Permit CITY OF TIGARD BUILDING PERMIT
III '. COMMUNITY DEVELOPMENT Permit#: MST2021-00298
T I G A R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/28/2021
Parcel: 1 S135DB10100
Jurisdiction: Tigard
Site address: 11160 SW 95TH AVE
Project: SALQUENETTII Subdivision: MAYFAIR Lot: 5
Project Description: 10.73 kW rooftop solar
Contractor: ION DEVELOPER LLC Owner: SALQUENETTII, BONNIE &JEREMY
3214 NORTH UNIVERSITY AVE 11160 SW 95TH AVE
503 TIGARD, OR 97223
PROVO, UT 84604
PHONE: (888)781-7074 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: OTR Type of Const: VB Solar Photovoltaic System 07/28/2021 $180.00
Occupancy Grp: R-3 Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/28/2021 $27.50
Dwelling Units: 0 11x17)
12% State Surcharge-Building 07/28/2021 $21.60
Stories: 0 Height: 0 ft
Branch Circuits wo/Purchase Service or 07/28/2021 $71.02
Bedrooms: 0 Bathrooms: 0 Feeder
Value: $15,559 12% State Surcharge-Electrical 07/28/2021 $24.55
5.01 to 15 kva 07/28/2021 $133.56
Floor Areas:
Total Area:
Accessory Struct: 0
Basement:
Carport: 0
Covered Porch: 0
Deck:
Garage:
Mezzanine:
Total $458.23
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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 equires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OA 952.001-0090 u may obtain a c py of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ermittee Signature: CTe—C—
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 RECEIVED 3-7 24/z,
Residential JULq(tg1 FOR OFFICE USE ONLY
Cityof Tigard U 2 C 1021 Received -7�� +`` ,
g DateBy: �'us° 2. \V Permit No.:cS"r26Z‘'0,,,,c,e,
• 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF T/GARD
Plan Review Paz ai I
Phone: 503.718.2439 Fax: 503.598.1 DaDate/By: 7 Other Permit
;
7lGARU Inspection Line: 503.639.4175 bUILDING DIVISION Date Ready/By: if
l����s.�; ® See Paget for
Internet: www.tigard-or.gov ittlqified/Method:� ` r /1 J 1€3•• Supplemental Information
or
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 I ®Other: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $15559
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11160 SW 95th Ave New dwelling area: square feet
City/State/ZIP: Portland,OR,97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Salquenettii Solar Install 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 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
DESCRIPTION OF WORK work indicated on this application.
Installation of solar panels on existing residential roof. 10.73kW valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Jeremy Salquenettii Type of construction:
Address: 11160 SW 95th Ave Occupancy groups:
City/State/ZIP: Portland,OR,97223 Existing:
Phone:(503 ) 516-4768 Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: ION DEVELOPER LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Bonnie Leslie
FLS plan review fee(if applicable):
Address: 4801 N University Ave#900
Total fees due upon application:
City/State/ZIP: Provo, UT 84604
Phone:( 801) 326-0959 x8530 Fax: :(801 ) 607-6826 Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: permits@ionsolar.com
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ION DEVELOPER LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4801 N University Ave#900 Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
t3 Provo, UT 84604 and administrative fees): $180.00
Phone:( 888) 781-7074 Fax:(801 )607-6826
State surcharge(12%of permit fee): $21.60
CCB lie.: 230394 Total fee due upon application: $201.60
Authorized signature: Bay Ce,Le Ue This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Bonnie Leslie Date: 07/15/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
.4
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
/ City of Tigard Received114
_
g Date/By: Permit No
• 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:I Phone: 503.718.2439 Fax: 503.598.1960 P
TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 'es No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ • •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0
6 Sewer permit. 0 ❑ 0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 ❑
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 0 ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 El ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway; footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size 0 ❑ 0
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ 0 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 ❑ 0
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0
systems,see item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists El ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore:on and shall be shown to be applicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ 0
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 0
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit ApplicatCEIVED FOR OFFICE USE ONLY
City of Tigard ,IL 1 Received
L 2 6 ZQCI
Date/B : Permit r.
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.59 '4'OF T IGARD Date B Permit Related Pe t
Inspection Line: 503.639.4175 Ready Date/By: Jurist 10 See Page 2 fur
I IC,AR D. Internet: www.tigard-or.gov 9 UILDING DIVISION! Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
D Demolition E Other: PV Solar
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
E I-and 2-family dwelling ❑Commercial/industrial El Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Multi-family 0 Master builder El Other: ampsuorallotherinstallations. buings.
0 Fire pump. Installation❑ of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: Job site address: 11160 SW 95th Ave ❑Addition of new motor load of system.
