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Permit
CITY OF TIGARD MASTER PERMIT Ill COMMUNITY DEVELOPMENT Permit#: MST2022-00314 Date issued: 09/12/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S136CA10600 Jurisdiction: Tigard Site address: 11063 SW LEGACY OAK WAY Subdivision: WHITE OAK VILLAGE Lot: 27 Project: Kurtz Project Description: Solar photovoltaic system 5.55 kW 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: $15,000.00 Rear: 0 PLUMBING 0 00 LaundryTrays: 0 Rain Drain: 0 Urinals: 0 Sinks: Water Closets: Washing Mach; y 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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 array 5.55 kW Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 3 Owner: Contractor: KOZLOFF,MADELINE R GREEN RIDGE SOLAR Required Items and Reports(Conditions) KURTZ,DANIEL C 19450 SW MOHAVE CT 11063 SW LEGACY OAK WAY TUALATIN,OR 97062 TIGARD,OR 97223 PHONE: PHONE: 503-395-1943 FAX: Total Fees: $356.19 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 les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 069-nn1-nn1 n ihrnnnh AR a59-nni-nnan Vn„m v nhtnin o v of the min nr riir:M ni iuefinne fn rti i:irt by r&Iinn cnz 9 aa-I nr 1 moll')9'14141 Issued ey• Permt ure: a 03.639.4175 by 7:00 a.m.for the next available Inspection date. Thls 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. RECEN 'Building Permit Application / SEP 7 2022 Residential FOR OFFICE USE ONLY City of Tigard CITY OF TIGARD Receives l . DIVISION Date By: PemiltNo.:( -rz,,'LL, j ,,,t i 13125 SW Hall Blvd.,Tigard,OR 97�I1DING Pt Review / n ��+•^ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1/ I 22 met Other Permit: T 1 GA R D Inspection Line: 503.639.4175 Date Ready/By:f(( 7/ p� Jun: ® See Page 2 for Internet: www.tigardorgov Nounecumethol v f, /41 Supplemental Information TYPE OF WORK ��(( �y REQUIRED DATA: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 0 Addition/alteration/replacement ®Other:Solar Installation equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling ❑Commerciandustrial Valuation: $15,000 Ui ElAccessory'building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:11063 SW Legacy Oak Way New dwelling area: square feet City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet k Suite/bldg./apt.no.: Project name:Kurtz Solar Project 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 Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Installation and hook up of 5.55 kW roof mounted solar system Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name:Daniel Kurtz Type of construction: Address:11063 SW Legacy Oak Way Occupancy groups: city/State/ZIP:Tigard, OR 97223 Existing: Phone:( )360-910-6710 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name:Green Ridge Solar (Please refer bfeC Bcl e `) Structural plan review fee(or deposit): Contact name:Amanda Owen FLS plan review fee(if applicable): Address:19450 SW Mohave Ct City/State/ZIP:Tualatin, OR 97062 Total fees due upon application: Phone:( )503-395-1943 Fax::( ) Amount received: E-mail:operations@greenridgesolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic 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 and administrative fees): S180.00 Phone:( )503-395-1943 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:210450 Total fee due upon application: $201.60 Authorized signature: ��_ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Amanda Owen Date:9/6/2022 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Peanits\BUP-RESPemvtApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Dsaccia: Pernut No.: . a Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing El Mechanical T 1 G A R D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A l Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. 0 ❑ 0 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 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. 0 ❑ ❑ 9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 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 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 ❑ 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 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- ❑ 0 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. 0 0 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- ❑ ❑ 0 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 ❑ 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑ 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 0 ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ 0 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 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 architect licensed in Ore.on and shall be shown to be ap.licable to the . o'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 l I"x 17". 0 0 0 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. 0 0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 ❑ El 27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 0 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, 0 0 0 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. 1:1Building\Pennits1BUP-RESPermitApp.doe 02/24/2011 440-4613T(l1/02/COM/WEB) RECEIVED • Electrical Permit Application SEP 7 21 FOR OFFICE USE ONLYg� A illig City of Tigard Permt#:n‘slf/0�7 2 —by3l 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIG `t ; ■.: Phone: 503.718.2439 Fax: 503.598.1960 BUILDING DIVI►'�L9 Related Permit 6: I t G A R lJ Inspection Line: 503.639.4175 Ready Date/By: .hail: H See Page 2 for Internet: www.tigard-or.gov Notificd/Mcthod: Supplemental Information TYPE OF WORK PLAN REVIEW O New construction 0 Addition/alteration:replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ®other:Solar Installation 0 Service or feeder 400 amps or more ElBuilding over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural 0 Multi-family 0 Master builder 0 Other: �for allother installations. Installation buildings. 0 Fire pump. ❑Install of 150 KVA or JOB SI fit INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 11063 SW Legacy Oak Way 100HP or more. ❑"A"."E","1-2","i-3', e;ty/state/ZIP:Tigxrd, OR 97223 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Kurtz Solar Project ❑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 s Description I Qty. I End. 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'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential above75.00 2 Installation and hook up of 5.55 kW roof mounted solar system (with sq.ft.)Limited multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy 0 See Page 2 la PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name:Daniel Kurtz 200 amps orless ' 100.70 2 Address:11063 SW Legacy Oak Way 201 amps to400amps 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:( )360-910-6710 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:kurtz.dc@gmail.com relocation Owner Installation:This installation is being made on property that I own which is not 200 amps or less 59.36 t 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:Green Ridge Solar above service or feeder fee, 7.42 2 each branch circuit Contact name:Amanda Owen B.Fee for branch circuits without Address:19450 SW Mohave Ct serviceranh it fuit fee,first 56.18 2 branch circuit City/State/ZIP:Tualatin, OR 97062 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 503.1395-1943 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 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 19450 SW Mohave Ct Signal circuit(s)ero or extension. Pa ge panel,alteration,or extension. 0 See Pa e 2 2 City/State/ZIP:Tualatin, OR 97062 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:503-395-1 943 Fax:( ) Investigation(1 hr thin) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email:operations©greenridgesolar.com Inspections for which no fee is specifically listed('ri hr min) 90.00/hr CCB Lic.:210450 Electrical Lic.: C1490 Suprv.Lic.: ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 45,EzaNi 5��z � /. Subtotal: Print name:Brian Butterfield D 9/6/2022 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: vt.l� TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Amanda Owen Date:9/6/2022 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Bailding\PermitsuiLC Perm'App ELR F.RF..dnc Rev 06/17/2015 4444615T(t 1/051COM/WEB r 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: 575.00 Renewable electrical energy ptionI systeQtyms: Ene Total I Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to l5 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 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >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 charged at an hourly(i hr min) Inspections for which no fee is 90.00/hr specifically listed('/z hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: l 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:113oilding\Pernsitt'.LC_PermitApp IhLR PRE;.doc Rev 06/17/2015