Permit lii1t CITY OF TIGARD MASTER PERMIT
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< : COMMUNITY DEVELOPMENT Permit#: MST2015-00220
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/02/2015
TIGARD Parcel: 2S110DD10300
Jurisdiction: Tigard
Site address: 15705 SW HIGHLAND CT
Subdivision: SUMMERFIELD NO.6 Lot: 319
Project: MIKELS
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: $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
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 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:
MIKELS,GEORGE A SOLARCITY CORPORATION Required Items and Reports(Conditions)
DONNELLY,JOAN M 6132 NE 112TH AVE
15705 SW HIGHLAND CT PORTLAND,OR 97220
TIGARD,OR 97224
PHONE: PHONE: 503-894-6903
FAX. 866-445-7459
Total Fees: $363.69
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 ru•. ---. -,• 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• the rules or direc questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
r
Issued By: ���� ignature: g._____ v —
Call 5r. :6• ' 5 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 pP� FOR OFFICE USE ONLY
City of Tigard ��@D`� '//�� ", Permit No.: V / — • •
iiii . 13125 SW Flail Blvd.,Tigard,m) � `
J) flan Review ,
ME
Phone: 503.718.2439 Fax: 5 it. 960 ZO\S Date/B : ri ��
Inspection Line: 503.639.4175 �1 Date Ready/13y:
T 1 C,A ILl7 111 ra Sec Page 2 for
Internet: www.tigard-or.gov NO V l�9Q NotifiedJMethod: G' Supplemental Information
ANOt
TYPE ON �� � •
REQUIREDDATA:1-AND 2-FAMILY DWELLING�j�`
0 New construction 1emolilion 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
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling 0 Commercial/industrial Valuation: $ 5000
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15705 SW Highland Ct, New dwelling arca: square feet
City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Mikels, George Covered porch area: square feet
Cross street/directions to job site: Deck arca: 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 arca: square feet
New building arca: square feet
t.2 PROPERTY OWNER ❑ TENANT Number of stories:
Name:Mikels, George Type of construction:
Address: 15705 SW Highland Ct, Occupancy groups:
City/State/ZIP: Tigard OR 97224 Existing:
Phone:(971) 317 1983 Fax:( 1 New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:SolarCityCorp Please refer tofeepeheArde)
p Structural plan review fee.(or deposit):
Contact name: Melissa Farias
FLS plan review fee(ifapplicable):
Address: 6132 NE 112th Ave.
Total fees due upon application:.
City/State/ZIP: Portland OR 97220 -
Phone:(503)894-6903 Fax::(1866 445-7459 Amount received:
E-mail:Melissa.Farias@SolarCity.com PHOTOVOLTAICSOLARPANELSYSTEMFEES*
Commercial and residential prescriptive installation of
CONTRACTOR I OR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SolarCi t y 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:(1864 445-7459 State surcharge(12%of permit fee): $21.60
CCI3 lie.: 180498
Total fee due upon application: $201.60
Authorized signature: /+: e. This permit application expires if a permit is not obtained
I within 180 days after it has been accepted as complete.
Print name: Date: 11.17.15 '`Fee methodology set by Tri-County Building Industry
Melissa Fari.
Service Board.
•
I:113ui!ding\Permits1BUP-RESPermitApp.doc 02/24/2011 440-46I3T(I 1/02/COM/WEB)
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\Jeo
Electrical Permit AnDlic �,, .I OR officE UiSE.ONLY
City of Tigard
\' 115 Received
13125 SW Hall Blvd.,Tigard,OR 9 p� V 1 Date/B : �, i
4w Plan Review
IS Phone: 503.718.2439 Fax: 503.598. 60 to� Q Other Permit: '
{ �\ Date/B
C I G;1 Kt7 Inspection Line: 503.639.4175 OV 1.......%.,0i90‘' Date Ready/By: kris: RI See Page 2 for
Internet: www.tigard-or.gov C�,�O1 Notified/Method: Supplemental Information
TYPE PLAN REVIEW
Please check all that apply(submit 2 sets of plans w/items checked below):
0 New construction CI. Addition/alteration/replacement
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Commercial•use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings.
O Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
❑Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A”"E" "I.2""i-3"
Job no.:9723079 Job site address: 15705 SW Highland Ct, IO0HPormore. 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: Mikels, George 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fce. I Total I
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.R.or portion 33.92 I
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.It.)
Renewable Energy ® See Page 2
Services or feeders installation,alteration,and/or relocation
13:1 PROPERTY OWNER 0 TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Mikels, George 401 amps to 600 amps 200.34 2
Address: 15 705 SW Highland Ct, 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:(971) 317 1983 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
.. VAPPLICANT ® CONTACr 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
brunch 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
(1866) 445 7459
Phone:(503 ) 894-6903 Fax:: dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
E-mail:Melissa.Farias@SolarCity.com Pump or irrigation circle 67.84 2
. CON'I'RATOR Sign or outline lighting 67.84 2
Business name: SOlarCity 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 OR 91970 _ -_._ 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 90.00/hr
CCB Lic.: 180498 ElectricalLic.: C562 Suprv.Lie.: 5873S -speciticallylisted(Yrlirmin) _
Suprv.Electrician signature,required: o---.4....-------- ELECTRICAL PERMI l' FEES
�� Subtotal:
Print name: Date: Plan review(25%of penult fee):
Nicholas Armstrong 11.17.15 State surcharge(12%of permit fee):
Authorized signature: —lite
• 0 TOTAL PERMIT FEE:
'Phis permit application expires if a permit is not obtained within 180
Print name: Melissa Faria Date: 11.17.15 days after it has been accepted as complete.
V
• Number of inspections allowed per permit.
I:lnuildiegU'ermds l(LC_PemtitApp_ELR ERE.dnc Rev 05/21/2013 440,1615T(11/05/COM/WEB
O_
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fecs:
RES DEN IAL:W+(3RK.ONLY:: rir�:ac ...
Fee for all residential systems combined $75.00 Uecn1plIon I Qtr. I pec I hial I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 13 3.5 6 2
n A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2
HBurglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
n G• arage Door Opener* 50.01 to 100 kva 552.26 2
5100 kva(tee in accordance With
552.26 2
ElHeating,Ventilation and Air Conditioning OAR 918-309-0040)
SystemSolar generation systems In excess of 25 kva:
Each additional 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
charged at an hourly(1 hr min) 66.25/lir 1
Inspections for which nu fee is
�ecifiatlly listed(h hr min) 90:00!hr
..`COMM.ERCIAL W. RK.ON ., :
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%ofpennit fee):
Check Type of Work Involved: TOTAL.PERMIT FEE:
this permit application expires if a permit is not obtained within ISO
n A• udio and Stereo Systems days after it has been accepted ns complete.
Number of inspuaions allowed per permit.
Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
•
n Fire Alarm installation
❑ HVAC
Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n N• urse Calls
n Outdoor Landscape Lighting*
n P• rotective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:trluildenglFrrmibEt.0 PcraniApp GLI(IlItll,lor Ree rK/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
15705 SW HIGHLAND CT, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00220
Jeff Grove
Violation Summary:
Inspector Contractor