Permit (64) q CITY OF TIGARD MASTER PERMIT
R7it..' COMMUNITY DEVELOPMENT
Permit#: MST2017-00311
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2017
Parcel: 1 S 125DA03800
Jurisdiction: Tigard
Site address: 6620 SW WALNUT TER
Subdivision: KINGS VIEW Lot: 23
Project: LEEDY
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
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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: 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:
LEEDY,ROBERT ALLAN&JOYCE H SOLARCITY CORPORATION Required Items and Reports(Conditions)
6620 SW WALNUT TER 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
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 952-001-0090. Y u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,(�. ✓��
Permittee Signature: �x'e �%�y/�"/� �71G�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. �U
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
i l()R()►► ►t I i St)
F \1 1
.
Cityir
of Tigard t ` dryer 3 c 1
Datc/B. 1 Al i ; Permit No.: ' V 7-v
is 13125 SW Hall Blvd.,Tigard,QR 97223
.'�� Plats Revic -
Phone. 503.718.2439 Fax: 503.598.1960 i!(` 2017Dater: - �� Other Permit:
7 : '. .t f Inspection Line: 503.639.4175 V 13 Date Ready/By. //`� Jura: Id see Page 2 for
Internet: www.tigard-or.gov r mi ffi ( //�, 1_ Supplenecnkal information t1= I rlrt /� ./'
,
❑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
0;1 Addition/alteration/replacement 0 Other:
' nt,materials,enais labor,overhead,andthe profitfor r the
""' work indicated on this application,aex t' r;` rt) t
1-and 2-family
'ItdwellingValuation: 5000
❑Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
Master builder 0 Other:
Number of bathrooms:
Ef t7,; t k7z. t :. s Total number offoors:
Job site address: 6620 SW Walnut Terrace, New dwelling area: square feet
City/State/ZIP: Portland,OR 97223 Garage/carport area: square feet
Suite/bldg./apt,no.: Project name: Robert Allan Leedy Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: i *:***T.4:1 ar:4;11,4?.., .' .1"",-1;-`,i,''',
1 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
M ui -
eq prneirt,materials,labor,overhead,and the profit for the
g " r, :t� ) tt a ,f ,k,. work indicated on this application.
rr
,m . - ' r r E r.'
Valuation: S
PV ROOF MOUNT 6.6 KW Existing building area: square feet
+Energy Storage System New building area: square feet
t '2 r d `E
Number of stories:�' ► t%'� , 1 rs:!r -17-4°'-;;'7,-------,----144,,,;2n{ , �€, E,:�fe-----":4;41A,24,;.:°1
d4t ,6,1_ � € V , ,.
Name: Robert Allan Leedy Type of construction:
Address: 6620 SW Walnut Terrace, Occupancy groups:
City/State/ZIP:Portland,OR 97223
Existing:
P
Fax:( .,. ) New:'cne (503) 333 7894- f
r f :3 ' , r , r , -,
Business name:So1rrCity
Cory
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/StaterZlP: Portland OR 97220
Phone:(503)894-6903 Fax:;(186$ 445 7459 Amount received:
E-mail:Melissa arras SolarCity.ct)m .. t t � r' ''i
r .
on
,le - el Po' .,.:.�>;r 4-, ` .-.-`3-",.., rooCommercial p mount d Phot alta Solar P nista eltSy tem.of
s rz
anel System.
Business name:SolarCil.y Corp. Submit two(2)sets of roof plan with tonne cticrn details
and fire department access,along with the 2010 Oregon
Address: 6132 NE 112th Ave Solar Installation Specia/iT Code checklist.
City/State/ZIP: Portland OR 97220 Permit Fee(includes plan review $180.010
and administrative fees):
Phone:(503) 894-6903 Fax:(186f 445-7459 State surcharge(12%ofpermit fee): $21.60
CCI3 lie.: 180498 Total fee due upon application: $201.60
;SE; /( This permit application expires ifs permit is nut obtained
Authorized signature:
A + within 180 days after it has been accepted as complete.
Print name: Melissa Fart08.04.17 *Fee methodology set by Tri-County Building Industry
._ ,' Date: Service Board.
1:1Building Permits`BUP-RESPermitApp.doc 02/2412011 440146137('1 lto2lCC31v11WEB)
r
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONE)"
City of Tigard Receives elle
a 13125 SW Hall Blvd.,Tigard,OR 97223 Uatc/B :
Phone: 503.7182439 Fes: 503.598,196p Assoeiatcdperttuts:
24-Hour inspection Line; 503.639.4175 0 Metrical ( Numbing 0 Mechanical
1"IGAI:3 Internet: www;tigard-or.gov 0 Other:
THE FOLLOWINiG ITEMS ARE REQUIRED FOR PLAN REVIEW ves No ti A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ ii I
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district;etc. 0 0 O
3 Verification of approved plat/lot. 0 ' 0 ❑❑
air
4 Fire district approval re...piked. Name of district:
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0
6 Sewer permit. ❑ ❑ j❑
7 Water district approval. 0 ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,siltfence design and location of catch- ❑ 0 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 full-size
sheet attached to the plans with cross references between plan location and details. Nan review cannot be completed if
copwrighr violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property comer elevations(if 0 0 In
there is more than a 4-R.elevation differential,plan must show contour lines at 2-ft.intervals);location ofeasements
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 belts,any hold-downs and reinforcing pads,connection details,vent size 0 0 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches aboveradc,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 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 0 ❑
Exterior elevations must reflect the actual grade if the change in grade is.grcatcr than four footat building envelope.
Full-size sheet addcndums showing foundation elevations with cross references arc 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 Fioorlroaf framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 0
systems,see 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
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ 0
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 0 0
architect licensed in Ore_on and shall be shown to be a) licable to the.ro'ect under review.
JURISDICTIONAL SPECiFiCS
23 Three(3)site plans are required for Item 11 above. Site_plams must be 8-1/2"x 11"or 11"x 17". 0 , 0 11
24 Two(2)sets each arc required for Items 16. 19,20 and 22 above. ❑ ❑ 0
25 Building plans shall.not contain red lines or tape-ons. "Mirrored"building;plans will not be accepted. 0 ❑
26 "Reversed"building plans must meet criteria outlined in the Permit Sc System'Development Fees document. 0
27 "Drawn to scale"indicates standard architect or engineer scale. _ 0 0 0
28 Site plan to include tree size,typo and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ID
Street Tree List.
Site29
plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ U
and protection measures must he drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensllfve 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 to existing residential dwellings
on a lot of record approved prior to September 9,.1995.
1:\Building1Pennitslf3UP-RESPermitApp.doc 02/24/2011 440-46131(1 1/02/COM/WEB)
Electrical Permit Application 1(1 k ril I it f I ai c\I \
City of Tigard A EC El )664 to ii/&J1 ? r3-7-7 P7ni"'le.''/7'.1' 41r)-1 7 --('°=311
1111 , 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 DaterBv: Other Permit:-
Fa See Page 2 far
Inspection Line: 503.639.4175
AUG 8 2: RewBr i a.:4„ I
Internet: www.tigard-oSupplemental Information
rgov ,
' ''''' ' '' :L2'.7.'-'r''' ,• -::"IHAZ,- 7 '' ' t'l''''ri• '.---'-'?-1-' ':-''''' ,-,-- - - -
0 New construction I Please cheek all that apply(submit 2 sets of plans winems checked below):
..3 Addition/alteration/''.. PPill!ill I '2 li V .k.. 0 _ 0 , , three
U Service or feeder 400 VMS or mole Building over atoneu.
where the available tank-current 0 Marinas and boatyards.
0 Demolition 0 Other:
exceed10,000 amps at 150 vF ' uildin
s olts or 0 heating b ga.
..--"r-T',..!;- d ..,_-:1:-7-r-!-'*--, '2.''''''4,'....-,-,- .' ''',' •/'''....,.,:,..:..411`_,*' -1,,,`„,, ',: ,,, .., -77 1;
less to ground,or mews 1.4,000 Ei Commercial.usc agricultural
I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buikling.
0 Multi-family 0 Master builder 13 Other: 1:3
_ ........._,... .........., 0EPimare rency. 0 Installation of 150 KVA or
system.
larger separately derived system.
13 Addition offtmow load or v
lootip of more. Occupancy.
Job no.: Job site address: 6620 SW Walnut Terrace,
0 Six or mere residemial units. 0 Recreational vehicle parks.
City/State/ZIP:. Portland,OR 97223 0 Health-eare facilities, 0 supply voltage for more than
Cl Hazardous imations. 600 volts nominal.
Suite/bldg./apt.no.: roject name: Robert Allan Leedy P 0 Service or feed.er 600 amps or more...,......, _
.. °,°'71"4 ',1'..; ,.,41", '''''' '
Cross street/directions to job site:
oeseriptieo i or
w. Fm. Tod 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.*del 500 sq.ft.or portion 33.92 1
Tax limp/parcel no,: Limited energy,residential
with above a j.ft. 75.00 2
Limited energy,multi-family
75.00 2
PV ROOF MOUNT 6 kw residential(with above sq.84
itenewidate energy ':44 Si Plage 2
+Enerr Storage S stem Services or feeders installation alteration,and/or relocation
Ili 1 1 100 70 100 70 2
2—amps or (Ps . .
-"- 4-7.,'''' '''::'' '''' . '0-'21".;• ""'4' `I '' '''' ' -4'-414'4`" " 201 amps to 400 amps 133.56 2
Name: Robert Allan Leedy 401 amps to 600 amps 200.34 2
Address: 6620 SW Walnut Terrace, 601 Rare 10 l,000amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Portland,OR 97223
Temporary services or feeders installation,alteration,and/or
Phone:( 503) 333 7894 I Fax:( ) relocation
200 amps or less 59,36 I
Owner installation:This installation is being made on property that I own which is not
201 amps to400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to on 447,449,670,and 701.
401 amps to 599 amps 168.54 2
Owner signature: Date: , Branch CiretlitS--new,alteration,or extension,•or panel
--.3
-i A.Fee for branch circuits with
above service or feeder fee, 5...i 7.42 37.10 2
Business name:SolarCitv Corp. each branch circuit
B.Fee Par branch circuits without
Contact name: Melissa Farias service or feeder fee,first so.18.
2
branch circuit
Address: 6132 NE 112th Ave Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP:Portland, OR 97220 Each manufactured or modular
67.84 2
dvvelling,service and/or feeder
Phone:(503) 894-6903 Fax:'(1866) 445-7459 Reconnect only 67.84 2
E-mail:MeliSSB.FariaS@SOIBECit .,COM ,. Pump or irrigation circle 67.84 2
sign or outline Lighting 67.84 2
Business name: SO larC'ity Corp pSaignanel,lacjiteratrcuit(iosn)7oriexiintientedsronn.ergY paS;eel 2
Address: 6132 NE 112th Ave Each additional inspection over allowable in any of the above
itAndvdeaiitiognaatileians(plehrctimii'll hr mut) , , 66.25/642516d25/hr
City/State/ZIP;Portland OR 91220
Phone:(i-o-*)
a a 894-6903 1 Fax:t 866) 445-7459 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.:180498 Electrical Lie.: C562 1 SuPry"Lie.: 58735 4;:T!js12!...!1117i" ,
Suprv,Electrician signature,required: - _
Subtotal:
Print name: Nicholas Ar 0strong I Date: 08.07.17 Plan review(25%of permit fee);
State surcharge(12%of permit fee):
Authorized signature: -1-1 ,
TOTAL PERMIT FEE:
1 'rats permit montane»expires if a permit Is not obtained within 180
Print name: Date: 08.07.17 days after It has been accepted as complete.
Melissa Faria Y '
* Number of inspections allowed per permit.
MlilulldingWerraisiELC_PerinitApp_ELR.ERE.deke Rev 0512112013 440.46151(11/05/COMAVE13
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined $75.00 Description • I (lh.. I pec I Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.20 2
5.01 to 15 kva 1 133.56 13 3.5 6 2
❑ Audio and Stereo Systems* 15.01 to is kva 200.34 2
❑ Burglar Alarm Windjencralion systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
5100 kva(fee in accordance with
LI Heating,Ventilation and Air Conditioning
OAR 918-309-0040) 552.26
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
❑ Each additional inspection over allowable in any of the above:
Other: Each additional Inspection is
charged at an hourly(1 hr min) 66.251 hr d
inspections for which no fee is 9toat hr
sped ('�h tet y rsl r min)
L[iCG13'kLi:.'AL:::PF�11'Tl'r �$.
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT IEE;
r l This permit application expires if a permit is in obtained within ISO
J I Audio and Stereo Systems days after it bac been ecceplevd as complete.
* Number of inspex:lians allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
O Landscape Irrigation Control*
❑ Medical.
D Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
IfecilJtng,PamosTI C,ptxtniApp IILR fiRE..foc l e (15/21/2013
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6620 SW WALNUT TER, TIGARD, OR, 97223 October 20, 2017 at
8:46:24 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00311
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor