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Permit 111111 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00472 Date Issued: 11/15/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114AD02400 Jurisdiction: Tigard Site address: 8820 SW WAVERLY DR Subdivision: WAVERLY ESTATES Lot: 23 Project: Colligan Project Description: Rooftop Solar PV 6.12 kW DC 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: $32,600.00 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 add'I 500 at: 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&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All P Roof To Solar PV System 6.12 kW Ecom g N Other: Y Other Description: P Y pasin . BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 0 Owner: Contractor: COLLIGAN,PAUL W&HEIDI L NATIONWIDE ENERGY Required Items and Reports(Conditions) 8820 SW WAVERLY DR PO BOX 821959 TIGARD,OR 97224 VANCOUVER,WA 98682 PHONE' PHONE: 800-908-8992 FAX: Total Fees: $364 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 QF9-nnl-nnln thrniinh nap oc,nnl-noon vn..mw nMnin o nnnu of+ho nilne nr rlirnnt niloerinne to nI IKIC by n,irnn en'i 9'39 1QR7 nr 1 Ann 149 91dd Issued By: hlo{Lj Vo-w Pc-Weigi, Permittee Signature: taw AYyp-lit-afix-vt, 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. `UoctiSiyn Envelope ID:A6F789EC-8D9E-4A22-AAF9-8FCB7DAE3A3B Building Permit Application — 25 21 Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Received l / �� CI-202J-0o -72— g Date/By. //d� ice' `""' Permit No.: a t l+ 41 13125 SW Hall Blvd.,Tigard,OR 97223 p,CT 2, 5 2U21 Plan Review ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: t I a-/ I A 1 Other Permit: 1'1(,A R I, Inspection Line: 503.639.4175 CITY OF TIGAR D Date Ready/By: i ) / *e_ tyus, � ® See Page 2 for Internet: www.tigard-or.gov Notif etho L ��� - l K Supplemental Information BUILDING DIVISION y/7 j TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING ❑New construction ❑ Demolition Permit lees*are based on the value of the work periixmed. 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. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $32600 ❑Accessory building 0 Multi-family Number of bedrooms: ®other:Solar Array Number of bathrooms: u ❑Master builder ,/' JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:8820 SW Waverly Dr New dwelling area: square feet City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Colligan Solar Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-11SE CHECKLIST Subdivision: I Lot no.: Permit fees*are based on the value of the«ork 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 OFWORK work indicated on this application. Instalation of 6.12 kW DC roof mounted solar PV generation system Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name:Paul Colligan Type of construction: Address:8820 SW Waverly Dr Occupancy groups: City/State/ZIP:Tigard, OR 97224 Existing: Phone:( )(503) 997-0454 lax: ( ) New: ® APPLICANT 0 CONTACT PERSON %il///I'l%/�� BUILDING PERMIT FEES* ///r„£ ////ii,i, t (Please refer trifee schedule). Business name:Nationwide Solar Structural plan review fee(or deposit): Contact name:Thomas Knapp FLS plan review fee(if applicable): Address:PO Box 821959 Total fees due upon application: city/state/ZIP:Vancouver, WA 98682 Amount received: Phone:( )503 930 6000 Fax: :( ) E-mail:tknapp@mynatlOnWldeSOlar.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:Nationwide Solar Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:PO Box 821959 Solar Installation Specialty Code checklist. (includes plan review $180.00 City/State/ZIP:Vancouver, WA 98682 Permit Feeand administrative fees): Phone:( )503 930 6000 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie:176918 Total fee due uponapplication: $201.60 DwuSiyoud by. Authorized signature: This[ permit application expires if a permit is not obtained f within 180 days after it has been accepted as complete. Print name:Thomas Knapp 289D1A0B7C3A42C... Date: 10/22/2021 I c:42* njg61dology set by Tri-County Building Industry ernce Board. I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) DocuSign Envelope ID:A6F789EC-8D9E-4A22-AAF9-8FCB7DAE3A3B Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: IIIr 13125 SW Hall Blvd.,Tigard,OR 97223 a g Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical ATIG ARI) Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ El ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: • ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ El 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- El ❑ ❑ basin protection,etc. 