 for
Internet: www,li v 1 SING DIY - �hI/ Sappkroenlnl Information
ti3111L it, ger.4, rev1IrC.
TYPE OF WORK REQUIRED DATA 1-AND 2-FAMILY DWELLING
❑New construction l ❑Demolition Permit fees•are based on the value of the work performed.
®Addition/alteration/replacement I ❑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 S 3?A t ) L
❑Accessory building ❑Multi-family Number of bedrooms;
❑Master builder ❑Ott Number of bathrooms:
IAA SITE INFORMATION AND LOCATION Total number of floors:
Job site address: I-�y nI a S"3 1 1 ` ' ff r(aC2_ New dwelling area: square feet
Ci State/ZIP: �1 �n2v) l� 3
� � 1 Garage/carport area: square feet
Suite/bldg/apt.no.: 1 Project name L G`c f 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: , Lot no.: Permit free'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
0: PROPERTY OWNER [ El TENANT Number of stories:
Name: • . , ��l�r� ` 'i.1
Type of construction:
Address: ti f►1Ti. ► IU�' r. Occupancy groups:
City/State/ZIP: Existing:
Phone:( B3 Fax:( ) New:
® APPLICANT ® CONTACT PERSON _ BUILDING PERMIT REES*
Business name:.SolarCltyy Corporatlo. Meese refer b e a
Contact name +
oll�e.r Kit tt Structural plan review fee(or deposit):
112" FLS plan review fee(if applicable):
Address:6132 NE 112 Ave
City/State/ZIP:Portland,OR 97220 Total fees due upon application:
PhoneC5 i 7 5 7 � l alb-5c1,-)60(-4 Q Amount received: apt .eVe
! F Fax:: 1
Ismail: I ice I t ` r /( (t u ,pc PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
k� Commercial and residential prescriptive installation of
CONTRACTOR l roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SolarCity Corporation Submit Iwo(2)sets of roof plan with connection details
,a • and fire department access,along with the 2010 Oregon
Address:6132 NE 112 Ave Solar Installation Specially Code checklist.
City/State/L1P:Portand,OR 97220 Permit Fee(includes plan review 8180.00
1 l� and administrative fees):
Phone:fR 7 I (901 5rQ`78 I F si W14) 5 9614 of i q State surcharge(12%of permit fee): £21.60
CO3 lie.:164494 p Jr `� `� 1 Total fee due upon application: $201.60
Authorized signature: /I This permit application expires If a permit Is not obtained
(, I+ • within III days after It has been accepted as complete.
Prior name:/Q /1 e 'r..e (( Date: I c- )01 II •Fee methodology set by Tri-County Building Industry
tJ �( 1 1
Service Board.
I:,Building\Pennits\BUP-R ESPextnitApp,doe 02/24/2011 440-4613T(11/02/COM/W EB)
t\
Electrical Permit Applicatiol>�)C 1 , I ,,I , I, I 1 ,1 1,\1 }
City of Tigard leCC'"'„ , I11� Permit 1.4o.: )-/<)/"--,;/e -4QCt03
13125 SW Hall Blvd.,Tigard,OR 97223 R Da !/�
' 2 Phone: 503.718.2439 Faa: 503.598.1960' ,C\Cjt Ls Other Permit:
1 1, , 1, Inspe tion Lint: 503.639.4175 ,�N 0 `�,�{`S r mi, B see rage 2 for '
Internet: www.tigard-or.gov �\f• Supplemental Informatics
TYPE OF WORK's `8 \ PLAN REVIEW '
❑New construction ®Addition/alterati on/replacement I Picric check all that apply(submit 2 sets of plans w/teems checked below)
' ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 111 Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑Floating buildings.
® I-and 2-Tamil dwellin less to ground.Or 14.000 ❑Comtaercial-use agricultural
y g f Commercial/industrial ❑Accessory building Mpg for all other insulations. btiWitsCs.
❑Multi-family ❑Master builder ❑Other. ❑Fire pump. ❑Iastalktion of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived syatem.
