Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2015-00206
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2015
Parcel: 25101 BA00500
Jurisdiction: TIGARD
Site address: 7600 SW DARTMOUTH ST
Project: Walmart Subdivision: HERMOSO PARK Lot: 8
Project Description: Installation of roof mounted solar photovoltaic system.
Contractor: SOLARCITY CORPORATION Owner: WAL-MART REAL ESTATE BUSINESS TR
6132 NE 112TH AVE BY PROPERTY TAX DEPT STORE 5935-00
PORTLAND, OR 97220 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-894-6903 PHONE: 479-273-8344
FAX: 866-445-7459
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 08/04/2015 $2,615.95
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 08/04/2015 $313.91
Dwelling Units: 0 Plan Review 08/04/2015 $1,700.37
Stories: 0 Height: 0 ft Into Process/Archiving-Lg$2.00(over 08/04/2015 $40.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $350,000 Info Process/Archiving-Sm$0.50(up to 08/04/2015 $20.00
11x17)
Metro Const.Excise Tax 08/04/2015 $420.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,110.23
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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. -. •• or 1.'. 0 .2344.
Issued By: Permittee Signature:
9 i/t/t
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
Commercial ��� FOR OFFICE USE ONLY
City of Tigard Received
5 Dawn : 7 9 i5 IMMEEF+ 5 oa%:,(o
13125 SW Hall Blvd.,Tigard,OR 3 CS 1O Plan Review `�!J��
1 1I Phone: 503.718.2439 Fax: 503.598.1960 V Datent . 41�JP � Other Permit
TIGARD Inspection Line: 503.6'9.4175 0\ �N� vale Ready/By: lurb• 61 Sec Page 2 fur
Internet: www.tigard-or.gov J ���� �C�,, Milted/Method: Supplemental information
TYPE OF wriaR
M REQUIRED DATA:i AND z r=nl�rrt,r�DWELLING
�rt ❑Ncw construction ❑ ion Permit fees are based on the value of the work performed.
Cfi r Indicate the value(rounded to the nearest dollar)of all
®Addition alteration/replaccmcnt ❑Other. equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION
T'IOY work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $ 350,000
building Number of bedrooms:
❑Accessory 0
i 0 Master builder 0 Other
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION -Total number of floors:
tub site address: 7600 SW DAR I'MOUTH ST New dwelling area: square feet
'-s _ City/State/ZlP: TIGARD OR 97223 Garage/carport area: square feet
-S Suite/bldg./apt.no.: Project name: WALMART 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.
.1/4N„....kr - Indicate the value(rounded to the nearest dollar)of all
Tax maplparcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
SOLAR ROOF MOUNT Valuation: S
351.54 KW Existing building arcs: square feet
New building arca: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name. WALMART-STORE#5935 Type of construction:
Address: 7600 SW DARTMOUTH ST Occupancy groups:
City/StaterZlP: TIGARD OR 97223 Existing:
Phone:(479 ) 273 8344 Fax:I 1 New:
tl APPLICANT [5:1 CONTACT PERSON BUILDING PERMIT FEES*
Mew re er to fre sehn■xle
mj Business name: SolarCity Corp. ,
Contact name: Structural plan review fee(or deposit):
Melissa Farias
FLS plan review fee(if applicable):
Address: 6132 NE 112th Ave
Total fees due upon application:
City/State/ZIP: Portland,OR 97220 _
0 Phone:(503 ) 894-6903 Fax: :(1866)445-7459 Amount reeeivcd
2 E-mail: Melissa.Fariast?SolarCity.com PHOTOVOLTAIC8OI.ARPANELSYSTEMFEES•
CON TRACTOR Commercial and residential prescriptive installation of
Ctroof-to. toun- PhotoVoltaic Solar Panel S - • .
Business name: SolarCity Crop. Submit two(2)sets : roof plan with co.• lion details
and fire department arc i longs .-. the 2010 Oregon
Address: 613Z NE 112th Ave Solar lnsiallarion S ecialty C,;jyh cklist.
City/State/ZIP: Portland,OR 97220 Permit fcc(inclu plan review 180.00
and inistrative fees):
Phone:(: 180 498 894-6903
CCB lie.: 180498 Fax:(1866) 445-7459 State sure. gc(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
(J t 1 within 180 days after it has been accepted as complete.
IPrint name: A. Melissa Fari i.5• ' \ Date: 07/07/2015 • Fee methodology set by Tri-County Building Industry
x, \✓ Service Board.
1:\13uilding\Pcrmirs\BUP-COM PertnitApp.doe 02/24/2011 440-46131(11102tCOM/WFB)
{
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
7600 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00206
Jeff Grove
Violation Summary:
Inspector Contractor