Permit CITY OF TIGARD MASTER PERMIT
i S COMMUNITY DEVELOPMENT Permit#: MST2023-00098
T t _A 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2023
(p j3_T�
Parcel: 2S103DA05100
Jurisdiction: Tigard
Site address: 10635 SW COOK LN
Subdivision: FANTASY HILL Lot: 8
Project: Borne
Project Description: Rooftop solar PV system 11.16 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: $50,890.00 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
Furn<10OK: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=10OK: 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 array 11.16 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
BORNE,CORY A&LORI T EARTHLIGHT TECHNOLOGIES Required Items and Reports(Conditions)
10635 SW COOK CT 1037 COMMERCE CT
TIGARD,OR 97223 SILVERTON,OR 97381
PHONE: PHONE: 503-874-4142
FAX:
Total Fees: $357.69
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 r quires you t follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
0c9-nnl-nnln thrn,inh n c2_nnl neon a may nht ' a rnnu of tho rnlac nr riirort ni,octinnc in ill INr:by rallinn Fn't 939 1(R7 nr 1 Ran'Y39 9344
Issued By: !'4/ Permittee Signature: co"" L3 4�l/ l -47
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 iob site at the time of each inspection,
Building Permit Application RECEIVED
Residential MAR 2 2 2023 FOR OFFICE USE ONLY
Received I �'! L r�
- City of Tigard Received
Permit No.: /VVV!'r)
^ 13125 SW Hall Blvd..Tigard.OR 97223 OF TIGARD
an Review
+�
Phone: 503.718.2439 Fax: 503.59A.1960B ,CITY1LDING DIVISIO ateBp _ Z/ 23
o'p' Other Permit:
TIGARD Inspection Line: 503.639.4175 Date RcadyBy: ions: ® See Page 2 far
Internet' evww.beard-or.goy i Notaled;Methnd: -1 ' 123•Plc'Di Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
❑x 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 Additionialterationireplacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
� Valuation: $
'-dC'-and 2-family dwelling 0 Commercialiindustrial 150890.00(
M
/ � 0 Accessory building ❑ Multi-family Number of bedrooms:
\l ❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: i 10635 Southwest Cook Lane New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 1 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Prescriptive Path 11.160kWp-Bome] Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet i
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: - Lot no.: Permit fees*are based on the value of the work performed.
Tax mapiparcel 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.
Valuation: $
Prescriptive Path, roof mounted install of an 11.160kWD solar system.
Existing building area: square feet
New building area: square feet
EMPROPERTY OWNER 0 TENANT Number of stories:
Name: Cory Borne) Type of construction:
Address: 110635 Southwest Cook Lane Occupancy groups:
City/State/ZIP: Tigard, OR 972231 Existing:
Phone:I I5d 545-8757 Fax:( ) New:
IKI APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Earthlight Technologies LLC (Noose refer`n fee s`+ fak)
Structural plan review fee(or deposit):
Contact name: Charles Bonville
FLS plan review fee(if applicable):
Address: 1037 Commerce Ct.
City/State/ZIP: Silverton, OR 97381 Total fees due upon application:
Amount received:
Phone:(503) 874-4142 x 3 Fax::( )
E-mail: EarthlightOregonOps@gmail.corn PHOTOVOLTAIC:SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Earthlight Technologies LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1037 Commerce Ct Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
Sllverton OR 97381 $180.00
and administrative fees):
Phone:(503) 874-4142 x 3 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.: 201408 Total fee due upon application: $201.60
Authorized signature: LW'�IA.ALUh !Ql�(1q.Cp(Af' This permit application expires if a permit is not obtained
(J within I80 days after it has been accepted as complete.
Print name: Elizabeth Winslow] Dale: *Fee methodology set by Tri-County Building Industry
t 03/21/20291 y6 Service Board.
CABuilding,Permits',BUP-RESPermitApp.doc 02i24/2011 440.4613T(I I/02/COM I V ���U ������Q
4Suvrv. tilectrivanS Signature moral- Mailed plicrark ' i .
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
✓l l7atei By: Permit No.:
v i3I'_9 SW Hall Blud.,Tigard,OR 97223
Assuctuteti permits:
IIIIIPhone: 503.718.2439 Fax: 503.598.1960 P
24-Hour Inspection Line: 503.639.4175 ID Electrical El Plumbing ❑ Mechanical
TIGARD Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Fes So NPi..k
Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ II I
2 Zoning. Flood plain,solar balance points.seismic soils designation,historic district,etc. ❑ ❑ i r
i
3 Verification of approved plat/lot. ❑ ❑ k
4 Fire district approval required. Name of district: ❑ 0 E.
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ i
6 Sewer permit- ❑ ❑ 1i
7 Water district approval. ❑ 0 it
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ j ❑ li
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ I
basin protection.,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 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 ❑
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 ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ 0 (T
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- ❑ ❑ El
floor,wall construction,roof construction. More than one cross section may be required to clearly portray �-JJ
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 IJ 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 E 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 ❑ ❑ E
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 0
over 10 feet long and/or any beam/joist carrying a non-uniform load. L
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 ❑ 0
architect licensed in Ore on and shall be shown to be applicable to the t,ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required fur Item I I above. Site plans must be 8-1/2"x 1 I"or 11"x 17". ❑ ❑ II i
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 lF-'
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ it
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ Ilc
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 ff
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 0 MI'
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ [T
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
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:\BuildingsPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Electrical Permit Applicatit FOR OFFICE USE ONLY
RECEIVED Received
City o,('Tigard Pw rail;
Date/By:
13125 SW Hall Blvd..Tigard.OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.19 Related Permit rn5rarau-co j /
�fAR Z 1 2023 Ready°°
Inspection Line: 503.639.4175 Ready Date/By: rwia: ® See Page 2 for
I 1"';'�-12, Internet: www.ligard-or.gov , Notified/Method: Supplemental Information
— OF 11'st .zi..l
TYPE OF i 1 ' PLAN REVIEW
___.. r+4 -. ,:,iU• f Please check all that I j plans❑New construction ddition/alters on replacement apply(submit sets of lans writems checked):
0 Demol'tint her: ❑Service or feeder 400 amps or more 0 Building over three stones.
-_. where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings.
`�7(" and 2-family dwelling IDCommercial/industrial ❑ Accessory building less o ground or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
ulti-family ❑Master builder ❑other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 1 ❑Emergency system. larger separately derived
— — _.____ 0 Addition of new motor load of system.
Job#: Job site address:
.. 106_5 SW GOOD e [. _-- IWNP or more. ❑".A. 'E'."1=•. "i-3'.
I City/State/ZiP:
+
)Tigard. OR 3 — ❑Six or more residemial units.
re occupancy,
�
vehicle
Ste/bldg./apt.#: ofctname: OHaaandous
eions. ❑Sp rmoethan
psormore. 600
Cross street/directions to job site: FEE SCHEDULE
I Deacdpdeo I ore. 1 each Taw
New residential single-or could-family dwelling unit.
1 Subdivision: Lot#: Includes attached garage.
h. _ _ -._.... ...._____1 1,000 sq.ft.ur less 168.54 4
Tax map/parcel#:
Ea.add'1500 sq,ft.or portion I 33.92 I I
DESCRiePTL.ON OF WORK Limited energy,residential 1' -
(with above sq.ft,) 75.00 2
,2resrript[ve Path, roof mountcsd install of an 11 161)k Wp wIar syetem Limited energy,multi-family 75.00 I 2
residential(with above sq.ft.) i
..-_.__ �RQPB1 s' OWNER 0 TENANT 1 Renewable Energy C❑ See Page 2
- and/or relocation
I Services or feeders installation,alteration,
Name: Cory Borne I 200 amps or less 100.70 2
Address: 110635 SW Cook Lane 201 amps m400 amps 133.56 2
I _ I 401 amps to 600 amps 200.34 2
Crry/State/ZIP: Tigard OR 97223 - 601 amps to I,000 amps 301.04 2
Phone:( ,5Q3) 545$7r+71 L-Fa '( ) Temporary services or feeders iasalladon,alteration,and/or2 i
Email: — __ —.._.
relocation
' i Owner installation:This installation is being made on property that I own which is not 200 amps or less I 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: D8ie: 401 amps to 599 amps 168.54 2
gi APFI.ICANT CrCONTACT PERSON Branch circuits-new,alteration,or extension,der panel
i A.Fee for branch circuits with 1 ' -
--T---
Businessname: Earthlight Technologies LLC above service or feeder fee, 742 2
each branch circuit
Contact name: Charles Bonville B.Fee for branch circuits without
service or feeder fee,first
Address: 1037 Commerce Ct. branch circuit 56.18 2
I City/State/zIP: Silverton, OR 97381 Each add'!branch circuit 7.42
Miscellaneous feederrvice or not included)Phone:(503) 874-4142 x 3 Fa::( ) factuuredmodular
dwelling,service and/or feeder 67.84
Email: EarthlightOregonOps@gmail.com Recannectonly . T 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Earthlight Technologies LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy Page 2
Address: 1037 Commerce Ct. panel,alteration,or extension. 0 See g
City/State/ZIP: Silverton, OR 97381 Each additional inspection over allowable in any of the above
' Additional inspection(1 hr min) . 66.25/hr
Phone:(503) 874-4142 x 3 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: EarthlightOregonOps@gmail.com indvstrisipiant(ihrmin) 78l8/hr
-.- Inspections for which no fee is
CCB Lie.: 201408 Electrical Lie.: C995 Suprv.Lic.: 4567S sfecificalh listed(h lv min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
Subtotal:CJ Print name:T. Date: 04/1 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): '
vvv ' L 6VI�fIA4�Gfl Authorized signature: j4. TOTAL PERMIT FEE:
i Tills permit application expires if a permit is not obtained within 180
Print name: Elizabeth Winslow Date: 04/17/2023 days after it has been accepted as complete.
---- ---- " Number of inspections allowed per permit.
F.Etuildina.Parnlrr.ELC PennitApp_ELR ERE.doc Rev fled'7 oa 15 4411-4h13T(1 IY131COM,WEa
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Uncriptinn Qty. Each Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
kva or less 10(1 70
Check Type of Work Involved: - I
5.01 to 15 kva 1 131 56 1
H Audio and Stereo Systems* <01 to 25 kva 1 200.34
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.0I to50 kva 301.04 2
U Garage Door Opener* 50.01 to 100 k a ss2.>_6 2
>100 kva(fee in accordance 552.26
with OAR 918-309-00401
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
nFach additional inspection is 66.2_
Other: 5/hr
charged at an hourly(1 hr min)
Inspections for which no fee is
specifically listed(%a hr min) 90.00/hr
COM1VIERCIAL WORK ONLY: ELECtitfeig,.PERMIT i his
Fee for each commercial system: $75.00 aliowe at(Enter on Page q:
Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
E Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
H Instrumentation
❑ Intercom and Paging Systems
Landscape Irrigation Control*
Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I Railding`Permits.ELC_PennirApp_ELR_ERE.doe Rev 05.171015