Permit lig CITY OF TIGARD MASTER PERMIT
�' • COMMUNITY DEVELOPMENT Permit#: MST2021-00083
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/25/2021
T i iJ A I'.I) 9 Parcel: 2S106AD05200
Jurisdiction: Tigard
Site address: 16594 SW AUTUMNVALE LN
Subdivision: RIVER TERRACE EAST Lot: 159
Project: Blackwood
Project Description: PV solar roof mount
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: $7,998.00 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 Tunes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<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 9.30 kW DC 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:
BLACKWOOD,JEFFREY D&JAMIE M CONDUIT ELECTRIC Required Items and Reports(Conditions)
16594 SW AUTUMNVALE LN 19461 SW 89TH AVE
BEAVERTON,OR 97007 TUALATIN,OR 97062
PHONE: PHONE: 503-692-1428
FAX: 503-692-3652
Total Fees: $370.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate 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 1.80033��2.2344.
Issued By: ,, `V O '\c 1 /� r(' P Permittee Signature: � apt c--e-' °'-`
•v\ Call 503.635.4175 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 Application 3 I )--a
Residential *. I OR OFFICE USE ONLY T
�,r,1 r r 1:D Received 7[ N, Z. \*.) 1"5{ �
City of Tigard u Datewe : 5 Permit No.:
14 ' 13125 SW Hall Blvd.,Tigard,OR 97223 4 Plan Review
s9 / Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 I1 i-i 0 LUL I Date/n : ® See Page 2 for
Inspection Line:'503'639.4175 Date Ready/By: Juri
TIGARD P Notified/Method: Supplemental Information
Internet: www.tigard-or.gov ('.i" ..�'.�{[}
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 Demolition Permit fees*are based on the value of the work performed.
[II New construction Indicate the value(rounded to the nearest dollar)of all
12f Addition/alteration replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
(AlEGORY OF CONSTRUCTION
Valuation: s 7998.00
XI I-and 2-family dwelling ❑Commercial/industrial
Number of bedrooms:4
❑Accessory building ❑Multi-family
Number of bathrooms:4
1 ❑Master builder ❑Other:
.JOB SITE INFORMATION AND LOCATION Total number of floors:2
Job site address:16594 SOUTHWEST AUTUMNVALE LANE New dwelling area: square feet
City/State/ZIP:BEAVERTON OR 97007 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:BLACKWOOF Covered porch area: square feet
Cross street/directions to job site: SW AUTUMNVALE LANE AND SW 165TH AVE 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.:2S 106AD05200 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK 4, ! "I work indicated on this application.
PV SOLAR ROOF MOUNT Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:JEFFREY BLACKWOOD Type of construction:
Address:16594 SOUTHWEST AUTUMNVALE LANE Occupancy groups:
City/State/ZIP:BEAVERTON, OR 97007 Existing:
Phone:((206))399-1644 Fax:( ) New:
® APPLICANT ® CONTACT PERSONBUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:SOLGEN POWER Structural plan review fee(or deposit):
Contact name:NIKKI RELYEA FLS plan review fee(if applicable):
Address:1992 SAINT STREET Total fees due upon application:
City/State/ZIP:RICHLAND, WA 99354
Amount received:
Phone:( )509-505-6834 Fax::( )
PHOTOVOLTAIC.SOLAR PANEL,SYSTEM FEES*
E-mail:nicole.relyea@solgenpower.corn
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:CONDUIT ELECTRIC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:19461 SW 89TH AVE Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP:TUALATIN OR 97062 and administrative fees):
Phone:( )503- 692-1428 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie }$556 lQ�lisr ! Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date. `Fee methodology set by Tri-County Building Industry
Print name:NIKKI RELYEA 1/3/20201 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
3$ Cdra it S
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Electrical Permit A licatio ECEIVE ..., FOR OFF ICE t,sl:ONEv
City of Tigard MAR
i 2 9 Received .3 \
/13 \ Z\ R v m Pe [#:
IIII 13125 SW Hall Blvd.,Tigard,OR 97223 1 021 Plan RReview
Phone: 503.7182439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: huffs: ® See Page 2 for
Internet: www.tigard-or,gov Notified/Method: Supplemental Information
TYPE O1 PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/hems checked):
CIService or feeder 400 amps or more 0 Building over three stories
❑Demo li[iotl ❑Ober: .
