Permit __ CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT II
Permit#: MST2021-00124
T(G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2021
Parcel: 2S102C000307
Jurisdiction: Tigard
Site address: 13465 SW CRESMER DR
Subdivision: CRESMER HILLS Lot: 6
Project: Tavares
Project Description: Rooftop Solar PV
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: $2,000.00 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
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 Times 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.'500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+emp-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 8.14 kW 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:
TRIESCHMANN,KIMBERLY DIANE PRO STAT SERVICES LLC Required Items and Reports(Conditions)
13465 SW CRESMER DR 1721 NE 64TH AVE STE 120
TIGARD,OR 97223 VANCOUVER,WA 98661
PHONE: PHONE: (360)859-3749
FAX:
Total Fees: $416.61
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: }EO'lly Vary DP1We9e Permittee Signature: l0►v A ppl cctrwi.
Call 503.639.4175 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 Application
E- 3 3 2
Residential FOR OFFICE. t'SE O\LV
City of Tigard RECEIVED
- 13125 SW Hail Blvd.,Tigard,OR 97223Rey la1/ � Pemtit No.:Ms t�0�l�}u�
Phone: 503.7182439 Fax: 503.598.1960 MAR 3 1 2021 i>ate see U I ,�
Its'�/
l Other Pamir.
ncca Inspection Line: 503.639.4175 CITY OFTIGARD DateReady/Bg s.ir ® See Page 2for
Internet: www.tigard-or.gov N ' ethos: 0 let Supplemental Information
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
®Addition/alteration/replacement ®Other.SOLAR equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCITON "' l work indicated on this application.
0 I-and 2-family dwelling 0 Commercial/industrial Valuation: 52,000
0 Accessory building ❑Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address:13465 SW Creamer Dr Tigard,OR 97223 New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldgJapt.no.: Project name:TAVARES 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
�,V�w
DESCRIPTION OF WORK work indicated on this application.
SOLAR PV INSTALLATION Valuation: S
8.14 kW Existing building area: square feet
New building area: square feet
ri PROPERTY OWNER ❑ TENANT Number of stories:
Name:TAVARES,ALES TRIESCHMANN,KIM Type of construction:
Address:1346S SW Creamer Dr Tigard,OR 97223 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(914)912-2368 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:PROSTAT ELECTRIC (Please refer to jeer sehedute)
Contact name:DALE KRUEGER Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address:1721 NE 64Tn AVE
Total fees due upon application:
City/State/ZIP:VANCOUVER,WA 98661
Amount received:
Phone:(503)539-7772 Fax::( )
E-mail:dale krueger@comcast.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR
_ roof-top mounted Photo Voltaic Solar Panel System.
Business name:PROSTAT ELECTRIC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1721 NE 64TR AVE Solar Installation Specialty Code checklist
City/State/ZIP:VANCOUVER,WA 98661 Permit Fee(includes plan review S180 00
Phone:(503)539-7772 Fax:( ) and administrative fees):
State surcharge(12%of permit fee): S21.60
CCB lie.:189902
Total fee due upon application: S20I.60
Authorized signature: This permit application expires if a permit is not obtained
..›id74....______________ within 180 days after it has been accepted as complete.
Print name:DALE KRUEGER Date:3/26/21 `Fee methodology set by Tri County Building Industry
Service Board.
1:tBudding\Petmits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit AnnlicatilECEIVE® FOR 01 1( 1t t sF:0.1.1
City of Tigard MAR 31 lUll D Petra II: 1/lSi 202t—001211
liga 13125 SW Hali Blvd.,Tigard OR 97223 plan Review
I q, Refined Permit d:
Phone: 503.718.2439 Fax: 503598,;yg DateBy:
Inspection Line: 503.639.4175 LI I 1 0�TIGARD ReadyDate/By Jar . Si SeePage2for
z'`': t1j1 Internet: www.ti -ar. ov UILDING DIVISION Notifsd/Method: �Bard g Supplemental Information
TYPE OP WORK_ PLAim11 RJ3VI$W
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlhens checked):
❑Demolition Other: where
Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 arts at 150 volts or 0 Floating buildings.
