Permit u CITY OF TIGARD MASTER PERMIT
s •' COMMUNITY DEVELOPMENT Permit#: MST2015-00068
T t(,'Alt D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/20/2015
Parcel: 2S110BC00300
Jurisdiction: Tigard
Site address: 14440 SW HAZELHILL DR
Subdivision: AMES ORCHARD Lot: 19
Project: Nordt
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: $5,000.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywall-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 addl 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:
NORDT.FRANK J REVOCABLE LIVING SUNBRIDGE SOLAR LLC Required Items and Reports(Conditions)
14440 SW HAZELHILL DR 706 W 17TH ST
PORTLAND,OR 97210 VANCOUVER,WA 98660
PHONE PHONE: 503-407-6820
FAX
Total Fees: $366.19
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 co. • the rules or direct questions to OUNC by calling 503.232,1987 or 1.800.332.2344.
l
Issued B y: df
-:_� ' _ -.... ..,---.,-- Permittee Signature: 1....,,,-........L...,...
_al C ,e,9.4175 by 7:00 a.m.for the next available inspection date.
This permit card sha 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 RECEIVED FOR OFFICE USE ONLI
City of Tigard Received
` r Permit No.: , / , S 0"
■ 13125 SW Hall Blvd.,Tigard,OR 97223 6 ��
= g MAY 2 015 Date/B vie, �jj �'
Phone: 503.718.2439 Fax: 503.598.1960 Plan R ,iij.�� a 3 her Permit:
T I G.n R n Inspection Line: 503.639.4175 CITY OF TIGARD Date Real : : luris ® Sc e Page 2 for
Internet: www.tigard-or.gov Notified/Method: C/j!/(i Supplemental Information
BUILDING DIVISION j `
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
istIndicate 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.
K1-and 2-family dwelling Valuation: $
Y g ❑Commercial/industrial OUCV
El Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
1`T 7 qt JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: l S'w f'f't 2 ze( H i l l D< New dwelling area: square feet
City/State/ZIP: 1;G&(A. 0 K 11 ZZ 4 Garage/carport area: square feet
Suite/bldg./apt.no.: C Project name: NO r(i f- Covered porch area: square feet
Cross street/directions to job site: 5u) kl I M o r kcU (k i 1 Deck area: square feet
Ste) 4u2S 1 ICP-e— -re r c 0\C-e_ '-D 44 7 el 4 ik\ Dc. Other structure area: square feet
.t CIACH
Subdivision: Lot no.: Permit fees*are 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
1` 0. DESCRIPTION OF WORK work indicated on this application.
►'ls 11 sok ( PV ". Valuation: $
100 , 7, l I(tAi ' Existing building area: square feet
New building area: square feet
X PROPERTY OWNER ❑ TENANT Number of stories:
Name: p G Av.., N,,e A k Type of construction:
Address: 19 L{0 5L) ti-Azi,1 t.l D{. Occupancy groups:
City/State/ZIP: /r cvrk 0 f, 9-21 Zy Existing:
Phone:(e�33) 38p_ 0( Fax:( )t New:
APPLICANT ❑ CONTACT PERSON BUILDING PERMPI'FEES*
So' (Please refer to fee schedule)
Business name:
46 `r'J ,. ' L C.`( Structural plan review fee(or deposit):
Contact name: '50 r.l t c✓1 Wet ,,u,-
Address: 70G I.1 /7th 37--- FLS plan review fee(if applicable):
!� Total fees due upon application:
City/State/ZIP: Ut!trlf0“L'L- WA e 7
, !, p Amount received:
Phone:`6
3 )y07—(cg Zo Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
�.o ,1 5u•eib,,d e.So (, ce
ii< .. o, ,r a e , 3 t _: Commercial and residential prescriptive installation of
- .•• t. ... . ,,,,, 'v� , 1, .�,�tr 4 ,, , .I,I root-top mounted PhotoVoltaic Solar Panel System.
Business name: 6L, A 6 trt,J 6.01 a r Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 740 (A)
/7.Yn Solar Installation Specialty Code checklist.
list.
