Permit CITY OF TIGARD MASTER PERMIT
NI -
'r
i. • COMMUNITY DEVELOPMENT Permit#: MST2014-00001
Date Issued: 01/16/2014
TIGARD 13125 SW Hall Blvd.Tigard OR 97223 503.718.2439 Parcel: 2S104AA01400
Jurisdiction: Tigard
Site address: 12270 SW BELL CT
Subdivision: BELLWOOD Lot: 63
Project: Allender
Project Description: Installation of solar photovoltaic system.
BUILDING
Floor Areas Required Setbacks Required
Stories 0 Bedrooms 0 First 0 sf Basement. 0 sf Lett 0 Parking Spaces 0
Height 0 Bathrooms 0 Second: 0 sf Garage: 0 st 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 D 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 I-dr 0
Ea add'I 500 at 0 201-400 amp 0 201-400 amp: 0 W/O 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 Security Alarm N `faccuurr System. ti 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:
ALT SF VB R-3
Owner: Contractor:
ALLENDER.TARA&THOMAS SOLARCITY CORPORATION Required Items and Reports(Conditions)
12270 SW BELL CT 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND.OR 97220
PHONE 503-349-4179 PHONE: 971-201-5278
FAX 866-592-2249
Total Fees: $325.38
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 AT - regon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR
952-00 -0010 through 0 9 - 1-0 90 You may obtain a copy of the rules or direct questions to OUNC by callin 2 1987 or 1 800.332 2344
Iss By:
y: --{ Permittee Signature; ��� /� I p Y L-t
Call 503.639.4175 by 7:00 a.m.for the next available inspection 00.
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,
BuildiniPermit Application I
Residential I iEIVED. 1 alt 01 rte r l sr u u ti
City of Tigard 072014 r firOKIM Pena Na.: H. . f9,1 leg
q 13125 SW HaII Blvd..Tigard,OR 97223 pW Revicw Plremre: 503.71&.2439 Fax: 503.598.[960 pa-; Oder Permit All n_
- 1; I ., Inspection Line: 503.639,4175 .. i r , JF 1 t Dak Read / 1°fe 0 See Page 2 for
Internet: www.tigard-or. ov 'I IIt ?A!1*.'�1fy Noti1,edMefbo& / mom_ Supplemental Warmadoa
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 equip,rnataials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
®l-and 2-family dwelling 0 Commercial/industrial Valuation: S ' ,2i IG t/(} 1
❑Accessory building ❑Multi-famfy Number of bedrooms:
❑Master builder ❑Ogg Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: 122 70 9J I k C.k. New dwelling area: square feet
Suites to l v 3 Garage/carport area: square feel
Suitelb .no.:
Covered porch area: square feet
Cross strcYdirections to job site Deck area: square feet
Other structure area: square feet
REQUIRED DATA'COMMERCIAL-USE CHECKLIST
Subdivision: 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
erquipmen materials,labor,overhead,end the profit for the
DESCRIPTION OF WORK wort indicated on this application.
Roof Mount PV System Valuation: S
Existing building area: square feet
Ncw building area: square feet
® IRtomirry OWNER I ❑ TENANT Number of stories:
' Name: AA t 0 '� l Type of construction:
Address 111 V ft1N 4)\.1)
f occupancy Snaps:
City/State/ZIP: "•',")
Phone:( 3 31 -4 I Fax:( )
® APPUCAIrr ® CONTACT PERSON
BUILDING PERMIT FEES*
Business roam SnhrOty Corporation lase roar r fee,cGdnte)
Contact name + )ollt�. Kr ll, Structural plan review Foe(or depeuil): •
s FLS plan review fee(if applicable):
Address:6132 ME 112 Ave
City/State/ZIP:Portland,OR 97220 Total fees due upon application;
PhoncC44-1( 1.0` 5 7 I Fax:: G—547r)90/1-1 C Amount received:
E-mail: l' i t�P`� } (� �1 /;r fi �1r PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
`• ►v_re ti r
Commercial and residential prescriptive installation of
CONTRACTOR 1 roof-top mounted Photo Voltaic Solar Panel System.
Business name SolarCtty Corperason Submit two(2)sets of roof plan with connection details
and Oregon
r department
Address:6132 NE 112°Ave SolarInstall Specialty 2010 Code checklist.
City/State/ZIP:Portland,OR 97220 Permit Fee(includes plan review 1180.00
and administrative fees):
Phone:it?7 J 9O` `' Fax f„ 5li (Ql l Gj Stitt surcharge(12%of permit fee): S21.60
CCB Tic:180198 (� `f `'i ( Total fee due upon appli ' S2Q
Authorized signature:
AC21/V't' Thi s t a nation es v a is aof abtai�r sd
4 within ca i0 days after it has been■ fe�LiOrn Teen
•
aeP R
Print name Date.
•Fee methodology set by Tri-County Building Industry
Service Barad.
