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Permit 114 CITY OF TIGARD MASTER PERMIT s # COMMUNITY DEVELOPMENT Permit MASTER MST2020-00281 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2020 Parcel: 2S109DB03200 Jurisdiction: Tigard Site address: 13126 SW HAZELCREST WAY Subdivision: SUMMIT RIDGE Lot: 70 Project: Santayana 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: $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 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 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 Fum>=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!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: Y Other Description: Roof Top Solar PV System 6.0 kW 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: SANTAYANA,JUAN C ELEMENTAL ENERGY LLC Required Items and Reports(Conditions) LE,ANH 1339 SE 8TH AVE#8 13126 SW HAZELCREST WY PORTLAND,OR 97214 TIGARD,OR 97224 PHONE: PHONE: 503-967-5786 FAX: Total Fees: $353.19 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 503.232.1987 or 1.800.332.2344. Issued By: \1y Vane L4DC Permittee Signature: O \ Q�ILQ �] Call 5D3.639.4175 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 ApPlicatiprx°.-INIF, ') - °! 30(2O Residential Fon OFrlcE FSE(]vl.V /yt,Q i © 2020 Received O I� Permit No.: V t tw2O<028( City of Tigard DateB : ear • 13125 SW Hall Blvd.,Tigard,OR 97223 , :` Plan Review Phone: 503.718.2439 Fax: 503 598.1960 ' 1 t `' " DateB : a CMS", ���I i,tA Other Permit: T I G A R n Inspection Line: 503 639 4I'7'5: t 1!/i I O r 4l Date Ready/By: ® See Page 2 for g Internet: www.tigard-or.gov NotifiedMethod: �I ���f I( . '!� Supplemental Information 014(L- C t.-c -I"c TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑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 N Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 6,000 IX 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13126 SW HAZELCREST WAY New dwelling area: square feet City/State/ZIP: TIGARD, OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: SANTAYANA SOLAR Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application. 6.00 kW AC Solar Photovoltaic Prescriptive Roof mount Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: CARLOS SANTAYANA Type of construction: Address: 13126 SW HAZELCREST WAY Occupancy groups: City/State/ZIPTIGARD, OR 97224 Existing: Phone:( ) (503) 347-5444 Fax:( ) New: N APPLICANT. a CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: ELEMENTAL ENERGY Structural plan review fee(or deposit): Contact name: CHRISTINE STAMPER 503-522-9190 (CELL) FLS plan review fee(if applicable): Address: 1339 SE 8TH AVE STE B Total fees due upon application: City/State/ZIP: PORTLAND, OR 97214 Phone:( ) 503-967-5786 Fax: :( ) Amount received: E-mail: PERMITS@ELEMENTALENERGY.NET PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES' Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: ELEMENTAL ENERGY Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 1339 SE 8TH AVE STE B Solar Installation Specialty Code checklist. Cit /State/ZIP: PORTLAND OR 97214 Permit Fee(includes plan review $180.00 Y and administrative fees): Phone:( ) 503-967-5786 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lit.: 195141 Total fee due upon application: $201.60 Authorized signature: G�'�'�G�'✓- , This permit application expires if a permit is not obtained � within 180 days after it has been accepted as complete. Print name: CHRISTINE STAMPER Date: *Fee methodology set by Tri-County Building Industry 09/30/2020 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) 353 . IT Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received . Assoejy: Permit No.. 13125 SW Hall Blvd.,Tigard,OR 97223 a Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes .:S,'t• rs/v 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ 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 ❑ 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 ❑plan ❑permit required. Include drainage-way protection,silt fence 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 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 ❑ ❑ ❑ 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 ❑ ❑ 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. 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 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 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 ❑ 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 ❑ architect licensed in Ore•on and shall be shown to be applicable to the .ro'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 II"x 17". 0 ❑ 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 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 ❑ 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 El 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. 1:1Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Electrical Permit Application 1 `` --.- FOR OFFICE ESE ONLY' City of Tigard 1.= 2020 Received Permit It:MS�DZO 00z .�,� • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax 503.598.1960 DateB : Related Permit a: Inspection Line: 503.639,4175 Ready Date/By: ® See Page 2 for t I G A P.fl Internet: www.tigard-or.gov Notified/Method: liff= Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction J Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked). ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. 7� CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or El Floating buildings. J71 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 13126 SW HAZELCREST WAY 100HP or more. ❑ 'A°, e, I-z', 'l-3', City/State/ZIP: ❑Six or more facilities. residentialunits. 0 Recreational vehicle parks. Tigard, OR 97224 ❑liealth•caze S Suite/bldg./apt.#: Project name: Santayana Solar 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. j Each I Total I * New residential single-or multi-family dwelling unit Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: • Ea.add.]500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 6.00kW AC Solar Photovoltaic Prescriptive Roof Mount install, (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 1 I PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Carlos Santayana 200 amps or less 100.70 2 Address: 13126 SW HAZELCREST WAY 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:( ) (503) 347-5444 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: Carlos.Santayana@COmCast.net 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 10 APPLICANT CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: ELEMENTAL ENERGY above service or feeder fee, 7.42 2 each branch circuit Contact name: CHRISTINE STAMPER, 503-522-9190 (CELL) B.Fee for branch circuits without service or Address: circuit fee,first 56.18 2 1339 SF RTH AVEAVF. VTR R branch circ City/State/ZIP: Each add]branch circuit 7.42 2 PORTLAND O 97214 Miscellaneous(service or feeder not included) Phone:(Sn3J967- 7R6 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: PERMITS@ELEMENTALENERGY.NET Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: ELEMENTAL ENERGY Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 1339 SE 8TH AVE STE B panel,alteration,or extension. ❑ See Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above PORTLAND O 97214 Additional inspection(1 hr min) 66.25/hr Phone:( 5031 967-5786 I Fax:( ) Investigation(1 hr min) 90.00/hr Email: PERMITS(a,ELEMENTALENERGY.NET Industrial plant for which (1 hcr nno) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: i 95141 Electrical Lie.: C 1228 Suprv.Lie.: 4894S specifically listed('i hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 1 ( Subtotal: Print name: David Gehrke Date: 09/30/2020 0 Plan Review Required(25%of permit fee): , "" State surcharge(12%of permit fee): Authorized signature: t, ` .1--. TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: CHRISTINE STAMPER Date09/30/2020 days after it has been accepted as complete. * Number of inspections allowed per permit. I:1BwldinglPensils1ELC_PermitApp_ELR_ERE.doo Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application —City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Descriptionan a. Each Total y Renewwable electrical energy systems: Check Type of Work Involved: s kva or less 100.70 2 5.01 to15kva 1 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* 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(I hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed('G hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 Number of inspec ons allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems • n Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems • ❑ LandscapeIrrigation ation Control*g • ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* E Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015