City/State/ZIP: u,„,,,,,C o et✓✓� `W g Permit Fee(includes plan review
and administrative fees): $180'00
Phone:(9.3 ) 91:57---6820 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: '89"l 8 1 Total fee due upon a lication: $201.60
c P PP
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: / *Fee methodology set by Tri-County Building Industry
�`��� ()JCL-44,10./1 �r S 1 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
tiectricat rermit APPitc1;1Frir
,EIVED
City of Tigard
13125 SW 11*11 Blvd. rived,ttg klbAY; 6 2015
II
Phone 503.718 2439 Fax: 503 598 1960
InSPCCIic0 149e: 503,639,41 7C ITY OF TIGARD
inicnicE www t'sard'IPBUILDING DIVISION ',. ''' : :two
dlika:It9"4.:, ii),
(vie(Permit
how
, IS Ike Awl for
Sopplammotal Intortatitim
0 New ConStruc114X1 piz Addition alteration,replacement
D Swift orfkabwelb amp or more 0 Ram*marline*will
0 DeinalitiOil 0 Caber: semi the amPolio fink comae 1:1 marmot ami boatyards
Iii-=•,,4.,.....,,,„ .......,,,. .,.--.--. ,....,,,,,,tovir-,:-••0•7/rstrli',..:- 7, , , •-,...,--....,. ..,.;,,z4;,,4,7,....1i.-.-a...:1 ausieria 10.000 mem 0 1110%vim or 0 Nolan begs***
$t " '''• •-•'""Lri!*•i•m• t•.• - . ' ' ' '"e.'"" ,. ;.nsi'40r .
.. . ",•• " lost*round,or mune&i40/Xl 0 Coatioareirs1-0.4 miliormlieral
and 2-family dwelling D Coitunerciaitinit a g ri al rj Acce,5„sor,:bui id'nig main ter nil other nistelhamm buildrign
7 Multi-fami ty 0 Master builder 0 Other: ; a fire pump 0 nnntiation or 150 KVA or '
---------------.,` a innergeno 5 em Leper 5oparatitly derived rygran
,i06 UTE 1&7:,77: :It'i 1''Atai'f.A)c-Aibel#4(., ' ,, ,i-A 0 autiton et new" ITIOtOt tow!ot 0'A'.-I"","t-r,
100HP or mere occapaney
i Job no.: Job site add s r elf . ie',, I ki,
' ellee Ng ' --2A5.."............,...t.i.Z.,,t,. ...14...11L :_i a Stx et mete tenteenttel an■ta 0 Recreotronsl mingle pasta
...-- —
C'il.)•Statoglp: 7-..,. , 4
ul.,(,, c/t2, 17 2z41 i 0ligalth-wate factla ten 0 Sul**voltage he more than
........4 0 iiranterieur intatIont 60o volot neonatal
.^'
Sonclithig.lapt.no.: ,P) : Project name: Ai , ct.
k 0 stn.to or fowler 6/4/er,nps or more
.1 ,t`.737-;!".4.g,.*.f.i.-•.'": ,,f,"47,-":":44#100,',:*.i•.".," f E.
t,ross greet/directions to job site ' i
A ' --
- NeW raddential stogie-or oinlil-fainil tin riling atm.
I i A•40.- ta 4424t 4 itt QC. litindes atterbed garage.
Subdivision: Loin o.: 1,000 NI ti or less . 1r4i N4 4
1
i. Es Nadi 300 ou it or portion -1'
'tax map/parcel no.: UMW entre%reirientral III
. 75 00 ID
r . . wish above ..ft.
wood mow mu ,amity
II
i ...of i „A, PU , , C .... , ,.., , . residential twilit above - 0) 1 2S 00 i
1.--....,,,....-..........—...—
_.. Renewatje PINTAIL! la sty Nat 2
!Pi/ (Z.'t-'-' ' 4,—; K id/ Services or tei-dersTintaitation,att:rrsaii;i-uandior relocation
200 straw or tos 100 70 . 2
i , , --1,-,
ff.,' 1.... 201 anew to 400 imps 133 56 i
-,---,—_,
Name: rrasol. 0 r T 401 limps to 6(4)amps 2/X1.34 1,1 , 2 1
___Atidrl_y_y ___5(42 /4-4 2_.e t H-i tt 0,, .0, ,.000 tame ,.. itt I 04 1— ' '.71
552 26 t ----i7-:2
., Over 1.000 amps or volts
City/State/Z.IP: .-r-ii2 j Op, 9 71 z_1.--i
ar
Temporary*erotism or feeders losadlattos.alteration.and/or :
-.-
1 1
Pin .503 l Tat 0(0(36, 1 f ilk , , 1 retocaition
1 2tX)amps or loss
Owner installation: rhis installation is being made on propen3, that I on o,'licit is not alli 2 0$ 111.11110
201 amps to 400 alma
intended for sale,lot .rent.or exchange,according to ORS 4417„449,670.and 701.
