Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00276
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/13/2022
Parcel: 25111 DB05700
Jurisdiction: Tigard
Site address: 15260 SW ALDERBROOK CT
Subdivision: SUMMERFIELD NO.12 Lot: 403
Project: Moen
Project Description: Solar photovoltaic system 5.18 kW, 2 circuits
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: $4,454.00 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
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/O Svc/Fdr: 2
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-10D0v: 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 5.18 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:
MOEN LIVING TRUST SOLGEN POWER Required Items and Reports(Conditions)
BY MOEN,REGINALD S& 1992 SAINT ST
MOEN,ASHLEY WTRS RICHLAND,WA 99354
15260 SWALDERBROOK CT
TIGARD,OR 97224
PHONE: PHONE: 503-931-1663
FAX:
Total Fees: $431.92
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
oc7-M1-n01 n/hrn,inh fAR O57-MN-MOf Vn,i nh+oin o rnn,of 1hn ndoe nr rlircrf n„cefinne fn fll IAIC by rollinn Sn3 777 1QR7 nr 1 Rn�nn'1'7 7144
Issued By: fir„ 6— � Permittee Signature: 't!/�-,
al 3.639.4175 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.
Building Permit Application
' Residential HECEIVED FORornt'l. I SI:.ONl.1
sr
.` Cityof Tigard Received PemitN". / �a7 inl g JUL 2 0 2022 Dates : i ,L• t1'�S Za22 •
—
" 13125 S W Hall Blvd.,Tigard,OR 97223 Plan Revie
Phone: 503.718.2439 Fax: 503.598.19 e/B : OtherMAIM Permit:
Inspection Line: 503.639.4175 Ready/By:
"�OF�IGA�t(} Da Date
TIGARO P Juris: See Paget for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK 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
El Addition/alteration/replacement ®Other: PV Solar Roof Mount Installation equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
is 1-and 2-family dwelling ElCommercial/industrial Valuation: $4,454
ElAccessory building ❑Multi-family Number of bedrooms:2
CIMaster builder ❑Other:
Number of bathrooms:2
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15260 SW Alderbrook Ck New dwelling area: square feet
City/State/ZIP(Tigard Oregon 97224 Garage/carport area: square feet
fytu 4
Suite/bldg./apt.no.: Project name:PV Solar Roof Mount Installation Covered porch area: square feet
tk Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-LSE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S 111DB05700 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.
PV Solar Roof Mount Installation,5.18kW,2 Circuits Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Reginald Moen r Type of construction:
Address: 15260 SW Alderbrook Occupancy groups:
City/State/ZIP: Ct Tigard Oregon 97224 Existing:
Phone:( 503)515-46I9 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Solgen Power, LLC Structural plan review fee(or deposit):
Contact name:Feb Rhea Develos
FLS plan review fee(if applicable):
Address: 5715 Bedford St.,
Total fees due upon application:
City/State/ZIP:City of Pasco, WA 99301
Amount received:
Phone:(855 ) 709-1181 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: permitting@solgenpower.corn
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: Solgen Power,LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 5715 Bedford St., Solar Installation Specialty Code checklist.
City/State/ZIP: City of Pasco,WA 99301 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 855) 709-1181 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: 231353
Total fee due upon application: $201.60
Authorized signature:4i„ii-- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: FEB RHEA DEVELOS Date:7/20/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.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
Ihi/ g DateBy: Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223
a Phone: 503.718.2439 Fax: 503.598.1960 Associated pertmts:
24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing D atechameal
T1GARD Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
I Land use actions completed. See jurisdiction criteria for concurrent reviews. ® ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ® 0 0
3 Verification of approved plat/lot. R' ❑ ❑
4 Fire district approval required. Name of district: . 0 0 ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 0 2
6 Sewer permit. 0 0 0
7 Water district approval. 2 ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. [I' ❑ ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 'Q] ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state [ 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 [/ ❑ ❑
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 10 ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 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- Q 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. ❑ ❑ ❑
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- [ 1 ❑ ❑
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 Q ❑ 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered WI 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 2 ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ® 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 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". _ 0 0
24 Two(2)sets each are required for Items 16,19,20 and 22 above. 2 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. E ❑❑ ❑
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 Ca ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, Ej 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, ® ❑ ❑
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\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
RECEIVED
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard JUL 2 0 2022 Received
111 Date/B : Permit d:
=• 13125 SW Hall Blvd.,Tigard,OR 972n�J,OF TIGARD Plan Review
Phone: 503.718.2439 Fax: 503.598.1 Date/B : Related Permit ft:
TIGARD Inspection Line: 503.639.4175 F3UILDING DIVISION Ready Date/By: Saris: El See Page 2 for
Internet: www.tigard-or.gov 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):
CIService or feeder 400 amps or more IDBuilding over three stories.
❑Demolition ❑Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
VI 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
Multi-familyMaster builderamps for all other installations. buildings.
0 0 0 Other: 0 Fire 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:15260 SW Alderbrook Ct. 100HP or more. ❑ A",'�","1-z,"1-3",
City/state/ZIP: Ti and OR 97224 ❑Six or more residential units. occupancy.
g ' ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.11: Project name:Moen 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:Property off of SW Alderbrook Dr. FEE SCHEDULE
Ueseription I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot 4: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax mapiparcel N: Ea.add'l 500 sq.ft or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
PV Solar Roof Mount Installation, 2 circuits, System Size: 5.18kW (withabo .)
Limited energgy y,,m mululti-family 75.00 2
M P U residential(with above sq.ft.)
Renewable Energy ® See Page 2
0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Reginald Moen 200 amps or less 1 100.70 2
Address:15260 SW Alderbrook Ct. 201 amps to400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard, OR 97224 601 amps to 1,000 amps 301.04 2
Phone:(503)515-4619 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:regmoen@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
FA APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Solgen Power LLC above service or feeder fee, 1 7.42 2
each branch circuit
Contact name:Jordan Ziemba B.Fee for branch circuits without
service or feeder fee,first
Address:5715 Bedford St. branch circuit 56.18 2
City/State/ZIP:Pasco, WA 99301 Each add'l branch circuit 1 7.42 2
Miscellaneous(service or feeder not included)
Phone:((855)-709-1181 Fax::( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permitting@solgenpower.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Solgen Power LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: ❑ See Page 2 2
5715 Bedford St. panel,alteration,or extension.
City/State/ZIP:Pasco, WA 99301 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:((855)-709-1181 Fax:( ) Investigation(I hr min) 90.00/hr
Email:
permitting@solgenpower.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.:231353 Electrical LicSOLGEPL830 JSuprv.Lie.: specifically listed)'/hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: John RGeorges ate: ❑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:Jordan Ziemba Date:07/20/2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:16uilding'Permits\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: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva nrless 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:
n 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)
n 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(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: -,4ti ELECTRICAL PERMIT FEES •
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
n 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.1Building\PermitslELC_PemutApp_ELR_ERE.doe Rev 06/17/2015