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Permit 11111101111111111 lig CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2021-00403 T I G A R t) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/29/2021 Parcel: 1S133DA03900 Jurisdiction: Tigard Site address: 12520 SW GLACIER LILY CIR Subdivision: AMART SUMMER LAKE Lot: 61 Project: Elton Solar Install Project Description: 5.18 kW rooftop solar 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: $18,911.00 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 Fum<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 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&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other: Y Other Description: Roof Top Solar PV System 5.18 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: ELTON,ROBERT G II&LYNN M GREEN RIDGE SOLAR Required Items and Reports(Conditions) 12520 SW GLACIER LILY CIRCLE 19450 SW MOHAVE CT TIGARD,OR 97223 TUALATIN,OR 97062 PHONE: PHONE: 503-395-1943 FAX: Total Fees: $355.69 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 oco.nn1-nn1n thrn,,'.h nAP Qc9-nn1 nnQn Vnu maw nhtain a rely,'of}ha n daa nr rfirart m metinnc to nl i if hu Tallinn Srri 9'19 1QR7 nr 1 AM 119 9'iAd Issued By: HoU-9 Vo Pe-Wege- Permittee Signature: OI^'Ap-j� 't' 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 lob site at the time of each inspection. Building Permit Application ,_ 1 21 Residential FOR OFFICE USE ONLY Cityof Tigard RECEIVEDReceived RR '1^ g DateBy: _1`,�0'Z—, �V Permit No.�i(� ?(�Z L'(�(��KJ3 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 11114 Phone: 503.718.2439 Fax: 503.598.1960 ry qQy 21 '� Other Permit: sEp 4 5 NV DateBy: I u A I:l) Inspection Line: 503.639.4175 Date Ready/By: kirlTo El See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD tified/Method 011 Supplemental Information TYPE OF WORK REQUIRE ATA: 1-AND 2-FAMILY DWELLING 0 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: solar equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 18,911 0 Accessory building CI Multi-familyNumber of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: A Job site address: 12520 SW Glacier Lily Circle New dwelling area: square feet City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Elton-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. 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. Installation and hook-up of roof-mounted 5.18 kW Valuation: $ solar system-prescriptive path. Existing building area: square feet New building area: square feet Ea PROPERTY OWNER ❑ TENANT Number of stories: Name: Robert Elton Type of construction: Address: 12520 SW Glacier Lily Circle Occupancy groups: City/State/ZIP: Tigard, OR 97223 Existing: Phone:(503)312-0638 Fax:( ) New: ® APPLICANT IT CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule Business name: Green Ridge Solar Structural plan review fee(or deposit): Contact name: Hilary Conway FLS plan review fee(if applicable): Address: 19450 SW Mohave Ct. Total fees due upon application: City/State/ZIP: Tualatin, OR 97062 Amount received: Phone:(503) 395-1943 Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: operations@greenridgesolar.com Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Green Ridge Solar Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 19450 SW Mohave Ct. Solar Installation Specialty Code checklist. City/State/ZIP: Tualatin, OR 97062 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503) 395-1943 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: 210450 Total fee due upon application: $201.60 Authorized signature: „(41 ., �y This permit application expires if a permit is not obtained 7 �'(/� within 180 days after it has been accepted as complete. Print name: Date: 9/15/2021 *Fee methodology set by Tri-County Building Industry Hilary Conway Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l 1/02/COM/WEB) Building Permit:Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 y g Associated permits: ■ Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical 1'1 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. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ Cl ❑ 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. ❑ ❑ ❑ 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ 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. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ ❑ there is more than a 4-1ft.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. 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- ❑ ❑ ❑ 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 ❑ ❑ ❑ 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 a,ilicable to the Iro'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. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans 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) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard 971 7111 Plan ECEVED Received Review Permit#: n 13125 SW Hall Blvd.,Tigard,OR Plan R IllPhone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 SEP 1 5 221 Ready Date/By: kris' Ea See Page 2 for T I G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental information TYPE OF Wbfit(Y OF TIGARD �j,'�� ((����nt(�{�i\� {� PLAN REVIEW ❑New construction ❑Addition/a1telq,4 i 1}''I e19hCCti`''I'"'N 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: solar where the available fault current El Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or D Floating buildings. E 1-and 2-family dwelling ❑Commercial/industrial ❑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 pum p.p. ❑installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: ❑Addition of new motor load of system. 243812520 SW Glacier Lily Circle 100HP or more. ❑"A "E","1-2",°°1-s", 0 Six or more residential units. occupancy. City/State/ZIP: Tigard,OR 97223 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Elton-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 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'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Installation and hook-up of roof-mounted 5.18 kW solar system. (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ll See Page 2 © PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Robert Elton 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: 12520 SW Glacier Lily Circle 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 )312-0638 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: bob.eltonii@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 ® APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Green Ridge Solar above service or feeder fee, 7.42 2 each branch circuit Contact name: Hilary Conway B.Fee for branch circuits without service or feeder fee,first Address: 19450 SW Mohave Ct. branch circuit 56.18 2 City/State/ZIP: Tualatin,OR 97062 Each add]branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503 ) 395-1943 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: operations@greenridgesolar.com Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Green Ridge Solar Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 19450 SW Mohave Ct. panel,alteration,or extension. ❑ See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Tualatin,OR 97062 Additional inspection(1 hr min) 66.25/hr Phone:(503 )395-1943 Fax:( ) investigation(1 hr min) 90.00/hr industrial plant(1 hr min) 78.18/hr Email: operations@greenridgesolar.com inspections for which no fee is CCB Lie.: Electrical Lie.: Suprv.Lie.: specifically listed('/2 hr min) 90.00/hr 210450 C1490 P 6478S ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Brian Butterfield Date: 9/15/2021 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Mary Conwa Date: 9/15/2021 days after it has been accepted as complete. y * Number of inspections allowed per pennit. I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 440-4615T(I1/05/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 DescriptioFee for all residential systems combined: $75.00 Renewable Qn. I Each I Total I electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 1 133.56 2 n A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n 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: n O• ther: 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) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES nter o Fee for each commercial system: $75.00 Subtotallowed per perm t Page 1): 3' * Number of inspections allowed permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n A• udio and Stereo Systems ❑ Boiler Controls n C• lock Systems n Data Telecommunication Installation P1 F• ire Alarm Installation E HVAC n Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling n 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