I:.Building\Pennils\BUP•RESPe nnhtApp.doc 02/24/2011 4404613T( l 2C OMlWIB)
Electrical Permit Application VEIN) FOIl Ili 1 IC I:t SF°\I.7
City of Tigard Received � '
7 2014 DaterBy: t 7//4 �J Permit No.:,'l5>`d�/ -erioer
• 13125 SW Hall Blvd.,Tigard,OR 97223 O / 2 14 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 n pa�gy. Met Pamir
1 1 i: I.1., inspections Line•: 503.639.4175 JF I IGARP Date Read)'By: hair. - 0 See Page 2 for
Internet: www,tigard-or.gov r NotifieUJMetbod: Supplemental Information
TYPE OF WORK PLAN REVIEW
El New construction ®Addition/alteration/replacement Plutt check all that apply(submit J sets orplans w/weou checked below).
❑Service or feeder 400 amps or more ❑Building over throe stories
❑Demolition ❑Other: where the available fault current ❑Marini and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps al 150 volts or ❑Flowing buildings.
® I-and 2-family dwelling n Commercial/industrial less to ground,or exceeds 14,000 ❑Coevaercisl-are agricultural
❑Accessory building amps ten ill other installations. boiLdn.
❑Multi-family ❑Master builder ❑Odrcr, O File pump. ❑Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION
['Emergency system beg r separately derived derived sya I I
OAddition of new cooler bat of ❑ A F '1 2'"I-;
Job no.: 1 Job site address: 1 L 7-1 0 ^' 10014P or more.5r3 t 1 G� O Su or more rmi ealu l units. occupancy.
0 Recreational vehicle le parks.
CityStat/ZIP: \\f 2,,20 C C1 a33 ❑Heelthare facilities.
O sus locations. ❑Sappy voltage for mare dun
600 vote nominal.Suitdb�&lap t. so.: Project nme: J 1 ,,�V Z.M1 O&Mo a or feeder 600 a m
or more.
FEE SCHEDULE
Cross street/directions to job site: pa.vrawa I tlsr. I r«. I law l •
New residential single-or multi-family dwelling alit
ladude attached garage.
Subdivision: I Lot no.: 1,000 acs It.or less 168-54 4
Ea.add'l 500 sq f or pceucn 3192 t
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq ft.) 75.00 2
Limited enrgy,multi-family
Root-Mount PV System r sidaitial(with above sq.ft.) - 75.00 2
Services or feeders sastallationnatferatioa,audio r relocation
1 200 amps or less 1 I00JO I(x,'702
El PROPERTY OWNER ❑ TENAl • 201 amps to 400 amps 13356 2
401 amps to 600 amps 200.34 2
Name: _ _A ti ,
601 amp to 1,000 amps 301.04 , 2
Address: ' �Jj 70 C -V- I t e t Over 1,000 amps o volts - 552.26 2
City/State/ZIP: ----1---- 14D C G� t Temporary services or feeders fnatallatiotti alteration,and/or
relocation
Phone:(70) 1 L 7`I I Fax:( ) 200 amps or leas 59.36 1
/ 201 amps to 400 amps 125.08 2
Owner installation:This installation is being made on property that 1 own which is not 401 amps to 599 art's I61.54 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
Branch circuits-new,alteration,or extension,pfr panel
Owner signature Dal= 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
f B.Foe for branch circuits without
Contact nwne - Q�'�� K service or feeder fee first
56.18 2
�V\ brsrrcb cacuil
Each add'I branch circuit 7.42 12
Address 6132 NE 112'1'Ave MiseeWneous(service or feeder not included)
City/State/ZW:Portland,OR 97220 Each manufactured or modular 67x4 2
5;1-7 dwelling,service and/«fader
-
Phones(971),got� -� Fax::(866)<el n c r�Ll Cl Reconnect only 67.64 2
Pump or irrigation eiele 67.14 2
E-mail: ]�f( rcity.eom Signor outline lighting 67.14 2
CONTRACTOR Signal circuit(s)ci 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 bepenion(1 hr min) 66.251hr
hi-
City/State/ZIP:P:Portland,OR 97220 lavtxliplioa(1*min) 66.29
/
Industrial playa(1 lu min) 78.II/hr
Phone;(971);,)()f Irk 97.6 I Fax:(866) 1 C Z_ 1 Z —1'- Inspections for which no foe is 9o.00if k
t specifically listed(t hr min) 1
CCB Lie.: 110498 ( Electrical L • C562 Suprv.Lie.: 5201S ELEC[RICAL PERMIT nos -
Suprv.Electrician signature,required: J/.. / _
h -_ _ Subtotal: Lk' ,
name: �
Plan review(25%of permit fee):
Print nam Derek Cropp Date: State surcharge(l2%of permit fee): ri C:1
Authorized signature: • ,
TOTAL PERMIT FEE: ()
_ L This permit application expires If a permit is am obtained within 1st
—
Print name: ,�`'� days after it has been accepted w magpie*.
■■ ' Dale: • Number or inspections allowed per permit.
L naalifwg fermi ELC•PcrmiApp.doc 0"01 I0 440-46157/11 of 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
12270 SW BELL CT, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
2014-02-26 00:00:00
MST2014-00001
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
12270 SW BELL CT, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
2014-02-26 00:00:00
MST2014-00001
PASS - No C of O
Violation Summary:
Inspector Contractor