Permit CITY OF TIGARD MASTER PERMIT
* COMMUNITY DEVELOPMENT Permit#: MST2014-00144
T t GAR LD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2014
Parcel: 2S105DD05400
Jurisdiction: Tigard
Site address: 13755 SW SANDRIDGE DR
Subdivision: PACIFIC CREST Lot: 30
Project: BECKER
Project Description: Solar photovoltaic system.
BUILDING
Floor Areas Reauired 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: $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 adds 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:
BECKER,DAVID M 8 KENNETH J DYNAMIC POWER INNOVATION LLC Required Items and Reports(Conditions)
13755 SW SANDRIDGE DR 236 SE BAKER STREET
TIGARD,OR 97223 MCMINNVILLE,OR 97128
PHONE: PHONE: 503-857-0416
FAX:
Total Fees: $361.19
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 copy oft direct questions to OUNC by calling 0 32.19 7 or 1.800.332.2344.
Issued By: -i�z. ` ��r Permittee Signature: l.`.■-
Call 5 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 comple n of the pro t.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLI
.B Received r�
IN • 41,City of Tigard Date/By: -4 1 / Permit No.: p.57 3 +�—(0L
SW Hall Blvd. Tigard,O 3R
13125 g � Plan Revie
I —I Other Permit:
Phone: 503.718.2439 Fax:X50 . 0 2014 DateBy: �. r � (� I
T I C A R D Inspection Line: 503.639.4175 SU S Date ReadyBy: C� furls: ® See Page 2 for
Internet: www.tigard-or.gov Notifted/Method:.! �� iy� Supplemental Information
I %. T 1. -liffi - -
TYPE OF '• ' '' 1 REQUIRED DATA:1-AND 2-FAMILY DWELLING
t,I '1 I
0 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: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13755 SW Sandridge Dr New dwelling area: square feet
City/State/ZIP:McMinnville,Or 97128 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Becker Solar Covered porch area: square feet
Cross street/directions to job site:217 S,Son Murray,Ron Barrows,L on Deck area: square feet
Horizon,R on Creekshire,R on Fern,L on Catalina,R on Klipsan,L on Sandridge Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.:5400 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S105DD05400 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.
Install PV array on roof Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:David Becker Type of construction:
Address:13755 SW Sandridge Dr Occupancy groups:
City/State/ZIP:Tigard,Or 97223 Existing:
Phone:((Net) 5,0-5 7 7 Li Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Dyanmic Power Innovation (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Josh Kopczynski
FLS plan review fee(if applicable):
Address:236 SE Baker St
Total fees due upon application:
City/State/ZIP:McMinnville,Or 97128
Phone:(503)857-0416 Fax::( ) Amount received:
E-mail:dee @dpisolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Dyanmic Power Innovation Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:236 SE Baker St Solar Installation Specialty Code checklist.
J
City/State/ZIP:McMinnville,Or 97128 Permit Fee(includes plan review
S180.00
and administrative fees):
Phone:(503)857-0416 I Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:185494 Total fee due upon application: $201.60
Authorized signature:1 1 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print Nam Date:9-4-14 *Fee methodology set by Tri-County Building Industry
Service Board.
�z�> P� �'
1:1BuildingV�ermits\BUP- S 4i pp.doc� 2/'a/20ii1 440-4613T(11/02/COM/WEB)
Electrical Permit Applicatio FOR OFFICE USE ONLY
City g
CI of Tigard �� Received
DateB Permit No.:
't lI Tigard,13125 SW Hall Blvd., ga d,O 9 0k Plan Review
_ Phone: 503.718.2439 Fax: 503. 19 Q % AateB Other Permit:
TIGARD Inspection Line: 503.639.4I75 V Date Ready/By: runs: El See Page 2 for
Internet: www.tigard-or.gov j, Notifiedavtethod: Supplemental Information
TYPE•OF,W Yt0 1• PLAN REVIEW
❑New construction Addition/alter . em- ent
Please check all that apply(submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF'CONSTRUCTION exceeds 10,000 amps at 150 volts cr ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
yT JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E","l-2","l-3
Job no.:br549 Job site address:13755 SW San dridge Dr 100 or more. occupancy.
ID Six o or r 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.: Project name:Becker Solar ❑Service or feeder 600 amps or more.
FEE SCIIEDULE
Cross street/directions to job site:217 S,SonMurray,R on Barrows,Lon Hori Description [ Qtr. f Fee. i Total 1 •
New residential single-or multi-family dwelling unit.
RonCreekshire,RonFern,LonCatalina,RonKlipsan,LonSandridge Includes attached garage.
Subdivision: Lot no.:5400 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.:2S105DD05400 Limited energy,residential 75.00 2
.DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
Install Inverters,disconnect with conduit and wire required for pv array. residential(with above sq.ft.)
Renewable Energy 0`•SeePage;2 •
j Services or feeders installation.alteration,and/or relocation
® PROPERTY OWNER ' ',❑ TENAN•T , 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2 •
Name:David Becker 401 amps to 600 amps 200.34 2
Address:13755 SW Sandridge Dr 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Tigard,Or 97233 1 Temporary services or feeders installation,alteration,and/or
Phone:(949)510-5774 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 599 amps 168.54 2
Owner signature: _ Date: Branch circuits—new,alteration,or extension,per panel
K I APPLICANT ❑ •CON'TAC'T'PERSON A.Fee for branch circuits with
above service or feeder fee,
Business name:Access Electrical
each branch circuit 7A2 2
B.Fee for branch circuits without I
Contact name:Kent Zimmerman . service or feeder fee,first 56.18 2
branch circuit
Address: 13625 SW Farmington Rd Each add'/branch circuit 7.42 1 2
Miscellaneous(service or feeder not included)
City/State/ZIP:Beaverton,Or 97005 Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Phone:(503)642-4333 Fax: ( ) Reconnect only 67.84 ' 2 .-
E-mail: kzimmeramn @buildlcd.com Pump or irrigation circle 67.84 2
'CONTRACTOR Sign or outline lighting 67.84 2 I
Business name:Access Electrica l Signal circuit(s)or limited-energy See ,
panel,alteration,or extension. Paee 2 2
Address: 13625 SW Farmington Rd Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Beaverton,Or 97005
Investigation(1 hr min) 66.25/hr •
Phone:(503)642-4333 Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00,1 hr
CCB Lie.: 197316 ,l�t\w Electrical Lic.: C879 /I\\\' Suprv.Lic.: 4931S . '• specifically listed(%hr min)
-------------- ELECTRICAL PERMIT-FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Kent Zimmerman Date: C1 u \,,i Plan review(25%of permit fee):
1 1 State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Kent Zimmerman Date: days after it has been accepted as complete.
" Number of inspections allowed per permit.
I:1BuildingWermits'El.C_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(l l/05/COM/WEB