❑Addition of new motor load of ❑•'A"'•E""1-2"."I.3"•
Job no.: Job site address: L)Iii I Q . I l L4-'t-v 1005W or more. occupancy.
.-�' ❑six or more residential units. ❑Recreational vehicle parks.
City,'Statel 1P: I 1 C.}fit '\ ce Pt(1 �'rf:C 1. ❑Health-are facilities. ❑Sspply voltage for more than
I f C 11 ] JlO[ tL` ❑Hazardous tocatsons. 600 volts nominal
Suite/bldg./apt.no.: I Project name: 1 9-2)m .
, tf G� ❑Service or feeder 600 amps or more.
11 l/ FEE SCHEDULE
Cross street/directions to job site: nemprime I Qn• I f«. I raw I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.E.or less 168.54 4
Ea.add'I 500 sq.R or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.)
75.00 2
Limited energy,multi-family
Roof Mount PV System residential(with shove sq.ft.) 75.00 2
Services or feeders lnitatlatioo,,alteration,and/or relocation
200 amps or less i 100.70 I bLY 7 D 2
S PROP TY OWNER ! ❑ TENANT 201 amps to 400 amps 13336 2
Name: , /► ju'�,c h 401 amps w 600 amps 20034 2
1 i 1 _ 601 amps to 1,000 amps 301.04 2
Address. 1/�,/,I SW i!`rr/f rr^- Over 1,000 amps or volts 552.26 I 2
1 T LJ• Z Temporary services or feeders installation,alteration,and/or
City/State/Z1P: ote___ cI-7223
relocation
Phone:( :}03,?)(0 601 Fax:( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that I own which is not
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Branch circuits-new,alteration,or extension,per panel
Owner signature: Date:_ A.Fee for branch circuits with -
® APPLICANT I ® CONTACT PERSON above service or feeder fee,
each branch circuit 7.42 2
Business name:SolarCity Corporation B.Fee for branch circuits without
[ service or feeder fee,first S6,I B 2
Contact name:. A�n\`[` K f e(\1 J branch circuit ,
Each add'I branch circuit 7.42 _ 2
Address:6132 NE 1121a Ave Miscellaneous(service or feeder not Included)
City/State/ZIP:Portland,OR 97220 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:(9711 po`5a'7 Fax: :($66)31 Q !�a( (ci Reconnect only 67.84 2
E-mail:rn g(t*olardty.com t� �f Pump or irrigation circle 67.84 2
Sign or outline lighting 67.14 2
CONTRACTOR Signal circuit(s)or limited-energy "
Business name:SolarCity Corporation panel,alteration,or extension. Page 2 2
Each additional inspection over allowable In any of the above
Address:6132 NE 1121"Ave Additional inspe tioo(I hr nun) 66.25/hr
City/State/ZIP:Portland,OR 97220 Invcatigaiian(I hrmio) 6625)hr
Industrial phut(1 hr mm) 71.18/hr
Phone:(971): I Fax:(866) Inspections for which no fee is 90.00/hr
specifically listed(A hr min) _
CCB Lie.: 180498 Electrical L' • C562 �j Suprv.Lic.: 5201S ELECTRICAL PERMIT FEES
Sups-v.Electrician signature,required: j../l�` ��[-f> Subtotal
11 Plan review(25%of permit fee):
Print name: Derek Cropp , Dale: State surcharge(12%of permit fee):
Authorized signature: r TOTAL PERMIT FEE:
�[ //gqi This permit application expires if a permit It sot obtained within ISO
Print name: . ,r,1� M1 days after it ha been accepted if complete.
MI Date: UM • Number of inspections allowed per permit.
I Buildint Permits LLC.rrnaiApp.dos 0-alt 10 140-461 1)1104 CON WEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12612 SW 114TH TER, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
2014-04-03 (null)
MST2014-00003
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12612 SW 114TH TER, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
2014-04-03 (null)
MST2014-00003
PASS - No C of O
Violation Summary:
Inspector Contractor