Permit q CITY OF TIGARD MASTER PERMIT
II -I - COMMUNITY DEVELOPMENT Permit#: MST2014-00044
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2014
Parcel: 2S115AD05100
Jurisdiction: Tigard
Site address: 10763 SW RIVER DR
Subdivision: DOVER LANDING Lot: 34
Project: TRAUTMAN
Project Description: Solar photovoltaic system.
BUILDING
Floor Areas Reauired Setbacks Required
Stones: 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 Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp 1 0-200 amp: 0 W/Svc or Fdr 0
Ea addl 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 1-IVAC: 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:
TRAUTMAN,MICHAEL R&LORA L SOLARCITY CORPORATION Required Items and Reports(Conditions)
10763 SW RIVER DR 6132 NE 112TH AVE
RD,OR 97224 PORTLAND,OR 97220
PHONE PHONE: 971-201-5278
FAX 866-592-2249
Total Fees: $319.38
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. • ON: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 -001-0010 throu••OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 51 .232.1987 or 1.800.332.2344.
r
I ued By: �� —��g;.. Permittee Signature. ': Ai�LEI r ti.„5--`--
Call 503.639.4175 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 on of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential ���lig City of Tigard 0i2S. R° _• 13125 SW Hall Blvd.,Tigard, �%\bt Date/8 : �//III/ii� `1 • /I
Phone: 503.718.2439 Fax: 503.598.1960 . : rtR�ii l`t
I Inspection Line: 503.639.4175 l� Date
0 Bee 2 frr
Internet: www.tigard-or.gov P``' Oi c\ \C Naified�btba: ,� 8.ppleme al l fsroai.a
TYPE op ,���. \i � , REQUIRED DATA:I-AND 2-FAMILY II 1d.WG
❑New construction ❑ ' pion Permit fees'are based on the value of the work performed.
®Addition/alteration/replacement ❑Other: equipment,the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY ow cowlititiCtitat work indicated on this application.
0 I-and 2-family dwelling ❑Commercial industrial Valuation: = 3.750
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Jab site address: 10763 SW River Dr New dwelling area: square feet
City/Slate/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldgJapt.no.: I Project name: Trautman Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMIONCLUAISZ CHECKLIST
Subdivision: I Lot no.: Permit fees'arc 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.
PV ROOF MOUNT -3.75 kw Valuation: S
Existing building area: square feet
New building area: square feet
:' PROPERTY OWNER 0 TENANT Number of stories:
Name: Trautman, Michael Type of construction:
Address: 10763 SW River Dr Occupancy groups:
City/State/ZIP:Tigard OR 97224 Existing:
Phone:(503 )939 2379 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING NG MERlxlr Fes'
Business name:SOLAR CITY QlmrienaAt►rrirastllinr�
Contact name:MELISSA BENTLEY Structural plan review fee(or deposit):
re FLS plan review fee(if applicable):
Address:6132 NE 112 AVE
City/State/ZIP:PORTLAND OR 97220
Total fees due upon application:
Phone:(503)894 6903 Fax::(1866)445-7459
Amount received:
E-mail:ABENTLEY @ SOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
,� Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
rut 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 $18000
and administrative fees):
Phone:(503)894-6903 Fax:(1866)445-7459 State surcharge(12%of permit fee): 621.60
CCB lie.: 180498
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I Print name:A. MELISSA TLE I 04-01-14 I 'Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-46131(1 I/02JCOM/WEB)
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Building Permit Application Checklist
One- and Two-Family Dwelling lint 011.1(L. l'1: (»I.1
City of Tigard Received
g Dahl[! : Permie No.:
74 `- 13125 5W lItdl Blvd.,Tigard.OR 97223 Assoeialed Pennies:
Phone: 503.718.2439 Fax. 503.598.1960
24-1-lour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plasbing LI Mechanical
i 1tiAltl7 Interne: www.ligard-or.gov ❑ Otter
THE FOLLOW1\c J 1 F\IS .ARL REQUIRED FOR PLAN REVIEW ,es No .Ja
I Land use actions completed. See jurisdiction criteria for concurrent reviews. [] D •
