Permit CITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permit#: MST2014-00139
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2014
T l C+A R 13 9 Parcel: 1 S126DC10800
Jurisdiction: TIGARD
Site address: 9382 SW LEHMAN ST
Subdivision: LEHMANN ACRE TRACT Lot: 7
Project: Hostert
Project Description: Installation of solar photovoltaic system
BUILDING
Floor Areas Required 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: $4,335.00 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
0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 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:
ALT SF VB R-3 0
Owner: Contractor:
HOSTERT,DANIEL JOSEPH SOLARCITY CORPORATION Required Items and Reports(Conditions)
9382 SW LEHMAN ST 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: 503-679-6250 PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $326.88
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co• • the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. ,„
Issued By: Lei _ �i■ Permittee Signature: =mss
� 3.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept Ina conspicuous place on the job site until completion of the project
Approved plans are required on the job site at the time of each inspection.
. RE
Building Permit Applicat
CEIVED
Residential , . ,,, ,, , ,, , , ,, , ,, ,
AUG 25 2014
City of Tigard i Permit No.:/ r /4—et,/.9
13125 SW Hall Blvd.,Tigard
Phone: 503.718.2439 Fax:'5 59�F TIGARD l M1B- %,��i. pui Other Permit:
. I. Inspection Line: so3.639.41$UILDING DIVISION Date R- 7. - r" � 0 See Paw 2 for
Internet: www.tigard-or.gov DIVISION fl Sooptemenat Information
C-MV111+1 ('r 4:514
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.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: S 4,335
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
,SOB WE INFORMATION M11) LOCATION Total number of floors:
Job site address: 9382 SW Lehman St, New dwelling area: square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suite/bidg./apt.no.: I Project name: Hostert, Daniel J Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure arca: square feet
REQUIRED DATA COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*arc 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
DESCRIPTION OF WORK work indicated on this application.
PV ROOF MOUNT Valuation: S
Existing building area: square feet
New building area: square feet
® reoro IY OWNER I ❑ TENANT Number of stories:
Name: Hostert, Daniel J Type of construction:
Address: 9382 SW Lehman St. Occupancy groups:
City/State/ZIP: Tigard OR 97223 Existing:
g
Phone:(503 ) 679 6250 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* .
ax Business name:SOLAR CITY !!'it�A► ttaltr��
Contact name:MELISSA BENTLEY Structural plan review fee(or deposit):
Address:6132 NE 112TH AVE FLS plan review fee(if applicable):
City/State/ZIP:PORTLAND OR 97220
Total fees due upon application:
Phone:(503)594 6903 I Fax::(1866)445-7459
Amount received:
E-mail:ABENTLEYO SOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
Address:6132 NE 112T"AVE and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review 5180.00
and administrative fees):
Phone:(503)894-6903 I Fax:(1866)445-7459
State surcharge(12%of permit fee): $21.60
CCB lie.:180498
{{ Total fee due upon application: $201.60
Authorized signature:11 ft 11 0 I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
"Fee methodology set by Tri-County Building Industry
Print name:A. MELISSA , " TLE` Date' 08/25/14 I Service Board.
I:1 Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440.46131(11/02/COM/WEB)
. Buildin• Permit Application Checklist
One- and Two-Family Dwelling FOR t)I i ict: USE ONLY
City of Tigard Received
� Dale/By:
No
ill r 13125 SW I hill 131vd.,Tigard,OR 97223 Associated nnirs:
a Phone: 503.718.2439 Fax: 503.598.1960 Pe
24-1-tour Inspection Line: 503.639.4175 ❑ Electrical 1] Plumbing C1 Mechanical
I WAR!"
Internet: www.tigard-or.gov ❑ oilier
THE FOLLOWING ITEMS ARE REQt 1RED FOR l'I.A.N REVIEW lcs No Nia
l Land use actions completed. See jurisdiction criteria for concurrent reviews. • ❑ •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. ❑ j] ❑
3 Verification of approved plat/lot.__ -[1
4 Fire district approval required. Name of district: ❑ ❑ 0
5 Septic system permit or authorization for remodel. Existing system capacity ❑ 0 0
6 Sewer permit. ❑ ❑ U
7 Water district approval. [j ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. [,I ❑ EL
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
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 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if ❑ ❑ 0
there is more than a 4-I1 elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway; footprint of structure(including decks):location ofwells/septic systems;utility locations:direction
indicator:lot area building coverage urea;percentage of coverage;impervious area;existing structures on site:and
surface drainace.
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,room 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. ❑ ❑ 0
Exterior elevations must reflect the actual grade if the change in grade is greater than 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 analysisprovide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing.spacing,and bearing ❑ ❑ El
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 0
systems,see item 22."Engineer's calculations."
19 Beam calculations. Provide two sets ol'calculations using current code design values for all beatns 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 ' ❑ 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 ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be a limbic to the project under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
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 D
28 Sile plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0--0-
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.
