Permit 71 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00312
Date Issued: 08/23/2021
T r(;AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134CA00708
Jurisdiction: Tigard
Site address: 11945 SW SUMMER CREST DR
Subdivision: BURLWOOD NO.3 Lot: 43
Project: Fort
Project Description: Rooftop Solar PV 6.29 kW
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 al Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $9,121.00 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 Drains: 0 Storm Sewer: 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
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
Fum>=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 add!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2
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
tY Audio 8 Stereo:
N HVAC: N Securi Alarm: N Vaccuum System: N Garage Opener: N All N
Other: Y Other Description: Roof Top Solar PV System 6.29 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
FORT,GAVIN&REBECCA ION DEVELOPER LLC Required Items and Reports(Conditions)
11945 SW SUMMER CREST DR 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $450.92
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 r quires u to oHow the ules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: Permittee Signature: CM
coeG� 'L-.
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 ECEIVED S al
Residential FOR OFFICE USE ONLY
Received itQ OC 2O
City, of Tigard �U �� Date B
o ✓ 2/ : Permit No.:M7202/"6031Z-
:l, Ill 13125 SW HaII Blvd.,Tigard,OR 97223(CITY OF TIGARD Plan e/B .Review f /�1&P
• Phone: 503.718.2439 Fax: 503.598.1@(�p Date/B : I/(I� Other Permigint
fJUILDING DIVISION Date 'eady/By: ® See Page 2 for
1 WARD Inspection Line: 503.639.4175y y ��/� F
Internet: www.tigard-or.gov fied/Method•e L'/� 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: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 9121
® 1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Master builder IDOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11945 SW Summer Crest Dr New dwelling area: square feet
y1 City/State/ZIP: Tigard, OR, 97223 Garage/carport area: square feet
7 Suite/bldg./apt.no.: Project name:Fort 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: 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.
Installation of solar panels on existing residential roof. 6.29kW Valuation: $
Existing building area: square feet
New building area: square feet
RI PROPERTY OWNER 0 TENANT Number of stories:
Name: Rebecca Fort Type of construction:
Address: 11945 SW Summer Crest Dr Occupancy groups:
City/State/ZIP: Tigard, OR, 97223 Existing:
Phone'(714)746-0539 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ION DEVELOPER LLC
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 Amount received:
Phone:( 801) 326-0959 x8530 Fax: :(801 ) 607-6826
E-mail: permits@ionsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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: UT 84604 Permit Fee(includes plan review $180.00
ty Provo, and administrative fees):
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: 730'114'tLe'LesUe This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date: 08/04/2021 *Fee methodology set by Tri-County Building Industry
Print name: Bonnie Leslie Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE CAIN
City of Tigard Received
IN 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B Permit No.:
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
I WARD 24-Hour Inspection Line:'503.639.4175 ElElectrical 0 Plumbing ElMechanical
Internet www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW )es 7%0 :N.i,1.
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: • 0 0 0
5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ 0
6 Sewer permit. ❑ 0 ❑
7 Water district approval. 0 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ 0
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 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 0 0
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 ❑ ❑ ❑and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all franung-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 0 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 0 0 0
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 ❑ ❑ 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 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 0 0 0
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
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 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ 0 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 street tree plan(if applicable),and City of Tigard 0 0 0
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 0 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 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.
I:1Building\Permits1BuP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Electrical Permit Application—
RECEIVED FOR OFFICE USE ONLY
City of Tigard Received Permit a:
:t • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
/I a111j Related Permit 4:
Phone: 503.718.2439 Fax: 503.598.1960 Date B
Inspection Line: 503.639.4175 t+ �/OF
TIUARG Ready DateBy: lurk: I See Page 2 for
l I c.A t'Il Internet: www.tigard-or.gov V I 1 1 Notified/Me[hod. Supplemental Information
TYPE OF Wail , llvl
Fr, sv„_,,._.. 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 0 Building over three stories.
El Demolition ®Other: PV Solar where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 11945 SW Summer Crest Dr 1001iP or more. ❑"A","E',`t-z^, i-3",
❑Six m more residential units. occupancy.
City/State/ZIP: Tigard, OR, 97223 ❑Healthcare facilities. 0 Recreational vehicle parks.
0 Hazardous locations. 0 Supply voltage for more than
Suite/bldg./apt.#: Project name: Fort Solar Install 0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qn. 1 Each i Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Installation of solar panels on existing residential roof. 6.29kW Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Addition of(2) 0-30A circuit(s) Renewable Energy ❑ See Page 2
lZl PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Rebecca Fort 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 11945 SW Summer Crest Dr
— 401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard, OR, 97223 601 amps to 1,000 amps 301.04 2
Phone:(714) 746-0539 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:rebecca.m.fort@gmail.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
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
�-7 Branch circuits—new,alteration,or extension,per panel
® APPLICANT L�_CONTACT PERSON A.Fee for branch circuits with
Business name: ION DEVELOPER LLC above service or feeder fee, 742 2
each branch circuit
Contact name:Bonnie Leslie B.Fee for branch circuits without
service or feeder fee,first 1 56,18 $56.18 2
Address: 4801 N University Ave#900 branch circuit
City/State/ZIP:Provo, UT 84604 Each add'l branch circuit 1 7.42 $7.42 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 Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address: 4801 N University Ave#900 panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Provo, UT 84604 Additional inspection(1 hr min) 66.25/hr
Fax: Investigation(1 hr min) 90.00/hr
Phone:($$$) 781-7074 (801 )607-6826
Industrial plant(1 hr min) 78.18/hr
Email: permits@ionsolar.com Inspections for which no fee is
specifically listed(K hr min) 90.00/hr
CCB Lic.: 230394 Electrical Lic.: C1524 Suprv.Lic.: 6098S ELECTRICAL PERMIT FEES.
Suprv.Electrician signature,required: ,ta, B ein,,__O Subtotal: $197.16
Print name: David S Conrad Date: 08/04/2021 0 Plan Review Required(25%of permit fee):
�r2 ,, 1 State surcharge(12%of permit fee): $23.66
V Authorized signature: � LYW
✓ ''Le4r1 A TOTAL PERMIT FEE: $220.82
This permit application expires if a permit is not obtained within 180
Print name:Bonnie Leslie Date: 08/04/2021 days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:1BuildinglPenmits\ELC_PernutApp_ELR ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
$75.00 Description f Qty. 1 Each f Total x
Fee for all residential systems combined: Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 $t 33.56 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
EI50.01 to 100 kva 552.26 2
Garage Door Opener* >100Icva(fee in accordance
with OAR 918-309-0040) 552.26 2
n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional lcva 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 66.25/hr 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
s. cificall listed(%s hr min
COMMERCIAL WORK ONLY: � � FEtk
�
Fee for each commercial system: $75.00 Subtotal(Enter on ge 1) $133.56
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
El Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:113uildinglPermitslELC_PerrrulApp_ELR_ERE.doe Rev 06/172015