2 Zoning. Flood plain,solar balance paints,seismic soils designation,historic district.etc. ❑ 0 ❑
3 Verification of approved plat/lot. 0_, 0❑
4 Fire district approval required. Name ofdistrict: ❑ 0_
5 Septic system permit or authorization for remodel. l xisting system capacity . D ❑ ❑
6 Sewer permit 0 ❑ ❑
7 _Water district approval. [.-.i ❑
8 Soils report Must carry original applicable stamp and signature on file or with application.
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑
basin protection.etc
10 Complete sets of legible plans. Must he drawn to scale.showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
I I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if ❑ ❑ ❑
there is more than a 4-fl.elevation differential,plan must show contour lines at 2-fl.intervals);location of casements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations:direction
indicator.lot area building coverage area;percentage of coverage:impervious area;existing structures on site,and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,volt size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions.mom identification,window size,location of smoke detectors.water heater. ❑ ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑
floor,wall construction,roof construction. More than one cross section may he required to clearly portray
construction. Show details of all wall and roof sheathing,roofing.roof slope,ceiling height,siding material.footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addcndums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations:for non- ' ❑ 0 ❑
prescriptive path analysisprovidc specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/root-assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ 0
systems,see item 2Z"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0
2 i Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0
for four or more appliances
22 Engineer's calculations. When required or provided,(i.e..shear wall,roof truss)shall be stamped by an engineer or ❑ 0 ❑
architect licensed in Ore_on and shall be shown to be a t.Iicable to the .ro'ect under review.
JURISDIC' iON.. L SPECIFICS
23 Three 3 site .lans are r-s aired for Item I I above. Site .tans must be 8-1/2"x 11"or 11"x I T. I • •
24 Two(2)sets each are required for Items Ibs 19,20 and 22 above. • • .T
25 Build'ut: .huts shall not contain red lines or tar -oats. "Mirrored"buildin f lens will not be acct. .. ❑ ■"
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. • ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable).and City of Tigard U D [3
Street'free List.
29 Site plan to include trees and tree protection measures as required by conditions of appmvat. Tree locations,driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment four is required for all building additions. ❑ ❑ ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9. 1995.
I:\Building\Pcnnitslt3UP-RESPennitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
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Electrical Permit Application �`1t 1,
City of Tigard C,� �I
13125 SW Ball Blvd.,Tigard,OR 97223 Plan Review
��
Inspection ww.ti2503.639.4175 503.598.1%0 �o1A Ready/By:
Other Pamir:
s I ■Sae Page 2 tar
Internet: www.tigard-or.gov AP� 1 I Sypkweaht Iataerraailo■
TYPE of wow `����1t �1tCtd� r�wx REVIEW
❑New construction ®Addition/alteration/rep - D�V►j1 p dads all Uw apply(mbwn j eras of plans writeta:checked below):
❑Demolition �` ❑Service or feeder 400 amps or more ❑Building over three caries.
❑Other: Ra1lt where the available fault current ❑Marinas and boatyards.
CATEGORY OF corefavai on exceeds 10,000 amps at 150 volts or ❑Floating buildings.
®
I-and 2-family dwelling 0 Commercial/industrial less to ground.or exceeds 14.000 ❑Commercial-rue agricultural
❑Accessory building amps for as other it oons ion. buildiags.
❑Multi-family ❑Master builder ❑Other: ❑Film pump. ❑Installation of 150 K VA or
JOS Slfl B INFORMATION AND LOCATION ❑E merge cy system. larger separately derived system.
❑Addition of new motor load of ❑ A. E .-I-2","1-3-,
or more. occupancy.
Job no.: 9721879 I Job site address: 10763 SW River Dr ❑SiX orpmore residential mutts. ❑Recreational vehicle parks.
City/State/ZIP: TIGARD OR 97224 ❑Heahb-care facilities. ❑Supply Voltage for more than
❑Hazadors locations. 600 volts nominal
Suite/bldgJapt,no.: I Project name: Trautman ❑Service orfeeder600ampsormore.
Cross street/directions to'. site: FEE SCHEDULE
J"'� DaerlalYm 1 Qty. I Far. I TrW I •
New residential single-or multi-family dwelling snit.
Includes attached garage.
