Permit %it icy CITY OF TIGARD MASTER PERMIT
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C COMMUNITY DEVELOPMENT Permit#: MST2015-00219
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/02/2015
T1+tiirARID Parcel: 2S110AB02202
Jurisdiction: Tigard
Site address: 14305 SW 112TH AVE
Subdivision: COLE'S ACRES Lot: 8
Project: MCCALLUM
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: $3,500 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
Drywell-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 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:
MCCALLUM,COURTNEY SOLARCITY CORPORATION Required Items and Reports(Conditions)
14305 SW 112TH AVE 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
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 ma obtain-1 opy of tfE7v4e&or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
1
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Issued By: 4...---......--, _ j„,,— — -• i ittee Signature: ^__ G/i.c — 1 ...,••
. 39.4175 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.
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Building Permit Application
Residential ., FOICOFi lc�r,..USEONL _ .- :w.
s e
City of Tigard RECEIVED Receives /
Oate/B [ / Permit No.:V n. 'to;; L1
• @ u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revic ..i
Phone: 503.718.2439 Fax: 503.598.1960 I Date/By:4 ..r l Other Permit:
T1 A!i l7 Inspection Line: 503.639.4175 NOV V 19 2015 Date Rea4. : I ,,J/ /�,� loris: See Page 2 for
Internet: www.tigard-or.gov Notified/Method: II of i i5-i7 � r�� I Supplemental information
CITY OF T CARD 0)P/rv,,1.9 lY1e.6- I-
TyPE Os" • kOI NG DIVISION ,
R2.QIJIRCII DATA:I-, ti 2,I A1191Lv DWELLING
0 New construction D Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
[fg Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTIONwork indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 3 500
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14305 SW 112th Ave, New dwelling arca: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: McCallum, Courtney Covered porch area: square feet
Cross street/directions to job site: Deck area: 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 ❑ TENANT Number of stories:
Name: McCallum, Courtney Type of construction:
Address: 14305 SW 112th Ave, Occupancy groups:
City/State/ZIP: Tigard OR 97224 Existing:
Phone:( 5034 928 2109 Fax:( ) New:
Est APPLICANT T. CONTACT PERSON BUILDING PERMIT FEES*
(Please refer tafed sxhedule)
Business name: SolarCity Cord
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
CONTRACTOR Commercial and residential prescriptive installation of
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): S180.00
Phone:( 503) 894-6903 Fax:(186(1 445-7459 State surcharge(12%of permit fee): $21.60
CCB lie" 180498Total fee due upon application: $201.60
Authorized signature: r +M►`; , j This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 11.17.15 `Fee methodology set by Tri-County Building Industry
Melissa Fari.. Date:
Service Board.
I:1Building\Permits1BUP-RESPetmitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
• A
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received Pem%it No.:
q 13125 SW Hall Blvd.,Tigard,OR 97223 UatclDy:
Phone: 503.718._439 Fax: 503.596.1960
Associated permits:
0 P,icctricel 0 Plumbing 0 Mechanical24-Hour Inspection Line; 503,639.4t75
lIGARD
Internet: wwwaigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE.REQUIRED FOR PLAN REVIEW vas No N/A
I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. • • ■
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑
3 Verification of approved plat/lot. ❑ ❑ 0
4 Fire district approval required. Name of district: • ❑ d 0
5 Septic system permit or authorization for-remodel. Existing system capacity 0 0 0
6 Sewer permit. 0 ❑ _ ❑
7 Water district approval. ❑ LI
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0
-9 Erosion control 0 plan ❑pennit required. Include drainage-way protection,silt fence design and location of catch- ❑ [11-0—
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate lull-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if
copyright violations exist.
I i Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ 0 ❑
there is more than a 4-Il.elevation differential,plan must show contour lines at 2-11.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 ofcoverage;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 ❑ ❑ 0
and location.
