Permit (6) . !,01 . , CITY OF TIGARD MASTER PERMIT
. COMMUNITY DEVELOPMENT Permit#: MST2016-00177
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2016
Parcel: 2S 109AB 18100
Jurisdiction: Tigard
Site address: 13185 SW HOODVISTA LN
Subdivision: HIGHLAND HILLS ESTATES Lot: 10
Project: SIBAJA
Project Description: Solar photovoltaic system.
BUILDING
Floor Areas Reauired 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: $6,000.00 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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Drains: 0
Water Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 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 add9 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:
SIBAJA,SERGIO SOLARCITY CORPORATION Required Items and Reports(Conditions)
SIBAJA,MAUREEN 6132 NE 112TH AVE
13185 SW HOODVISTA LN 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-01. e_•_ • -y obtain a Capy.pf the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: a . -• r ittee Signature: , —P.....0. �?^
��Call 503.639.4175 by 7:00 a.m.for the next available inspection date. — ,111'97
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 ' ,
' '
it ,Residential
1 O 01tIt I 1 til 0\1.1
City of Tigard Received
N ,,, M Vt F c Plan R .���i6„ Permit No.
13125 5W Hall Blvd.,Tigard,OR 97223 ; (a i �d Fl„ /AT
Phone: 503.718.2439 Fax: 503.598.1960 `� tti Plan Re ./fir
i i,,,A, ,, Inspection Line:S5a03.639.4175 n Y Date Rea wr a��� Other Permit;
Daten3: glIl
Internet: www.hgard-or.gov or.gov ¢ r NobOct ,161112
see Page 2 for
' / Ay/MilSupplemental Information
,; :Sea oit, 1 ��
-e� fes'
Permit fees*are based on the value of the work performed,
0 New construction Q Demolition
6< Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement 0 Other
equint,materials,labor,overhead,and the profit for the
lmte
ttly/(.:14e. + ia t work indicated on this application,
1t 1-and 2-family dwelling ❑Commercial/industrial Valuation: 6000
Q Accessory building 0 Multi-family Number of bedrooms:
Q Master builder
0 Other: Number of bathrooms:
NE tTotal number of floors:
Job site address: 13185 Southwest Hoodvista Lane, New dwelling area: square feet
City/State/ZIP: Portland OR 97224
Garagelcarport area: square feet
Suite/bldg./apt.no.: I Project name: Maureen Sibaja Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
__- 1i r athevalue. '� ie
Taxd
Subdivision:
no.: ) Lot no.: Indicate the value(rounded Permit fees are based on of the work performed.
map/parcel to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
1,7„,_,,, i work indicated on this application.
Valuation: $
PV ROOF MOUNT Existing building area: square feet
New building area:
,�-: �f . '-_ squarefeet
Le..6`,, f>, ---'-qt--` Number of stories:
Name: Maureen Sibaja
Type of construction:
Address: 13185 Southwest Hoodvista Lane,
Occupancy groups:
City/State/Z1P:. Portland OR 97224
Existing:
Phone (847) 800 6195 Fax:( )
r , New:
1 �e+t� Rt f
t _'
Business name:5olarCity Corp . ..
Contact name: - Structural plan review fee(or deposit):
Melissa Farias
Address: 6132 NE 112th Ave. FLS plan review fee(if applicable):
City/State/ZiP: Portland OR 97220
Total fees due upon application:.
Phone:(503)894-6903 Fax::(186 445-7459 Amount received:
E-mail:
Melissa ariasC�ScrlarCit -*c°-1-7,1 �� �4.:,,,,,,,_700-4444-4.
� 4" , , ,,,,,,,.;L:,_,,,,:,
� :A.,,,,4
a e ivv., # g' " -r------7---''441 Commercial and residential prescriptive installation of W
` " ' 1 `- -11
. , - ;' roof top mounted PhotoVottaic Sot Panel System.