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION. >'11.•,.._._:,,, exceeds 10,000 amps at 150 volts or ❑Floating buildings.
El 1-and 2-family dwelling ❑Commercial/industrial El Accessory building leas to ground or exceeds la,000 ❑commcrelal- agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ,111 ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:16594 SOUTHWEST AUTUMNVALE LANE I001iP or more. ❑`A', E,set-2","I-3",
City/State/ZIP:BEAVERTON OR 97007 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: ❑Hazardous locations. 0 Supply voltage for mom than
['Service or feeder 600 amps or more. 600 volts marital
Cross street/directions to job site: ` : 110XDULE "
:
OFF SW FRIENDLY LANE AND SW AUTUMNVALE LANE Desert""' I Qty. I Each f Total "r.
New residential single-or multi-family dwelling unit
Subdivision: Lot#: Includes attached garage.
1,000 sq.It.or less 168.54 4
Tax map/parcel#:25106AD05200 Ea.add'I500 sq.ft.or portion 33.92 1
DESCRIPTION OF_MOM "�; 'W
�;,V', _ Limited energy,residential
PV SOLAR ROOF MOUNT (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.IL)
La.PROPERTY OWNER, 1 0 TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name:JEFFREY BLACKWOOD 200 amps orIms 100.70 2
Address:16594 SOUTHWEST AUTUMNVALE LANE 201 amps to400amps 133.56 2
401 amps to 600 mope 200.34 2
City/State/ZIP:BEAVERTON OR 97007 601 amps to 1,000 amps 301.04 2
Phone:(206-399-1644 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders metallation,alteration and/or
Email:JEFFDBLACKWOOD@GMAIL.COM
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
® APPLICANT I 0 CONTACT RSON' Branch circuits—new,alteration,or extension,.er panel
A.Fee for branch circuits with
Business name:SOLGEN POWER above service or feeder fee, 742 2
each branch circuit
Contact name:NIKKI RELYEA B.Fee for branch circuits without
service or ,
Address:1715 BEDFORD ST branch circuit feederfe` first 56.1E 2
city/State/ZIP:PASCO, WA 99301 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(509-505-6834 Fax::( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email:nicole.relyea@solgenpower.com Reconnec only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:CONDUIT ELECTRIC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address:19461 SW 89th Ave, panel,alteration,or extension.
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:( 503)692-1428 Fax:( ) investigation(1 hr min) 90.00/hr
Email:nicole.relyea@solgenpower.com /I/I LL Industrialplant(Ihrmin) 78.18/hr
71 e i).n [Cl l�/� Inspections for which no fee is 90.00/hr
/,5pe,I ')„electrical Lie.:23- 05 ' Suprv.Lie.:io l specifically listed('Ahr mint
+`� 7 v� 4<�j�1 ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: (`y,of\ej -"Y O f.'46 I Date: 0 Plan Review Required(25%of permit fee):
State surcharge(12%ofpermit fee):
Authorized signature: /Q� TOTAL PERMIT FEE:
��.& /�.d( This permit applicationaerexpires if a permit Is s ctp obtained. within]80
Print name: Date:3/11/2021 days after It has been accepted o complete.
' Number of inspections allowed per permit.
t\Buitdiny�Pernua\BLC_PermiiApp_ELR_ERE d Rev 06/17R015 44O.4615T(IINS/COM/WEB
a .
