Permit CITY OF TIGARD MASTER PERMIT
111 e
I. COMMUNITY DEVELOPMENT Permit#: MST2014-00195
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2014
TIGARD Parcel: 2S103AB04500
Jurisdiction: Tigard
Site address: 11452 SW SHROPE CT
Subdivision: WALNUT GLEN Lot: 3
Project: Griebeler
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: $7,395.00 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 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:
OTR SF VB R-3 0
Owner: Contractor:
GRIEBELER,LOUIS R&LAURA P SOLARCITY CORPORATION Required Items and Reports(Conditions)
11452 SW SHROPE CT 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
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 throug AR 952-.20094 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , G�lcl1� Permittee Signature: OA " ,/'�/L q--77c/./
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
• Building Permit Application
Residential lull 0141( I. I SI.liNI.l
City of Tigard l ,/ PermitNo.: u 13125 SW Hall Blvd.,Ti ard.OR 973ECEI
:� 8 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 NOV 3 20 Date/By: Oilier Permit:
I I c,A H U Inspection Line: 503.639.4175 Nov v Dale Ready/By: t ' ® See Page 2 for
Internet: www.ligard-or.gov ��,,r „` L Notified/Method f T C Sappkrncntal Information
TYPE OF vommtwIroingir REQUIRED DATA:I-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 7,395
Acces Number of bedrooms:
❑ .sory building ❑Multi-family
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11452 SW Shrope Ct, _ New dwelling area: square feet
City/State/ZIP: Portland OR 97223 Garage/carpon area: square feet
Suite/bldg./apt.no.: Project name: Griebeler, Laura Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees'are 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: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Griebeler, Laura Type of construction:
Address: 11452 SW Shrope Ct, Occupancy groups:
City/State/ZIP: Portland OR 97223
Existing:
Phone:( ) 503 894 6903 , Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:SOLAR CITY (Moue r e1 aJwacA�rrip
Structural plan review fcc(or deposit):
Contact name:MELISSA BENTLEY
Tx FIS 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:
F-mail:ABF,NTLFYa?SOLARCI"fY'.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
('ONI'RA(1'OR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
and lire department access,along with the 2010 Oregon
Address:6132 NE 112 AVE Solar Installation Specialty Code checklist.
City/State/LIP:PORTLAND OR 97220 Permit Fee(includes plan review
and administrative fees): 5180.00
Phone:(503)894-6903 Fax:(1866)445-7459 State surcharge(12%of permit fee): 621.60
CCB tic.: 180498 ` Total fee due upon application: $201.60
Authorized signature: 1 4 , 1 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 Date: 10/3 0/14 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1 Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613'1'(1 1/02/COM/WEB)
Bfildin2 Permit Application Checklist
One- and Two-Family Dwelling volt OFFICE: USE OM
City of Ti and Received
114 g �a«[Iy. Permit No.:
13125 SW I loll Blvd.,Tigard,OR 97223
a Phone: 303.718.2439 Pax: 503.598.1960 Assoeialed pennds
24-Ndxer Inspection Line: 503.639.4175 ❑ Electrical ❑ PI uehinit LI Mechanical
1 I ti 11.1)
interne!: www.tigard-or.gov ❑ Other:
THE F01.l.t l\\ INC ITEMS .\RL REQl !RED FOR PLAN REVIEW ,,5 No ,r a
I band use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 •■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. .J�J ❑ ❑
3 Verification of approved plat/tot. ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity —❑ 0
6 Sewer permit. 0 ❑ U—
7 Water district approval. CI Cr 1
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- ❑ ❑
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 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-ft.intervals);location of casements
and driveway: footprint of structure(including decks);location of wells/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,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 ol'all wall and roof sheathing,rooting.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. ❑ ❑ El
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 Wail bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations: for non- 0 ❑ ❑
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.
l8 Basement and retaining wails. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
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 feel long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑_
21 Energy Code compliance. identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
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 licable to the project under review.
23 Three 3 site .laps are required for Item 11 above. Site.tats 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"buildinghlans will not be accepted. I-1 El
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. Id 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of"Tigard ❑ ❑ ❑
Street'Free 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 Sejntember 9. 1995.
