Permit CITY OF TIGARD MASTER PERMIT
111111 I COMMUNITY DEVELOPMENT Permit#: MST2014-00067
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 15/14/2014
Parcel: 1 S 134AC08D00
Jurisdiction: Tigard
Site address: 11022 SW GENEVA ST
Subdivision: JEFFREY ESTATES Lot: 17
Project: Smith
Project Description: 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
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Tvpes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=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'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:
OTR SF VB R-3 0
Owner: Contractor:
SMITH,JASON C SOLARCITY CORPORATION Required Items and Reports(Conditions)
11022 SW GENEVA ST 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: 503-516-7576 PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $358.69
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 =nter. Those rules -re set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co&-ut les or direct questions to OUNC by calling 5e '3 •87 or 1 :r r<�4..I
Issued By: /....-- Permittee Signature: 1 ,:a ih i a■■.
. 9.4175 by 7:00 a.m.for the next available ins _
y inspection dat`
This permit card shall be kept in a conspicuous place on the job site until completion•f th, • oject
Approved plans are required on the job site at the time of each inspection.
. / '• n�
Building Permit AiaulicatioiKECF{VED
Residential MAY 6 2014 /���I ` ` '`
City of Tigard R e_s-ffi%___ Penni. 55e20/ ,e/i , 7
13125 SW Hall Blvd.,Tigard,OR 9 f TYOF TIGARD - • �
6. Phone: 503.718.2439 Fax: 503.5', ► ,_4, �I •tr(Z' Permit:
Inspection Line: 503.639.4175 a I DING DIVISIOP' Dare•._:: a See her 1 for
Internet: www.tigard-or.gov Nou6edimstaedf / .01■,,,....gne Seale.ems1Lfer.aW.
TT *or**Mt;. DATA: -AND 2-FAIRLY 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 CONSTRUC11011 work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial
Valuation: S 7,000
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOE SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11022 SW Geneva St, New dwelling area: square feet
City/Stat IZIP: Tigard OR 97223 carport area: square feet
SuitelbldgJapl no.: I Project name: Smith,Jason C Covered porch area: square feet
Cross strod/d'secxions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: ottoman'
n'
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
DFJCRIF ION OF IVORK work indicated on this application.
PV ROOF MOUNT 7 KW Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I D TENANT Number of stories:
Name: Smith, Jason C Type of construction:
Address: 11022 SW Geneva St, Occupancy gaups:
City/State/ZIP: Tigard OR 97223 Existing:
M1O1C:(503) 516 7576 Fax:( ) New:
® A FUCANT 0 CONTACT PERSON 111.111.11ING PERMIT FEES'
Business name:SOLAR CITY
Memre&adzaah�
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
FLS plan review fee(if applicable):
Address:6132 NE 112'm AVE
City/State/ZIP:PORTLAND OR 97220 Taal fees due upon application:
Phone:(5413)894 6903 I Fax::(1866)445-7459 Amount received:
E-mail:ABENTLEYQSOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEW
COIuTIRACIOR 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
Address:6132 NE 112''c AVE Soo lire department access,along with the 2010 Oregon
Specialty Code checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review
$180.00
and administrative fees):
Phone:(503)894-6903 I Fax:(1866)445-7459
State surcharge(12%of permit fee): 521.60
CCB lic.:186498
Total fee due upon application: $201.60
Authorized signature:IIP 4 This permit application expires if a permit is not obtained■ within 1811 days after it has been accepted as complete.
Print name:A. MELISSA TLE Date: 05/02/2014 *Fee methodology set by Tri-County Building Industry
Service Board.