•
•
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description •
Fee for all residential systems combined: $75.00 RenewableQty. end. Tntat
electrical energy systems:
Check Type of Work Involved: s kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
n Garage Door Opener* 00 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: pv solar roof mount Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(14 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL P4.RMIlli
Subtotal(Enter on Page I):
Fee for each commercial system: S75.00 • Number of inspe bons allowed allowed per permit
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n 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
n Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
t.tBsilding'PermitsoELC_PermitApp_ELR ERE.doc Rev 06/17/2015
City of Tigard
1.114 '' Building Division RECEIVED
' . 13125 SW Hall Blvd,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 MAR 8 2021
T I GARD Inspection Line: 503.639.4175
www.tigard-or.gov CO OF TIGARD
BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 16594 SOUTHWEST AUTUMNVALE LANE
City: BEAVERTON OR Zip:97007
Owner's Name: JAMIE BLACKWOOD Date: 3/8/2021
Contractor's Name:CONDUIT ELECTRIC CCB #: 109669
Design Parameters of the Property/Structure
If"Yes", does not
Is the installation qualify for the
Flood Hazard ® Yes
Area Located in a flood prescriptive path, follow
plain/flood way? ❑ No OSSC or ORSC for
design requirements.
FA
Wind Ex osure Is the wind exposure Yes If"Yes", qualifies for
p "C" or less? ❑ No the prescriptive path.
Installations on detached Is the Ground Snow
single/two-family Load 70 psf or less?
dwelling/single/two- If"Yes", qualifies for
family townhomes ® Yes the prescriptive path.
and/or their accessory
Ground structures. ❑ No
Snow Load Is the Ground Snow
Installations on all Load 50 psf or less?
structures other than If"Yes", qualifies for
® Yes the prescriptive path.
above
❑ No
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I:Building/Forms/PhotoV oltaic-Checklist02-01-11.docx
Is the construction
material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction as "conventional light ❑ No the prescriptive path.
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. ® Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. If"Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
Is the combined weight ® Yes
of the PV modules and If"Yes", qualifies for
racking less than or ❑ No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation
layout in accordance Yes
with Section 305.4(3) of If"Yes", qualifies for
n
the 2010 Oregon Solar No the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
Roofing Check the type of ® of wood one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
❑ of composition
shingle.
Is the roof mounted Yes
Connections of solar assembly
If"Yes", qualifies for
the solar assembly connected to roof ❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
11Building/Fortns/PhotoV oltaic-Checklist02-01-11.docx
® Yes If"Yes",qualifies for
Is the gauge 26 or less? ❑ No the prescriptive path.
115 lbs for 60 inch
spacing or less?
If"Yes", qualifies for
Yes the prescriptive path.
❑ No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
Attachment of
roof mounted Minimum 24 inches If the spacing falls
solar systems Spacing of clamps? within 24 inches and 60
directly to 39 inches Maximum 60 inches inches, qualifies for the
standing seam prescriptive path.
metal panels Width of roofing If the width of the panel
panels? 18 inches or less is less than 18 inches,
64 inches qualifies for the
prescriptive path.
Minimum#10 at 24
inches o/c?
Size and spacing of If"Yes", qualifies for
fastener? Yes the prescriptive path.
II No
Is the roof decking of
WSP min. 1/"thickness, V Yes
decking connected to If"Yes", qualifies for
framing members ❑ No the prescriptive path.
w/min. 8d nails @
6"/12" o/c?
Is the height less than or
Maximum 18 inches equal to 18 inches?
Height of the from the top of the If"Yes", qualifies for
solar modules module to the roof VI Yes the prescriptive path.
surface. ❑ No
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I:Building/Forms/Photo V oltaic-Checklist02-01-11.docx
Submittal Documents required for Prescriptive Installations
Show the location of the PV system in relation to buildings, structures,
property lines, and, as applicable, flood hazard areas.
Site Plan Details must be clear and easy to read.
Minimum size of the plan is 8.5 x 11 inches.
Attach a simple structural plan showing the roof framing(rafter size,type, and
spacing) and PV module system racking attachment.
System must be shown in sufficient detail and clarity to assess whether it
Structural Plan meets the prescriptive construction requirements as listed earlier above in the
matrix.
Minimum size of the plan is 8.5 x 11 inches.
PV Modules
Manufacturer:ZNSH I N E
Model Number:ZXM B-60-31 0-B
Listing Agency:IEC 61701
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I:Building/Fomu/Photo V oltaic-Checkl isto 2-01-11.docx