Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00280
Date Issued: 8/11/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S109AD06800
Jurisdiction: Tigard
Site address: 12662 SW TERRAVIEW DR
Project: Brown Subdivision: ARLINGTON HEIGHTS Lot: 31
Project Description: Rooftop Solar PV 14.06 kW
Contractor: GREENLIGHT SOLAR Owner: DRURY-BROWN, MARCIE K
6115 EAST 18TH STREET SUITE B BROWN,JACK E JR
VANCOUVER, WA 98661 12662 SW TERRAVIEW DR
TIGARD, OR 97224
PHONE: 360-836-8902 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: SF
Class of Work: OTR Type of Const: VB Solar Photovoltaic System 07/26/2021 $180.00
Occupancy Grp: R-3 Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/26/2021 $7.50
Dwelling Units: 0 11017)
12/o State Surcharge-Building 07/26/2021 $21.60
Stories: 0 Height: 0 ft 5.01 to 15 kva 07/26/2021 $133.56
Bedrooms: 0 Bathrooms: 0 12%State Surcharge-Electrical 07/26/2021 $16.03
Value: $3,000
Floor Areas:
Total Area:
Accessory Struct: 0
Basement:
Carport: 0
Covered Porch: 0
Deck:
Garage:
Mezzanine:
Total $358.69
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 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. Yo ay obtain a cop ules r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ffiX.
Permittee Signature: ��� ��Call 503.639.4175 by :00 a.m.for the next available inspection date.
67,99/ -75
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.
_` . `. rmn pU ICBhoII
Residential �`�-
RECEIVED FOR O►IICE 1 SI ON I.)
City of Tigard Received ?
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:b/ ISZ� --1 Permit No.: �2I-00280
s Phone: 503.718.2439 Fax: 503.598.1960)u'= 1 2 20 Plan Review
1 1 t,A R D Inspection Line: 503.639.4175 Date/B 2b =�Y Other Permit:
Internet: www.tigard-or.gov CITY OF TIGARD Date Rd/Meth : Juris: See Page 2 for
Noti ed/Method: " igi Supplemental Information
I (.7r
TYPE OF WORK REQUI ED DATA:I-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
( I Addition/alteration/replacement ❑Other: equipment,\
CATEGORY OF CONSTRUCTION work indi atedmaton thislabor,application.ead,and the profit for the
Ep I-and 2-family dwelling
Valuation: ��UOO'•�❑Commercial/industrial $ V
0 Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: VIX9 i t,iga
.,... S e�C Towt�..;.: De... New dwelling area: square feet
City/State/ZIP: i I&re) 0 l-- Ci-1,.? 4 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: C)rL_ ?or°L. h .
Cross street/directions to job site: Covered porch area: square feet
Deck area: square feet
Other structure area: square feet
Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST
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
DESCRIPTION OF WORK equipment,materials,labor,overhead,and the profit for the
t work indicated on this application.
1 n'MtI`V \-4-Mg it-V T.' '4 Valuation: S
Z--1 -A-c l W v l0,, So Exis
ting building area: square feet
1 New building area: square feet
❑ PROPERTY OWNER ❑ TENANT
Number of stories:
Name:T-C1/41—k-- le 1rc u,:w"'`\
Type of construction:
Address: `a\Lit Ski%) r`e-vcav 6.' Occupancy groups:
Phone:(503) 91 U.. , -7`t Fax;x:( c7)"{ Existing:
0 APPLICANT New:
❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: C�ree+'ac }� J �✓ (Please refer to fee schedule)
Contact name: ( ,t t 1 Structural plan review fee(or deposit):
QsLr-1
Address: 115 . 1 " S)- - S C FLS plan review fee(if applicable):
Valle ti u V 4- j,� q Sr/ Total fees due upon application:
City/State/ZIP:
Phone:(a(QL )S _ 1C��Z f Fax::( )��.t� Amount received:
E-mail:0. tC gUrr�a��` �Kt- Lair.cvr Y-� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
ZT CONTRACTOR Commercial and residential prescriptive installation of
Business name: rt roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Address:L,Q) S G . ( �'�- V and fire department access,along with the 2010 Oregon
City/State/ZIP: Solar Installation Specialty Code checklist.
1�et yCLIt.e...Vele" W -- 9giCa.r ,/ Permit Fee(includes plan review
Phone:(?at; ) a-%(D- &C1( a I Fax:( -- ) and administrative fees): $180.00
CCB lic.: 3 3 State surcharge(12%of permit fee): $21.60
3
Total fee due upon application: S201.60
Authorized signature: /Z This permit application expires if a permit is not obtained
Y�� within 180 days after it has been accepted as complete.
