Permit IIIIY ;'' CITY OF TIGARD MASTER PERMIT
-1 l illf
y ri Permit#: MST2015-00216
;, COMMUNITY DEVELOPMENT
•t: Date Issued: 12/02/2015
TICiiARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
;i; Parcel: 2S102DB06600
Jurisdiction: Tigard
Site address: 9131 SW HILL ST
Subdivision: CHELSEA HILL NO.2 Lot: 43
Project: DIRKSEN
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 SrvclFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp. 0 W/Svc or Fdr 0
Ea add'I 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:
DIRKSEN,CRAIG E& SOLARCITY CORPORATION Required Items and Reports(Conditions)
JACQUELINE 6132 NE 112TH AVE
9131 SW HILL STREET PORTLAND,OR 97220
TIGARD,OR 97223
PHONE: PHONE: 503-894-6903
FAX' 866-445-7459
Total Fees: $321.88
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 y of the ra4es or direct questions to OUNC by calling 503.232 1987 or 1 800 332 2344
Issued By: r
ittee Signature: 2—e_ � ��
'2279.4175
�69.4175
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 �> a i t 1 us oN
R _'UI 'FIC I
r;� �t,
11114 Cityof Tigard b , Permit No, 1-",11-e L
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rcvibw_'
Phone: 503.718.2439 Fax: 503.59016 2015 D.�tcl13 ��� NIS Other Permit:
1"I G,lataa Inspection Line: 503.639.4175 _ Fil See Page 2 for
Internet: www.tigard-or.gov (,I p�T1GABp Supplemental Information
sig J�
DIVISlflDIVISION 6, ,Leat fhet .
TYIENOURG
REQUIRED DATA:1-AN-02 AMILYDWELLI1.
0 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
work indicated on this application.
CATEGORY OP CONSTRUCTION
111-and 2-family dwelling 0 Commercial/industrial
Valuation: $ 2000
Accesso buNumber of bedrooms:
❑ ryildin g ❑Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB smite, INFORMATION AND LOCATION Total number of floors:
Job site address: 9131 SW Hill St, New dwelling arca: square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Dirksen, Craig Covered porch area: square feet
Cross street/directions to job site: Deck arca: square feet
Other structure arca: 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(rounded to the nearest dollar)of all
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
«< PROPERTY OWNER 0 TENANT Number of stories:
Name: Dirksen, Craig Type of construction:
Address: 9131 SW Hill St, Occupancy groups:
City/State/ZIP: Tigard OR 97223 Existing:
Phone:( 503 620 4829 Fax:( ) New:
® APPLICANT 12 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee sehcdeJ)
Business name: SolarCity 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
Amount received:
Phone:(503)894-6903 Fax::(1866 445-7459 -
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Melissa.Farias@SolarCity.com
Commercial and residential prescriptive installation of
CONTRACTOR RACTOR : „r , • roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SolarCity 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 checklist.
City/State/ZIP: Permit Fee(includes plan review
Portland OR 97220 and administrative fees): $180.00
Phone:( 503) 894-6903 Fax:(1 86(1 445-7459 State surcharge(12%ofpermit fee): $21.60
CCB lie.: 180498 l Total fee due upon application: $201.60
Authorized signature: I * I This permit application expires if a permit is not obtained
1/ v _ within ISO days after it has been accepted as complete.
Print name: Melissa Fari1 1.13.15 *Fee methodology set by Tri-County Building Industry
. Date:
Service Board.
1:1Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Electrical Permit ApplicatiRE
CNES FOR OFFICE(1SF ONLY
City of Tigard Received
Date/B : PI. .
IIIr 13125 SW Hall Blvd.,Tigard,OR 97221 i�m(� i 16 2015 Plan Review
C Phone: 503.718.2439 Fax: 503.598.19Yt pat�B ; Other Permit: '
'1'IGARI:� Inspection Line: 503.639.4175 F-r•tGARL) Date Ready/By: Saris: 10 See Page 2 for
Internet: www.tigard-ocgov ciTY4O " ,��fo Notified/Method: Supplemental Information
TYPE O1 -311 V PIAN REVIEW
Please check all that apply(submit 2 sets of plans w/items checked below):
0 New construction ®Addition/alteration/replacement
❑Service or feeder 400 amps or more 0 Building over thee stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
El Multi-family El Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","F;","I-2","I-3",
Jobno.9723085 lob site address: 9131 SW HILL ST I00HPormore. occupancy.
❑Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: TIGARD OR 97223 ❑Health-care facilities. 0 Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: Dirksen, Craig 0 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.11.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 t
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.fl.) 75.00 2
Limited energy,multi-family 7500 2
PV ROOF MOUNT residential(with above sq.0.)
Renewable Energy See Page 2
Services or feeders installationzalteration,and/or relocation
12 PROPERTY OWNER o TENANT 200 amps or less 100.70 2
- 201 amps to 400 amps 133.56 2
Name: Dirksen, Craig 401 amps to 600 amps 20034 2
Address: 9131 SW HILL ST 601 amps to 1.000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: TIGARD OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:( 503) 620 4829 Fax:( ) relocation
200 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 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
..tet APPLICANT 44 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 far 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
Phone:(503) 894-6903 Fax::(1866) 445-7459 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail: Melissa.Farias@SolarCity.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: SQlarCity Corp. Signal circuit(s)or limited-energy See
panel,alteration.or extension. Page 2 2
Address: 6132 NE 112th Ave Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP: Portland O107220 _ _ 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
CCB Lie.: 180498 Electrical Lic.: C562 Suprv.Lie.: 58735 _specifically listed C%,lir min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:ry-k,...„,-
Subtotal:
Print name: Nicholas Armstrong Date: 11.13.15 Plan review(25%of pennit fee):
Slate surcharge(12%of permit fee):
Authorized signature: -+-, - , i TOTAL PERMIT FEE:
Print name: Date: '1 1.13.1 5 This permit application expires if n permit is not obtained within 180
Melissa Faria days after It ban been accepted as complete.
Number of inspections allowed per permit.
I:\Duildieglt'ermds\El.C_PemetApp_ELR DRD.doc Rev 051212011 440.4615T(I INS/COMJWED
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
;:RESEN:TYAi::W4R1 .4N)a ? t itrs:aCttir:t�:,:::::::>
Fee for all residential systems combined........ $75.00 llrscripllon I Oh.. I ['cc I Tama] I •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 i0o.70 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
nBurglar Alarm Wind generation systems in excess of 25 kva:
2S_0l to 50 kva 301.04 2
n G• arage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
11] H• eating,Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems En excess of 25 kva:
[:K11 additional kw,over 25 —_I 7.42 3
n Vacuum Systems* >Ioo kva-no additional charge 0.0 3
❑ Each additional inspection over nllnwable in any of the above:
Other: Each additional inspection is 66.25/hr 1
charged at an hourly(I hr min)
Inspections for which no fee is
specihatlly listed(h hr min) 90.001 hr
Cf31�111�1RC1Al ;VIWOItIC.:ONX: 'c_ : ;`:` ::::: FEEs ::.
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit lee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is uol obtained within ISO
nA• udio and Stereo Systems days after it Inns h. ..ncreplal ns complete.
* Number of inspccliops allowed per pennn.
❑ Boiler Controls
n C• lock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
El Landscape Irrigation Control*
L Medical
n Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
IatSuilJ knercrmiisE1.C,PcrmuApp Elle FRG dor Rc,057212013
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
9131 SW HILL ST, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
MST2015-00216
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
9131 SW HILL ST, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00216
Jeff Grove
Violation Summary:
Inspector Contractor