IABuildinePennitsIBUP-RESPennitApp.doc 02/24/2011 440-4613T(I II)WOM/WEB) C G /914-771 /Ai 1C71--t----_c
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Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFl r: t'4 1 O\1 ,
City of Tigard Recened
Permit .:
13125 SW Itall Blvd.,Tigard,OR 97223 Da1c/13
Associated remits:
, Phone: 303.718/439 Fax 503.598.1960
24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical
I IGAR17 Internet: www.ligard-or.gov ❑ Other:
THE FOLLOW INC lt•F\1' .1RI.. REQUIRED FOR PLAN REVIEW ,es ,o .,a
I Land use actions completed. See jurisdiction criteria for concurrent reviews. [] O •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. [] ❑ ❑
3 Verification of approved plat/tot, ] • ❑
4 Fire district approval required. Name of district: ❑ ■IIE■
5 Septic system permit or authorization for remodel. Existing system capacity _ • ■ ■
6 Sewer permit. • ❑ ❑
7 Water district approval.
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- —0 El
basin protection.etc.
10 3 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 state. 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-f1.intervals);location of easements
and driveway;footprint of structure(including decks):location of wells/septic systems;utility locations:direction
indicator.lot arca;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,vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions.mom identification,window size,location of smoke detectors-water heater. ❑ ❑ 0
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- ❑ 0 0
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 Uman four foot at building envelope.
Full-size sheet addendums 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- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof 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 22,"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 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ' ❑ Er-
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 [] ❑ ❑
architect licensed in Ore on and shall be shown to be licable to the project under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x II"or 11"x 17". ❑ []
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ --D_
25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. ❑ - 1 ❑
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. ❑ 0 ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ Cf ❑�
Street Tree List,
29 Site plan to include trees and tree protection measures as required by conditions of approval. 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 form 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.
1:1Building\'arils\BtJP-RESPennitApp.doc 02/24/2011 440-4613T(I 1/02/COivt/Wll)
a
Electrical Permit ApplicatioaEGIV , , , .E , , , ;4.
ili
City of Tigard MAY 6 2014 Received S 6 / �""""° %�/y/®0_
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.1�'�/ naaerB ;
Other Paurit:
Inspection Line: 503.639.4175 V11 1 0F 1 I(GAfID Date Ready/By: err: 0 See Paget for
Internet: www.tigard- r.gov RUII DH'rn h1��IS10�� NotifiedltiWhod.
Supplemental Information
TYPE OP 11ri71,j l PLAN REvww
❑New construction ®Addition/alteration/replacement Please cheat all that apply(submit 2 sets of pans wrneos checked below):
El Demolition ❑Other where Service or feeder 400 maps or more ❑Balding over three stories.
where the available auk current ❑Marinas and boatyards.
CATEGORY OF CONITIRICTION exceeds 10,000 apps at 150 volts or ❑Floating branding,.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building leas to around,an or exceeds 14.000 ❑Commercial-we agricuhuml
amps for erg altar installations. baildiags.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑hmalarioa of 150 KVA or
❑
FOR SITE B+IPORMATION AND LOCATION r system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","1.2","I-3".
lob no.: I Job site address: l00HP or more. occupancy.
9721903 11(122 SW Geneva St, ❑six or more residential units. ❑Recreational vehicle parka.
City/State/ZIP: Tigard OR 97223 ❑Health-care facilities. ❑supply voltarge for attic than
❑Hazardous locations_ 600 volts nomitut
Suite/bldgJapt.no.: I Project name: Smith, Jason C ❑Service or kedge 600 amps or more.
FEE 8C®IA..E
Cross street/directions to job site: a>,errui.. I pr. I Fee. 1 T.w I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1.000 sq.II.or Iesa 16154 4
— Ea add'I 500 sq.ti or potion 33.92 I
Tax map/parcel no.: Limited energy.residential
75.00 2
D®(EMPTION OP IVORY (with above s9.R.)
Limited energy.multi-family 75.00 2
PV ROOF MOUNT 7KW resideuial(with above sq.ft.)