❑1-and 2-family dwelling 0 Commercial industrial 0 Accessory building less to ground.or exceeds 14,000 0 Cowo.Trial-use agricultural
❑Multi-family ❑Master builder ❑Other: amps for all other Installations. braidings.
❑Fite pump. I
❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger sepasarely derived
Job#: Job site address: (It9 `w+i( 3(L. 0 Addition of one motor load of system.
11 _ IWHP or more. ❑`•A","E","1-2"."1-3":
, Ci /State/ZIP: ❑Six or more residential marts. ee ncy
ty `� ❑Heats-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 'T' A4 ❑Hazardous locations. ❑Supply voltage for mom than
l �']_r S 1 0 Service or feeder 600 amps or mom 600ull
vs nomioat
Cross street/directions to job site:
FEE SCHEDULE
Deenptioa I Ott. i E.aeb I Total '1
1
New residential single-or multi-family dwelling unit,
Subdivision: Lot It: Includes attached garage.
Tax map/parcel#: 1,000 sq.R. less 16854 4
Ea.add'I 50D sq.R or portion 3392 1
(( D ON WORE, Limped energy,residential 75-00 2
1$` i • aJ�to (with above sq.ft.)
�� Limited energy,multi-fatuity
t Ira residential(with above sq.ft.) 75.00 2
❑ PROPERTY OWNER ❑ TENANT Renewable Energy ❑ See Page 2
Services or feeders insaalation alteration,and/or relocation
Name: , , L c Ri r5 -/•�x) 200 amps or less 100.70 2
Address: J 3cl c vl E •I 1j„1` ��,�,.- 201 amps to 400 amps 133.56 2
! A—,�/ts�-•"- S" 401 amps to 600 amps 20034 2
I City/State/ZIP: d'' 7 Z..3 601 amps to 1,000 amps 301.04 2
Phone:'\1i) qvi 'IL 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 1 own which is not 200 amps or less 59.36 1
I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
i Owner signature: Date: 401 amps to 599 amps 161354 2
05
sAPP �COiYIACT PERSON Branch circuits-new,alteration,or extension,per-panel
.t� A.Fee for branch circuits with
Business name: $i k C To-tL_ above service or feeder fee, 7.42 2
each branch circuit
Contact name:
fait_ l�,A).�earl. B.Fee for branch circuits without
Jar"t 14%5 r t. service or feeder fee,first I.
e
Address: W 4r 56.18 ./s.k 2
branch circuit
City/State/ZIP: €4Nti csi 4w.J _ 4' rL(a) Each add'l branch circuit 7.42 2
51 7 �✓3_ 1^ / Miscellaneous or(service or feeder not included) 2 i
Phone:( CJ F Fax::( ) j, Each manufactured or modular ,
Email: 004e. . Lt.(�.I P & ovo,, car tii " iftt'i�4 dwelling,service only 67.84
feeder
Reconnect only 67.84 2
CONTRACTOR Pumpor irrigation circle 67.84 2
()A _t Sa
Business name: 1 W S VW\q f-'- S Q".c t..N".- _ ____ Sign or outline fighting 67.84 2
AE_ (� pineal ct cati n or iionergy 0 See Page 2 2
Address: 1 i Q_ panel alteration.or extension. g
City/State/ZIP: jvy Each additional inspection over allowable is any of the above
tY C� j tk-t F, R!J v"'6.i Additional inspection(1 hr min) 66.251 hr
Phone:( 3 . S 3ti.. "t 1 1).. Fax:( ) Investigation(1 hr min) 90.001 hr
Email: �(_VC, . f J A le (J$ Industrial plant(I lu min) 78.18'hr
��S(�. 1TY Inspenrons for which no Tee is �t�,
CCB Lic.: 1 6 4; 8 7. Electrical Li :C $ i Suprv.Lic.: 2Z7 S c 1 speci6cauy listed(r,hr hint
I ELECTRICAL.PERMIT:FEES A a/I
Suprv.Electrician signature,required ''" /fit s. _(Via.1Subtotal: 71r/L3• tt
Print name: `-6 _ �eit , Date: 2 i-1/k- 0 Plan Review Required(25%of permit fee)'
1 -�( 7 \ State surcharge(12%of permit fee): i
Authorized si .— TOTAL PERMIT FEE:
''j "2 This permit application expires if a permit is not obtained within IN
Print name: QSC ti.->w.C4Q 4{�_ Date: 7\f+Q 't days after it has been accepted as complete.
