Permit CITY OF TIGARD MASTER PERMIT
s COMMUNITY DEVELOPMENT Permit#: MST2021-00084
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/19/2021
T I G r112 t7 9 Parcel: 2S102CA00945
Jurisdiction: Tigard
Site address: 9495 SW OMARA ST
Subdivision: VILLAGE GLENN Lot: 45
Project: Harland-Jones
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: $26,000.00 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 1
Furn<10OK: 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: 1 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 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 9.1 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:
JONES,CLINTON A& PREMIER SOLAR NW Required Items and Reports(Conditions)
HARLAND,PATRICIA M 12399 NW WAKER DR
9495 SW O'MARA ST PORTLAND,OR 97229
TIGARD,OR 97223
PHONE: PHONE: 503-799-9042
FAX:
Total Fees: $468.47
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. ;is 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 pet 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. 'may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
i i
Issued By: Permittee Signature: ,a itf/7 -
/ 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 )//
Resitt lt1 FOROIFICL:L'tiF:UVI.I J
City of Tigard Received O cx e`
Tigard, MAR " ` 2021 Day: 3—!1-202/ PermitNo.:Msl
1 1ne SW Hall Blvd.,Ti Dan Review/I I Z' /1
�' Phone: 503 718.2439 Fax: 503.598.1960 Da�/py; / /.rl 1 Other Permit:
TtC;ARD Inspection Line: 503.639.4175 CITY OF Tr 'arti.l Datoaeady/By: / •tans: ■ See Page 2for
Internet: www.tigard-or.gov 13U!I D N G DI\/,'1ON :ified/Method: /(E7Lf / Supplemental information
0 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/alterationireplacement 0 Other: equipment,materials,labor,overhead,and the profit for the
# , f, y a work indicated on this application.
arq Fos,,
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $ $26,000.00
(� ❑Accessory building 0 Multi-family Number of bedrooms:
V\ ❑Master builder IDOther: Number of bathrooms:
fetZRORMARRRAVt ,, r t .f, : t Total number of floors:
Job site address: 9495 SW Omara Street New dwelling area: square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Harland Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
SOMMISENRIAMMAMPTIFITArrlrirrrrna38280341110PrtNgiwork indicated on this application.
Adding 9.1 kW Roof Top Solar PV System Valuation: S
Existing building area: square feet
New building area: square feet
o a ., e I;. Number of stories:
Name: Pat Harland Clinton Jones Type of construction:
Address: 9495 SW Omara Street Occupancy groups:
City/State/ZIP: Tigard OR 97223
Existing:
Phone:(971 $30-8677 Fax:( ) New:
S s ;< r
Business name: Premier Solar NW
Structural plan review fee(or deposit):
Contact name: Robert M Rathbone
FLS plan review fee(if applicable):
Address: 12399 NW Waker Dr.
City/State/ZIP: Portland, OR 97229 Total fees due upon application:
Phone:( 503)828-9500 I Fax::( ) Amount received:
litilflVONfilirrnitilthhil
E-mail rrathbone@premiersolamw.com e t s1 i
,,,,, t„ Commercial and residential prescriptive installation of
t , .. mg.top mounted Photovoltaic Solar Panel System
Business name: Premier Solar NW Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 12399 NW Waker Dr. Solar Installation Specialty Code checklist.
City/State/ZIP: Portland, OR 97229 Permit Fee(includes plan review $180 00
Phone:( 503)828-9500 j Fax:( ) and administrative fees):
State surcharge(12%of permit fee): $21.60
CCB lie.: 218826
Total fee due upon application: $201.60
Authorized signature: �✓L This permit application expires if a permit is not obtained
�i'� within 180 days after it has been accepted as complete.
Print name: Clifford Barry Date: 3/11/21 "Fee methodology set by Tri-County Building Industry
1 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
- >c.tectr,ical Permit.Auplication L 1\/t'1,,...iFOR OFFICE USL ONLY
City o7 Tigard Received �• Q'/+.
II. J g 7 l i..S Date/By: Permit#:q/(��w'2,1.-�U 6 T
.- • 13t25 SW Mail Blvd.,"ilgard,^DR 47223, . ti\ = .'_ L Ptan Roview
• * Phone' 503.7182419 Fax: 503.508 1960 . Date/By: Related Permit 4:
Inflpection Line: 503,639.4175. Ready DateBy: lurk: la See Page 2 for
Internet: www.tigard-or.gov - Noulied/Merhod: Supplemental information
❑New construction 0 Addition/alteration/replacement Please dreck an that apply(submit z se s of plans w/hems cnecF ed):
❑Demolition ❑Other: ❑Service ar feeder 4W amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
MINENE:1:::!:::::5•KaMMIZEZEMEEMIEREEMBRABORIMBEN exceeds 10,(100 amps at 150 wits or ❑Floating buildings.
0 I-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
ii:'"!linigniriTigEnErnEEriZsEEMEESTIERIZMOMERIMM ❑Emergency systemi larger separately derived
❑Addition of new motor load of system
Job#: Job site address: 9495 SW Omara Street tWttPormom. ❑"A "E", `t-z^, 1-a'
City/State/ZIP: Tigard OR 97223 ❑S x or more residential units, occupancy.
