Permit CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit#: MST2021-00125
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2021
TIGARD Parcel: 1S134CB13500
Jurisdiction: Tigard
Site address: 12398 SW MILLVIEW CT
Subdivision: MILL VIEW Lot: 35
Project: SMITH
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: $7,000.00 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
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 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
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders 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/votL 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 5.44 kW&storage system Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feel:
OTR SF VB R-3 0
Owner: Contractor:
SMITH,ALAN C&DEBORAH B TESLA ENERGY Required Items and Reports(Conditions)
12398 MILL VIEW CT 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $364.19
This permit is issued subject to the regulatio ntained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plan . T s 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 require y to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-009 Y may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.,4. I
Issued By: Permittee Signature: uL!t*,ReI
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
hls 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 HECV E�� rC
G Residential FOR OFFICE uSE ONLY
City of Tigard %AR 2 3 20ZI Dat/By: /21 , -. Permit No.: �Grr��1 r,y�.
• I3125 SW Hall Blvd.,Tigard,OR 972231114
Plan Review n J rh
� Phone: 503.718.2439 Fax: 503.598.196oG.l-I-�/ �I•TIGARD DateBy: (elZ( AA Other Permit:
1-1(, \[.[ Inspection Line: 503.639.4175 Date Ready/By: lwis H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION No ied/Method: ��/ T7. Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
51. I-and 2-family dwelling Valuation: $1V O
❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
Master builder 0 Other of bathrooms:
❑ r:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12 9, S W 'V ,i 1\l cAni as- New dwelling area: square feet
City/State/ZIP:T16aa2-l) V IZ, 011'—23 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: St-An-) 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: I f.ot 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.
Cj, yLA Kw PV ROOF MOUNT T Valuation: $
./1.1'CAI( s'1vrot 1 C Sy S tc-Nl Existing building area: square feet
New building area: square feet
131 PROPERTY OWNER ❑ TENANT Number of stories:
Name: ALow SMh \ Type of construction:
Address: 12.301<b Sw VI CVN cr"i,1� ' , Occupancy groups:
City/State/ZIP: T t Gyve-4 O{y_ 01122 3 Existing:
Phone:( ) Fax:( ) New:
I APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name'. TESLA (Please refer Juice schedule)
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/State/ZIP: Portland OR 97220
Amount received:
Phone:(503 ) 894 6903 Fax: :(1866)445 7459
E-mail: AFARIAS@TESLA.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: TESLA Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 6132 NE 112th Ave, Solar Installation Specialty Code checklist.
City/State/ZIP: portland OR 97220 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 503 ) 894 6903 Fax:(1866J 445 7459 State surcharge(12%of permit fee): $21.60
CCB lie.: 180498 Total fcc 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: A. Meliss arias eug
Date: 3,2� ,/L' *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.duc 02/24/2011 440-4613T(I 1/02/COM/WEB)
r
t
Electrical Permit Application • FOR OFFICE USE ONLY
City of Tigard t E.CEIVE J Received ',
. • 13125 SW llal I Blvd.,Tigard,OR 972 �.,e r ate/B : iL/
. Phone: 503.718.2439 Fax: 503.598.1960 Other Perrrdr.
Inspection Line: 503.639.4175 qqp/ Date Ready/By: June HI See Page 2 for
TIGARD Internet: www.ligard-or.gov n R 2 3 GU Notified,Method: Supplemental Information
•
TYPE OF WORK ' (,)4 TICARI/ PLAN REVIEW
❑New construction ® Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below):
O Service or leader 400 amps or more ❑Building over three stones.
❑Demolition ❑ Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or El Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑ Other: 0 Fire pump. ❑Installation of 150 KVA or
❑Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION 0 Addition of new motor load of ❑"A","E","1-2","I-3",
Job no.: Job site address: I13—I ) SW M 1,Nic'CNN/ 100HP or mo es. occupancy.
❑
Six❑ or more residential units. Recreational vehicle parks.
City/State/ZIP: Ti 1AAA D R, OI 223 D Health-care facilities. ❑Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: GM illi ❑Service or feeder 600 amps or°lore.
FEE SCHEDULE
Cross street/directions to job site: oescription I Qty. I Fee. I Total 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.add'l 500 sq.ft.or portion 33.92 I
Tax map/parcel no.: Limited energy,residential
sq.ft.)