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 sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if El ❑ ❑ 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, ❑ ❑ ❑ 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- ❑ ❑ ❑ 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- ❑ ❑ ❑ 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 ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered El 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 ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑ 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 the .ro'ect under review. JURISDICTIONAL SPECIFICS 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. ❑ El ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"buildingplans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ 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. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .iiocuS4n Envelope ID:A6F789EC-8D9E-4A22-AApt Electrical Permit Applicatio `C ED FOR OFFICE ESE ONLY Cl Tigard Received 14 R 13125 SW O al Blvd.,Tigard,OR 97223 OCT5 EnPlan R : Permit#: S�.�b21 OO��Z ! Plan Review Phone: 503.718.2439 Fax: 503.598.1 (Y OF TIGARD Date B Related Permit#: Inspection Line: 503 639.4175 Read DateB Juns TIGAKI} y Y ® PeePage2tor Internet: www.tigard-or.gov ( Notified/Method: Supplemental Information BUILDING DIVIS Q rrr/u!„.t'x,:,.��f � �'" ,rr,r ,! alei�%c7�` i".rrH r r rryE'/r/ni%nrr r ,:uii rni r ,x x. rrt'�:':�H ��,u/j Ni a; r� ra�iv�� -fro; 9 gp ,x„1:. r/�����/✓/r Mt ,rlh h y I//r�/���irFr x s'//�n/i/i' T'$,9Tr'y ✓�/V �/r/i x'x. ,14 - %9��x / i rurvr, �-ou7c,,, � ,-,x su/a�✓��,..���v���rr�s,� cor�d�i/!�-.,, �n�e ,.�� � _ dy ,?�Hr,A ❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition Solar Array ❑Service or feeder 400 amps or more ❑Building over three stories. ®Other +�+ where the available fault current ❑Marinas and boatyards. i /rrr .r r 8. i `k! 0:t;," fix" r . x�rvav+r���"' "'. ,,,,rm ✓"'� ,vim„ �. � '� �;, //aqr rr", ,�r���%/// 'p� x r exceeds 10,000 amps at 150 volts or ❑Floating buildings. 1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural ® ❑ ❑Accessory building amps for all other installations. buildings. ❑Multi family ❑Master builder 0 Other: 0 Fire pump. 0 installation of 150 KVA or rr/i7p ' ,�3 t // .Y,. ' i� rr/r/� Emer enc s stem. lar er se aratel derived �'�'�� ����i/r��''����{��?� klE��� ..� � .��'I�1��ii ��3����i/!m.-,.,, ❑ B Y Y S P Y Job#: Job site address:8820 SW Waverlyy Dr ❑100H oo of oew motor load of system. 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard, OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name:Colligan Solar ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: ; ;x F E ,S trioP N a i Descri fion I Qty. I Each I Total 1 New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel# Ea.addl 500 sq.ft.or portion 33.92 1 ri / ,rrr/,/,, TEES "tON'oF WOI % „,7%r{r„i,,, C„ Limited energy,residential (with above sq.ft.) 75.00 2 Installation of 6.12 kW DC roof mounted solar pv generation system Limited energy,multi-family residential(with above sq.ft.) 75.00 2n .,. Renewable EnergySee Page 2 »x I R J?1 R.:.1t 4ER �4r4r/�% rr xf '� :/�1�/�� ❑ !?, ./�r�. �°�//��,,, �,�,„ , � - �"' ��`��( Services or feeders installation,alteration,and/or relocation Name:Paul Colligan 200 amps or less 100.70 2 Address:8820 SW Waverly Dr 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:( )503 979 7832 I 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 i 