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Permit (26) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2017-00054 T t .ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2017 Parcel: 25111 CC 15300 Jurisdiction: Tigard Site address: 10065 SW HIGHLAND DR Subdivision: SUMMERFIELD NO.4 Lot: 204 Project: HENRY 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 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 F urn>=100 K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 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: Roof top PV system Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: HENRY TRUST SOLARCITY CORPORATION Required Items and Reports(Conditions) BY HENRY,MARSHALL C&PAULA 6132 NE 112TH AVE J TRS PORTLAND,OR 97220 10065 SW HIGHLAND DR TIGARD,OR 97224 PHONE: PHONE: 503-894-6903 FAX: 866-445-7459 Total Fees: $368.69 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 throu R 952-001-0090. You may obtain a co he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Jam'��?�c� + .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. Ir , Building Permit Application Residential i tiIt()ft�lt l' 141.t)Vl_1 -� Ili of Tigard 1 k' Received © , 1. `•7 1 Date/14 . PClttlil Ntl.: Al! "r` ..s'r 13125 SW Hail Blvd.,Tigard,OR 9 Plan Review ' to Phone: 503.718.2439 Fax: 503.598,1960 Date/0 : - Other Permit: Inspection Line: 503.639.4175 I Date Ready/By: See Page 2 for 1_��,11?t} 1 i" � N Internet: www.tigard-or.gov f Notified/Method:de -1 7 1 IMII Supplemental information 8 € k. € _z. REta 3 a L A I to 1 r 0 New construction a tl I Permit fees°are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all l,;e Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the y CAT -!- , O NS/AU IO S work indicated on this application. C41-and 2-family dwelling 0 Commercial/industrial Valuation: 8000 Q Accessory building 0 Multi-family Number of bedrooms: d Master builder 0 Other: Number of bathrooms: dE.. a, SITE iNfoltm4nosl AND LocormTotal number of floors: Job site address: 10065 SW Highland Dr, New dwelling area: square feet City/State/ZIP: Tigard OR 97224 Garage/earport area: square feet Suite/bldg./apt.no.: Project name: Henry Covered porch area: square feet Cross street/directions to job site: Beck area: square feet Other structure area: square feet 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 ..�> ll`. :... P"rlON' E wossic work indicated on this application. Valuation: $ PV ROOF MOUNT Existing building area: square feet 9.732 Kw New building area: square feet t,, FRO„,-:i-*,:s = Number of stories: ` Name: Marshall Henry Type of construction: Address: 10065 SW Highland Dr Occupancy groups: City/State/ZIP: Tigard OR 97224 Existing: Phone:( 503) 504 4976 Fax:( ) New: . SolarCity Business name A 1#11 ,- _ f1 € Corporp 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 I Fax::(1868 445-7459 E-mail: t t .. T.. t v . ...t, . . €m Melissa FariasC SolarCit corn ,.. € i � �r �. A Commercial and residential prescriptive installation of ,,� € , ..._;��.. � ...... �r. ' �: � � roof-top:mounted PhotoVoltaic Solar Panel System. Business name:SOlarCily 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. Permit Fee(includes plan review Portland OR 97220 and administrative fees): $1$0.00 City/State/ZIP: Phone:(503) 894-6903 Fax:(186€ 445-7459State surcharge(12%of permit fee): $21.60 CCI3 lie.: 180498 Total fee due upon application: $201.60 Authorized signature: AN<* at ,` This permit application expires if a permit is not obtained 0 ” within 180 days after it has been accepted as complete. Print name: i *Fee methodology set by Tri-County Building Industry Melissa Fari• Date: 02.02.17 Service Board. 1:1 Hui ldinglPettnits\BUP-RESPermitApp.doc 02124/2011 440-4613T(I1/02/COM/WEB) A ,. Electrical Permit Application �_ , rt,lt 111.1=1(.1_ I I.t1vl,\ City of Tigard .- ..;ved Permit Na: �j�� E)atc/sy: tp 7 7 M 13125 SW Hall Blvd.,Tigard,OR 972 ` Plan Review / r` 1 ` � S Phone: 503.718.2439 Fax: 503.598.1960 DatciBy: Other Permit: t 1,, 1 it€, Inspection Line: 503.639.4175 EB 6 ,)Il 1 Date Ready/tly: auris: l See Page2 for Internet: www.tigard-or,gov NotifiedlMetll: Supplemental Information m ., o New Construction ®Alddilion/alterafi4� m r 9 s Please check al!that apply(submit 2 sets of plans w/items clocked below): i�VVij � �. � �� Demolition 0 Other: `�1/- 0 Service or feeder 4flt!amps or more 0 Building over three stones. . the le fa Mnrinaa and boatyards, where a availab fault t:tarent CATEGORY OP ,§ CTI exceeds 10,000 amps at 150 volts or 0 floating buildings. ,. u. �""" „.' �� -„ ''r � less to ground,or exceeds ta,000 0 Commercial-use agricultural. 