Permit • CITY OF TIGARD MASTER PERMIT
NI COMMUNITY DEVELOPMENT
Permit#: MST2021-00185
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/20/2021
TIGARD Parcel: 2S102DB01400
Jurisdiction: Tigard
Site address: 13230 SW HILL CT
Subdivision: BURNHAM PARK Lot: PTS 8-9
Project: Gott
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: $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 0 Storm Sewer: 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 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 Srvc!Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea addl 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 5.92 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:
GOTT,JANE M PRO STAT SERVICES LLC Required Items and Reports(Conditions)
13230 SW HILL CT 1721 NE 64TH AVE STE 120
PORTLAND,OR 97201 VANCOUVER,WA 98661
PHONE: PHONE: (360)859-3749
FAX:
Total Fees: $353.69
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.
rt
Issued By: t. Permittee Signature: e, _--4---
a 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
Residential RECEIVED FOR OF 1.IC'E I SI to�L1
City of Tigard MAY iazi Date/BReceiy:bs��/ZOZ/ '� Permit No.:�(sr207I 00 l S<j
IIn 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 5// I I
Phone: 503.7182439 Fax: 503.598.19Cf1 Datday: r/ Other> it.
Inspection Line: 503.639.4175 '-'I tTY OI�F+ rT�IGARD Datel�dy/By. ,�°�5�. of See Page2 for
11GAR0 Internet www.tigard-or.gov -iUIW NG DIVPSION Notifi°d/Method:s i/,I 1 (� Sappleasental 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 t^f Other:SOLAR equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: 52,000
® 1-and 2-family dwelling ElCommercial/industrial
(Jn Number of bedrooms:
0 Accessory building ❑Multi-family
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address:13230 SW Hill Ct Tigard,OR 97223 New dwelling area: square feet
City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt no.: Project name:GOTT _ 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.
SOLAR PV INSTALLATION Valuation: $
5.92 kW Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:GOTT,JANE Type of construction:
Address:13230 SW Hill Ct Tigard,OR 97223 Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503)639-3065 Fax:( ) New:
Eil APPLICANT E CONTACT PERSON BUILDING PERMTT FEES*
(Please refer tofee seketate)
Business name:PROSTAT ELECTRIC Structural plan review fee(or deposit):
Contact name:DALE KRUEGER
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::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:dale.krueger@comcast.net
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 64Tn AVE Solar Installation Specialty Code checklist.
City/State/ZIP:VANCOUVER,WA 98661 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)539-7772 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:189902 Total fee due upon application: S201.60
Authorized signature: This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
Print name:DALE KR GER Date:5/7/21 *Fee methodology set by Tri County Building Industry
Service Board.
I:\Building\Pemiits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
CEIVEQ
Electrical Permit Applica rcllt clrFtt t: rsF.oa.ti
City of Tigard NAY 202� n 13 ,E M[! �� : 1
7,4
■ !3125 SW Hall Blvd.,Tigard,OR 97223 plan Rev ew
to Phone: 503.718.2439 Fax: 503.598.3.R5e,GF TIGARD Related Permit d:
Inspection Line: 503.639.4175 Ready Date/8y: See
J I` A-- .. Internet: www.tigard-orgov 3UILDING DIVISION NotiSn/Method: IBM ®El Page 2 for
eeatentailntormatao.
TYPE OF WORK PLAN REVIEW
❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more [Plodding over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY,OF l ONSTRUCTtON exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 ❑Con...siat-me agricultural
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings
❑Multi-family 0 Master builder 0 Other. 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
� 3 V $I , ` �` Cr (]AdditionII of new motor bad of system.
Job#: Job site address: V iV•f�[' ` laoHp or more. ❑"A"."`e"•"t-zr,"i-s"
` �a �j ❑Six or more residential units. occupancy.
OILYlStatC tP: \ L ,}I ( Q .�. q Z Y J ❑Health-care facilities. ❑Recreational aehick packs
Suite/bldgJapt.#: 1 Project name: '///c .{''- ❑Hazardous locations. 0 Supply voltage for more than
i \ 0 Ss,+is..or feeder 600 amps or more. 600 votes nominal-
Cross street/directions to job site: FEE SCHEDULE
oacriptina I Otr. I ram i Total i
New residential cingh,-or multi-fatnity dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq-fr.or less 16854 4
Tax trtap/parce)#: Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited enemy,residential
�j�,� � yw�,.�r'' (wish above sq.ft.)
75.00 2
({({({//////___}}} e 7 1f°�" 1 a Limited energy,multi-family 75.D0 2
� �Q �� residential(with above sq.ft.)
PROPERTY OWNER T LLL���WWW..0 TENANT residential
f eerily' ❑ See Page 2
❑ Services or feeders iasts8ationzaltention,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 13356 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 55226 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 i
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, 201 amps to 400 amps 125.08 2
amps 168.54 2 to amps 401 599
Owner signature: Date:
Branch circuits—new,alteration,or extension,per panel
pe AP CO1tTACT-PERSON A.Fee for branch circuits with
Business name: � er Ir C .t above service or feeder fee, 7-42 2
each branch circuit i
Contact name: e-- l,ti..a• re B.Fee for branch circuits uithoul
D�pp � service or feeder fee.first56,18 2
Address: I '�,, IN•1 ,7�L,� 4-:Y _- branch circuit
City/State/ZIP: i el �� 4 't%L—% Each add.]branch circuit 7.42 2
Y w�'7`"�'""i Miscellaneous(service or feeder not included)
Phone:( )3) e 3Q.. ' 711.• Fax::( ) Each menufacltucd or modular 67.84 2
dwelling,service and/or feeder
Email: dolt_ I talybr� ctrecCa : �tQ,..k.5k Reconnect only 67.84, 2
s CONTRACTOR Pump or irrigation circle 67.84 2
Business name: l`iJ1Lll^11 rj 0 „t.(_,., .1, r �� fSian or outline lighting 67.84 2
fTtt eSignet circuit(s)or limited-energy g
Address: 1 ,i—Aft- panel.alteration,or extension. CI See Page 2 2
t / ` Each additional inspection over allowable in any of the above
City/State/ZIP: �• If ( L"�^-, (a q�i4�•� Additional inspection(I ter min) 6625/hr
Phone:(,3) 531- 2712 ,, Fax:( ) Investigation(I terrain) 90.00/hr
1 p ( n✓ Industrial plant(I hrmin) 78.181ter
Email: r>� Ii1Jrv.�4rlr L }+' '•-' Inspections for which no fee is
7( specifically fisted(Y:ter min) 90.Oa'ter
CCB Lie.: �pQQtz Electrical �y j� u rv.Lie.: 7ro
t � � i I ! RJliI EILtCIRI.CAL PERMIT Subtotal:
ES
Suprv.Electric' signature,requi red: � ( 5�_�
Print name: '�� Date: 511 t?....A ❑Plan Review Required(25%ofpvmi[fee): e
\�J %1��� State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT Fr .:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
I . Number of inspections allowed per permit.
l aritdiag.Permas.ELCIRomaripp ELR ERE.doe Rev06'17/2013 440-45157(I 1475'COM'VEB
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 I vh Each i Total I
}� Renewable ewwaa ble electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 yyy 2
5.01 to 15 kva t 133.56 3q
n Audio and Stereo Systems* 15.01 to 25 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
❑ Garage Door Opener* >100 kva(fee in accordance 55226 2
with OAR 91 R-309-0040)
n 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 6625i hr
charged at an hourly(I hr min)
Inspections for which no fee is 90D0/hr
specifically listed('G hr nib])
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES f
Fee for each commercial system: $75.00 Subtotal(Enter on Page I): 135 5
• Number of inspections 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*
E 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
L'.Building;Permds.ELC_PermitApp_ELR ERE.doc Rev 061%0II
City of Tigard RECEIVED
'' Building Division
a • 13125 SW Hall Blvd, Tigard, OR 97223Phone: 503.718.2439 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION
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: 13 Z 30 5 t.) Att Gr
City: T 1 ckat Zip:- q 7ZZ.3
Owner's Name: Date: 05,o r . Z i
Contractor's Name: ?z -ArT CCB #: I is,Rqo 2
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation _ Yes qualify for the
Located in a flood prescriptive path, follow
Area plain/flood way? No OSSC or ORSC for
design requirements.
