Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00428
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2022
Parcel: 2S106AD07100
Jurisdiction: Tigard
Site address: 12981 SW RIVER TERRACE BLVD
Subdivision: RIVER TERRACE EAST Lot: 178
Project: Yordanos
Project Description: Rooftop solar PV system 6.94 kW, panel upgrade, 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: $31,905.00 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
Bcktlw 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 Woodsloves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 2
Ea add!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr:
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 N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
LONG,FRANKIE DWAYNE JR NATIONVNDE ENERGY Required Items and Reports(Conditions)
LONG,YORDANOS YEMANE PO BOX 821959
12981 SW RIVER TERRACE BLVD VANCOUVER,WA 98682
BEAVERTON,OR 97007
PHONE: PHONE: 800-908-8992
FAX:
Total Fees: $491.59
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: i'U -✓
all 503.639.41 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept In a c spicuous place on the job site until completion of the project.
Approved plans are required on the lob site at the time of each inspection.
I
(Combination electrical and building permit for Solar)
Building Permit Application n,�Cl�,
Residential I,esc (p(_t vt FOR OFFICE USE ONLY
Cityof Tigard 11 L J�1 T Received �/ (/�(�
. - g �'` Date/By: Permit No.:�/ts I LV'jj'Z—Oo- LCJ 13125 SW Hall Blvd.,Tigard,OR 97223REc p:, "
Dan Review ta/��
Phone: 503.718.2439 Fax: 503.598,1960 Date/By: 111 Other Permit:
TIGARD Inspection Line: 503.6394175 Date Mead SBy: �, lads: I ® See Paget for
Internet: www.tigard-or.gov OCT 2 5 702Z Notifie ethod:JO VW ft Supplemental Information
r
1.ram^' UJ-I^.�-
TYPE OF WORK' Y O i(aAhV REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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:Sollar Install equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
RI1-and 2-family dwelling ❑Commercial/industrial Valuation: $31905.00
/\: 0 Accessory building 0 Multi-family Number of bedrooms:
1'V ❑Master builder x❑Other:Prescriptive roof mounted Solar Install Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12981 SW River Terrace Blvd New dwelling area: square feet
City/State/ZIP: Beaverton, OR, 97007 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name:Yordanos Long Solar Prescriptive Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW Friendly Ln and SW Autumnvale Ln Other structure area: scuare feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S106AD07100 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK q work indicated on this application.
Installation of roof mounted 6.94 kW DC ( C'Lt/s j Valuation: $
Solar Photo-Voltaic generation system Prescriptive? `!` �1 v lI Existing building area: square feet
j1/ R New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name: Yordanos Long Type of construction:
Address:12981 SW River Terrace Blvd Occupancy groups:
City/State/ZIP:Beaverton, OR, 97007
Existing:
Phone:( ) (630) 835-5983 Fax:( ) New:
® APPLICANT la CONTACT PERSON
BUILDING PERMIT FEES*
Business name:Nationwide Solar (Please refer Wee:thetas)
Structural plan review fee(or deposit):
Contact name:Fabian Angobung
Address:6407 NE 117th Ave Unit B FLS plan review fee(if applicable):
City/State/ZIP:Vancouver, WA 98662
Total fees due upon application:
Phone:( )800 908 992 x 222 Fax::( ) Amount received:
E-mail:fngobung@mynationwidesolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic 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:6407 NE 117th Ave Unit B Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver, WA 98662 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )800 908 992 x 222 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:176918
Total fee due upon application: $201.60
Authorized signature: z.,L,y This permit application expires if a permit is not obtained
Q within 180 days after it has been accepted as complete.
Print name:Fabian Angobung Date: 10/20/2022 *Fee methodology set by Tri.County Building Industry
Service Board.
1:1Building\Permits1BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application Prescriptive Solar
Roof Mount FOR OFFICE USE ONLY
: City of Tigard Install Received
Date : Permit II:
/H
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit tt:
Inspection Line: 503.639.4175 ReadyDate/By: RI See Page 2for
71 G A R I) lures:
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WOl yv'-,g,•„i F Le—I-'! PLAN REVIEW
❑New construction ID Addition/alteration/replaeemeut, Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps ormore 0Building over three stories.
❑Demolition ❑� Other: Prescriptive Solar Install Roof Mounted
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION ;j Zia 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-u a agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: Solar Install ❑Fire pump ❑Installation of 150 KVA or
JOB SITE INFORMATION ANOI.LOtitItiolUrsilcaLM 0 Emergency system. larger separately derived
Job#: Job site address:12981 SW River Terrace Blvd ❑Addition of new motor load of system.
1ooHP or more. ❑"A„ "F" "1-2^ "1-3„
IDs x or more residential units. occupancy.
City/State/ZIP:Beaverton, OR, 97007
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Yordanos Long Solar Prescriptive 0 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
SW Friendly Ln and SW Autumnvale Ln Description I Qty. I Each I Total I •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:2S106AD07100 t,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Installation of roof mounted 694 kW DC solar Photo-voltaic generation system (with above sq.ft.) 75.00 2
Limited energy,multi-family
Prescriptive residential(with above sq.ft.) 75.00 2
El PROPERTY OWNER I 0 TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Yordanos Long 200 amps or less 1 100.70 2
Address:12981 SW River Terrace Blvd 201 amps to 400 amps 33.56 2
City/State/ZIP:Beaverton, OR, 97007 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:( )(630)835-5983 Fax:( ) Over 1,000 amps or volts 552.26 2
Email:yghdey@gmail.com Temporary services or feeders installation,alteration,and/or
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
Branch circuits—new,alteration,or extension,per panel
0 APPLICANT ❑ CONTACT PERSON
A.Fee for branch circuits with
Business name:Nationwide Solar above service or feeder fee, 2
each branch circuit 7.42 2
Contact name:Fabian Angobung B.Fee for branch circuits without '
Address:6407 NE 117th Ave Unit B service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98662 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included
Phone:( )800 908 992 x 222 Fax:: ( ) Each manufactured or modular )
dwelling 67.84 2
we
Email:fangobung@mynationwidesolar.co service and or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Nationwide Solar Sign or outline lighting 67.84 2
Address:6407 NE 117th Ave Unit B Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
City/State/Z[P:Vancouver, WA 98662 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( )800 908 992 x 222 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:fangobung@mynationwidesolar.com Industrial plant(Ihrmin) 78.18/hr
Inspections for which no fee is
CCB Lic.:176918 I Electrical Lic.:C 1646 Suprv.Lic.:4216 S specifically listed CA hr min) 90.00/hr
Suprv.Electrician signature,required: 79 (� 2 ELECTRICAL PERMIT FEES
1't Subtotal:
Print name:Todd Hester I Date: 1On0/2022 ❑Plan Review Required(25%of permit fee):
�
State surcharge(12%of permit fee):
Authorized signature: � ��Ar/ 4 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Fabian Angobung Date:10/20/2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits1ELC_PwmitApp_ELR_ERE.dot Rev 06/17/2015 440-46151(11N5/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
Renewableut. I E u I Fetal
Rene electrical energy systems:
Check Type of Work Involved: s kva or less 100.70 2
5.01 to 15 kva 1 133.56 2
0 Audio and Stereo Systems* 15.01 to 25 kva
200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
Heating,Ventilation and Mr Conditioning
System* Solar generation systems in excess of 25 kva:
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: Prescriptive Solar array Roof Mounted Solar Install Each additional inspection is
charged at an hourly(I hr min) 66.25/hr
Inspections for which no fee is
specifically listed(7,hr min) 90 00/hr
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(enter on Page
(SEE OAR 918-309-0000) Numberefiasp tens allowed re Bern a.
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
n Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required fur all
other installations
1.lauildingaPermitstELC PennihApp_ELR ERE.doc Rev 06/17/2015
f4',, Oregon Solar Installation Specialty Code
�
CE` 7BY.1
Checklist for Prescriptive Photovoltaic Installations in
accordance with Section 3111.5.3
Department of Consumer and Business Services `/ �°y
Building Codes Division R E C E I V E[
1535 Edgewater NW,Salem,Oregon
Mailing address:P.O.Box 14470,Salem,OR 97309-0404 0 2 5 2022
Phone: 503-378-4133•Fax:503-378-2322
Web:bcd.oregon.gov CITY OF TIGARL)
PROPERTY OWNER INFORMATION BUILDING DIVISIOt
Property owner name:Yordanos Long
Installation address:12981 SW RIVER TERRACE BLVD
City: Beaverton State: OR ZIP: 97007
Structure on which modules are to be installed:Residence, Roof Mounted
Day phone: ( )(630) 835-5983 Evening phone: ( )
Email address:yghdey@gmail.com
Contractor:Nationwide Solar CCB#:176918
Day phone: ( 800 )908 8992 ext 222 Evening phone: ( 800 )908 8992 ext 222
Email address:fangobung@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 E No ❑ (check one)
• Does the structure have pre-engineered trusses?
Yes g No❑ (check one)
OR
• Does structure have roof framing members spaced at 24 inches on center maximum?
Yes❑ No❑ (check one)
• Is the weight of the PV modules and racking less than 4.5 pounds per square foot?
Yes❑ 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)
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 %2-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 El 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 3111.5.3
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 3111.5.3?
Yes ❑■ No ❑ (check one)
PV MODULES
Manufacturer: HYUNDAI SOLAR
Model number: (N)19-HYUNDAI SOLAR HIS-S365RI(365W)MODULES(N)19-ENPHASE IQ7PLUS-72.2-US MICRO-INVERTERS
Listing agency: UL-IEC
Fabian Angobung fah .c reurcf- 10/20/2022
Applicant name(please print) Applicant signature Date
440-4910(9/15/COM)