Permit CITY OF TIGARD MASTER PERMIT
IIII I ,i COMMUNITY DEVELOPMENT Permit#: MST2015-00066
Date Issued: 2015
05/21/
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 5/ 1/2015 00
Jurisdiction: Tigard
Site address: 12228 SW CHANDLER DR
Subdivision: ARLINGTON RIDGE Lot: 2
Project: Warner
Project Description: Installation of solar photovoltaic system.
BUILDING
Floor Areas Reauired 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: $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 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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
Fum<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 add9 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:
WARNER,ROBERT A& SOLARCITY CORPORATION Required Items and Reports(Conditions)
HILL,NORMA E 6132 NE 112TH AVE
12228 SW CHANDLER DR PORTLAND,OR 97220
TIGARD,OR 97224
PHONE: 503-624-0723 PHONE: 503-894-6903
FAX: 866-445-7459
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: 0 egon 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 R 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. A"/
Issued By: Permittee Signature: eN/ t 7ol r1' 4/e �0'
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 ii�,Lk,EIVEP I(m ()f f u f 1 sl t,.l
City of Tigard ^�{ 5 2015 :Ter. 6®�� ��C__ iii
• 13125 SW Hall Blvd.,Tigard,OK'y23 Plan R ��
e g Plan RL'VIl
Phone: 503.718.2439 Fax: 503.598.1960 Dated) ; _I jsi a-� Mi Other Permit:
1:6 A RI, Inspection Line: 503.639.41'' I TY OF TIGARRD a Jura: la See Page 2 for
Internet: www.tigard-or.gov Supplemental Information
ILDING MVIS101‘
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
Permit fees"are based on the value of the work erti�rmrxl.
❑New construction 0 P
— Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement _ �_ 1:1 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
• Valuation: $ 5,000
® 1-and 2-family dwelling ❑Commercial/industrial -,
Number of bedrooms:
❑Accessory building ❑Multi-family _
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12228 SW Chandler Dr, New dwelling area: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Warner, Robert 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. 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.
Valuation: $
PV ROOF MOUNT Existing building area: square feet
_ New building area: square feet
10 PROPERTY OWNER 0 TENANT Number of stories:
Name: Warner, Robert Type of construction:
Address: 12228 SW Chandler Dr, Occupancy P y groups:
City/State/ZIP: Tigard OR 97224 Existing:
Phone:(503) 624-0723-,_ _ Fax:( )
(l APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
____,-.`__ flalta3v rr/N ro a+.aehedad$ ._..._._ ._.. _..____._
Business name:Solar ity Corp __,
Structural plan review fee(or deposit):
Contact name: Melissa Farias
FLS plan review fee(if applicable):
Address: 6132 NE 112th Ave. __ -
Total fees due upon application:
City/State/ZIP: Portland OR 97220
Phone:(5503)894-6903 I Fax::(1866 445-7459 Amount received — —
—
F.-mail Mel1S5a.FartaS@SOlarCity.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
I Commercial and residential prescriptive installation of
CONTRACTOR OR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SelarCity Corp. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 6132 NE 112th Ave Solar Installation Specialty Code cheecklist.
City/State/ZIP: Permit Fee(includes plan review
Portland OR 97220 and administrative fees): $180.00
Phone:( 503) 894-6903 Fax:(1866 445-7459 State surcharge(12%of permit fee): $21.60
CCB lie.: 180498 "Total fee due upon application: $201.60
Authorized signature: ' ► O( This permit application expires if a permit is not obtained
iJ V ` within 180 days after it has been accepted as complete.
Print name: I "Fee methodology set by Tri-County Building Indust'y
Melissa Fari., Date:05/04/2015 Service Board.
1:\Building■Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1!02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
rY Un,e/B : E t��,,:,,i
M 13125 SW ball Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175 ❑ hlectsiwl ❑ E'luumbiug (] 1crha nail
1"IGARD lim tern et: ww■ ,tigard-or.gov ❑ Other:
THE FOLLO%VINE ITEMS ARE REQUIRED FOR PLAN REVIEW 1'es err NSA
I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. • U ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ■ ❑ ❑
3 Verification of approved plat/lot. • •
4 Fire district approval required. Name of district:
5 Septic system permit or authorization for remodel. Existing system capacity •
6 Sewer permit. •
7 Water district approval. 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. C] _
9 Erosion control El plan ❑pennit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑
building codes. Laleral design details and connections must be incorporated into the plans or on a separate frill-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copy ighi violations exist.
11 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-ft.elevation differential,plan must show contour lines at 2-1..intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage arca;percentage of coverage;impervious area;existing structures on silt;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
13 Floor pians. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 ❑
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- ❑ r ❑ ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
5 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size shed addcndums showing foundation elevations with cross references are acceptable.