' / " Number of Mato:Tit=alloyed per permit
I:.BuildingSPermii E1L_PaanPApp-ELR_ERE.doe Rm O6/17/2015 4a1e-4615T(I1/O9CO:,1/wEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each I Total •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved: �J
5.01 to 15 kva ` 133.56 1 h5a
❑ Audio and Stereo Systems* 15.01 to25 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 55216 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
❑ 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:
Each additional inspection is 6625/hr 1
❑ Other: charged at an hourly(1 hr min)
inspections for which no fee is 90.00/hr
specifically listed(V hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 a Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
El 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
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\BuadingTermks\ELC_PemwApP_ELR_ERE.doc Rev 06/17?2015
- City of Tigard RECEIVED
0is
Building Division
•• ' 13125 SW Hall Blvd,Tigard,OR 97223 MAR :3 1 2021
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD
TIGARD Inspection Line: 503.639.4175
www.tigard-or.gov 3UILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 13.465- 5 W GzEsOtEP - UR
City: Ti a/4-p—D Zip:- 9 7z23
Owner's Name: Kt M cfrwyvvN 4 At TAv Date: p 3..Z°r
Contractor's Name: paoSTA T- E -ne.t.c_s - mac GCB #: I eel`t oz
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? (�I' OSSC or ORSC for
design requirements.
Wind Exposure Is the wind exposure 1Ves If"Yes", qualifies for
"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 Or-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
above U Yes the prescriptive path.
❑ No
1
I1Building/Forms/Photovoltaic-Checklist02-0l-1 l.docx
Is the construction
material wood and does
Type of the construction qualify If"Yes", qualifies for
Construction as "conventional light ❑ No the prescriptive path.
frame"construction?
Is the spacing 24 inches
or less?
If"Yes", qualifies for
Pre-engineered trusses. +U' Yes the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. If"Yes", qualifies for
I2 Ves the prescriptive path.
❑ No
Is the combined weight 'Yes
of the PV modules and If"Yes", qualifies for
racking less than or Li 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
the 2010 Oregon Solar n 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
two layers the prescriptive path.
of composition
shingle.
Is the roof mountedlEr Yes
Connections of solar assembly
the solar assembly connected to roof if"Yes", qualifies for
❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
, 1:Building/Forms/PhotoVoltaic-Checklist02-01.1I.docx
❑ Yes If"Yes", qualifies -.r
Is the gauge 26 or less?
❑ No the prescriptive i ath.
115 lbs for 60 inch
spacing or less?
•
If" es", qualifies for
❑ Yes - prescriptive path.
❑ No
imum Uplift rating
of Clamps? 75 lbs for 48 inc r -
spacing or I- : ?
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 inches aximum 60 inches inches, qualifies for the
standing seam
prescriptive path.
metal panels Width of •offing If the width of the panel
pa els? 18 inc -s or less is less than 18 inches,
inches qualifies for the
prescriptive path.
Minimum#10 : 24
inches o/c?
Size and spacing of If"Yes", qualifies for
fastener? ❑ Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. '/s"thickness, El Yes
decking connected to If"Yes", ,ualifies 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
Er—
solar modules module to the roof Yes the prescriptive path.
surface. El No
3
LBuilding/Forms/Photo Voltaic-Checklist02-01-I 1.doex
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: 'r G..F>4-Q
Model Number: 51 L— 3 7 o a tt
Listing Agency: 1;¢ L 170 3
4
1:43uilding/Forms/PhotoVoltaic-Checklist02-OI-11.docx