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N
q CITY OF TIGARD MASTER PERMIT
I COMMUNITY DEVELOPMENT
...
•IPermit#: MST2021-00448
Date Issued: 10/27/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S103AD03800
Jurisdiction: Tigard
Site address: 13080 SW 107TH CT
Subdivision: PATHFINDER Lot: 28
Project: Reebs
Project Description: Rooftop Solar PV 11.52 kW
BUILDING
i Floor Areas Required Setbacks Required
IStories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
IHeight: 0 Bathrooms: 0 Second: 0 sf Garage 0 sf Front. 0 Smoke
I Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $11,520.00 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
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
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: 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
l Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All
N
Other: Y Other Description: Roof Top Solar PV System 11.52 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:
l REEBS,MARIA GUSENKOV&ABENDIGIELEMENTAL ENERGY LLC Required Items and Reports(Conditions)
13080 SW 107TH CT 1339 SE 8TH AVE#B
TIGARD,OR 97223 PORTLAND,OR 97214
PHONE PHONE: 503-967-5786
FAX:
Total Fees: $355.19
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
oF9-nn1-nnln fhrnlinh n4R oc9-nnl-nnon Vnti may nhroln a nnnw of fho rndoe nr rlirorf nnoefinnc fn ni INr by rniiinn Fr14 919 10117 nr 1 Ron 7'1?71dd
Issued By: Ho Vaw De-lnle y2 Permittee Signature: nvt.Ap2Li.e,a Lt-v4
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 iob site at the time of each inspection.
0. RECEIVED
Electrical Permit Application } FOR OFFICE USE ONLYO ! 1 4 202 gq- Received (b�j
City of Tigard Date/B : Permit 4:14 ST40 21-004 4
, IN • 13125 SW Hall Blvd.,Tigard,OR 97222(ITV OF TIGARD Plan Review
II Phone: 503.718.2439 Fax: 503.598.1 Date/B : Related Permit#.
Inspection Line: 503.639.4175 3UILDING DIVISION Ready Date/By: Juris la See Page 2 for
l I I'A h 11 Internet: www.tigard-or.gov 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):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑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.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
Multi-familyMaster builder amps for all other installations. buildings.
❑ ❑ ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: 21-2369 Job site address: 13080 SW 107th Ct ❑Add 100HP HP or more
o of o motor load of system.
. ❑"A" "E""1-2""1 3"
City/State/ZIP: Portland OR 97223 0 Six or more residential units, occupancy.
y ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Reebs PV Solar ❑Hazardous locations. 0 Supply voltage for more than
0 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
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
- 1,000 sq.ft.or less 168.54 4
1 Tax map/parcel#:
Ea.add'1 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
11.52 kWAC, roof mount, prescriptive, grid tied, pv, solar system (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy El See Page 2
:1 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Reebs, Ben 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 13080 SW 107th Ct 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)4197505 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: benmodernvital.com relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
3 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
0 APPLICANT ® CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Elemental Energy LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name: Molly Beckel B.Fee for branch circuits without
service or feeder fee,first Address: 1339 SE 8th Ave Suite B branch circuit 56.18 2
City/State/ZIP: Portland OR 97214 Each add'l branch circuit 7.42 2
1 Miscellaneous(service or feeder not included)
Phone:( 503)9675786 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permits@elementalenergy.net Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Elemental Energy LLC Sign or outline lighting 67.84 2
Address: 1339 SE 8th Ave Suite B Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP: Portland OR 97214 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( 503 9675786 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:permits@elementalenergy.net
Inspections for which no fee is 90.00/hr
CCB Lie.: 195141 Electrical Lic.: C1228 . ;Suprv.Lie.: 4894S specifically listed(1 hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: David Gerke Date: 10/14/21 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
\--....cL____
Authorized signature:
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
i Print name: Molly Beckel Date: 10/14/21 days after it has been accepted as complete.
1 * Number of inspections allowed per permit.
(:\Building\Permits\ELC_PerrnitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
w
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description Qty. Each Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved: 5.01 to 15 kva X 133.56 133.56
❑ 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
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
E 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(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
CONS 14:I I0,WORK ONLY: . . :L 1 1 SEES =r
Fee for each commercial system: $75.00 alowedlerpemt Page 1):
y * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
'3.
other installations
i\Building\Permits\ELC_PemntApp_ELR_ERE.dor Rev 06/17/2015
11
yy
y1i
:31
Building Permit Application
RECEIVED al
Residential OCT 14 2021 FOR OFFICE USE ONLY
Received ����/�
City of Tigard DateBy lu/i 202/ Permit No..I-4 TZO2I"t.�.J`4F
111 • 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review
a Phone: 503.718.2439 Fax: 503.598.1 Date/By: tO 2 1,1 Or OtherPermit
T I G A R D Inspection Line: 503.639.4175 �1I LDI NG DIVISION Date Ready/By: /� ® See Page 2 for
Internet: www.tigard-or.gov tfied/Method ll"'� Supplemental Information
•
TYPE OF WORK REQU AMA: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
J Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
g 11-and 2-family dwelling ❑Commercial/industrial Valuation: $ 11520
Qj ❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
13080 SW 107th Ct New dwelling site address: area: square feet
City/State/ZIP: Portland OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Reebs PV Solar 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
Ifax map/parcel no: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
11.52 kWAC, roof mount, prescriptive, gird tied, pv, solar system Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Reebs, Ben Type of construction:
Address: 13080 SW 107th Ct Occupancy groups:
City/State/ZIP: Portland OR 97223 Existing:
Phone:(503) 419 7505 Fax:( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Elemental Energy LLC Structural plan review fee(or deposit): I
I Contact name: Molly Beckel
FLS plan review fee(if applicable):
Address: 1339 SE 8th Ave Suite B
City/State/ZIP: Portland OR 97214 Total fees due upon application:
Amount received:
Phone:( 503 9675786 Fax::( )
E-mail: permits@elementalenergy.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: Elemental Energy LLC
and fire department access,along with the 2010 Oregon
Address: 1339 SE 8th Ave Suite B Solar Installation Specialty Code checklist.
Permit Fee(includes plan review
City/State/ZIP: Portland OR 97214 and administrative fees): $180.00
Phone:( 503 9675786 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 195141 Total fee due upon application: $201.60
i Authorized signature: This permit application expires if a permit is not obtained
���b within 180 days after it has been accepted as complete.
( Print name: Molly Beckel Date: 10/14/21 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02ICON WEB)
I
Building Permit Application Checklist .
One- and Two-Family Dwelling FOR OFFICE t SE ONLY
City of Tigard Received Permit No•
II q 13125 SW Hall Blvd.,Tigard,OR 97223 AssocDatBy:
III Phone: 503.718.2439 Fax: 503.598.1960 Ass gated permits.
24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing 0 Mechanical
TIGARD
Internet www.tigard-or.gov ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes 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. El El ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: . El ❑
5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 El
6 Sewer permit. 0 0 ❑
7 Water district approval. 0 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. El El El
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- El 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
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 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 ❑ 0 0
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 framing-member sizes and spacing such as floor beams,headers,joists,sub- El ❑ 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. ❑ ❑ ❑
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 El
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 El El ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ El
_ 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. ❑ ❑ El
• 21 Energy('ode compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El 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 El
architect licensed in Ore l on and shall be shown to be .licable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
1 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
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ Cl El
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. ❑ ❑ El
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ El ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
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
on a lot of record approved prior to September 9,1995.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)