16 Wall 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 ED ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. 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 mulliple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. (J 0 n
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ ILK!
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 ❑ o ❑
architect licensed in Ore on and shall be shown to be a ,lieable to the'ro'cet tinder review.
JURISDICTIONAL.SPECIFICS
23 Three(3)site plans are required f o r Item I I above. Site plans must be 8-1/2"x I I"or 11"x 17". 0 Ell!
24 Two(2)sets each arc required for Items 16. 19,20 and 22 above. • •
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. U ■
26 "Reversed"building plans must mccr criteria outlined in the Permit&System Development Fees document. ❑ •
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ D •
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ •
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ ❑
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!'re-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks,patio covers(over non-impervious surface)and accessory structures lo existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:113uilding1Permits lt3UP-RESPennitApp.doc 02/24/2011 440-4 613T(1 1/02/COM/WEB)
Electrical Permit Applicat O
CEIVEP
City of Tigard Received • ,� ] Permit No.:,1.', /
IIIi • 13125 SW Nall Blvd.,Tigard,OR 940 5 2015 Plan Review
i Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
I 1,, ,\1:t7 Inspection Line: 503.639.4175 /i ( U Date Ready/13y: luris: Fa See Page 2 for
Internet: www.tigard-or.gov CITY Y Uh i I(1A�tll Notificd/Mcthod: Supplemental information
TYPE x 7-rt 1. ' — PLAN REVIEW•
New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w'itcros checked below):
❑ E
❑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
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Mnlli-family {]Master builder ❑Other: ❑Fire pump ❑Installation of 150 KVA or
❑Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑'A""P" "I.2""t-3"
Job no.:9722 531 Job site address: 12228 SW Chandler Dr, Six or ore rest Recreational❑Six or more residential units. ❑R�rrcatiomut vehicle parks.
City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg/apt.no.: Project name: Warner, Robert ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description ...i an. 1 Fee. I t.tai--.7:_
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.Il.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
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 above sq.ft.) , _
Renewable Energy El See Page 2
_Services or feeders installation alteration,and/or relocation
ti0 PROPERTY OWNER ❑ TENANT 200 amps or Ices 100.70 2
,___.._W _.______ 201 amps to 400 amps 133.56 2
Name: Warner, Robert 401 amps to 600 amps 200.34 2
Address: 12228 SW Chandler Dr, 601 amps to1,000amps 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) 624 0723 Fax:( ) relocation
2(0 amps or less 59.36 I
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 165.54 2
Owner signature: Date: ___ _______-____ , Branch circuits–new,alteration,or extension,'Cr panel
® APPLICANT I ® CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: SOlarCity COrp. each branch circuit
B.Fee for branch circuits without
Contact name: Melissa Farias service or feeder fee,first 56.18 2
— — branch circuit
Address: 6132 NE 112th Ave Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Portland, OR 97220 Each manufactured or modular
67.84 2
(503 ) 894-6903 (1866) 445-7459 dwelling,service and/or feeder
Phone: Fax:
• Reconnect only 67.84 2
E-mail:Melissa.Fanas@Sala rCi ty.corn Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67,84 2
Business name: SolarCit Corp. Signal circuit(s)or limited-energy See
y 1� panel,alteration,or extension. Page 2 ....__....__ 2
Address: 6132 NE 112th Ave Each additional inspection over allowable in any of the above ,
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP: Portland OR 97220 Investigation(1 hr min) 66.25/hr
Phone:(503) 894-6903 I Fax:(1866) 445-7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.001 hr
C.CBLie.: 180498 ElectricalLic.: 0562 Suprv.Lie.: 5873S specifically listed("5lirmin)
Suprv.Electrician signature,required:I+' \'..".`t' ._.-._---
ELECTRICAL PERMIT FEES
Subtotal:
Print name: Dale: Plan review(25%of permit fee):
Nicholas Armstrong 05/04/15
State surcharge(12%of permit fee):
Authorized signature: C)- -•-• ) TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Melissa Faria' -' Date: 05/04/1 5 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:1134 iMingirerml seEL C_PermitApp_ELR_ERE.doe Rev 05/21/1013 4441.45151(1 INS/COMIWEB
Electrical Permit Application-City of Tigard
Page 2-Supplemental Information
Limited Energy Permit lees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: :sc ivi t
Fee for all residential systems combined $75.00 uexMwMn I Qt.. I Pre I Twat I •
Renewable electrical energy systems:
Check Type of Work involved: s kva or lass 100.70 2
5.01 to 15 kva 1 133.56 13 3.5 6 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 2.5 kvn:
25.01 to 50 kva 301.04 2
n Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(tee in accordance with 552.26 2
❑ Heating,Ventilation and Air Conditioning OAR 9lS-309-0040)
System* Solar generation systems in excess 0125 kva:
Each oddilional 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 inspection is 6625 1 hr i
charged at an hourly(I hr min)
Inspections for which nu fee is '
specifically Haul('h hr min) �'�'hr
COMMERCIAL WORK ONLY: PiOiT FEES •
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%ofpermit fee):
State surcharge(12%ofpermit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires it a Fermi'is not obtained wields ISO
ri A• udio and Stereo Systems days after it has been accepted as complete.