Print name: —1 C +� C Date 1�] �t *Fee methodology set by Tri-County Building Industry
—1 c� ! t Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011
440-1613T(11/02/COM/WEB)
I
Building Permit Application Checklist
One- and Two-Family Dwelling
FOR OFFICE 1 SE ()NI.)
111 City of Tigard Received
it 13125 SW Hall Blvd.,Tigard,OR 97223 Associy: Permit No.:
_ Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
T I G A R D 24-Hour Inspection Line: 503.639.4175
Internet: www.tigard-or.gov ❑ Electrical 0 Plumbing 0 Mechanical
0 Other:
THE FOLLOWING ITEMS ARE RI•:OE'IRE!) FOR PLAN REVIEW )vs vI, y, \
I Land use actions coin leted. See'urisdiction criteria for concurrent reviews.
2 Zonin . Flood lain,solar balance oints,seismic soils desi ation,historic district etc. CI3 Verification of a roved lat/lot. 0 0
4 Fire district a royal re wired. Name of district: ❑ ❑ ❑
5 Se tics stem ermit or authorization for remodel. Existin stem ca act ❑ ❑
6 Sewer ermit. ❑ ❑ ❑
❑ ❑ ❑
7 Water district a royal.
8 Soils re ort. Must c on final a licable stain and signature on file or with a lication. ❑ ❑ ❑
9 Erosion control 0 plan 0 permit required. Include draina a-wa ❑ ❑ ❑
basin rotection,etc. g Y protection,silt fence design and location of catch- 0 0 ❑
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size ❑ 0
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
co ri ht violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft. intervals);location of easements ❑ 0
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 draina e.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size
and location. 0 0 0
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater,
furnace,ventilation fans, lumbin fixtures balconies and decks 30 inches above rade,etc. ❑ 0 0
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub-
floor,wall construction,roof construction. More than one cross section may be required to clearly portray El 0 0
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fire lace construction,thermal insulation.etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels.
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. ❑ El ❑
Full-size sheet addendums showin foundation elevations with cross references are acce table.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
rescri tive ath anal sis rovide s ecifications and calculations to en ineerin standards. 0 0 0
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑
locations. Show attic ventilation. 0 0
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered
systems,see item 22,"Engineer's calculations." GI 0 0
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load. 0 0
20 Manufactured floor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0
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 theproject under review. ❑ 0 0
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17".
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 El
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ CI 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project streetapplicable), Tigard 0CI 0
Street Tree List. ❑ ❑
tree plan(if and City of
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,
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings ❑ 0
0
on a lot of record approved prior to September 9, 1995.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011
440-4613T(1 I/02/COM/WEB)
Electrical Permit ApplicatiECEIV i O1, oi, 1( , 1 S1 ()Nil
City of Tigard Received
° 13125 SW Hall Blvd.,Tigard,OR 97223U� Date/By: Permit#: (V�ST��'C��Z
e J. 4 ...37'
Phone: 503.718.2439 Fax: 503.598.19 Plan Review
Inspection Line: 503.639.4175 CITY OF TIGARD Daze/By: Related Permit#:
T 1 G AR D Internet: www.tigard-or.gov Ready Date/By: i�.
/
3UlL.DING DIVISION
Notified/Method: r ** I S See Page 2 orfo rmation
Supplemental l fn
TYPE OF WORK
❑New construction PLAN REVIEW
( Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition 0 Other: ❑Service or feeder 40 s or more amps ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION
[` I-and 2-family dwellingexceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other:
JOB SITE INFORMATION AND LOCATION 0 Fire pump. 0 Installation of 150 KVA or
0 Emergency system. larger separately derived
Job#: I Job site address:1��tQ ''1 �' ❑Addition of new motor load of system.
- e Qoi 'I-W too pormore. ❑..A„ •.E, ••1-z„.•I-3".
City/State/ZIP: t CI.,(t�. l�� a,a`\
❑Six or more residential units. occupancy.
Suite/bldg./apt.#: ❑Health-care facilities. 0 Recreational vehicle parks.
Project name: 0�- XU,•Z `V n 0 Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site:
�J ❑Service or feeder 600 amps or more. 600 volts nominal.
FEE SCHEDULE
Description I Qty. i Each I
1 Total
Subdivision: New residential single-or multi-family dwelling unit.