❑Health-care facilities. ❑Recreational vehicle padti.
Suite/bldg./apt.#: Project name: Harland ❑Hazarclot s locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: EiniggISMZEZEI s,
Description Qty. Eath Tatal
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: includes attached garage.
I,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1 5W sq.R or portion 33.92 1
MidgintriMiiigiiiiiNignal=613EXIMEIMikiiiiiiiiiiMENEMLimited energy,residential 75.00 2
Adding 9.1 kW Roof Top Solar PV System (with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
4, Renewable Energy ❑ 3ee Page 2
- `4 z 4 �',g'NMBIVSIMIIOEIMSIEBMMMBFI Services or feeders installation,alteration,and/or relocation
Name: Pat Harland Clinton Jones 200 amps or less 1 100.70 2
Address: 9495 SW Omara Street 201 amps to 400 amps 33.56 2
City/State/ZIP: Tigard OR 97223 401 amps to600amps 200.34 2
601 amps to 1,000 amps 301,04 2
Phone:( 971 )30-8677 I Fax:( ) f er I,OW aznps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: pmharland@yahoo.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
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
- R H M s , t AFnobrceuac rncews alian,o "
tension, e panel
Business name: Premier Solar NW aboveserviceorfeedertee, 742 2
-- each brwrch circuit
Contact name: Robert M. Rathbone B.Fee for branch circuits without
Address: 12399 NW Waker Dr. service or seeder fee,first 56.18 2
branch circuit
City/State/ZIP: Portland, OR 97229 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 503 )828-9500 I Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: rrathbone@premiersolarnw.com Reconnect only 67.84 2
. . E t ' REMENSSEEM Pump or irrigation circle 67.84 2
Business name: Premier Solar NW Sign or outline lighting 67.84 2
Address: 12399 NW Waker Dr. Signal cireait(s)or limited energy 0 SeePage 2 2
panel,alteration,or extension.
City/State/ZIP: Portland, OR 97229 Each additional inspection over allowable In any of the above
Additional inspection(I fir min) 66.25/hr
Phone:(503 ) 828-9500 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: cbarry@premiersolarnw.com Inaustrialplant(tnrmitt) 7s.18/fir
Inspections for which no fee is 90A0/fir
CCB Lie.:218826 Electrical Lie.: C1540 Suprv.Lie.: 6533S srctfi- call listed('Vs fir min
liikaimaillgailmz;
Suprv.Electrician signature,required: IVV_tG / /y Subtotal
Print name: Tim Oliver I Date: 3/11/21 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Clifford Barry Date: 3/11/21 days after it has been accepted as complete.
* Number of inspections allowed per permit
l:InuadinglPemths!EI,C_PermitApp_EIR_ERE.doe Rw 061I7;2015 440-4615T(I1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
ill! iiMgagt
Fee for all residential systems combined: $75.00 Renews e�. Era" Tnra
Renewable electrical energy.rystems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva I 133.56 2
Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
C Burglar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>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:
❑ Other: Each additional inspection is
charged at an hourly(I hr min) 66.257 hr t
Inspections for which no fee is 90.00.'hr
.- ifcall listed(Y hr min
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 , Nam6c of inspecom s al owed per perms.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
C 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
1\R Iding\Perm0b1PLC_PermitApp ELR_ER.E.dor Rev 06/17/2015
City of Tigard RFCE1VED
Building Division MAR I 2021
13125 SW Hall Blvd,Tigard, OR 97223 C'TY i i AR
Phone: 503.718.2439 Fax: 503.598.1960
T l G A.R D Inspection Line: 503.639.4175
www.tigard-or.gov
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 9495 SW Omara Street
City: Tigard Zip: 97223
Owner's Name: Pat Harland Clinton Jones Date: 3/11/21
Contractor's Name: Premier Solar NW CCB #: 218826
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 x 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 0 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
❑x Yes the prescriptive path.
above
❑ No
1
I:/Building/Forms/Photo Voltaic-Checklist02-01-11.docx
Is the construction
material wood and does x Yes
Type of the construction qualify If"Yes", qualifies for
Construction ❑ No the prescriptive path.
as "conventional light
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. ElYes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
If"Yes", qualifies for
Nominal lumber. x❑ Yes the prescriptive path.
❑ No
Is the combined weight x❑ 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
El
layout in accordance Yes
If"Yes", qualifies for
with Section 305.4(3) of ❑ No the prescriptive path.
the 2010 Oregon Solar
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.
0 of composition
shingle.
Is the roof mounted x❑ 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
I:Building/Forms/PhotoVoltai c-Checklist02-01-I I.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 If the spacing falls
solar systems Spacing of clamps? Minimum 24 inches 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. '/z"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
I:/Building/Forms/PhotoVoltaic-Checklist02-01-1 I.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: Panasonic
Model Number: VBHN325KA03
Listing Agency: uL
4
I:Building/Forms/PhotoVoltaic-Checklist02-01-1 I.dock