Subdivision: I Lot no.: 1.000 sq.ft.or less 168.54 4
Tax map/parcel no.: - Ea midi 500 sq.R.or portion 33.92 1
Limited energy.residential
75.00 2
DESCRIPTION OF WORK (with above sq.It)
Limited energy.multi-family 75.00 2
PV ROOF MOUNT -3.75 kw residential(with shove sq (t)
Renewable Energy 'See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
Name: 201 amps to 400 amps 133.56 2
Trautman, Michael 401 amps to 600 amps 200.34 2
Address: . 10763 SW River Dr 601 amps to 1,000 amps 301.04 2
City/State/VP: Tigard OR 97224 Over 1.000 amps or volts 552.26 2
Temporary services or feeders Instatlatioa,alteration,and/or
Phone:(503 ) 939 2379 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
intended for sale,(ease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Breach circuits-sew,alteration,or extension,per panel
0 APPLICANT I 0 CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Business name:SOLAR CITY each branch circuit
B.Fee for branch circuits without
Contact name:MELISSA BENTLEY service or feeder fee.first
branch circuit 56.1 B 2
an
Address:6132 NE 112"AVE Each add'I branch circuit 7.42 2
City/StaieJZ1P:PORTLAND OR 97220 Miscellaneous(service or feeder not included)
Each manufactured or modular 67 84 2
Phone:(503)894-6903 I Fax::(1866)445-7459 dwelling.service and/or feeder
Reconnect only 67.84 2
E-mail:ABENTLEY@SOLARCITY.COM Pump or irrigation circle 67,84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:SOLAR CITY Signal circuit(s)or limited-energy See
Address:6132 NE 1 12TH AVE
panel, extension. Page 2 2
Each additional
inspection over allowable is any of the above
City/State:/ZIP:PORTLAND OR 97220 Additional inspection(I hr min) 66.25/hr
Investigation(1 hr min) 66.25/hr
Phone:(503)8944903 Fax:(188)445-7459 Industrial plant(1 hr min) 78.18/hr
I Inspections for which no fee is
CCB Lic.: 180498 I Electrical Lic.: C562 Suprv.Lic.: 5201S specifically listed 04 hr min) 90.00/hr
Y
ELECTRICAL PERMIT al:
Suprv.Electrician signature,required: � Subtotal:
Print name: DEREK CROPP Date: 04/01/14 Plan review(25%of permit fee):
Authorized signature: �, Slate surcharge(12%of permit fee):
S 1. . TOTAL PERMIT FEE:
Print name: A. MELT A . y t I Date: This permit application expires if a permit is amt obtained within 150
04/01/14 days after k has been accepted as complete.
— • Number of inspections allowed per permit.
IIluatdir mrtsZLC_ParrApp_ELP E lEdoe Ray 05/211/2013 440-461S1(111/0S/COMAVEB
of
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined........ 575.00 uexcivihm C Qty. ! Fes f r.rat I•
Renewable electrical energy systems:
Check Type of Work Involved: s kvu or less 1 100.70 2
4
5.01 to 15 kva 133.56 2
❑ A• udio and Stereo Systems* 15.01 lo 25 kva 200.34 2
[i B• urglar Alarm Wind generation systems In excess of 25 kva:
25.01 to 50 kva 30104
I I Garage Door Opener* 50.01 to 100 kva 552.26 2
'>100 kva(fee in accordance with 55226 3
111 Heating,Ventilation and Air Conditioning OAR 918-309-0040)
SystCt71* Solar generation systems In excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 Iva noadtb*nnalcharge 0.0 3
Each additional inspection over allowable in any of the above:
n Other: Each additional inspection is 625/hr
charged at an hourly(I hr rain)
inspecrians kw which no fee is
90.00/
„Tccifcallt listed(:5 be min) hr
4611 >.: ttE
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review.if required(25%ofpennit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT PEE:
Tkia permit applkat[an expires if a permit Is not obtained within 150
1-1 Audio and Stereo Systems day& fter if has been;accepted as complete.
• Number of inspecliors allowed per permit.
❑ Boiler Controls
❑ Clock Systems
[1 Data Telecommunication Installation
❑ Firc Alarm Installation
❑ HVAC
❑ instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
T1 Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of-commercial systems:
*No licenses are required. Licenses are required
for all other installations
I‘lituldimsNtc Its'E.LC_Pn ,l App_hLe_.IiE doe Sc.05/21/2017