I:1BuildinglPcrmils\BUP-Rf SPennitApp.doc 02/24/2011 440-4613T(I l/02JCOM/Wt?I3)
Electrical Permit Application FOR OFFICE USE O".I.1
City of Tigard Permit No.: / —
11114
q 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review llif f]�
a Phone: 503.718.2439 Fax: 503.598.1 D e/g �7�' ((��ff (ether Permit
I R�AR1)
Inspection Line: 503.639.4175 'Date Ready/1W rwis ® See Pace 2 for
Internet: www.tigard-or.gov Notified/Method: SupptemenlalInformation
TYPE OF WORK 140V 2W4 PLAN REVIEW
❑New construction ®Addition/alteration/replace Please check all that apply(submit 2 sets of plans winems checked below):
j GE/t'`°' ❑Service or feeder 400 amps or more ❑Building over three storks
❑ Demolition ❑Other: ,, lialOt where the available fault current ❑Marinas and boatyards
SST
CATEGORY OF CONRbk•1'ION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings
❑ Multi-family ❑ Master builder ❑Other: Ohre pump ❑Installation of 150 K VA or
JOB SI I'F: INF'(/R11:111ON AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","F","I-2 "1.3",
Job no.: I Job site address: 11452 SW Shrope Ct, o or more. c ancy
❑Six x or r more residential units ❑R Recrereational vehicle parks
City/State/ZIP: Portland OR 97223 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal
Suite/bldg./api.no.: Project name: Griebeler, Laura ❑Serviceorfeeder600ampsormore.
__ FEE S('IIEDt'LE
Cross street/directions to job site: owtrinti.a I ow. I Fee. I T.tal I •
New residential singk-or multi-family dwelling unit.
Includes attached garage.
Subdivision: —1 l.ot no.: 1,000 sq.R.or less I I 168.54 l 4
Ea.add'l 500 sq.ft,or portion 33.92 I
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 ahme sq ft I
Renewable Energy ® See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2
Name: Griebeler, Laura 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Address: 11452 SW Shrope Ct, 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 r —TT
City/State/ZIP: Portland OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:(503 ) 894 6903
Fax:( ) relocation
211(1 amps or less 59.36 1
Owner installation:This installation is being made on property that 1 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 _
® APPLICANT I ® CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42
Business name:SOLAR CITY CORP each branch circuit
B.Fcc for branch circuits withal
Contact name:A. MELISSA BENTLEY service or feeder fee,first 56 18 2
branch circuit
Address:6132 NE 112"AVE Each add'!branch circuit 7.42 2
City/State/ZIP:PORTLAND OR 97220 Miscellaneous(service or feeder not induded)
Each manufactured or modular
Phone:(503)894 6903 Fax (1866)445 7459
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
E-mail:ABENTLEYQSOLARCITY.COM Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:SOLAR CITY CORP. Signal circuit(s)or limited-energy See
panel,alteration,or extension, , Page 2 2
Address:6132 NE 112111 AVE Each additional inspection over allowable in any of the above
City/State2lP:PORTLAND OR 97220 Additional inspection(I hr min) 66.25/it
Investigation(1 hr min) 66 25/hr
Phone:(503)894 6903 Fax:(1866)445 7459 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 180498 Electrical Lic.: C562 Suprv.Lic.: 5873S specifically listed(':hr min)
Suprv.Electrician signature,required: r/ ELECTRICAL PERMIT FEES
V Subtotal:
—
Print name: NICHOLAS ARMSTRONG Date: 10/30/14 Plan review(25%of permit fee):
State surcharge(12%of permit fee): _
Authorized si ature:
gn A i>� , TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name: A. MELISSA BENTLEY —1 Date: 10/30/14 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I Utuilding\Pcrmits\ELC_PermitApp_ELR_ERE doe aa►05121/2013 440.4615 T(I t/OS/COM/WEB
i
Electrical Permit Application—City of Tigard
Page 2---Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
'PU _
Fr4 ScglOtiLg^ :.:.:.:..: ._:.: :::.....
Fee for all residential systems combined $75.00 Description I oty 1 Fee 1 T«A •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 10030 2
5.01 to 15 kva 1 133.56 133.56 2
❑ Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
n Garage Door Opener* 50.01 to 100 kva 552.26 2
='100 kva(fee in accordance with
OAR 918-309-0040) 552.26 2
[1 Heating, Ventilation and Air Conditioning -
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
U Vacuum Systems* >)00 kva• no additional charge 00 3
Each additional inspection over allowable in any of the above:
113 Other: Each additional inspection 1s
charged at at hourly(I hr min) 66.25!hr 1
Inspections for which no fee is
90 00!hr
specifically listed(1',hr min)
g><,EMICAL.PERMIT FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) _Plan review.if required(25%of permit fee):
State surcharge(12%of permit fce):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained witkin 180
I Audio and Stereo Systems days after it has been accepted as complete.
• Number of inspections allowed per perms.
n Boiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑
Fire Alarm Installation
❑ 1-1 VAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
I Outdoor Landscape Lighting*
fl Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I+Buildingl`cmws\ELC PcrmitApp ELR ERE doe Rev 05/21/013
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11452 SW SHROPE CT, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2014-00195
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11452 SW SHROPE CT, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00195
Jeff Grove
Violation Summary:
Inspector Contractor