Business name:SalarCityr Corp. Submit two(2)sets of roof witli'connection details
Address: and fire department access,along with the 2010 Oregon
6132 NE 112th Ave Solar InstallationSpecialt Code checklist.
City/State/ZIP:Portland OR 97220 Permit Fee(includes plan review
and administrative fees): 5180.f14
Phone:(503) 894-6903 ( Fax:(1864 445-7459
State surcharge(12%of permit fee): $21.60
CCB Be': 180498
Total fee due upon application: $201.60
Authorized signature: A ilk it,,f This permit application expires ifs'permit is not obtained
within 180 days after it has been accepted as complete.
Print name Melissa Fari•- Date 0 5.02.16 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BDP-RESpermitApp.dac 02/24/2011 440-46131(11/92ICOM/Wl3B)
. .6
f4. ,' ,11' '',1
Electrical Permit Application I Olt 01 1 If /' t 0,1
City of Tigard
I 7
-. - liffIIIIIIIIIIIIIIIIIIIMMPVTIMIINRIaav I , . =
111 - C131125 SW Hall Blvd.,Tigard,OR 97213 Plan Review
Other Permit:
1 -11
Phone: 503.718.2439 Fan: 501598,1960 DateIreRoar :dyniy:
88 See Page 2 for
Inspection Line: 503.639.4175 ‘,...,„edimethod: liEN Supplemental information
Internet: vvww.tigard-or,80v ,,,'„ 1.,,4-4,,,t:4-,f,,,,6tuo, '.7",,,,,,,,, ,„,,, .,,,,, ,7:„kr ,,,,,
11;11 -%"--144'''tt-''"''—'4411 . 'j'' l'7*--L 7 '' ''' ''' .71.7 Please' ciicctilMarS;;;(subirth2 sets of plans%items checked below):
L._I New construction li Addition/alteration/rep acem in
El Service or feeder 400 amps or more 0 Building over throe stones
where the available fault current 0 Marinas and boatyards.
o Demolition -------°-'' 0 Other:
....1.10,000 amps at 1510 voolts0 or 0 cPluatinegrcbiauilldingsa,gncuiturai
. less tofgrounetheorrei:cstaceitio40,s0 0
use
r4 I-and 2-family dwelling 0 Commercial/industrial El Accessory building 0 aFii:tenpuonrt;Hot ' , buildings.
0 installation of 150 KVA or
El Multi-family 0 Master builder p Other:
separately derived system.
' 0 Emc'rgencYlsystem.tor toad of 0 1"!Itr"E","I-2","1-3",
13 Atooddi japan:rem:loom
occupancy.
Job no.: 973288 Job site address: 13185 Southwest Hoodvista Lane,
Portland OR 97224 0 Six or more residential units. 0 s
0 Recreational voltage
lsvce hfoierfmcpowarkthcan
re
City/State/ZIP: 0 fleahh-eafacilities.
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: 1 Project name: Maureen Sibaja 0 Service Or feeder 600 amps or m°1''
7----'''''''---"-'---- .0-j--- '-r-:' I 1---
Cross street/directions to job site:
Description I 0's. tree, Totai 1
New residential single-or multi-family dwelling unit.
Includes attached garage.
I
Subdivision: Lot no-. 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft,or portion 33.92
1
Limited energy,residential
Tax map/parcel no.: .,_ - , „_ ----,, (with above sq.a.) 75.00 2
'-, -1--- ' , 'itt,-'-''icte'Ve -i ---, -4---1-c*---,7-'-'1'-'' '-r---.- ' 1
Ill, ,%..'•'..,_ - '---- -' - Limited energy,multt-famt y
PV ROOF MOUNT residential(with above eq. 75.00
2 It)
Renewable Energy 0:4 See Page 2
Services or feeders installation,alteration,and/or reification
100.70200atnps or less 2
IT'e'°' ' -,,.....,_ -,='
, - ,..... , .
