Report Electrical Permit Application RECEI /EI FOR OFFICE USE ONLY'
City of Tigard Received
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a 13125 SW Hall Blvd.,Tigard,OR 97223 MUG 1 G:_., Plan Review
• - Related Permit II:
Phone: 503.718.2439 Fax: 503.598.1960 DateB
Inspection Line: 503.639.4175 CITY OF TIGARL, Ready Date/By: ruris RI See Page 2 for
TIGARI) Internet: www.tigard-or.gov NotifiedMethod. Supplemental Information
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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: 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.
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑ Multi-family ❑Master builder 0 Other: 0
amps for other installations. Inbustaings.
pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 13355 SW 110th Ave 100HP or more. ❑"A","E","1-z","t-3",
City/State/ZIP:Tigard, OR,97223 ElSix or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Savage 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'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with sq.ft.) 75.00 2 I
Installation of solar panels on existing residential roof. 4.07kW Limitedwith abovesq.gy, .)family
residential(with above sq.ft.) 75.00 2
Addition of(1) 0-30A circuit(s) Renewable Energy 0 See Page 2
® PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name:Karen Savage 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 13355 SW 110th Ave
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard, OR,97223 601 amps to 1,000 amps 301.04 2
Phone:( 503)310-8692 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: ksavagel@yahoo.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
Igi APPLICANT 0 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 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 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
Email: dwelling,service and/or feeder
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 0 See Page 2 2
Address: 4801 N University Ave#900 panel,alteration,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
Email: Industrial plant(1 hr min) 78.18/hr
permits@ionsolar.com Inspections for which no fee is
hr min) 90.00/hr
specifically listed
CCB Lic.: 230394 Electrical Lic.: C1524 Suprv.Lic.: 6098S
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: .ate Subtotal: $156.18
Print name: David S Conrad Date: 08/09/2021 ❑Plan Review Required(25%of permit fee):
a 7I� State surcharge(12%of permit fee): $18.74
Authorized signature: an ie.LG.`LG TOTAL PERMIT FEE: $174.92
L7
This permit application expires if a permit is not obtained within 180
Print name:Bonnie Leslie Date:08/09/2021 days after it has been accepted as complete.
" Number of inspections allowed per permit.
tlBuildinglPermits\ELC_PermitApp_ELR_ERE.doc 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.
Fee for all residential systems combined: S75.00 Description I Qty. Each Total
•
3 Renewable electrical energy systems:
Check Type of Work Involved: 5 kvaorless 1 100.70 $100.70 2
5.01 to 15 kva 133.56 2
El 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 66.25/hr I
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(V hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1): $100.70
Fee for each commercial system: $75.00 • 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
❑ 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
other installations
I:\Building\Permits/ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard RECEIVED
.i "iii Building Division AUG 1 0 z021
• • 13125 SW Hall Blvd, Tigard, OR 97223 CITY OF TIGARD
Phone: 503.718.2439 Fax: 503.598.1960
T I G A R D Inspection Line: 503.639.4175 3UILDING 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: 13355 SW 110th Ave
City: Tigard Zip: 97223
Owner's Name: Karen,Savage Date: 08/09/2021
Contractor's Name: ION DEVELOPER LLC CCB #: 230394
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? ❑X No OSSC or ORSC for
design requirements.
Is the wind exposure X❑ Yes If"Yes", qualifies for
Wind Exposure "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. ❑ No
Snow Load Is the Ground Snow
Installations on all Load 50 psf r less?
If"Yes", qualifies for
structures other than
Yes the prescriptive path.
above ❑
No
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1:/Build ing/Forms/Photo Voltaic-Checklist02-01-11.dock
Is the construction
material wood and does X❑ Yes
Type of 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. ® 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
H Yes the prescriptive path.
n No
Is the combined weight 1= 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 El Yes
with Section 305.4(3) of If"Yes", qualifies for
the 2010 Oregon Solar ❑ No the prescriptive path.
Code?
❑ 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.
x❑ of composition
shingle.
Is the roof mounted ID Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
to the roof framing or blocking ❑ No the prescriptive path.
directly?
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. : .
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 Width of roofing If the width of the panel
panels? 18 inches or less is less than 18 inches,
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. th"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 El Yes the prescriptive path.
surface. ❑ No
3
1:Building/Forms/Photo Voltaic-Checklist02-01-11.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 Modulcs
Manufacturer: SILFAB
Model Number: 370NX
Listing Agency:
4
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