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 ',4,77571!;:4121,41**rk.',.:A,1-1/11/0141kii Branch circuits—new,alteration,or extension, er panel b A.Fee for branch circuits with Business name:Nationwide Solar above service or feeder fee, each branch circuit 7.42 2 Contact name:Thomas Knapp B.Fee for branch circuits without Address:PO Box 821959 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver, WA 98682 Each add'I branch circuit 7.42 2 Phone:( )503 930 6000 Fax: : Miscellaneous(service or feeder not included) ( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: / Lp Q Reconnect only 67.84 2 Z �.. l y ieOjSt 5��.'csF"M,'3+ `� k N;4y<fi : �b u // �/r ���>...� �dyb�;/>��„„ s. �,. /,r,,,, � Pump or irrigation circle 67.84 2 Business name:Nationwide Solar At?.-(c, Sign or outline lighting 67.84 2 Address:PQ Box 821959 Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. ri Vancouver, WA 98682 Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(1 hr min) 66.25/hr Phone:( )503 930 6000 Fax:( ) Investigation(1 hr min) 90.00/hr / Industrial plant(1 hr min) 78.18/hr Email:tknapp@myn ,ationwidesolar.com, A i Q/ .22-- inspections for which no fee is 90.00/hr ��� s� clficall listed 'h hr mm CCB Lie.: 17691% Electrical Li ed by: Suprv.Lie.:5787 S Y ,t. Suprv. Electrician signature,required: Okart,t,S 15• ii-ov. Subtotal: Print name:Charles L. Bitton `-289D1A0B7C3A42 ..Date: 10/22/2021 I 9 41�IJtlaPlRTviewRequired(25%of permit fee): —Docusigned by: 11 State surcharge(12%of permit fee): Authorized signature: wtaS "' "� ,tnT� TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Thomas titlfltp137c3A42c... Date: 10/22/2021 I 9:42 AM PDT days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB 4= DocuSign Envelope ID:A6F789EC-8D9E-4A22-AAF9-8FCB7DAE3A3B Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE sctlEDuEE Deceription I 911. 1 tEach 1 total 1 Fee for all residential systems combined: $75.00 Renewable electrical energy~:stems: Check Type of Work Involved: 5 kva orless 100.70 2 5.01 to 15 kva 1 133.56 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) ❑ 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 s.ecificall listed('h hr min / ,v a, v<; ,i,.i. COMMERCIAL WORK ONLY: / Subtotal(Enter on Page 1): 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 (I Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n 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 Oregon Solar Installation Specialty Code RECEIVED Checklist for Prescriptive Photovoltaic Installations in OCT 2 5 2021 accordance with Section 3111.5.3 CITY ITY OF TIGAR D Department of Consumer and Business Services 3UILDING DIVISION 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:Paul Colligan Installation address:8820 SW Waverly Dr City: Tigard State: OR ZIP: 97224 Structure on which modules are to be installed:Residence Day phone: ( )(503) 997-0454 Evening phone: ( )(503) 997-0454 Email address:paulcolligan@gmail.com Contractor:Nationwide Solar CCB#:176918 Day phone: (503 )930 6000 Evening phone: (503 )930 6000 Email address:tknapp@mynationwidesolar.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 ❑ (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 J No ❑ (check one) • Is the weight of the PV modules and racking less than 4.5 pounds per square foot? Yes 111 No ❑ (check one) • Is the roofing material metal,single layer wood shingle,or not more than two layers of composition shingle? Yes ■❑ No ❑ (check one) D.PARTMENT )F CONSUMER &BsaES 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 'A-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 31 11.5.3 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 ❑■ (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 311 1.5.3? Yes ❑■ No ❑ (check one) PV MODULES Manufacturer: Hanwha Solar Model number: Q.PEAK DUO BLK-G6+/AC (340W) Listing agency: IEC 61215:2016; IEC 61730:2016 UL 1703 Digitally signed by Thomas Knapp Thomas Knapp Thomas Knapp Date2021.10.22 09 47 33OT00' Applicant name(please print) Applicant signature Date 440-4910(9/15/COM)