401 amps to 599 amps gig te$s4 , 2
.,_,..,_..«........._
(hkner signature — Date: lintacli,..,..L_ . -new.alteraikin.or extension..er pad
— ----- —
A Poe for"""•!.. eueutts ww,-----r----r-
ahem service ot iambi fee, i 7 42 2
Enzmiorgi • 1 epwwmllillIllM each,, ,- '• ... _______
- 0 lee for bomb eillluits%Ideate
Contact name' 1,C,iji sosay nr feetter fee./int
56 18 2
french ciasia
Address: 70( 1 ) j 7 iii cr .addl blanch circuit 742 2
i 14 cia; 2 ,.I ,..., Idisettatteeas write or feeder not taciaded
City/StaterLIP: 1,4 ri L 0 Kt./-C 1/9 1 u(AO Li
1, - , Ugh inismadetured or moiinlae 1 67 K4
4wriiii service aridicc tinriler •
1 Phone F)3 4707—6.--gz C.) Fax.;1 ) t ,
Roconotat Oilk ol lol
1,..rnal, ,-c-ctea e 5. ,...s . 1., - - oiC,',r. c crd.-.-7 Pump or niip000 orrie 67 84
3,1F,NiNt'',:.:--2:::,..4.".,•, j4-44. . 1:
t.. .',.%`,/-,. ''':"."' --.-
Sap or outbm 1 limns (;77114 2
...___ „.
Business name: 1)1A1 L---,1*er.thritc,0-,1 i44.k--- Swat cocoa;s)or limited-energs SCC ,
" alteration,Ot tAlt:Mt00 ,,c2 ' 2
Address. Icce a,x i 6-73 Each additional las,-to over allowable in(Inv of tbe above
Addnarsal inspectior A 1 hr min i III
City/Staten:IP: r3 fo_51,..,,,,_ tafe,,,,, ....,_ Wi.rel Cl Trcs,6 in,,,,tipts,...,(1 hr MID) 66 25r in
Item.(36e) gsini 33'€_j Fax.(3 ac:))gr.2 _-714,.sin, I Industrial Men(1 to min) 78 1 Kr hr 1111
CCB Lit: I gf, I Electrical Li ., ,„,, , toseeictiora foe winch.no fee 6 ocrismim
d.. 1 Supry I ic.:53 .. ,,."Meal noted(l,hr min
17..yk----,-.',..' ,g—
r---Suprv.Elm t, , - re.required: t ilre Subtotat:
,
,
Piton review(25%of pemitt fear.
l'cirit name 4 N 0,1.. ( 1,.., ,1_,-,-... ,.., 1)atc: .3...49 47070 jil"
SUM SilithliVe I tr.,.of permit feet:
ArM/41"Ai
Authorized signattir .e 101 AL PERMill FEE:
' wIroal
Date: c, 4,.... ,,atil 1 This ponoli*pp/tendon engine If a periiii i%ant earesioe4 grititio 11*
Pript tianie: J1114. ,.,,mpl ‘,.,.,( (.....1s.:13 Le
days after it km Wm aerepant es eamplete.
• Stamina of atepowttetts allowed per mom
t ii,404toKINKK,K$111:teniaKr*UK tit.E-doc Kr,sevnr/011 44,,,1,I i'1 NtficOktriifita
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
14440 SW HAZELHILL DR, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
Scheduled
MST2015-00068
Jeff Grove
Electrical approval as well
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
14440 SW HAZELHILL DR, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00068
Jeff Grove
Electrical approval as well
Violation Summary:
Inspector Contractor