Permit CITY OF TIGARD MASTER PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MST2014-00219
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2015
Parcel: 2S114BB17900
Jurisdiction: Tigard
Site address: 16303 SW 103RD AVE
Subdivision: RIVERVIEW ESTATES Lot: 25
Project: MISSLIN
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: $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
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?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:
MISSLIN,EILEEN J&GREGORY P SOLARCITY CORPORATION Required Items and Reports(Conditions)
16303 SW 103RD AVE 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE: 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: i ,�.tea/ �►_ rmittee Signature:
Ca .- .•---.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 Apalication 13 Erf:11,11■■[
Residential
DEC I0 -,
City of Tigard T�/(� e�.t� ` limbed ��
13125 SW F71 2439 Tigard. C('1 !LJt {1��g��rnM IL/ �` �/i retain Pami-
r. '_ r"
Inspection Line: 503.639.4175 '�/I� L.711�1�7101' ..2 a, f/ iv •"E eg L�ifir��i.�
Intone!: v w�w.tigsd-or goo
EM91 L- /L'16uc5e9
min or rf ( maw DATA:I-Arm 3.PAm/.T 1NM1,amo
❑New construction ❑Demolition Permit fees'are based on the value of the work performed.
®AddNiar✓al aoarhert ❑Other Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
CATEGORY OP CONITRUL.fION work indicated on this application.
® 1-and 2-family dwdling ❑Commercial/industrial
Valuation: f 3,500
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other. Number of bathrooms:
MD SITE 11ORMA770Ni AND LOCATION Total number of floors:
Job sire address: 16303 SW 103rd Ave, New dwelling area: square feet
City/Side/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name•. Misslin,Eileen Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REOV lRlo DATA:COMMERCIIMASSI CNECELIST
Subdivision: I Lot no.: Permit fees*arc based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OP WOW work indicated on this application.
PV ROOF MOUNT Valuation: S
Existing building area: square feet
New building area: square feet
el/eorga[Y OlIl11NI , 0 TENANT Number of stories:
Name: Misslin,Eileen Type of construction:
Address: 16303 SW 103rd Ave, Occupancygrorps:
City/State/ZIP:Tigard OR 97224
Existing:
Phone:(503 ) 639 8595 Fax:( ) New:
IN APR,11CANT _ wormer mama aVILDINC mow PIMP
Business name:SOLAR CITY
QfsarrtAur,r�[rtls�
Contact name:MELISSA BENTLEY Structural plan review fee(or deposit):
Address:6132 NE 112TH AVE FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:PORTLAND OR 97220
Phone:(503)894 6903 I Fax::(1866)4fS-7499
Amount received:
E-mail:ABENTLEYQSOLARCITY.COM 'TAJCSOLARPAI manP
Commercial and residential prescriptive Installation of
C0[4TRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
Address:6132 NE 112TH AVE and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/DP:PORTLAND OR 97220 Permit Fee(includes plan review 5180.00
and administrative fees
Phone:(503)894-6903 I Fax:(1866)445-7459 X
State surcharge(12%of permit fee): $21.60
CCB lie.:180498
Total fee due upon application: $201.60
Authorized signature:VP t 111 0 1 This permit application expires if a permit is not obtained
within 181 days after it has been accepted as complete.
Print name:A. MELISSA a TLE Ilk I Dares: 12/5/14 I •Fec methodology set by Tri-County Building Industry
Sery Board.
I:1Build nglPcnnits\BUP-RESPermNApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
. .*
!leetrial Permit Aualicatio FWF FOR OFFIf T t SE ONI.)
City 13125 III Tigard Ramisel
SW e1+ ,Tigard;OR DEC 10 2014 Permit No.. m�/y- ��i
Plan Review
Phone 503.7113439 Fit 303.993.1 r���p Uatc.My Mar Permit:
Inspection Lint 303.639.4175 'I IUf7f7D Dale ltrady►By: lain 11 raaPage2 for!W ILWIPPISI(N'Internet: www.ligard-or.gov Kaified MetFu,d 3applaaental Information
['New construction IN Addition/alteration/replacement Please check at that apply(submit 2 sets of plans whims eltldeed below)
❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑BurMiag over Hemet stories
where the available fault current ❑Marinas and boatyards
. Y OF C�• exceeds 10,000 amps at 150 volts or ❑F loaung buildings.
®1-and 2-family dwelling ❑CommercialJindtlslrml building -. less to ground,or exceeds 14,000 ❑Commercial-use agncuhural
❑ molding amps for all other installations buildings
❑ Multi-family ❑Master builder ❑Other: OFire pump. ❑InsIallatian of 150 K VA or
Pt t LOCATION O£aagno system larger
derived sptcm
• . CI Addition of new motor load of ❑"A""E""I-2" "1 �"
Job : 9722304 I Job Sift address: 16303 SW 103rd Ave, t000P amore RooreOiey
O Six or more residential units ❑Ractatiahal vehicle parks
City/State/7_1P: Tigard OR 97224 0 Health-care facilities. ❑Supply voltage for more than
O Hazardous location. 600 volts von itrl.
Sui elbldgiapt no.: Project name: Misslin,Eileen ❑Service or feeder600mps or more.