75.00 2
DESCRIPTION OF WORK (with above
Limited energy,multi-family 75 00 2
5-, kVV' PV ROOF MOUNT t— residential(with above sq.ft)
Y Renewable Energy 0 See Page 2
r/e� 'p✓O1"' S.Y CT-c,1�/1 Services or feeders installation,alteration,and/or relocation
® PROPERTY OWN�—ER �,,JJ TENANTI 200 amps or less 100.70 2
t�, 201 amps to 400 amps 133.56 2
Name: A 1,A,M SM i l-� • 1 401 amps to 600 amps 200.34 2
Address: 127jO1'Q Ste/ MI\k VI VW' CA— 601 amps to 1,000 amps 301.04 2
ty Ti 9 _o( 01- '"1223 Over 1,000 amps or volts n,5 2.26 2
City/State/ZIP: Temporary services or feeders installation,alteration,and/or
Phone:( ) Fax:( ) relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits—new,alteration,or extension,per panel
1;j APPLICANT El CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Business name: TESLA each branch circuit
B.Fee for branch circuits without
Contact name: MELISSA FARIAS service or feeder fee,first 56 18 2
branch circuit
Address: 6132 NE 112TH AVE, Each add'l branch circuit 7.42 2
City/State/ZIP: PORTLAND OR 97220 Miscellaneous(service or feeder not included)
h' Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Phone: (503 ) 894 6903 Fax: :(1866) 445 7459
Reconnect only 67.84 2
E-mail: AFARIAS@TESLA.COM Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: Signal circuit(s)or limited-energy See
TESLA panel,alteration,or extension. Page 2 2
Address: 6132 NE 112TH AVE, Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP: PORTLAND OR 97220 Investigation(1 hr min) 66.25/hr
Phone:( 503 ) 894 6903 Fax:(1866)445 7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 180498 Electrical Lie.: C562 Suprv.Lie.: 5873S specifically listed('hr min)
,I_ ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: t15. . s Subtotal:
Print name: NICK ARMSTRONG Date: 2, .2— , v1 Plan review(25%of permit fee):
�Ip State surcharge(12%of permit fee):
Authorized signature:. •Iin TOTAL PERMIT FEE:
" s•� This permit application expires if a permit is not obtained within ISO
•Print name: A.MELISSA FARIAS Date: ?J. IA .1.4 days after it has been accepted as complete.
a Number of inspections allowed per permit.
I:\Building\Permits1ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(I I/05ICOMIWEn
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- V
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL
e SoD allN residential WORK ONLY:combined... ��
V.r
I+I;E,�S#,�,H�ULE
systems $75.00 Qrv_ I I 1ele1 * "
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 •94,2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation 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
>100 kva(fee in accordance with 552.26 2
ElHeating, Ventilation and Air Conditioning OAR 918-309-0040)
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
El Other:
additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 6625/hr
Inspections for which no fee is 90.00/hr
iIIIt"rllr( i h �(�j(� s.ecifically listed(%2 hi min)
COMMERCIAL WORK ONLY. Ei , 'itiCnt., PERMIT FEES
Fee for each commercial system $75.00 Subtotal
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
Slate surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
" Number of inspections allowed per permit.
❑ 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:tBuilding\Permits\ELC_PennilApp_ELR_ERE.dos Rev05/21/2013
City of Tigard
'' Building Division RECEIVED
' - . 13125 SW Hall Blvd,Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 LIAR 2 3 2O21
TIGARD Inspection Line: 503.639.4175
www.tigard-or.gov CITY 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: 1230 (6 5\ IA \\V I PMT
City: T,lalA•o( Zip: 97224
Owner's Name: (/k,1,our\ Gm rnel Date:
Contractor's Name: TESLA CCB #: 180498
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.
Wind Exposure Is the wind exposure El Yes 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 ® 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
1
C/Bu i Iding/Forms/Photo Voltaic-Checkl ist.docx
Is the construction
material wood and does ® Yes
Type of If"Yes", qualifies for
the construction qualify ❑
Construction No the prescriptive path.
as "conventional light
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
Elthe 2010 Oregon Solar No the prescriptive path.
Code?
I I 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
to the roof framing or blocking the prescriptive path.
directly?
2
IiBuilding/Forms/Photo Voltaic-Checklist.docx
Is the gauge 26 or less? ElYes If"Yes", qualifies for
U 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?
`SC� 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 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,
inches qualifies for the
prescriptive path.
Minimum#10 at 24
inches o/c?
Size and spacing of ❑ Yes If"Yes", qualifies for
fastener? the prescriptive path.
❑ No
Is the roof decking of
WSP min. 'Y2"thickness, ❑ 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 Yes the prescriptive path.
surface. ❑ No
3
1:/Building/Forms/Photo Voltaic-Checklist.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: REC
Model Number: 260
Listing Agency: UL1703
4
1:Building/Forms/Photo Voltaic-Checklist.docx