100HP or more. ❑"A","E","1-2 "1-3",
City/State/ZIP: Portland, OR, 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Salquenettii Solar Install 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit,
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
above sq.ftJ 75.00 2
(with
Installation of solar panels on existing residential roof. 10.73kW Limited e rgy,multi-family 75.00 2
Addition of(3) 0-30A circuit(s) residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Jeremy Salquenettii 200 amps or less 100.70 2
Address: 11160 SW 95th Ave 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Portland, OR, 97223 601 amps to 1,000 amps 301.04 2
Phone: (503 )516-4768 Fax: ( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: firsthandjosh@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
® APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: ION DEVELOPER LLC above service or feeder fee, 7.42 2
each branch circuit
•
Contact name:Bonnie Leslie B.Fee for branch circuits without
service or feeder fee,first
Address: 4801 N University Ave#900 branch circuit 1 56.18 $56.18 2
City/State/ZIP: Provo, UT 84604 Each add'l branch circuit 2 7.42 $14.84 2
Miscellaneous(service or feeder not included)
Phone:( 801 ) 326-0959 x8530 Fax: :(801 )607-6826 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: permits@ionsolar.com Reconnect only •
67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
•
Business name: ION DEVELOPER LLC Signor outline lighting 67.84 2
Address: 4801 N UniversityAve#900 Signal alteration,t(s)or le titedenergy ❑ See Page 2 2
panel, or extension.
City/State/ZIP: Provo, UT 84604 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(888) 781-7074 Fax:(801 )607-6826 Investigation(1 hr min) 90.00!hr
Industrial plant(1 hr min) 78.18/hr
•
Email: permits@ionsolar.com
Inspections for which no fee is 90.00./hr
CCB Lic.: 230394 Electrical Lie.: C1524 Suprv.Lie.: 6098S specifically listed('/2 hr min)
n - ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: A l�1„1 Q Subtotal: $71.02
Print name: David S Conrad Date: 07/15/2021 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): $8.52
T' TOTAL PERMIT FEE: $79.54
Authorized signature:. Bonnie/nie/Le4i ,e
This permit application expires if a permit is not obtained within 180
Print name:Bonnie Leslie Date: 07/15/2021 days after it has been accepted as complete.
Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WES
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
DeI
Fee for all residential systems combined: $75.00 io° Qty. Each Total Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 00.70 2
5.01 to 15 kva I 133.56 V40 2
❑ Audio and Stereo Systems* 15.01 to 25 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 552.26 2
❑ Garage Door Opener* >100 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: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr
Inspections for which no fee is 9000/hr
specifically listed('/z he min)
COMMERCIAL WORK ONLY: ELECT2lCAL PERMIT FEES
Subtotal(Enter on Page 1).
Fee for each commercial system: $75.00
*
(SEE OAR 918-309-0000) Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nursc Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
C\Building\Permits\ELC_PerrnaApp_ELR_ERE.doc Rev 06/17/2015
•
City of Tigard RECEIVED
Building Division
• 13125 SW Hall Blvd, Tigard,OR 97223 AL2
6 162I
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD
T I G A R D 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: 11160 sw 95th Ave
City: Portland Zip: 97223
Owner's Name: Jeremy Salquenettii Date: 07/15/2021
Contractor's Name: ION DEVELOPER LLC CCB #: 230394
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation El Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? No OSSC or ORSC for
design requirements.
Wind Exposure
Is the wind exposure 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 x❑ Yes the prescriptive path.
and/or their accessory
Ground structures. El No
Snow Load Is the Ground Snow
Installations on all Load 50 p or less?
structures other than If"Yes", qualifies for
Yes the prescriptive path.
above
❑ No
1
I:Building/Forms/Photo V oltaic-Checklist02-01-11.docx
Is the construction Yes
Type of material wood and does
yP 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. E 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 ❑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
layout in accordance 0 Yes
with Section 305.4(3) of If"Yes", qualifies for
❑
the 2010 Oregon Solar No the prescriptive path.
Code?
n 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.
E 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
(:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
Is the gauge 26 or less? ❑ Yes If"Yes", qualifies for
❑ 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 inches Maximum 60 inches inches, qualifies for the
standing seam prescriptive path.
metal panels If the width of the panel
p Width of roofing is less than 18 inches,
panels? 18 inches or less
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.
No
Is the roof decking of
WSP min. '/2"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 X Yes the prescriptive path.
surface. ❑ No
3
I:Building/Farms/PhotoVoltaic-Checklist02-01-I 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: SILFAB
Model Number: 370NX
Listing Agency:
4
I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx