Permit CITY OF TIGARD MASTER PERMIT
.111111
1.•'= COMMUNITY DEVELOPMENT Permit#: MST2022-00335
T j G AR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/15/2022
Parcel: 2S111 DC13400
Jurisdiction: Tigard
Site address: 15885 SW OAK MEADOW LN
Subdivision: SUMMERFIELD NO.11 Lot: 630
Project: O'Shea
Project Description: Solar PV system 3.04 kW, 1 circuit.
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: $4,408.00 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<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!500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 1
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 3.04 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:
O'SHEA,KATHLEEN S ION DEVELOPER LLC Required Items and Reports(Conditions)
15885 SW OAK MEADOW LN 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97224 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $412.31
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: I - Permittee Signature:
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 job site at the time of each inspection.
Building Permit Application
Residential RECEIVED' FOR OFFICE USE ONLY
City of Tigard Received
III 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 3 0 2022 y
Plan Review1 Permit No.:I�S'TZOZL J`;,
c Date/By:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I?) 2� /1-11— Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 CITY OF I I�IA({u Date Ready/By: q Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified Method: 2
RUILDING DIVISION 1 l3 7.2.-A6 Supplemental Information
TYPE OF WORK
, ,--,
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ElAddition/alteration/replacement ®Other: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 4,408
IDAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15885 SW Oak Meadow Ln New dwelling area: square feet
City/State/ZIP: Tigard,Oregon 97224 Garage/carport area: square feet
4 Suite/bldg./apt.no.: Project name: O'Shea 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: Summerfield 1 Lot no.: 630 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 2S 111 DC 13400/R987962 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: $
3.04 kW.Addition of 1 0-30A circuit. Existing building area: square feet
New building area: square feet
Il PROPERTY OWNER ❑ TENANT Number of stories:
Name: Kathy O'Shea Type of construction:
Address: 15885 SW Oak Meadow Ln Occupancy groups:
City/State/ZIP: Tigard, Oregon 97224 Existing:
Phone:((503))620-3819 Fax:( ) New:
Il APPLICANT 0 CONTACT PERSON
BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule)
ION Developer LLC Structural plan review fee(or deposit):
Contact name: Dustin Davidson
FLS plan review fee(if applicable):
Address: 4801 N University Ave#900
Total fees due upon application:
City/State/ZIP: Provo, UT 84604
Phone:( 888) 781-7074 Amount received:
Fax: :( )
E-mail: permltS@IOnS018r.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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.
City/State/ZIP: Provo, UT 84604 Permit Fee(includes plan review
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
�C a{� d{ ., within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: Dustin Davidson Date: 08-26-2022 Service Board.
I:\Building\Pennits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
Cityof Tigard Received
IN g Date/By: Permit No.: 1 + ,`.
r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:IIPhone: 503.718.2439 Fax: 503.598.1960 p
T 1 GA RD 24-Hour Inspection Line: 503.639.4175 El Electrical ❑ Plumbing ❑ Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ Cl
5 Septic system permit or authorization for remodel. Existing system capacity CICI CI
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. 0 ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑
9 Erosion control ❑plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
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 ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑
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- ❑ ❑ ❑
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- Cl ❑ ❑
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 ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered El ❑ ❑
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 ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
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 ❑ ❑ ❑
architect licensed in Oregon and shall be shown to be aI I licable to the iro'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". ❑ ❑ ❑
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. ❑ ❑ ❑
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. Cl ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
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.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Ap licatio E IVE ) FOR OFFICE USE ONLY
City of Tigard Received �`-
Date/B : Permit#:,�YT�7�--.nD
13125 SW Hall Blvd.,Tigard,OR 97223 AUG 3 0 2022 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGAHL Ready Date/By: Julio: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: SupplementalInformation
I Ill ninl -n!\,m ,1..
TYPE OF WORK PLAN REVIEW
O New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ®Other: PV Solar where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other:
❑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: 15885 SW Oak Meadow Ln 100HP or more. ❑"A","E", 'l-2",°`t-3",
City/State/ZIP: Tigard, Oregon 97224 El Six or more residential units. occupancy.
0 Health-care facilities. El Recreational vehicle parks.
Suite/bldg./apt.#: Project name: O'Shea Solar Install 0 Hazardous locations. 0 Supply voltage for more than
O Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description 1 Qty. I Each I Total ! *
New residential single-or multi-family dwelling unit.