RfaRtrs al Dom Witter Page 2
Services or feeders installation,alteration,and/or relocation
® raorearry OWNER ! a .rlarANr 200 amps or less 100.70 2
Name: Smith, amps to 400 amps 133.56 2'
Smith, Jason C 401 ampsto600amps 200.34 2
Address: • 11022 SW Geneva St, 601 amps to 1.000 amps 301 04 2
Over 1.000 amps or volts 552.26 2
City/State/ZIPTigard OR 97223 Temporary services or feeders Instalatioa,alteration,and/or
Phone:( 503)516 7576 I Fax:( ) relocation -
Owner Iu taIWat40n:This installation is being made on property that I own which is not 201 am 200
am s to less 25.06 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. ps to 400 amps 125.08 2
401 amps to 599 apps 168.54 2
Owner signature: Date: Breach circuits—sew,alterations or extension,per panel
®At eAN'T I ® CONTACT PERSON k Fee for branch circuits with
above service or Ate. 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
56.18 2
branch circuit
Address:6132 NE 112"AVE Each add'i branch circuit 7.42 2
City/State/ZlP:PORTLAND OR 97220 Miscellaneous(service or feeder not initialed)
ftidr manufactured or modular 67.84 2
Phone:(503)894-6903 I Fax::(1866)445-7459 dweIlira.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
panel,alteration,or extension. Page 2 2
Address:6132 NE 112"AVE Each additional inspection over allowable In any of the above
City/State/ZIP:PORTLAND OR 97220 Additional inspection(I hr min) 66.25/hr
Investigation(I hr min) 66.25/hr
Phone:(503)894-6903 Fax:(188)445-7459 Industrial plant(1 hr min) _ 78.18/hr
Inspections for which no fee is
CCB Lic.: 180498 I Electrical Lic.: C562 Suprv.Lic.: 5201S specifically hr
fically listed(%hr min)
ELECTRICAL. PER11(IT KEYS
Suprv.Electrician signature,required: Subtotal:
Print name: DEREK CROPP Date: 05/02/2014 Plan review(25%of permit fee):
State surcharge(12%of permit lee):
Authorized signature: t TOTAL PERMIT FEE:
s.
Thin permit emplanes expires if a permit Is net attained withie 110
Print name: A. MELT'r: : o I I Date: 05/02/2014 days after I has been steeped as eamplele.
• Number of inspections allowed per pert.
e MuildegKensid ELC_tbrU1pp_ELR_ERE doe Rat OS/3t/2013 440-461ST(t 1105/C'OW WEE
•
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
... ... ........
Fee for all residential systems combined........ $75.00 aerttatw I Otr. I Re i Thai 1 .*
Renewable electrical energy systems:
Check Type of Work involved: 5 kvu or less 100.70 2
5.01 to 15 kva 1 133.56 $133.56 2
n Audio and Stereo Systems* 15.01 1o25 kra 200.34 2
n Burglar Alarm
Wind geaeratioa systems in excess of 25 Ws:
35.01 to 50 kva 301 04 3
1 1 Garage Door Opener* 50.01 to 100 kva 552.26 2
I00 kva(fee in accordance with
❑ Heating, Ventilation and Air Conditioning
OAR 918-309-0040) 55226 3
System* Solar generation systems In excessof25kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva -noadditionalcharge 0.0 3
LiOther additional inspection over allowable in any of the above:
Other. Each additional inspection is
charged at an hourly(1 hr min) 66 25/hr
Inspections for which no fee is
90,00/iir
;r specifically listed(.5 hi min)
1 .7 !x! f .;'«;:';: `•:-:?c `_-=f := ':_- i l f f ,. t ire LFEES
Fee for each commercial system....................... $75,00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of pennit fcc):
State surcharge(12%of permit fix):
Check Type of Work Involved: TOTAL PERMIT PEE:
This permit application expire if it perish is sof obtained within 180
(l Audio and Stereo Systems days after it has been accepted asceapiek.
' Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
[� Data Telecommunication Installation
❑ Fire Alarm installation
❑ 1-IVAC
❑ Instrumentation
❑ intercom and Paging Systems
❑ Landscape irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I tit„adi,rr.,,,•it ELC_r..n,enp-ELR-hRE don R0,55/21[2511
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11022 SW GENEVA ST, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
May 22, 2014 at 8:39:51 AM
MST2014-00067
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11022 SW GENEVA ST, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
May 22, 2014 at 8:39:05 AM
MST2014-00067
Jeff Grove
Violation Summary:
Inspector Contractor