Is the wind exposure Yes If"Yes", qualifies for
Wind Exposure "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 rrireS the prescriptive path.
and/or their accessory
Ground structures. ❑ No
Snow Load Is the Ground Snow
installations on all Load 50 psf or less?
If"Yes", qualifies for
structures other than Yes the prescriptive path.
above ❑
• No
I
1:/Building'Forms/PhotoVoltaic-Checklist02-01-11.docx
Is the construction
Type of material wood and does yes If"Yes", qualifies for
the construction qualify
Construction as "conventional light ElNo 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. Yes If"Yes", qualifies for
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 If"Yes", qualifies for
with Section 305.4(3) of
the 2010 Oregon Solar ClNo 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.
o composition
shingle.
Is the roof mounted
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
. !1Building!Forms/PhotoVoltaic-Checklist02-0 I-1 I.docx
•
❑ Yes If"Yes", qualifies 'or
Is the gauge 26 or less? ❑ No the prescriptiv: •ath.
115 lbs for 60 inch
spacing or less?
I `Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
Mini Uplift rating
of . amps? 75 lbs for 48 ' ches
spacing s less?
If"Yes", qualifies for
Yes the prescriptive path.
❑ No
Attachment of
roof mounted nimum 24 inches If the spacing falls
solar systems Spacing of clamp within 24 inches and 60
inche inches, qualifies for the
directly to Maxi m 60 inches prescriptive path.
standing seam
metalpanels If the width of the panel
Width .f roofing is less than 18 inches,
anels? 18 inches or -ss qualifies for the
inches prescriptive path.
Minimum#10 at 24
inches o/c?
Size and spacing of I "Yes", qualifies for
fastener? El Yes the irescriptive path.
❑ No
Is the roof decking of ❑
WSP min. t/2" thickness, Yes
decking connected to _ If"Yes", quali -s for
framing members No the prescriptive •:th.
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
Yes
solar modules module to the roof the prescriptive path.
surface. ❑ No
3
1 BuildingForms/PhutoVoltaic-Checklist02-01-I1.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
1 matrix.
Minimum size of the plan is 8.5 x 11 inches.
PV Modules
Manufacturer: 5 t t —P-X:B
Model Number: 5 t( — ?o g�
Listing Agency: 1 L 617D
4
I:/Building/Forms/PhotoVoltaic-Checklist02.0l-I I.docx
Branden Taggart
From: #Building Permit Technicians
Sent: Wednesday, May 19, 2021 8:20 AM
To: DALE KRUEGER
Subject: RE: NEW SOLAR JOB IN TIGARD--GOTT: MST2021-00185 - 13230 SW Hill Ct.
Attachments: Gott B app TIGARD 5-7-21.pdf; Gott E app TIGARD 5-7-21.pdf; Gott elecl.pdf; Gott
elec2.pdf; Gott plotl.pdf; Gott plot2.pdf; Gott plot3.pdf; Gott Tigard checklist.pdf; Silfab
370 BK.pdf; IronRidge XR Rail Family TechBrief.pdf; Invoice.pdf
Hi Dale,
The solar photovoltaic system permit for Jane Gott is ready to issue now. The balance due is$353.69, and I have
attached an invoice above for you to reference. These fees can be paid online now at https://aca-
prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2021-00185 under the Building
tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.Rov so that we may issue this
permit and make the plans available for pick up.
Thanks,
Branden Taggart
a City of Tigard
■s Senior Permit Technician
-i Community Development
TICAR.D
13125 SW Hall Blvd
Tigard,OR 97223
(503)718-2449
brandent@tigard-or.gov
From: DALE KRUEGER<dale.krueger@comcast.net>
Sent: Friday, May 7, 2021 5:52 PM
To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: NEW SOLAR JOB IN TIGARD--GOTT
Caution!This message was sent from outside your organization.
Please confirm you received this with a return email.
Prostat Electric will install a solar PV system at the Gott property in Tigard.
Site address iS: 13230 SW Hill Ct Tigard,OR 97223
Attached are the Building and Solar Electric permit applications with files for review. Please contact me if anything
additional is required.
Thanks.
DALE KRUEGER
PROSTAT ELECTRIC
503-539-7772
1