Permit CITY OF TIGARD MASTER PERMIT
IN
i COMMUNITY DEVELOPMENT Permit#: MST2014 00007
T[G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2014
Parcel: 1S134AD02500
Jurisdiction: Tigard
Site address: 11353 SW IRONWOOD LP
Subdivision: ENGLEWOOD Lot: 65
Project: Brooks
Project Description: Installation of solar photovoltaic system.
BUILDING
Floor Areas Reaulred Setbacks Reauired
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
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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 8 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:
ASHBY,ARTHUR SOLARCITY CORPORATION Required Items and Reports(Conditions)
BROOKS,MARK 6132 NE 112TH AVE
11353 SW IRONWOOD LP PORTLAND,OR 97220
TIGARD,OR 97223
PHONE: 503-579-8515 PHONE: 971-201-5278
FAX: 866-592-2249
Total Fees: $314.38
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 i. -+ •r•an - 'th 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. TENTION: Oregon aw •- ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules a set forth in OAR
952-r r 1-0010 i rough OAR 95 '01-00 ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23
el--
Iss d By: j �/ LL �f �f Permittee Signature:
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 Appl[ 1ldn EIVEI D
Residential r(m 01.1:1(1 1 Sl:O\1.1'
City of Tigard JAN 21 2014 Date: ._ /M� Permit No.:� T 7
• 13125 SW Hall Blvd.,Tigard,OR 97223 Dates' -p00 i
Plan Rev t�
' I Phone: 503.718.2439 Fax: 503.598.1960 e�.ls ®ril Other Permit
1GARD °"`'B
l-1 t„\It 1) Inspection Line: 503.639.41711 `%+t 1 Date Read;-':-. ta+is' la Sec Page 2 for
Internet: www.`igardorT1LDING DIVISION Notified/Mellnd: Supplemental Information
tt ir. (e wtli^ A,14.dt&J
TYPE OF WORK REQUIRED DATA 1-AND 2-FAMILY DWELLING
❑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
CATEGORY OF CONSTRUCTION work indicated on this application.
1-and 2-family dwelling 12 Commercial/industrial Valuation: $ t + s
®
�.
CI Accessory building CI Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address �E3? /e1 PO WIDeb 4) New dwelling area: square feet
City/State/Z1 `44411„) (1� t'`.v
Garage/carport area: square feet
Suite/bldgJapt.no.: .J Project name: j A\ve,,l 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,End the profit for the
DESCRIPTION OF WORK work indicated on this application.
Roof Mount PV System Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 1 ❑ TENANT Number of stories:
Name: ,A 4pM
l l kL, 6(S Type of conswction:
Address: t,7 2 t` I Occupancy groups:
City/State/ZIP; -cc �(A lc_u 1"+y�"(1-7 l
p�1\ —' "I rY Existing:
Phone:(_JV� Fax:( )
New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:SolarCity Corporation (Please
ichcdat�
` �
i Structural plan review fee(or deposit):
Contact name • ,AA 011 t Kr-e \
l
112th FLS plan review fee(if applicable):
Address:6132 NE 112 Ave
City/State/ZIP:Portland,OR 97220
Total fees due upon application:
Gl l Z /), 54 7 C/ 56/ ,-5Q,2 6 LE cl Amount received: tic/, r/O
Phone l JJ-� I a Fax:: (,[ _J d
l
E-mail: [Ni/1 r'e>` I t ` C`r e_(t 1 i t Oar\ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
a` 1 Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SolarCity Corporation Submit two(2)sets of roof plan with connection details
a and fire department access,along with the 2010 Oregon
Address:6132 NE I12 Ave Solar Installation Specialty Code checklist.
City/State/ZIP:Portland,OR 97220 Permit Fee(includes plan review
and administrative fees): 5180.00
Phone:(R 7 I o9 0 l u_ r_ I Fax co rY { 1„ 5 q /(� G1 State surcharge(12%of permit fee): 521.60
CCB tic.:180498
Total fee due upon application: $201.60
t _
Authorized signature: CJJ/ / This permit application expires ifa permit is not obtained
C7t Ot within 180 days after It has been accepted as complete.
Print name:MC) /le g/-..e j I Date: 151 7 *Fee methodology set by Tri-County Building industry
l Service Board.
