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Permit q CITY OF TIGARD MASTER PERMIT II 8 COMMUNITY DEVELOPMENT Permit#: MST2014-00213 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2014 Parcel: 2S 112C D 14600 Jurisdiction: Tigard Site address: 7934 SW CAROL ANN CT Subdivision: REBECCA MEADOWS Lot: 3 Project: Boggs Project Description: Installation of solar photovoltaic system. BUILDING Floor Areas Required Setbacks Required _ Stones: 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<10OK: 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]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: BOGGS,DANIEL A ELEMENTAL ENERGY LLC Required Items and Reports(Conditions) 7934 SW CAROL ANN CT 14500 SW 92ND AVE TIGARD,OR 97224 TIGARD,OR 97224 4 PHONE: 503-975-1479 PHONE: 503-967-5786 FAX: Total Fees: $315.88 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes an. - . other ap• ca.e 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, •• ork is s -pen.-d for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C= -r Those r es a set forth in OAR 952-001-00 : roue-OAR 9 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 '8 0 .800.33 2344. 1 /Issue By: _ • • Permittee Signature: • , / f� • Call 503.639.4175 by 7:00 a.m.for the next available inspection d This permit card shall be kept in a conspicuous place on the job site until compl: ':,of the project. Approved plans are required on the job site at the time of each insp; tion. wrt Y Building Permit Applicati°�ECEIVEP Residential FOR OFFICE USE ONLY City Tigard DEC 2 Received © tl fr,�i/a,•ZJ Cit of Ti ara U 2014 pate/B : �a Permit No.: `j °L • 13125 SW Hall Blvd.,Tigard,OR 97220 Plan Revie —► Other Permit: Phone: 503.718.2439 Fax: 503.598 OF TIGARD Date/B : ,Cy r♦ �(+_ Inspection Line: 503.639.4175 OFTIG•`RD Date Ready/By: Jun,. ® See Page 2 for �` VISION Internet: www.tigard-or.gov BUILD[N('DI Notified/Me f��f Supplemental Information 1w. r '�a�f/��o TYPE OF WORK RE• WED 111 A: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. Valuation: $ ® I-and 2-family dwelling ❑Commercial/industrial ❑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:7934 SW CAROL ANN CT New dwelling area: square feet City/State/ZIP:TIGARD,OR 97224 Garage/carport area: square feet Suite/bldgJapt.no.: Project name:-60465 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. 2.58 kW PRESCRIPTIVE ROOF-MOUNTED SOLAR PV INSTALL Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:DANIEL&SAVANNAH BOGGS Type of construction: Address:7934 SW CAROL ANN CT Occupancy groups: City/State/ZIP:TIGARD,OR 97224 Existing: Phone:(503)975-1479 Fax:( ) New: 0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:ELEMENTAL ENERGY,LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name:JOHN GRIESER FLS plan review fee(if applicable): Address: 14500 SW 92nd AVE Total fees due upon application: City/State/ZIP:TIGARD,OR 97224 Phone:(503)967-5786 Fax::( ) Amount received: --e9--.' E-mail:john @ekmentalenerpy.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:same as applicant Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP: $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 195141 Total fee due upon application: $201.60 t Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:JOHN G' R Date: 12/1/14 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB) Jrl * Electrical Permit Applica dflCEIVED FOR OFFICE USE ONLY City of Tigard Received .- • 13125 SW Hall Blvd.,Tigard.OR 23 2 2014 Date/B a Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: Other Permit: 1'1(.A SO Inspection Line: 503.639.417(2jTY OFTIGARU Date Ready/By: Juris El See Page 2 for Internet: www.tigard-or.g Notified/Method: Supplemental Information T�> J � 111 I6N PLAN REVIEW ❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w.items checked below): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other. where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION 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: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. 0 Addition of new motor load of ❑"A","E"."1-2"."I3" Job no.: Job site address: 7934 SW CAROL ANN CT. lo or more. occupancy. ❑Six x o or r more residential units. ❑Recreational vehicle parks. City/State/ZIP:TIGARD, OR 97224 ❑Health-care facilities. El Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I * New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Fa.add'1 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 2.85 kW PRESCRIPTIVE ROOF-MOUNTED SOLAR PV INSTALL residential(with above sq.ft.) Renewable Energy M See Page 2 Services or feeders installation,alteration,and/or relocation El PROPERTY OWNER ❑ TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: DANIEL&SAVANNAH BOGGS 401 amps to 600 amps 200.34 2 Address:7934 SW CAROL ANN CT. 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP:TIGARD, OR 97224 Temporary services or feeders installation,alteration,and/or Phone:( 503 ) 975-1479 Fax:( ) relocation 200 amps or less 5936 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 ® APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7.42 2 Business name: ELEMENTAL ENERGY each branch circuit B.Fee for branch circuits without Contact name: JOHN GRIESER service or feeder fee,first 5618 2 branch circuit Address:14500 SW 92nd AVE Each add.'branch circuit 7.42 2 City/State/ZIP:TIGARD, OR 97224 Miscellaneous(service or feeder not included) Each manufactured or modular Phone:( 503 ) 967-5786 Fax::( ) 12/1/14 dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 E-mail: john @elementalenergy.net Pump or irrigation circle 67.84 ' 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name:Alameda Electric Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: 3415 NE 44th Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr City/State/ZIP: Portland,OR 97213 Investigation(I hr min) 66.25/hr • Phone:(503 ) 319-2192 Fax:( )^ Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 199188 44\Iti Electrical Lic.: C923 1\x 1 Suprv.Lic.:3133S \\` specifically listed('c hr min) /f� n ELECTRICAL PERMIT FEES Suprv.Electrician signature,required"' let Subtotal: Print name: Ernest Singer Date: 12/1/14 Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: / TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within ISO . Print name: •n w/ Date: al 3I it,' days after it has been accepted as complete. Number of inspections allowed per permit. I:\Building\Permits\ELC_PernutApp_ELR_ERE.d,s Re%05/21121113 440-46 I Sr(I I/u5/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined $75.00 Description I Qy. I Fee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva 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 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with 552.26 2 OAR 918-309-0040) p Heating,Ventilation and Air Conditioning System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: I I Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90,00/hr specifically listed('/hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(2.5%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 n Audio and Stereo Systems days after it has been accepted as complete. * Number of inspections allowed per permit. n Boiler Controls n Clock Systems Data Telecommunication Installation U Fire Alarm Installation HVAC Instrumentation ❑ Intercom and Paging Systems Landscape Irrigation Control* n Medical n Nurse Calls I I Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PcrmitApp_ELR ERE.doe Rev 05/2112013 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 7934 SW CAROL ANN CT, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical ﬁnal PASS - No C of O MST2014-00213 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 7934 SW CAROL ANN CT, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2014-00213 Jeff Grove Violation Summary: Inspector Contractor