Permit Ill CITY OF TIGARD MASTER PERMIT
II 11
COMMUNITY DEVELOPMENT Permit#: MST2021-00429
Date Issued: 10/12/2021
T i 6 A 1{D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S134DB11700
Jurisdiction: Tigard
Site address: 11039 SW BRENDEN LN
Subdivision: DAKOTA GLEN Lot: 19
Project: McFadden
Project Description: Rooftop Solar PV 10.4 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 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $16,678.00 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
Footing Drain: 0 Ice Maker 0 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 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
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 add9 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 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N
Other: Y Other Description: Roof Top Solar PV System 10.4 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:
MCFADDEN OSMP TRUST DYNAMIC POWER INNOVATION LLC Required Items and Reports(Conditions)
MCFADDEN,JAN TRUST 20345 SW PACIFIC HWY STE 103
11039 SW BRENDEN LN SHERWOOD,OR 97140
TIGARD,OR 97223
PHONE: PHONE: 503-857-0412
FAX:
Total Fees: $356.69
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
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Issued By: Ho-u,y Vow De,Wege Permittee Signature: Ot"'A�
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 Applicatie E EIVED .133' 1 1 "21
Residential FOR OFFICE USE ONLY
SF C 4.l12I
City of Tigard ReceivedDate/By:rap 30 .2CZ/ ' Permit No.:M5��— dr/ 29'
IN ° 13125 SW Hall Blvd.,Tigard,OR 97z23.i7 y OF TIGARD Plan Review
■ Other Permit:
Phone: 503.718.2439 Fax: 503.598.1v'60 Date/By:
?iI /'C�
T i 1;A RD Inspection Line: 503.639.4175 3UILDING DIVISION Date Ready/By: / / Jya�,& fa See Page 2 for
Internet: www.tigard-or.gov No' ed/Method: J ,2J /I ' 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: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ElI-and 2-family dwelling ❑Commercial/industrial Valuation: 516,678
`` ❑Accessory building El Multi-familyNumber of bedrooms:
`\ ❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11039 SW Brenden Lane New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:McFadden 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.
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.
Install 10.4kW rooftop solar system with batteries Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Jan McFadden Type of construction:
Address:11039 SW Brenden Lane Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( ) Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:DPI Solar (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Erik Beeman
FLS plan review fee(if applicable):
Address:20345 SW Pacific Hwy,Suite 103
City/State/ZIP:Sherwood,OR 97140 Total fees due upon application:
Amount received:
Phone:(971)990-1924 Fax::( )
E-mail:erik@dpisolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:DPI Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:20345 SW Pacific Hwy,Suite 103 Solar Installation Specialty Code checklist.
City/State/ZIP:Sherwood,OR 97140 Permit Fee(includes plan review S180.00
and administrative fees):
Phone:(503)857-0099 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:185494
--7 Total fee due upon application: $201.60
Authorized signature�:,���
I This permit application expires if a permit is not obtained
s3,-- a within 180 days after it has been accepted as complete.
Print name:Eri ll i:man ‘--------- ? / Date:9/22/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPennitApp.doc 02/24/2 11 4404613T(I 1/02/COM/WEB)
Electrical Permit ApplicationApplicationRECEIVED
FOR OFFICE USE 0NI \
City ofTigard SEP 'a Received , /n��/ �ys�
1.III g DateBy: Permit#: ./.�/J f�( VL-/"(,�/
w 13125 SW Hall Blvd.,Tigard,OR 97M. Plan Review
Phone: 503.718.2439 Fax: 503.59 0�OF TIGARD Date/By: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Jun RI See Page 2 for
T I G A R D
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: � l 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):
0 Service or feeder 400 amps or more ❑Building over three stories.
ID Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
dwelling ❑Commercial/industrial®1-and 2-family ❑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. ❑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: 11039 SW Brenden Lane IOOHP or mom. ❑"A", `F', '1-2",`I-3',
City/State/ZIP:Tigard,OR 97223 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt#: Project name:McFadden 0 Hazardous locations. 0 Supply voltage for mom than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description 1 Qty. I 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'l 500 sq.ft or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Install 10.4kW rooftop solar system with batteries
75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy tEl See Page 2 133.56
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Jan McFadden 200 amps or less 100.70 2
Address: 11039 SW Brenden Lane 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 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 59.36 t
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
El APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits wilh
Business name:DPI Solar above service or feeder fee, 7.42 2
each branch circuit
Contact name:Erik Beeman B.Fee for branch circuits without '
serAddress:20345 SW Pacific HwySuite 103 branchce it feederitfee,first 56.18 2
branch circuit
City/State/ZIP:Shenvood,OR 97140 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(971)990-1924 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:erik@dpisolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:DPI Solar Sign or outline lighting 67.84 2
kicem i 41,or P .T rJYrwu75U�
Signal circuu(s)or limited-energy
Address:20345 SW Pacific Hwy site 103 panel,alteration,or extension. ❑ See Page 2
City/State/ZIP:Sherwood,OR 97140 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)857-0099 Fax:( ) Investigation(l hr min) 90.00/hr
/ J Industrial plant(1 hr min) 78.18/hr
Email:erik@dpisolar.com /� �� (Q j(!�� Inspections for which no fee is
CCB Lic.: 185494 1.4 electrical Lic.: C 1255 Su rv.Lie.: 5763S specifically listed(Va hr min) 90.00/hr
/
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:2.' // r ,7-7 C Subtotal: 133.56
Print name: Michael Landauer -- -TDate: 9/22/21 0 Plan Review Required(25%of permit fee):
-
/ ) State surcharge(12%of permit fee): 16.03
Authorized signature:
^'"` ...1-----'r, .. � This permit application expires if a permit is not obtained within 180
Print name: Erik Beeman Date: 9/22/21 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Pernits/ELC_PernotApp ELR_ERE.doc Rev 06/17/2015 . 440-4615T(1 1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
•
Fee for all residential systems combined: $75.00 Description I . 1 Each I Total I
3r Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 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
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
C 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 66.25/hr 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed 0 hr min)
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
• Number of inspections allowed per pen lt.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ H• VAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ L• andscape Irrigation Control*
❑ M• edical
❑ N• urse Calls
❑ O• utdoor Landscape Lighting*
n P• rotective Signaling
❑ Other:
Total number of commercial systems: _
*No licenses are required. Licenses are required for all
other installations
i:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015
ECEIVEr
Oregon Solar Installation Specialty Code
x SEP 2 2 201"
.7 Checklist for Prescriptive Photovoltaic Installations in
f�t1�
accordance with Section 3111.5.3 CITY OF TIGAhL
3UILDING DIVISIO
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:Jan McFadden
Installation address:11039 SW Brenden Lane
City: Tigard State: OR ZIP: 97223
Structure on which modules are to be installed:SFD
Day phone: (503 )734-0413 Evening phone: (
Email address:
Contractor:DPI Solar CCB#:185494
Day phone: (971 )990-1924 Evening phone: ( )
Email address:erik@dpisolar.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 ❑ No [I (check one)
• Does the structure have pre-engineered trusses?
Yes 0 No ❑ (check one)
OR
• Does structure have roof framing members spaced at 24 inches on center maximum?
Yes fj 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
composition shingle?
Yes II No❑ (check one)
IBsE vn
440-4910(9/15/COM)
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 ❑(check one)
• Will the roofing panels be installed over minimum 1/4-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 AN D 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 It (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 Q No (check one)
PV MODULES
Manufacturer: Solaria
Model number: PowerXT400R-PM
Listing agency: UL
Erik Beeman — 9/22/21
Applicant name(please print) Applicant signature Date
440-4910(9/15/COM)