I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less
168.54 4
DESCRIPTION OF WORK residential
Ea.add'I 500 sq.ft.or portion 33.92
` Limited energy, 1
S \� +' c^R \1.�� �� ��'� V v �fl kr� (with above sq.ft.) 75.00 2
3-1 -IA( � Limited energy,multi-family
VV 31 e�v residential(with above sq.ft.) 75.00 2
0 PROPERTY OWNER I ❑ TENANT Renewable Energy ❑ See Page 2
Name: "��� lioTC) Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Address: ,at/And C "T C,`("CMti LW DR-• 201 amps to 400 amps 133.56
City/State/ZIP: �1 ` 2
[1 C]' , t) �"! a LA
401 amps to 600 amps 201.04
Phone:( 601 amps to 1,000 amps 301.04
ta LAID '1 I\ t I Fax:( ) 2
Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
c i�bfwon VI14
n
Owner installation:This installation is b ngg m d ton property that I own which is not 200 amps or less
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 59.36 1
201 amps to 400 amps 125.08
Owner signature: Date: 401 amps to 599 amps 2
168.54 2
0 APPLICANT
0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
Business name: Cie e ec, ;r 1 l � A.Fee for branch r with
u}`�I`1; (� above service or feeder fee,
Contact name: l Imo\,►c�� each branch circuit 7.42 2
IJVt J B.Fee for branch circuits without
Address: �A, _ 'C.r'1 T�\ service or feeder fee,first
�� branch circuit 56.18 2
City/State/ZIP: \letYVC_ou vQ Y. ,n cl'A , ,A l Each add'I branch circuit
i Y� P l.0�Y 7.42 2
Phone:(`��� (� _: Miscellaneous(service or feeder not included)
4� f,9 Oa Fax ( ) Each manufactured or modular
Email:(�inrt re_C dwelling, 67.84
q`(ee�t1 .`� �l - `'� ��,(OTY service and/or feeder 2
CON RACTOR 1 Reconnect only 67.84 2
/„`fl oft` 1, V. So Pump or irrigation circle 67.84 2
Business name:` LG ` � -
�/ Sign or outline lighting 67.84 2
Address: ( ��C '!t1 (� � Signal circuit(s)or limited-energy
'Y t ' �T panel,alteration,or extension. 0 See Page 2 2
City/StatefZlP: -rnC(`i.kue rLli Each additional inspection over allowable in any of the above
Phone:(' C) a Additional inspection(1 hr min) 66.25/hr
3�L Fax:( ) Investigation(t hr min) 90.00/hr
Email:(� c, qY 'LY\`tf�h C ,(ILY,L()w� Industrial plant(1 hr min)
U /0///L2 78.18/hr
CCB Lie.a\`�3 I : {{ Inspections for which no fee is
Electrical Lic.: � ,tS
:Cu Suprv.Lie.: specifically listed(V:hr min) 90.00/hr
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
Print name: hrx r iQ3 gi llxn Subtotal:
((Rio Date:(p 1 3 0)3 OD 1 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature
TOTAL PERMIT FEE:
Print name:' p[ ta`C!`- This permit application expires if a permit is not obtained within 180
AN At b e� I Date: 7 j tc/// I days after it has been accepted as complete.
IBuild;ng'pe:mits'ELC_PermiWpp_ELR ERE.dw Rev 06/17/2015 1-'' ' Number of inspections allowed per permit.
440-4615T(I I/O5/COM/WEB
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable EnergyPermit Fees:s.
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined: FEE SCHEDULE
�75.00 nescri.tion
Renewable electrical energy systems: Eachil Total
Check Type of Work Involved: s kva or less
100.70 2
5.01 to 15 kva 133.56 15$51,t 2
ri Audio and Stereo Systems*
15.01 to 25 kva 200.34
C 2
Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04
_ Garage Door Opener*
>100 kva(fee in accordance 2
50.01 to 100 kva 552.26
2
E Heating, Ventilation and Air Conditioning with OAR 918-309-0040) 552.26 2
System* Solar generation systems in excess of 25 kva:
❑ Each additional kva over 25 7.42
Vacuum Systems* 3
>100 kva-no additional charge 0.0
3
Other: Y' S` , Each additional ins ection over allowable io an of the above:
`'r♦ Each additional inspection is
charged at an howly(1 hr min) 6625/hr
Inspections for which no fee is
COMMERCIAL WORK ONLY: specifically listed(%hr min) 90.00/hr
Fee for each commercial system: ELECTRICAL PERMIT FEES
(SEE OAR 918-309-0000) $75.00 Subtotal(Enter on Page I):
' Number of inspections allowed per permit.