I:U 3uildingWcnnits1 1311P-RESPermitApp.doc 07124/2011 440-4613T(I 1/02/COM/W1it3)
, Electrical Permit Applicati '�CEIVED , a„z (,, I I. , I ., -,, ,
gi
City of Tigard �s /4' Permit rlo.: �7' r`�-ev old
13125 SW Hall Blvd..Tigard,OR 9 �(;
Phone: 503.718.2439 Fax: 503.59f980 2 5 2014
Other Permit:
PIM Review
Inspection Line: 503.639.4175 Date Ready/By:
d/Met y: /aria ® See Page 2 for
Internet: www.ligard-or.gov CITY OFTIGARD Notified/Method: Supplemental Information
mE1WItG DIVISION PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit j sets of plans w/items checked below):
ID Demolition ❑Other: ❑Service« la
feeder 400 amps or more ❑Building over three stories.
where the available faith current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial Accessory building less to ground.or installations.ons ❑buildings.d•dase agricadtapral
❑ rY $ amps f«all other iratallatioras.
❑Multi-family ❑Master builder ❑Other: ❑Fi1s pump. ❑Installation of 150 KVA or
JOt; Snit INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E",-I-2","1.3",
Job no.: I Job site address: 9382 SW Lehman St, IOOHP«mo e. occupancy.
9722119 ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: Tigard OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations_ 600 volts nominal
Suite/bldg./apt.no.: I Project name: Hostert,Daniel J ['Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Denrion• I on. I Fee. I Taal I •-
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1.000 sq.ft.or loss 168.54 4
- Fit.addl 500 sq.IL or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy.multi-family 75.00 2
PV ROOF MOUNT residential(with above sq ft.)
Renewable Energy "See Page 2
Services or feeders installation,alteration,and/or relocation
a ritorzinv OWNER I 0 TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Hostert, Daniel J 401 amps to 600 amps 200.34 2
Address: . 9382 SW Lehman St, 601 amps to 1,000 amps 301.04 2
Over 1.000 amps or volts 552.26 2
City/State/ZIP:Tigard OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:( 503 ) 679 6250 Fax:( ) relocation
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,lease,rent,or exchange,according to ORS 447,449,670,and 701.
401 amps to 594 amps 168.54 2
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
Si APPLICANT. I 0 CON1.AC, PERSON A.Fee for branch circuits with
above service or Business name:SOLAR CITY each branch circuit fee,
7.42 2
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 Eachadd'I branch circuit 7.42 2
City/State/ZIP: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
panel,alteration,or extension. Page 2 2
Address:6132 NE 112Th AVE Each additional inspection over allowable In any of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP:PORTLAND OR 97220 Investigation(I hr min) 66.25/hr
Phone:(503)894-6903 Fax:(188)445-7459 Industrial plant(1 hr min) 78.18/hr
CCB Lic.: 180498 Electrical Lic.: C562 Suprv.Lic.: ....
Inspections c ll for which hr fee is
90.00/hr
p � specifically listed{y:hr min)
Suprv.Electrician signature,required:
EL1�11RICAL PERMIT PEER
Subtotal:
Print name: MC - H c S OrIG Date: 08/22/14 Plan review(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ( I II , TOTAL PERMIT FEE:
Print name: A. MELT A t I This permit application expires if a permit Is not obtained within 180
08/22/14 days after It has been accepted as complete.
• Number of inspections allowed per permit.
II awldina\PermesiELC_PermnApp_ELR_EREdoe Rev 05/2 taw 440-4615T(II/os/commie
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 naaertal • f ot.. I r.. f >IW 1'•
Renewable electrical energy systen.s:
Check Type of Work Involved: 5 Ian or less 1 100.70 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
El Burglar Alarm Wind generation system`in excess of 25 kva:
25.01 to SO kva 301.04 2
❑ Garage Door Opener* so.a1 to 100 kva 552.26 2
IOU kva tfce in accordance with
552.26 2
[::j Heating,Ventilation and Air Conditioning OAR 918-309-1104 01
System* Solar generaibni systems In excess of 25 kva:
Each additional kva ovcr25 7.42 3
❑ Vacuum Systems* >MOO kva noaddiiitmal charge 0.0 3
Each additional inspection over allowable in any of the above:
Other: Each additional inspection is 66.251 hr
charged at an hourly(1 1w min)
Inspections for which no fee is
speciflcallr listed 1.4 hi min) 90'00/
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review.if required(25%of permit fee):
Slate surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT PEE:
This permit applicatlen expires if a permit Is not obtained within 180
El Audio and Stereo Systems days after it has been accepted as camptere.
• Number of inspections allowed per permit.
O Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
[II Fire Alarm Installation
❑ HVAC
❑ Instrumentation
H Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I1 tA:ddmg2'crmies.ELC_re.n�'sApp_I:LR_ERIi doe Rev 0.5/21/2017