I:,Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
Electrical Permit Applicati�CEIVED 1' OI I I, I ( ` ,I I `
City f Tigard Da:, %���_�' '',�o/ – 7
tY '� J 21 2014 • Permit No.:
13125 SW Ball Blvd.,Tigard,OR Plan Review `�,,
Phone: 503.718.2439 Fax: 503.5911.1960 Dale: E 1 II2' rt=1:11111111111.1.11 •
1 i 1,'t R ri inspeetion Line: 503.639.41'CITY OF TIGARD Date Ra-:y: Sara.
BI Set Page 2 for
Internet: www.tigard-or.gov Notified/Medwd: Supplemental Information
a
, ro; a. b PLAN
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
? CATEGORY OF CONSTRUCTION '4 "a"`I
exceeds 10.000 imps at 150 volts or 0 Floating buildings.
( less to ground.or exceeds 14.000 ❑Commercial-use agricultural
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 75 KVA or i
+:_' JOB +.rte}i,i y t F y O �$ i�: � ON t- ❑Fanergency system. larger separately derived system.
= ❑Additional'new motor load of ❑"A""E^"I.2^"1-7"
Job no.: lob site address: I 353 J11� '"-K�41. ❑HwHP or more. occupancy.
J Six or more residential units. ❑Recreational vehicle parks.
City.'State/ZIP: 1 ` ptf 0 C�1M3 li ❑Health-care Facilities. ❑Supply voltage for more than
1 `JY 7f j� lfJbr 1e ❑Hazardous locations. 600 vole nominal.
Suite/bldg./apt no.: I Project name: 5 ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site:
Description I 4a. 1 Fee I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or ponion 33.92 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
Roof Mount PV System residential(with above sq.ft.)
Services or feeders instaliationralteration,and/or relocation cation
200 amps or less ! 100.70 ,( 1 02
® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 13356 2
I k ,^ ,/< 401 amps 10 600 amps 200.34 2
Name l/� (�jX '
r� 601 amps to 1,000 amps 301.04 2
Address: \\3! SL-s- ��' �()(�\ �Fy C7 Over 1,000 amps or volts 552.26 _ 2
City/State/ZIP: /� G� 7�1/1�""1 Temporary services or feeders Installation,alteration,and/or
�a(4 (. . 1 K9o• relocation
Phone:( )5`T41 d\5 J Fax:( ) 200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
401 amps to 599 amps 168 54—
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 2
Branch circuits-new,alteration,or extension,per panel
Owner signature: Date: A.Fee for branch circuits with -
® APPLICANT �'g A PERSON above service or feeder fee,
I each branch circuit 7.42 2
Business name:SolarCity Corporation B.Fee for branch circuits without '
! ' J service or feeder fee,first �)g 2
Contact name:. /1 A#ev `� LG r e(I branch circuit
V`m 41 i ) \ Each add')branch circuit 7.42 2
Address 6132 NE 112th Ave Miscellaneous(service or feeder not included)
City/State/Z1P:Portland,OR 97220 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:(971) 5 a` � Fax: (g66)5��p �U`l Reconect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:MA(C rdty.com Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s)or limited-energy
Business name:SolarCity Corporation panel,alteration,or extension. Paget _ 2
Each additional inspection over allowable in any of the above
Address:6132 NE 112th Ave Additional inspection(I hr min) 66.25/hr
City/State/ZIP:Portland,OR 97220 Investigation(1 hr aim) 66251 hr
industrial plant(1 hr min) 78.18/hr
Phone:(971); I Fax:(866) Inspections for which no fee is
90.00/hr
specifically listed('h he min)
CCB Lie.: 180498 Electrical Li • C562 Suprv.Lic.: 5201S ELECTRICAL, PERK FEES
Suprv.Electrician signature,required: f-+ /T /` Suit fcc)'
�/r Plan review(25%of permit fee):
Print name: Derek Cropp If Date: State surcharge(12%of permit fee):
Authorized signature: /, TOTAL PERMIT FEE:
�f / �1 This permit applkadon expires if a permit is not obtained within 150
'El Print name: Ar` 71111111141111 Date: , tIB days aver it has been accepted as complete.
• Number of inspections allowed per permit.
I:Building Permits ELC.PenuilApp.dor 0-ill 10 440J615T(11 05 COM 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
11353 SW IRONWOOD LP, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
2014-03-14 (null)
MST2014-00007
PASS - No C of O
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
11353 SW IRONWOOD LP, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
2014-03-14 (null)
MST2014-00007
PASS
Violation Summary:
Inspector Contractor