Check Type of Work Involved:
Audio and Stereo Systems
Boiler Controls
Clock Systems
Data Telecommunication Installation
C Fire Alarm Installation
0 HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
LI Landscape Irrigation Control*
C Medical
LI Nurse Calls
LI Outdoor Landscape Lighting*
LI Protective Signaling
Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
is�BuiIdingTermitsTLC_permitApp ELR_ERE.doc Rev 06/17.2015
•
,7 Oregon Solar Installation Specialty Code RECEIVED
t Checklist for Prescriptive Photovoltaic Installations in JUL ? 2 2021
wrir
V; >� accordance with Section 3111.5.3 CITY OF TIGARD
Department of Consumer and Business Services
Building Codes Division
1535 Edgewater NW,Salem,Oregon
Mailing address:P.O.Box 14470,Salem,OR 97309-0404
Phone:503-378-4133 •Fax:503-378-2322
Web:bcd.oregon.gov
PROPERTY OWNER INFORMATION
Property owner name:Jack Brown
Installation address:12662 SW Terraview Dr
City: Tigard State: OR ZIP: 97224
Structure on which modules are to be installed:Roof
Day phone: (503 )476-7111 Evening phone: ( )
Email address:lackbrown1974@gmail.com
Contractor:GreenLight Solar CCB#:211333
Day phone: ‘360 )836-8902 Evening phone: ( )
Email address:angie@greenLght-solar.com
SITE PLAN
• Attach a simple site plan showing the location of the PV system in relation to buildings,
structures,property lines, and,as applicable, flood hazard areas.
• System must be shown in sufficient detail to assess whether the requirements of Section 3111.4.8
or one of the exceptions have been met.
• The site plan must be on 8.5-inch x 11-inch or larger paper.
STRUCTURAL INFORMATION
All structures:
• Is this conventional light framed wood construction?
Yes Q No ❑ (check one)
• Does the structure have pre-engineered trusses?
Yes ❑ No (check one)
OR
• Does structure have roof framing members spaced at 24 inches on center maximum?
Yes 0 No ❑ (check one)
• Is the weight of the PV modules and racking less than 4.5 pounds per square foot?
Yes Q No [ (check one)
• Is the roofing material metal, single layer wood shingle, or not more than two layers of
corn osition shingle?
Yes No❑(check one)
r LSE740
RVIC
440-4910(9/15/COM)
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STRUCTURAL INFORMATION (continued)
Standing seam metal roofs:
• Is the metal gauge 26 or heavier?
Yes ❑ No ❑ (check one)
• Clamp design:Are clamps designed to withstand uplift of at least 115 pounds for clamps spaced at
60 inches on center or less or at least 75 pounds for clamps spaced at 48 inches on center or less?
Yes ❑ No ❑ (check one)
• Is the spacing of the clamps as measured along the seam less than or equal to 24 inches on center?
Yes ❑ No ❑ (check one)
• Is the roofing panel width 18 inches or less?
Yes ❑ No ❑ (check one)
• Will the roofing panel attachments be at least#10 screws at 24 inches on center?
Yes ❑ No n(check one)
• Will the roofing panels be installed over minimum %-inch nominal wood structural panels
attached to framing with 8d nails at six inches on center at panel edges and 12 inches on center
field nailing?
Yes ❑ No ❑(check one)
If no, on any of these requirements, the project may not be submitted using the prescriptive path.
ROOF DESIGN AND ATTACHMENT
• Attach a simple structural plan showing the roof framing(rafter size,type, and spacing) and PV
system racking attachment.
• System must be shown in sufficient detail to assess whether the requirements of Section 3111.5.3
have been met.
• The structural plan must be on 8.5-inch x 11-inch or larger paper.
WIND DESIGN
• Does the project site exceed 95 mph in exposure C or 105 mph in exposures A or B?
Yes ❑ No 0 (check one) If yes, the project may not be submitted using the prescriptive path.
• Is the module height less than 18 inches above the roof in accordance with section 3111.5.3?
Yes 0 No ❑ (check one)
PV MODULES
Manufacturer: Hanwha
Model number: DUO BLK ML-G9 380W
Listing agency: UL1703
Angie Olesen 7/6/2021
Applicant name(please print) Applicant signature Date
440-4910(9/15/COM)