Permit CITY OF TIGARD MASTER PERMIT
I COMMUNITY DEVELOPMENT Permit#: MST2014-00022
Date Issued: 03/11/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S109DA06300
Jurisdiction: Tigard
Site address: 15032 SW GREENFIELD DR
Subdivision: SUMMIT RIDGE Lot: 40
Project: OWEN
Project Description: Solar photovoltaic system
BUILDING
Floor Areas Required Setbackl Required
Stones. 0 Bedrooms 0 First 0 sf Basement: 0 at Left. 0 Parking Spaces 0
Height: 0 Bathrooms: 0 Second 0 st Garage 0 sf Front 0 Smoke
Dwelling Units 0 Third 0 sf Right 0 Detectors
Total: 0 sf Value: 50 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
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
Drywall-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 1 0-200 amp 0 WI Svc or Fdr 0
Ea add"500 st 0 201-400 amp 0 201-400 amp. 0 MO Svc/Fdr 0
M1d Home/Feeder/Svc 0 401-600 amp. 0 401-600 amp 0
601-1000 amp 0 601+amp-1000v: 0
1000+ampfvolt 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: Ecompasmg. N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
C'R SF VB R-3 0
Owner: Contractor:
OWEN.DAVID&ALLISON WILLAMETTE CREST PROPERTIES Required Items and Reports(Conditions)
15032 SW GREENFIELD DR 14775 SE 82ND DR
TIGARD.OR 97224 CLACKAMAS.OR 97015
PHONE PHONE 503-635-0117
FAX: 503-635-0157
Total Fees: 5319.38
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 160 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 may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344
Issued By: .�•- Permittee Signature: ) �.s4G�J/
Call 50f. 5 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
-∎ACC)
Residential �- N. . FOR OFFICE USEONLI
City of Tigard `' �Q\. Received Permit No.: /►►S-Tao k - l?%� .
13125 SW Hall Blvd..Tigard, 2 6 )1614//4 /
III Ir. O Plan Review
Phone: 503.718.2439 Fax: iiilky----•
3.59 `�q Date/[3y: Other Permit:
I I t Inspection Line: 503.639.4175 'tA\4%.O . Date ReadyBy: Ju 10 See Page 2 for
Internet: www.tigard-or.gov �`� �����1`� Notified Method. Supplemental Information
TYPE O REQUIRED DATA;1-AND 2-FAMILY DWELLING
❑New construction El 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:PV Solar equipment,materials,labor.overhead,and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
® I-and 2-tamily dwelling ❑Commercial/industrial Valuation: S
El Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION ji 1 Total number of floors:
Job site address: 15032 SW Greenfield Ur New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Owen Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
VOIHRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: —7 Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
t. work indicated on this application.
DESCRIPTION OF WORK
3.24 k' I's' Solar Svstcm on roof
Valuation: S
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ( ❑ TENANT Number of stories:
Name: David Owen Type of construction:
Address: 15032 SW Greenfield Dr Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)805-9605 Fax:( I New:
` 0 APPLICANT ❑ CONTACT PERSON
(Flea se refer to
Business name: Willamette(rest Properties. LL(
Structural plan review fee(or deposit):
Contact name:Julia -
FLS plan review fee(if applicable):
Address: 14775 SE 82'd Dr -
City/State/ZIP:Clackamas,OR 97015 Total fees due upon application:
Phone:(503)635-0117 Fax: :(503)635-0157 Amount received:
E-mail:Julia!u>advancedenergyoregon.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR ,, roof-top mounted PhotoVoltaic Solar Panel System.
Business name Willamette('rest Properties.UOt Submit two(2)sets of roof plan 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 97224 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
CCB lie.: 180882
— Total fee due upon application: $201.60
Authorized signature: �r�_/�_ This permit application expires if a permit is not obtained
w within 186 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Mike Werner I Date:2/26/14 I Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Werner 5033426889 p.1
P4 01
Electrical Permit Application rt)R oft-ic i t ,;j.+s,l_1
City of Tigard Received Permit No.-0-")57-9_01y_604,Z
_
2
Plat Ronew
13• 13125 SW Hall Blvd.,Tigard,OR 47
s Phone: 503.7182439 Fax: 503.598.196 ' % D IBv: other Perim:
i J t, Iospetxioo Line: 503.639.4175 ) Date Rtady.+By ®See Pare for
Intemet www.tigard-or.gor Notifia!/nletiod: _ - Sup$cnntalIrtormatios
TYPE OF WORK k PLAN REVIEW
❑New construction 0 Addition/ultemtiop�fn$lacemeet kV,V1
G' t ail ►mac qtr(submit 2 sett ofyl>�.Yfiw=mad below):
("`� ❑Scrvioe or foedor 400®q or noes: 0 B�ldi.g ov=dr.e seonms.
El Demolition �ther: f�b'S IF}J i S " c0 whole the evadable fault=rent ❑Nda-i�and boat ads.
CATEGORY OF COPT Vf t• c4�1V�`' a u:mils IMO()amps al 1>0 robs or ❑Floatingb,uklinas
kss to groural,or 1409 ❑Co r _ l erne agricultural
,
Ind 2-family dwelling ❑Cotnercim t1 �ecesso rY building amps tor al(ether intdationsbuildings_dings_
❑Muld•family ❑Master builder VI ❑Other: ❑Fire pomp. 0Installation of 150 KVA or
❑Fan
DOE SITE INFORMATION AND LOCATION arIem:ysyucm larger separatelydtrivedsyaltm.
❑Addition of new motor loud of 0"A',"E','1-2","1-3',
Job no.: Job site address: 150 0 � 5' `�,�,r D�j
100111'i%Or m mac. ape'
.. � L rJ/'r. 1 ❑Six Or more residential arsiL�. I�I2ea+.�otd vehicle p9fSt5.
CitylStatelZiP: e1,7 del, f/,� ��Zf D He 1+�ue facilities. la S.,i1y voltage for more than
❑l;.aardous to i:Mom. XI volts nominal.
Suite'bldgdapt.no.: Project name: cx.je,{. lo ScrviQ ere feeder 600 amps or r- -—
Cross street/directions to job site: Oren Qv. I E r4.. ► TWO 1 •
New residential d°ai r multi-family dwelling■sit.
[sdaMear-tlsrk-...garage.
- -
Subdivision: Lot no.: 1,000v-1_ as ass 168.54 4
--- a rte.--ma„i0 sq.ft_or portion _ 33.92 1
Tax map/parcel no.: liv ..-d energy,rrsidadiat 1 7500 2
DESCRIPTION OF WORK (with above sq.ft.)
twitted energy,multi-ninny
e /� C /p 1 g 42,-0r� residential(with abo esq.ft) 1 7_.00 2
6 `I� Renewalge Energy I ❑ See Pagt 2
-clerriees or feeders installation,alteration.and/or relocation
❑ PROPERTY OWNER El 'tr'tNa' , 100 amps or Ins l 100.70 2
• - 201 amps to 400 amps 133.56 2
Name: _ 401 amps to 600 amps 200.34 2
Address: 601 amps to 1,000 amps 301.04 2
---- -- Over 1,000 imps or volts 55226 2
City/State/DP: eu
_ Teepary services or feedersastallalGor,alteration.and/or
Phone:( ) Fax:( relocation �
r 200 amps or Jas 5936 IT
Owner installation:This installation is being made on,property that I own which is not 201 amps to 400 amps 125.08 ; 2
intended for sale,lease,rent,or ctchange,according,u,ORS 447,449,670,and 701. ! 401 amps to s49 amps 168.54 2
Owner signature: _. _..._. Date: _ Dew,eirctih-ne .alteration..or exsensina, panel
APFLK.AN.r I Dr6iNTACT N A.Foe for}ranch circuits with
/ LT�� above service or feeder fee, 7.42 2
Business name riC�.f/q'11 k t!/fjr d f ' ' f L. B.Fee far branch circuits wtthau
' Contact name: service or feeder fee.Tarsi �1 t 2
"y� ta'aticti mum
Address: / 775"- , L _A 2''-`. -DR2 Each add'I branch circuit 7.42 j 2
City/5taidZlP: Miscellaneous(service or feeder net included)
CIA �'1A•}__ 6/2_ 7(7/' Each manufactured or modular
7
dwelling service and/or feeder 67.84 2
Phone:(5;) C. 5/di/7 I Fax :(563) 5- Df S 7
Reconnect only 67.114 2
E-mail; n,f'C- v ielv�YnCe-d!"nc- y -ill� .tC Pump or irrigation circle 67.84 2
CONTRACTOR' / Sign or outline lighting 67.84 2
Business Warne: ,6- �,,,,:y . Signal circuit(s)or limited-energy See
�L �t J h.� i pandLalteraoor,or extension. Pagc2 2
�•-- G', Each additional inspection over allowable is say of ale above
Address: �� -, /U� D /41.'t.• Additional inspection(1 h min) 6625/1'.r
City/State/ZIP: �Urk1"., r G/ 9.7Z// Investigation(I himinj 6625/hr
phone:(.5v3 Et7 -�i�f� I Fax ( � /�}
Industrial plant I to min) 78.18/1-m '
n Inspections for which no fa s
CCB Lic.: ) V 4 7 I Electrical Lie.: CLiC t7 Suprv_Lie_: C L K 17 specifically listed(is hr n n) 90.081 hr
ELECTRICAL PERMIT FEES 1
Suprv.Electrician signature,required: Subtotal:
J 0 k' L'1/i. S 3 I4 I I-r Plan rreview(25%of permit foe):
print Warne: Date: .--'
/y i State surcharge(12%ofpermit far
Authorized signature: ,(.■ TOTAL PERMIT FETE:
„�. I � Tha permit■ppivadss anima ifs permit is sot*bulled within Is0
Print name: )O/e i Venn Date: 3 14i 1 i 1 lays after r has been s aptied s esmptete.
---- ' Number erintpeentm armed per permit_
Iatgrlemerenc e..tiE.C_PemtApyELR_EARdoc 11s 0821.2013 440.4615rfl IoS1tCaVWat
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
15032 SW GREENFIELD DR, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
2014-03-20 (null)
MST2014-00022
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 Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15032 SW GREENFIELD DR, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
2014-03-20 (null)
MST2014-00022
PASS
Violation Summary:
Inspector Contractor