13 Floor plans. Show all dimensions,roots identification,window size,location of smoke detectors,water heater, 0 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- ❑ 0 0
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. ❑ ❑ 0
Exterior elevations must reflect the actual grade if the change in grade is.grcatcr titan four footat 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- 0 0 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 0 0 n
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑
systems,sec item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ 0 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wail,roof truss)shall be stamped by an engineer or 0 ❑ 0
architect licensed in Ore_on and shall be shown to be a r livable to the ro'cct under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x I I"or 11"x 17", 0 ❑ U
24 Two(2)sets each arc required for items 16. 19,20 and 22 above. 0 0 O
25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildiirg glans will not be accepted. 0 ❑
26 "Reversed"building plans must mcci criteria outlined in the Permit Sc System Development Fee.document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale, 0 ❑ ❑
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 0
and protection measures must he 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, 0 0 0
including decks,patio covers(over non-impervious surface)and accessory structures Io existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:1i3uildingIPerm its\BUP-RESPcrtnirApp.doc 02/24/201 1 440-4613T(I I/02/COM/WEB)
t '
Electrical Permit Applicatio>n� 0=ov 1 .F0i WFFlsre t USE ONLY
B � _
City of Tigard Da Received
Permit No"S?'o1m/$=cWA.L T
III q 13125 SW Hall Blvd.,Tigard,OR 97223
N O V 19 2015 Plan Review
.C Phone: 503.718.2439 Fax: 503.598.1960 Date/13y: Other Permit:
TIGARD Inspection Line: 503.639.4175 p o Date Ready/By: hats: Pi Sec Page 2 for
_ _ Internet: www.tigard-or.gov CITY OF �"IGA� Notified/Method: Supplemental Information
TYPE aF' # i16S6ll 1 PLAN REVIEW
❑New construction /./ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stones.
❑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 Coti3mercial/industrial 0 Accessory building amps for all other installations. buildings.
❑Multi-family El Master builder El Other: 0 Fire pump. 0 Installation oft50 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
... ❑Addition of new motor load of ❑"A""E" "t-2""i-3"
Jobno.:9722882 Job site address: 14305 SW 112th Ave, I00HPormore. occupancy.
❑Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: Tigard OR 97224 0 Health-care facilities. 0 Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: McCallum, Courtney 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: • Description I Qty. I tee. I Total I
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq.R.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 i
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.R.) 75.00 2
Limited energy,multi-family 75.00 2
PV ROOF MOUNT residential(with above sq.R.)
Renewable Energy I See Page 2
Services or feeders installation_alteration,and/or relocation
PROPERTY •El t)t NER TENANT 200 amps or less 100.70 2
"' 201 amps to 400 amps 133.56 2
Name:McCallum, Courtney 401 amps to 600 amps 200.34 2
Address: 14305 SW 112th Ave, 601 amps to 1.000 amps 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) 928 2109 Fax:( ) relocation
- 200 amps or less 59.36 1
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
.4 APPLICANT ® 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 wit/rout
Contact name: Melissa Farias service or feeder fee,first 56.18 2
branch circuit
Address: 6132 NE 112th Ave Each add'l 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.Farias@SolarCity.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: SolarCityCorp. 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_QIZ9.12 2,Qw_. Investigation(t hr min) 66.25/hr
Phone:(503) 894-6903 I Fax:(1866) 445-7459 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 180498 Electrical Lie.: C562 Suprv.Lie.: 5873S specifcallvlisted(A hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Date: 11.17.15 Plan review(25%of permit fee):
Nicholas Armstrong State surcharge(12%of permit fee):
Authorized signature: c1 TOTAL PERMIT FEE:
-
Print name: Date: 11.17.15 This permit application expires if a permit is not obtained within 180
Melissa Faria days after it has been accepted as complete.
- * Number of inspections allowed per permit.
tonurldiaglPermits\ELC_PermitApp_ELR ERE.doc Rev 05/212013 441e0,15T(11/051CC`b11WEQ
Electrical Permit Application—City of Tigard
Page 2--Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
•
Fee for all residential systems combined $75.00 brsr.1ption I Qtv. Pec I Trial I..:
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or lass 1 100.70 100.70 2
5.01 o 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 In zs kva 200,34 2
Wind generation systems in excess of 25 kvn:
ElBurglar Alarm -
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
5100 kva(tee in accordance With 552.26 3
IDHeating, Ventilation and Air Conditioning OAR 918-309-0040)
SystemSolar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva-no additional charge 0.0 3
❑ Each additional inspection over allowable in any(lithe above:
Other: Each additional Inspection is 6G.25/hr 1
charged al an hourly(1 hr min)
Inspections for which no fee is
90. Specir,G,fiy haat(i5 hr mm)
hr
'
c;a>v4MERcIAL:rwoRx:or €:�: ` .:::: :: : .:::..: : LU,r�m�.��>~:rt: � F.EEs
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 if a permit is list obtained within 180
Audio and Stereo Systems days after it has hero accepted as complete.
Number of inspections allowed per permit.
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑
Fire Alarm Installation
❑ HVAC
F-1 Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:1rlui1dulg:rermds'Ei.C_I'amttnpp.fl.R.llKE•.toe Rev 05/21/2013
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
14305 SW 112TH AVE, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00219
Jeff Grove
Violation Summary:
Inspector Contractor