F¢11131111111011.11
Cross street/directions to job site: aetrrarlf.a 1 Ot,. I Pa, I T. I
New residential single-or malli-famlly Medliag Iwit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.Ii or less 1611.54 14
Ea.add'l 500 sq ft or portion 33.92 I
Tax ntgp/parctl no.: l amited energy,residential
DFSCR' 1 ■ (with above sq.It) _ 75.00
I' alp
Limited energy,multi-family 75.00 2
PV�F MOUNT residential(with ahosc sq ft)
Renewable Energy ® See Pa lge 2
Services or feeders installation,alteration,and/or relocation
® geopIIMTI OWNER , O TT.NANT 200 amps or leg 100.70 2
201 amps to 400 amps 13336 2 r
Name: Misslin,Eileen 401 amps to 600 amps 200.34 2
Address 16303 SW 103rd Ave, 601 amps to 1,000 amps 301.06 2
city/su ite/z1P:Tigard OR 97224 Over 1,000 amps or volts 552.26 2
Temporary services or feeders iaatasstisn,alteration,and/or
Phone:( 503 ) 639 8595 I Fax:( 1 relocation
Owner installation:This installation is being made on property that I own which is riot 200 amps or less 59 36 I
ma
intended for sale, lease,rant,or exchange.according to ORS 447,449,670,sod 701. 201> to 400 naps 125.08 3
Owner signature:
401 Itrapsto399amps 168.54 2
t#'auch circuits-hew,alteration,or extension,Per panel
®antiwar ( a ��I! A.Fee for branch circuits with
s above service or feeder fee,
7.42
Business name:SOLAR CITY CORD each branch circuit 2
B.Fee for branch circuits walwar
Contact name:A. MELISSA BENTLEY service or feeder fee,first
56_18 2
Mauch circuit
Address:6132 NE 112"AVE Each dd'l branch circuit 7.42 2
City/State/ZIP:PORTLAND OR 97229 Miscellaneous(service or feeder sot iadudd)
Each manufactured or modular 67.34 2
Phone:(503)594 6953 I Fax::(1566)445 7439 dwelling,service and/or feeder
Reconnect only 67.14 2
E-mail:ABENTLEYOSOLARCITY.COM Pump or irrigation cycle 67.34 2
CONTRACIOR Sign or outline lighting 67.34 2
Business nanw SOLAR CITY CORP. Signal circuits)or limited-energy See
panel,alteration.or extension. Page 2 2
Address:6132 NE 112"AVE Each additional inspection over allowable hi atalm of the above
City/StaterLIP:PORTLAND OR 97229 Aeklitiaabnt uhspes eion(i hr min) 6615,hr
Investigation(1 hr min) 66 25/hr
Phone:(503)594 6903 Fax:(1566)445 7459 Industrial plans(1 hr mm) 78 181 hr
Inspections for whit*no Re is
CCB Lic.: 180495 I Electrical Lic.: C562 I Suprv.Lic.: 58735 specifically hr
fically listed(14 hr min)
Suprv.Electrician signature,required: V)1— � L'ER?N FEES
Subtotal FEES
Pint na e: NICHOLAS ARMSTRONG Dale: 12/5/14 Plan review(25%ofpermit fee):
. Slate surcharge(12%of permit fee):
Authorized signature: ' =iiihr`ti TOTAL PERMIT FEE:
Print name: A. MELISSA BENTLEY Date: This permit application expires if a permit is not obtained withi■180
1 2/5/14 days after it has been accepted as compkte.
• Number of inspections allowed per permit
1%BudIdirsePetaiI 1t PwariApp ELI.Mac Sri 055210011 440.441ST(I II05 WWEB
"a
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
]i L:
Fee for all residential systems combined $75.00 Oeserlatims I 43;1,1 Fee l Teal J.•
Renewable ckettical energy systems:
Check Type of Work Involved: 5 kva or less 1 10030 S100.70 2
5.01 la 15 kva 133.56 2
❑ Audio and Stereo Systems*
t s.01 to 25 kva 200.34 2
nBurglar 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 Iva 552.26 2
1'100 kva(foe in accordance with
El Heating,Ventilation and Air Conditioning
OAR 911-309-0040)
552.26 2
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:
❑
Other: Each additional inspcaion is -
charged et an hourly(1 hr tam) _ _ -25/Ix I
Inspections for which no fee is
40 001 hr
specifically listed(%x hr lun
Fee for each commercial system $15.00 Subtotal:
(SEE OAR 918-309-0000) Plan review.if required(25%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 sot sin'ained widths 150
❑ Audio and Stereo Systems day spied oniptete.
• Number of inspections allowed per permit_
n B• oiler Controls
❑ Clock Systems
J Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
❑ Instrumentation
n Intercom and Paging Systems
Pe Irrigation❑ t;ation Control*
Fl M• edical
[] N• urse Calls
❑ O• utdoor Landscape Lighting*
❑ Protective Signaling
n O• ther . _ ._ _
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I`luilchugTcrmas.ELC PcrmitApp ELF EKE.doc Rev 05/:1/1017
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
16303 SW 103RD AVE, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2014-00219
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
16303 SW 103RD AVE, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
MST2014-00219
Jeff Grove
Violation Summary:
Inspector Contractor