201 amps to 400 amps 133.56 2
Name:Maureen Sibaja
401 amps to 600 amps 200.34 2
Address: 13185 Southwest Hoodvista Lane, 601 amps tO 1,000 amps 301.04 2
Over 1,000 amps 07 1/011s 552.26 2
City/State/ZIP: Portland OR 97224
Temporary services or feeders installation,alteration,arid/or
phone:(847) 800 6195 I Fax:( ) relocation
200 amps or less59.36 I
Owner installation:This installation is being made on property that I own which is not =
201 amps to 400 amps I I 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps2
168.54 2
Owner signature: , , _, ,.., , ,, Date: Branch circuits-new,alteration,or extension,per panel
,,. Alectiliii,,, y,Tif'-" ,.,,,_,:,,,, A,Fee for branch circuits w:
7,:., ,„.4,4,,.. '''L-'''-' r „'-'--'.!:,:"' -'' " --"'" '" ---°-' - above service or feeder , 7.42 2
each branch circuit
Business name:SolarCity Corp.
B.Fee for branch circuits without
service or feeder fee,first
Contact naine: Melissa Farias
56.18 2
branch circuit
Address: 6132 NE 112th Ave Each midi branch circuit 7,42 2
Miscellaneous(service or feeder not included)
City/State/ZIP:Portland, OR 97220
Each manufactured or modular 67.84 2
Phone:(503) 894-6903 I Fax-'.(1866dwelling,service and/or feeder) 445 7459
' - Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail:Melissa,Farias@SolarCity.corn __, ,,,,„ro.--,----- . . lighting ' - 67.84 2
.--,.-Az,, -,7-•',----,M.------,-,`,--- -s-77-17' ' - a -,y s, -6.1,;,;76.,,, =-77,-,7 , , ,, -W--,,6,7, --', '-- Sign or outline
''' Signal circuit(s)or limited-energy See
Business name: SolarCity Corp,
Panel,alteration,or extenston. Page 2 2
Each additional inspection over allowable in any of the above
Address: c.1..1 q i 1-I 1-
1..f a c NE 1 1 4to Ave Additional inspection(1 hr min) , 66.25/hr
City/state/zip:Portland OR 97220 _ investigation(1 Ian.)
. - 66.25.1 lir'
Ind t l lent(1 hrmin) 78.181 hr
894-6903 Fax:(1860 445.-7459 — 1'7 P , .
Phone:(503) ... Inspections for which no fee is woo/hr
CCB Lie*:180498 .ificall listed eh hr min)
1 Electrical Lie.: c562 Suprv.Lie.: 58735 ,„7 --, .1.17,, ,irtn----;7
Suprv.Electrician signature,required: Subtotal:
Print name: Nicholas Armstrong I Date: 05.02.16 Plan review(25%of permit
State surcharge(12%of permit.fee):
Authorized signature: .--I .. ..,,,,,)
TOTAL PERMIT FEE:
Print name:
this permit applitation expires a-a permit is not obtained within 180
....P'i Asa Fan 1 ,
I Date: 05.02.16 days after it has been accepted as complete.
NI ]. • ' . Number of inmections allowed per permit.
JABmild ttatitAELC_PermilApp_ELR_ERE.dae Rev 0512112013 440-46151(1D03/COMAVEB
` No
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
Ilnndption I Qh•. € Fee I Total
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 le zs kva 200,34 2
QBurglar Alarm Windfieneration systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 55126 2
5100 kva(fee in accordance with 552.26 2
❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040
System* Solar generation systems in excess 0125 kva:
Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva—no additional charge 0.0 3
❑ Emelt addition nt inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 66.251 hr 1
Inspections for which no fcc is 90.00.'hr
('Ah
C( 1Vi11 .EERCIA L WORK ON+':
spcCl ir.1 j halalr min)
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
Slate surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
I 1 This permit application expires if a permit is lint obtained within 180
f I Audio and Stereo Systems days after it haa been accepted as enmplete.
* Number of insptxtk n.allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ I-IVAC
U Instrumentation
❑ Intercom and Paging Systems
O Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
•
❑ Outdoor landscape Lighting*
❑ Protective Signaling
El Other
Total number of commercial systems: _*No licenses are required. Licenses are required
for all other installations
I.ltduildetgtrrr as.a.c permuApp.elk.0RF:.xfoc Rev 05/21/200
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
13185 SW HOODVISTA LN, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2016-00177
Chip Barnett
Violation Summary:
Inspector Contractor