Permit (2) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00244
Date Issued: 08/04/2022
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CA00902
Jurisdiction: Tigard
Site address: 13260 SW ASH AVE
Subdivision: VILLAGE GLENN Lot: 2
Project: Horton
Project Description: 6.84 Kw solar system
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: $9,918.00 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
Other Fixtures: 0
Drywell-Trench Drain: 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 sf: 0 201-400 amp: 0 201-400 amp:
0 W/0 Svc/Fdr: 2
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amplvolt: 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: Rooftop solar array 6.84 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:
HORTON,ROSS H&ALEXANDRA H ION DEVELOPER LLC Required Items and Reports(Conditions)
13260 SW ASH AVE 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $386.19
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
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Issued By: Permittee Signature:
all 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.
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00244
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/04/2022Parcel: 2S102CA00902
Jurisdiction: Tigard
Site address: 13260 SW ASH AVE
Subdivision: VILLAGE GLENN Lot: 2
Project: Horton
Project Description: 6.84 Kw solar system
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: $9,918.00 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 Bckflw Prevntr: 0 Catch Basins: 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 Tvpes 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 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2
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 array 6.84 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:
HORTON, ROSS H&ALEXANDRA H ION DEVELOPER LLC Required Items and Reports(Conditions)
13260 SW ASH AVE 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $386.19
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
or,)-nni-onln thrnnnh r)AR QS9-M1-onan Vni m v nht nv of tho rnl oe nr rtlrant n,metinne to OI INC by no I I inn rn1 919 1 QA7 nr 1 Ann'2'29 91dd
J.�
Issued By: Permittee Signature:
AV all 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.
Building Permit Application ` 1CD
Residential
City of Tigard I� 2 6 ZQZI "ve
r j
JU� 1 �7 Permit No.: (�S 1 C/ _OU()�1
f 13125 SW Hall Blvd.,Tigard,OR 97223Rp Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 ZIGA ZiZ Other Pemtit:
Inspection Line: 503.639.4175 G1,,,DING p���S10 Date/B :
Date Ready/By: runs: ® See Page 2 for
Internet: www.tigard-or.gov �v�L� Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:i-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: PV Solar 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: $ 9,918
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13260 Southwest Ash Avenue New dwelling area: square feet
^� City/State/ZIP: Tigard,Oregon 97223 Garage/carport area: square feet
/ 1 Suite/bldg./apt.no.: Project name: Horton Solar Install 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: Village Glenn Lot no.: 2 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2 S 02CA00902 R46rJ2 3 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 of solar panels on existing residential roof. Valuation: $
6.84 kW.Addition of 2 0-30A Circuits. Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT Number of stories:
Name: ROSS Horton Type of construction:
Address: 13260 Southwest Ash Avenue Occupancy groups:
City/State/ZIP: Tigard,Oregon 97223 Existing:
Phone:((858y373-7649 Fax:( )
New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please r er toee schedule)
Business name: ION Developer LLC Structural plan review fee(or deposit):
Contact name: Dustin Davidson
Address:4801 N University Ave#900 FLS plan review fee(if applicable):
City/State/ZIP: Provo, UT 84604 Total fees due upon application:
Phone:( 888) 781-7074 Fax::( )
Amount received:
E-mail: permits@ionsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR " roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ION Developer LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 4801 N University Ave#900 Solar Installation Specialty Code checklist.
Cit /State/ZIP: Permit Fee(includes plan review
Y Provo, UT 84604 and administrative fees):
Phone:( 888) 781-7074 Fax:( ) State surcharge(12%of permit fee):
CCB lic.: 230394 Total fee due upon application:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Date: *Fee methodology set by Tri-County Building Industry
Print name: Dustin Davidson 07-22-2022 Service Board.
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yENElectrical Permit Application �ECj
Cl O Tigard Received 7 7L,)
g 1, 20 Date/By: l I� / �� Permit#: "fit acYaa �j y
w 13125 SW Hall Blvd.,Tigard,OR 97223 v Ian Review
Phone: 503.718.2439 Fax: 503.598.1960 0E T1GA /g : Related Permit#:
Inspection Line: 503.639.4175 C,TY D'vIS a y Date/By: luris: ® See Page 2 for
Internet: www.tigard-or.gov BUI,LW4(3 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):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ®Other: PV Solar where the available fault cunent ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
®
I-and 2-familydwelling less to ground,or exceeds 14,000 ❑Commercial-use agricultural g ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
.106#: Job site address: ❑Addition of new motor load of system.
13260 Southwest Ash Avenue IOOHP or more. ❑"A","E",..1-2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard,Oregon 97223 Recreational vehicle arks.
Health-care facilities. ❑ P
Suite/bldg./apt.#: Project name: Horton Solar Install ❑Hazardous locations. ❑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
New residential single-or multi-family dwelling unit.
Subdivision: Village Glenn Lot#: 2 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 2S 102CA00902/ R465213 Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Installation of solar panels on existing residential roof. (with above sq.ft.)
Limited energy,multi-family 75.00 2
6.84 kW.Addition of 2 0-30A circuits. residential(with above sq.ft.)
Renewable Energy 1 ❑ See Page 2
PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Ross Horton 200 amps or less 100.70 2
Address: 13260 Southwest Ash Avenue 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard,Oregon 97223 601 amps to 1,000 amps 301.04 2
Phone:((858)),373-7649 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: rhortonl@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 ❑ 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: Dustin Davidson 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 1 7.42 7,42 2
Miscellaneous(service or feeder not included
Phone:( 888) 781-7074 Fax: :( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email: 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
Address: 4801 N University Ave#900 Signal circuits)or exte sienergy ❑ See Page 2 2
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:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: ermits ionsolar.com
p Inspections for which no fee is
CCB Lic.: 230394 Electrical Lia: C 1524 Suprv.Lic.: 6098S specifically listed(%2 hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Lffzzej� Subtotal: $197.16
Print name: David S Conrad Date: 07-22-2022 ❑Plan Review Required(25%ofpermit fee):
State surcharge(12%of permit fee):
07) 19Authorized signature: d0"f TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date: 07-22-2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
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f
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
SC -1 4 ^
Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total
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
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* >100kva—noadditional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/br 1
charged at an hourly(1 hr min
Inspections for which no fee is 90.00/hr
s ecifical] listed(%hr min)
C( IVC1 E��CT L W RK flNL'Y: :cTt>cAL lr:l; FEtS
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): $133.56�
(SEE OAR 918-309-0000) Number of inspections allowed per permit.
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
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