• Number of inspeeneac allowed per permit.
n B• oiler Controls
n Clock Systems
❑ Data Teleconirnunication Installation
❑ Fire Alarm Installation
❑ I-IVAC
ri Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n N• urse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*Na licenses are required. Licenses are required
for all other installations
r:ir�iw,,g;rrrme.teu r«awnpp ELK 1RE.,inr xr.cnr2trzalr
1111 y n
CITY OF TIGARD MASTER PERMIT
I ' - COMMUNITY DEVELOPMENT Permit#: MST2015 00086
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/27/2015
Parcel: 2S103DB05900
Jurisdiction: Tigard
Site address: 13355 SW GENESIS LP
Subdivision: GENESIS NO.2 Lot: 27
Project: Dynack
Project Description: Infill existing window and create new window opening in adjoining wall.
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: $400.00 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
0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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: 0 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 0
Owner: Contractor:
DYNAK,ALAN KLN RENOVATIONS LLC Required Items and Reports(Conditions)
13355 SW GENESIS LOOP 2411 SE ELLIOTT AVE
TIGARD,OR 97223 PORTLAND,OR 97214
PHONE: PHONE: 503-869-4417
FAX:
Total Fees: $195.09
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. A TION: • -von law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- -0010 through 0• 2-0.1-r•90. You may obtain a copy of the rules or direct questions to OUNC by calling 503 .1987 or .800.332.2344.
�� /jam
I ued By: ' Permittee Signature: /r /
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 9.
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 RECEIVED FOR OFFICE USE ONLY
City of Tigard RDeacteiveyd '5 ,7 /5 C /Permit No.: lh7—c90/S-60740
•3111 I 13125 SW Hall Blvd.,Tigard,OR 2 7 2��5 Plan Review 2151�f
Phone: 503.718.2439 Fax: 503.5 0 Date/By: Other Permit: /p1 �.wY a
TIGARD
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: lane: el See Page 2 for
Internet www.tigard-or.gov ^ DIVISION
Notified/Method. Supplemental Information
TYPE OF WORK V J 1 V REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rotnded to the nearest dollar)of all
Alt Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
yea'® 1-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: 1 33-5 5 C,) Q rsrs Looe New dwelling area: square feet
City/State/ZIP: 4_1,4 re B( '{727.4 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: ViOft4 K 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: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
q Valuation: $
��
lli0 NdtOCV op-eii;4, col r00.n
Existing building area square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP:
Phone:( ) Fax::( )
Amount received:
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ��L eel 0,4-,10 1./..-C. and two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 2 eft/ 5-E E 1pol-4- ,["e Solar Installation Specialty Code checklist.
City/State/ZIP: fo r-4_14 i.ie O,(/ 17Z F y Permit Fee(includes plan review $180.00
and administrative fees):
Phone:('o3)43 6 y_ tic((7 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: (7 t,' 93 /�a�7 Total fee due upon appication: $201.60
Authorized signature: ,..a" This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: �� �(/� Date: 2? /15 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLI
City of Tigard Received
Ill AssoJBy: �i '..,
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
a Phone: 503.718.2439 Fax: 503.598.1960
TIGARI)
24-Hour Inspection Line: 503.639.4175 ❑ Electrical El Plumbing El Mechanical
Internet www.tigard-or.gov ❑ Other.
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW l"es No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
L_.I Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ . ❑ ❑_
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be 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.
11 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-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
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,room 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 be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,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. ❑ ❑ ❑
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 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑
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.
18 Basement and retaining walls. 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 feet 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 0 ❑ ❑
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 ❑ ❑ ❑
architect licensed in Ore•on and shall be shown to be ;,•licable to the •ro'ect under review.
.II RINI)I( TIONAL SPECIFI( ti
23 Three(3)site plans are required for Item 11 above. Site plans 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. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. ❑ ❑ ❑
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. ❑ ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree 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 September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(I 1/02/COM/WEB)