Permit (41) CITY OF TIGARD BUILDING PERMIT
`°°- 'n COMMUNITY DEVELOPMENT Permit#: BUP2016-00226
Date Issued: 08/01/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 8/01/DA00100
Jurisdiction: Tigard
Site address: 13010 SW 68TH PKWY
Project: Triangle Corporate Park I Subdivision: VARNS ACRES Lot: 9
Project Description: Building 1 -Roof mounted solar photovoltaic system.
Contractor: NW PHOTON ENERGY Owner: PACIFIC NW PROPERTIES LIMITED PA
10720 SW MOAPA ST STERN FAMILY LIMITED PARTNERSHIP
PORTLAND, OR 97219 STERN, HELEN R REVOCABLE TRUST
6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-793-6620 PHONE: 503-626-3500
FAX: 503-244-1243
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 08/01/2016 $2,011.95
Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 08/01/2016 $241.43
Dwelling Units: 0 Plan Review 08/01/2016 $1,307.77
Stories: 0 Height: 0 ft Info Process/Archiving-Lg$2.00(over 08/01/2016 $16.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $250,000 Info Process/Archiving-Sm$0.50(up to 08/01/2016 $10.00
11x17)
Metro Const.Excise Tax 08/01/2016 $300.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,887.15
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 503.232.198'Zr 1.80¢: 32.2344.
7,-- r'F//
Issued By: d).S' 4?Vrier-1 r _ Permittee Signature: �`
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 Applicatio
fix;
Commercial * .tri ' FOR 01 F 1( F: l tiF:ON 1,1
City of Tigard .p' Received 7��21111 ,
� , Permit No.: abtlo .
1111 13125 SW Hall Blvd.,Tigard,OR 97223 u ;(7`t Plan Revi774 j
S Phone: 503.718.2439 Fax: 508.591.1960 Date/13 :4I'ti qtt� l r Other Permit( /�,—C .4,
,,I G n R I, Inspection Line: 503.639 417,5, Date Rea.yy t Juris: ® See Page 2 for
Internet: www.tigard-oi gov Notified/Method/ /4 .S Supplemental Information
0 New construction 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the
"fr * O P •-',....,-,4'.••-.5...:',..-•
j work indicated on this application.
,. ,. ,. .,. .. .,_ .., r . ,� . .
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
, , .(100 ° ' � rf Total number of floors:
Job site address:13010 SW 68th New dwelling area: square feet
City/State/ZIP:Tigard Or 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:I Project name:Triangle Corporate Covered porch area: square feet
Cross street/directions to job site:68th&I-5 Deck area: square feet
Other structure area: square feet
1
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
XO � 44�x t x " work indicated on this application.
Install roof mounted solar system Valuation:
Existing building area: square feet
New building area: square feet
i 4 E. ) . O� 'J` .1� Number of stories:
Name:Pacific NW Property Management LLC Type of construction:
Address:6600 SW 105th ave Occupancy groups:
City/State/ZIP:Beaverton Or 97008 Existing:
Phone:(503)626 3500 Fax:( ) New:
A:
�� `
Business name:NW Photon Energy LLC
Structural plan review fee(or deposit):
Contact name:Kirk Cameron
FLS plan review fee(if applicable):
Address:10720 SW Moapa Ave
Total fees due upon application:
City/State/ZIP:Portland Or 97219
Phone:(503)703 4046 Fax::( ) Amount received:
E-mail:kirk@nwphotonenergy.com , , *Afn ,.,
Commercial and residential prescriptive installation of
P x p
a ,.,, . . , . , ,K„ �w roof-top �•. .ted Photovoltaic Solar Panel S •11.
Business name:NW Photon Energy LLC Submit two(2)se r.f plan with c•. on details
Address:10720 SW Moapa Ave and fire department acces , : .ng wi • r.a 2010 Oregon
p Solar Installation Specialty C 'l.ecklist.
City/State/ZIP:Portland Oregon 97219 Permit fee(inclu• plan revie $180.00
an. :.. inistrative fees):
Phone:(503)703 4046 Fax:( )
State sure.. ge(12%of permit fee): $21.60
CCB lic.:188056
Total fee due upon application: 201.60
Authorized signature: "� This permit application expires if a permit is not obtained
!� within 180 days after it has been accepted as complete.
Print name:Kirk Camero Date:7/6/16 * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
13010 SW 68TH PKWY, TIGARD, OR, 97223
Record Type:
Commercial - Building
Inspection Type:
299 Final inspection
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
December 9, 2016 at 8:10:28
AM
Record ID:
BUP2016-00226
Inspector:
Chip Barnett
Contractor