Subdivision: Summerfield Lot#: 630 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 2S111DC13400/R987962 Ea.add']500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Installation of solar panels on existing residential roof. (with above sq.ft.) 75.00 2
Limited energy,multi-family
3.04 kW.Addition of 1 0-30A circuit. residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
El PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Kathy O'Shea 200 amps or less 100.70 2
Address: 15885 SW Oak Meadow Ln 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard,Oregon 97224 601 amps to 1,000 amps 301.04 2
Phone:((503))620-381.9 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: osheaks47@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 0 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 2
Address: 4801 N University Ave#900 branch circuit 1 56.18 56.18
City/State/ZIP: Provo, UT 84604 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 888) 781-7074 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permits@ionsolar.com Reconnect only 67.84 2
,y ,n,, i%11 a„ CONTRACTOR Pump or irrigation circle 67.84 2
Business name: ION Developer LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 4801 N UniversityAve#900 0 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
Email: Industrial plant(1 hr min) 78.18/hr
permits@ionsolar.com
Inspections for which no fee is
CCB Lie.: 230394 Electrical Lic.: C1524 Suprv.Lic.: 6098S specifically listed(1/4hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 110 46,f
C e+ „, Subtotal: 156.88
Print name: David S Conrad Date: 08-26-2022 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 18.83
Authorized signature: TOTAL PERMIT FEE: 175.71
within permit application expires if a permit is not obtainededwithin 180
Print name: Dustin Davidson Date: 08-26-2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits,ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(t1/05/COM/WEB
/ 1 -of, 335_
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each I Total I *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 1 100.70 100.70 2 Check Type of Work Involved'
5.01to15kva 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:
n 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(!iz hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 100.70
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
U 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
1:\Building\Permits\ELC_PerniltApp_ELR_ERE.doc Rev 06/17/2015
/psi 2rv22- oo335----
City of Tigard
• '. Building Division
RECEIVED
13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 AUG 3
TIGARD Inspection Line: 503.639.4175 0 2022
www.tigard-or.gov CITY OF TIGARD
BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 15885 SW Oak Meadow Ln
City: Tigard Zip: 97224
Owner's Name: Kathy O'Shea Date: 08-26-2022
Contractor's Name: ION Developer LLC CCB #: 230394
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation 1-1 Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? El No OSSC or ORSC for
design requirements.
Is the wind exposure X❑ Yes If"Yes", qualifies for
Wind Exposure "C" or less?
❑ No the prescriptive path.
Installations on detached Is the Ground Snow
single/two-family Load 70 psf or less?
dwelling/single/two- If"Yes", qualifies for
family townhomes X❑ Yes the prescriptive path.
and/or their accessory
Ground structures. ❑ No
Snow Load Is the Ground Snow
Installations on all Load 50 psf or less?
structures other than If"Yes", qualifies for
❑ Yes the prescriptive path.
above
❑ No
1
l:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
?.02.Z-0033s
Is the construction
LI material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction as "conventional light ❑ No the prescriptive path.
frame" construction?
Is the spacing 24 inches
or less?
If"Yes", qualifies for
Pre-engineered trusses. X❑ Yes the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. If"Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
Is the combined weight n Yes
of the PV modules and If"Yes", qualifies for
racking less than or I No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation
layout in accordance X Yes
with Section 305.4(3) of If"Yes", qualifies for
the 2010 Oregon Solar N° the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
Roofing Check the type of ❑ of wood one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
❑x of composition
shingle.
Is the roof mounted 0 Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
I No the prescriptive path.
to the roof framing or blocking
�
directly?
2
L•/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
insTgoze.-csc�
•
❑ Yes If"Yes", qualifies for
Is the gauge 26 or less?
❑ No the prescriptive path.
115 lbs for 60 inch
spacing or less?
If"Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
Attachment of
roof mounted Minimum 24 inches If the spacing falls
solar systems Spacing of clamps? within 24 inches and 60
directl to inches inches, qualifies for the
Y Maximum 60 inches prescriptive path.
standing seam
metal panels Width of roofing If the width of the panel
is less than 18 inches,
panels? 18 inches or less qualifies for the
inches
prescriptive path.
Minimum#10 at 24
inches o/c?
Size and spacing of Yes If"Yes", qualifies for
fastener? ❑ the prescriptive path.
❑ No
Is the roof decking of
WSP min. t/2"thickness, I I Yes
decking connected to If"Yes", qualifies for
framing members n No the prescriptive path.
w/min. 8d nails @
6"/12"o/c?
Is the height less than or
Maximum 18 inches equal to 18 inches?
Height of the from the top of the If"Yes", qualifies for
solar modules module to the roof 0 Yes the prescriptive path.
surface. ❑ No
3
I:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
2O22-a5335—
Submittal Documents required for Prescriptive Installations
Show the location of the PV system in relation to buildings, structures,
property lines, and, as applicable, flood hazard areas.
Site Plan Details must be clear and easy to read.
Minimum size of the plan is 8.5 x 11 inches.
Attach a simple structural plan showing the roof framing(rafter size, type, and
spacing) and PV module system racking attachment.
System must be shown in sufficient detail and clarity to assess whether it
Structural Plan meets the prescriptive construction requirements as listed earlier above in the
matrix.
Minimum size of the plan is 8.5 x 11 inches.
PV Modules
Manufacturer: sILFAB
Model Number: SIL-380 HC
Listing Agency:
4
I:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
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•.i' '••.
"• Signature Certificate
'••' Reference number:NGSNU-XVGXV-AMCRI-KYGJE ,y*.
44444
•• gner Timestamp •''•`
' Signer Signature ;..
Dustin Davidson ••
.0•: :;,
.., Email:dustin.davidson@ionsolar.com � ��
❖.. +.•.
t.V.4; Sent: 26 Aug 2022 20:04:23 UTC t_I X+J� '....
;�•�. Signed: 26 Aug 2022 20:04:23 UTC 1 ••••:
!ii IP address:66.219.246.14 ••�•i
'.�{ Location:Orem,United States i.O'.
�
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