21 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings, 0 Multi-family 0 Master builder 0 Other: D Pire pump. D lnataaation of r so N VA or SITED Emcrgency system. larger separately derived system. NVOK rTION AND D Addition of new motor toad of CI"A" 'E""1-2'"1-3", Job no.: 9723569 I Job site address: 10065 SW Highland Dr l00HPormore. occupancy. 0 Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP: Tigard OR 97224 0 Health-care facilities. 0 Supply voltage for mom than 0 Hazardous locations. 600 volts nominal, Suite/bldg./apt.no.: I Project name: Henry 0 Service or feeder 600 amps or more. Cross street/directions to job site: —fitscrintion Qts. Fee, Tata New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq.ft.or less 16834 4 Ea,add'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential CRIPTIOrl OP WOI (with above sq.(t.) 75.00 2 Limited energy,multi-family 75.00 2 PV ROOF MOUNT residential(with above sq.II.) 9.732 Kw Renewable Energy o See Pagel Services or feeders installation alteration,and/or relocation 200 a s or less 1 100.70 2 201 amps to 400 amps 13336 2 Name:Marshall Henry 401 amps to 600 amps 200.34 2 Address: 10065 SW Highland Dr 601 amps to 1,000 amps 301.04 2 City/State/ZIP: Tigard OR 97224 Over 1,000 amps or volts 552.26 t, 2 Temporary services or feeders installation,alteration,and/or Phone:( 503) 5044976 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 125.06 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 7n r,alteration,or extension,}er panel A.Fee for braneh 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 branch circuit Address: 6132 NE 112th Ave Each add'l branch circuit 7.42 2 City/SttiC/ZIP: Miscellaneous(service or feeder not included Portland, OR 97220 Each manufactured or modular 67.84 2 servPhone:(503) 894-6903 Fax::(1866) 445-7459 dwelling,Reconnect onlytonlyeared/orfceder 67.84 2 E-mail: .' - "■ ' a P C-0 �;--a ct1 ti,c d loJ'ump or irrigation circle 67.84 2 €. . :�` AC' ..r ,s` Sign or outline lighting 67.84 2 Business name: SolctrCity 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(1 hr min) 66.25/hr City/State/ZI;Portland...QR 972 20investil at o (1 bruin) 66.25/hr - Phone:(503) 894-6903 l Fax:(1866) 445-7459 Indttstnalplant(I hr min) 78.18/hr Inspections for which no fee is 90,00/hr CCB Lie.: 180498 Electrical Lie.: 0562 Suprv.Lie.: 58735 s. ifiralavltsted 1:hr24 Suprv.Electrician signature,required: Subtotal. Print name: Date: 02.02.17 Plan review(25%of permit fee): Nicholas ArmstrongState surcharge(12%of permit fee): Authorized signature: (1\4 --- ., TOTAL PERMIT FEE: Print name: I ` .lilts permit application expires Ira permit is not obtained within ISO Melissa Faria• \ ) ,, Date: 02.02.17 days after It has been accepted as complete. mm * Number of inspections allowed per permit. lana tdiegtrermsstet cfPamdtApp_ELR_GRO.doe.Rev 05/21(2013 41(54615T(t 1105XOMiWCn Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: fSEN:�I .Wt UNla7`. Fee for all residential systems combined $75.00 DezcrlplIun I ON.. I Fee I Til I ' Renewable electrical energy systems: Check Type of Work Involved: 5 kva or lass 100.70 2 5.01 toISkva 1 133.56 133.56 2 ❑ Audio and Stereo Systems' 15111 to 25 kva 200.34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 5100 kva(fee in accordance with 552.26 ? LIHeating,Ventilation and Air Conditioning OAR 918-309-0040 yStel37* Solar 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 El Each additional ittapectiun over allowable in any of the above: Dther: Each additional Inspection is charged at an hourly(1 hr min) 66.251 hr inspections for which no fee is 90.00/hr COMM.ERCL4L WORK O specifically haul('h hr min) Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%ofpermit fee): State surcharge(12%ofpermit f'ee): Check Type of Work Involved: TOTAL PERMIT PEE: ❑ This permit application expires if a permit is not obtained within 180 A• udio and Stereo Systems days after it bus been acceplevi as rnmplete. " Number of inspections allowed per permit. ❑ B• oiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse rn Calls 1 ElOutdoorLandscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other Installations t.�t3uilJ.ng;pCrmUsIELC.PermtIApp ti!.R fiRE,1oe Res 05/21/29]3 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10065 SW HIGHLAND DR, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00054 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10065 SW HIGHLAND DR, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00054 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor