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Permit Support Document (28) City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT R111 3e u x/ , F. , q est for Permit Action T I(;ARD 13125 SW Hall Blvd. •Tigard,Oregon 97223 • 503-718-2439 •www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner Applicant ❑ Contractor Check( )one ❑ City Staff REFUND OR Name: n INVOICE TO: (Business or Individual) Au(i t.. SO( 1' LLC Mailing Address: 415 3 5 l U a t a-V4L _ Sheflnkoc. T A City/State/Zip: TO (a4 & (. P„ 14% Phone No.: (q f o 3 - P EASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): CANCEL/VOID PERMIT APPLICATION. 0 REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). Permit#: /`?S r 0/ �j DO :f-3 Site Address or Parcel#: B l'f 9 5 ` �i?� JLC Project Name: S ``— Subdivision Name: Lot#: EXPLANATION: CilSk641Ag.( .0 0 v 6c SQA C t O.s�`-d aft0k . Signature: " D 306/10) ate: Print Name: A; it( a off no Refund - P"— 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. I•OR OI I ICL l L OyL) Route to Sys Admin: Date By Route to Records: Date - ,fr By 64. Refund Processed: Date A//4 By ut'j Invoice Processed: Date B Permit Canceled: Date 6P-72-7/y� B y I: B 105 Y �e el Tai madded: Date B uilding\Forms\RegPemutAction_] 1 .doc Julie Drinkwater From: Mitchell Hampton <mitchell.hampton@auricenergy.com> Sent: Tuesday,July 23, 2019 10:33 AM To: Julie Drinkwater Subject: RE: MST2019-00287, 9880 SW Pembrook, Sanchez Attachments: Permit Action Request.pdf Caution! This message was sent from outside your organization. Allow sender I Block sender Hi Julie, The customer has backed out of the project due to financial reasons, and therefore we will no longer be requiring the permit.Attached is the permit action request form.Apologies for the confusion. Thank You Mitchell Hampton Regional Director of Fulfillment, Oregon mitchell.hamptonPauricenergy.com (971)-803-1803 (41/ Auric From:Julie Drinkwater<JulieD@tigard-or.gov> Sent:Tuesday,July 23, 2019 10:26 AM To: Mitchell Hampton<mitchell.hampton@auricenergy.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: MST2019-00287,9880 SW Pembrook,Sanchez Hello Mitchell The permit for Sanchez is ready to be issued. The balance due is $371.69. Attached please find the invoice for your review. You can pay the fees online, or when you pick up the permit, Monday-Thursday, 8:00 am to 4:00 pm. We are closed on Fridays. To pay the fees online, you can go to our website: https://aca.accela.com/TIGARD/Default.aspx. From there, click on the Building tab, enter the permit number in the Record Number field, and click Search. Thank you Julie Drinkwater Permit Technician 1 City of Tigard Building Department 13125 SW Hall Blvd Tigard, OR 97223 503-718-2804 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 2 illdin2 Permit Application E 1 //-/ Residential FOR OFFICE USE ONLY City of Tigard J U L i 1 2019 Received c ed //;1 Date/By 7 /7 7 • s` �l•1' —07021-3 1114 11/ 13125 SW Hall Blvd.,Tigard,OR 97223 4 • Plan Review Phone: 503.718.2439 Fax: 503.598.b0 Dat/By: 7/17 ( 1 Other Permit: 1 I G A R D Inspection Line: 503.639.4175 Date ReadyBy: J�� 7�ds: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: 7! / Supplemental Information areffifrps: ;� ( f ti 'I.. �..',. i (�I , i' j�Top # I' = B l i!IJE k 1 .¢�€Rpr gg 4j p .;..:';,::..,..a::,i�, �4j ,f ��) (: �€ �a,. 1111 ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement ®Other:PV Solar equipment,materials,labor,overhead,and the profit for the ik:112107,1$ ppp€€ppppE��vR � t , t f t �1� ! it Ii, IG,;i j� work indicated on this application. po,, .ps . °x d g„it JI ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $6,930 ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 6p p, .x ka , pp hr plTotal number of floors: e ¢ 511 Job site address:8949 SW Gravenstein Ln New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: 177446 Byron Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 71117111114.i thhii" �. R ki 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 p4 " a l ,�,; i!lj � work indicated on this application. 3.465 kW Solar PV Array to be Roof Mounted Valuation: $ Existing building area: square feet New building area: square feet its " �p, ps . t J €M��p € RpQ p Number of stories: �eG�p� p��3p.p u"'p,�K�s.i .,,. � .,R.p».�p. Name:Andrew Sanchez Type of construction: Address:8949 SW Gravenstein Ln Occupancy groups: City/State/ZIP:Tigard,OR 97224 Existing: Phone:(971)330-5957 g Fax:( ) New: 4ifian k I'i�I 4 Ii� �� l �' mail t t 10it ill 1 1 rI :Pvwr014 IR LA SU: ._�.. Business name:Auric Solar LLC Structural plan review fee(or deposit): Contact name:Mitchell Hampton FLS plan review fee(if applicable): Address:9530 SW Tualatin-Sherwood Rd Total fees due upon application: _City.State/ZIP Tualatin5$R 97062 Phone:(971)803-1803 Fax: :( ) Amount received: 771141 E-mail: mitchell.hampton@auricenergy.com t It >> q 7 ,t Commercial and residential prescriptive installation of t t: 0 1 i I � i �I pp s �3 R� �,��1r,,:=; �';;��„..�� .,AA,?� =pi' ��E�;B�R �A��. ':�,a=��B�,oe-DRi. pR.p. ,w=I roof-top mounted Photovoltaic Solar Panel System. Business name:Auric Solar LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:9530 SW Tualatin-Sherwood Rd Solar Installation Specialty Code checklist. City/State/ZIP:Tualatin,OR 97062 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(971)803-1803 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:212831 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:Mitchell Hampton Date:7/11/2019 *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) •Bt 'laing Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Date/B Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 m Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: TIGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: . 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. 0 0 0 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 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 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. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,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 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,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. I 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are 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 Floor/roof 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 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 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 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 ---archltercensein O1re_on an sWa e shown to be a slicabk to tNe inf ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) a • VOID Electrical Permit Application `� i�" Fox OFFICi: l'si:O_v1.1 City of Tigard JUL 1 1 2019 ReceivedDaPermit#: 114 _ Ill 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R n Phone: 501718.2439 Fax: 503.598.1960 „x ,, -/ Plan Review Date/B Related Permit#: Inspection Line: 503.639.4175 1.-;,-,i e.L €. J a Y .:1•i Ready Date/By: Juris: B See Page 2 for T I G A R D Internet: www.tigard-or.gov Notified Method: Supplemental Information '" 1f7'ii' = ::::."Z; :1. ����:', l.=1. F ,:°€ t ,YMV" :� r, 1=r"_•_. NW,: "" ` r€i' 7:: �j t� � t ;a„: Ali:14 .i z ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ®Other:Solar PV Array ❑Service or feeder 400 amps or more ❑Building over three stories. d ,,:31 :.�a where the available fault current 0 Marinas and boatyards. t i i i 6=olitr-r1 i8 k€' la exceeds 10,000 amps at 150 volts or 0 Floating buildings. 0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps forbuildings. ❑Multi-family 0 Master builder ®Other:Solar PVall other installations. Installation ❑Fire pump. 0 Inslation of 150 KVA or . •as1emo . T iVZ::70�r: .�s6 . . i ls� ti.a " e ❑EAnvncofsYstem. larger searatel derived new motor load of system. Job#: 177620 Job site address:8949 SW Gravenstein Ln 100HP or more. ❑"A","E","1-2","1-3", City,/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name:177620 Sanchez ['Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: ill t s"6 ; ';`-73,17-i-„, r Description Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 Mis x,;," I I' i i A . : v hit Limited energy,residential (with above sq.ft.) 75.00 2 3.465 kW Solar PV System to he Roof Mounted Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 `d PROPERTY OWNER` . El TENANT Services or feeders installation,alteration,and/or relocation Name:Andrew Sanchez 200 amps or less 100.70 2 Address:8949 SW Gravenstein Ln 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard,OR 97224 601 amps to 1,000 amps 301.04 2 Phone:(971)330-5957 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 ill , �;" 1' , 1 Branch circuits—new,alteration,or extension, r panel , ,. t i �,x,�=. A.Fee for branch circuits with Business name:Auric Solar LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Mitchell Hampton B.Fee for branch circuits without service or feeder fee,first Address:9530 SW Tualatin-Sherwood Rd branch circuit 56.18 2 City/State/ZIP:Tualtain,OR 97062 Each add'!branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(971)803-1803 I Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:mitchell.hampton@auricenergy.com Reconnect only 67.84 2 mum ts':=sing summtammISMISHRISIONNEMiti Pump or irrigation circle 67.84 2 _ „_ Se1.r-1 _ -Zigsroroutlisielighting 478* . _2 Address:9530 SW Tualatin-Sherwooid Rd Signal rcualteration,or extension.t(s)or limited-energy panel, 0 See Page 2 2 City/State/ZIP:Tualatin,OR 97062 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(971)803-1803 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:mitchell.hampton@auricenergy.com Inspections for which no fee is CCB Lie.: 212831 Electrical Lic.: C 1243 Suprv.Lie.: 6122S s.-cificall listed 'h hr min 90.00/hr "`' l Suprv.Electrician signature,required:c.,....../10.s .. Subtotal: 100.70 Print name: Thaniel Bishop I Date: 7/11/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): - ' ' /44------ Authorized signature: %'�� TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Mitchell Hampton Date: 7/11/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. L'BuildingiPmnitslaLC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46r5T(t 1/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: IT13'';4a, = `€»: •+ ®NITIEM0 Fee for all residential systems combined: $75.00 Renewable electrical energy systems: IICheck Type of Work Involved: s kva or less © 100.70 100.70 5.01to15kva 133.56 _® ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 _® Wind l eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 50.01 to 100 kva 552.26 _® ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040 ■ 552.26 _© ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 _® ❑ Vacuum Systems* >100 kva-no additional charge 0.0 _® Each additional ins,•ction over allowable in an of the above: ❑ Other: Each additional inspection is ■ 66.25/hr _© charred at an hourl 1 hr min Inspections for which no fee is ■ 90,00/hr -. g s.ecificall listed '%hr min Pri ""'`"""s �6�i Subtotal(Enter on Page 1): 100.70 Fee for each commercial system: $75.00 (SEE OAR 918-309-0000) * Number of Inspections allowed per permit Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical.. ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Perils\ELC_PeimitApp_ELR_ERE.doc Rev 06/17/2015