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Permit CITY OF TIGARD MASTER PERMIT 1.,1 '.. ' COMMUNITY DEVELOPMENT Permit#: MST2022-00443 Date Issued: 11/30/2022 T[C,A R I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104AC09800 Jurisdiction: Tigard Site address: 13088 SW BOUNEFF ST Subdivision: MORNING HILL NO.9 Lot: 241 Project: BLEDSOE Project Description: Solar photovoltaic system. 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: $2,610.00 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker 0 Hose Bib: 0 Backwater Value: 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 1 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 N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF 0 Owner: Contractor: BLEDSOE,LAURA ELIZABETH ELEMENTAL ENERGY LLC Required Items and Reports(Conditions) 13088 SW BOUNEFF ST 1339 SE 8TH AVE#B TIGARD,OR 97223 PORTLAND,OR 97214 PHONE: PHONE: 503-967-5786 FAX: Total Fees: $451.03 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Cod s-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 Issuanc or if work is suspended for more the 180 days. ATTENTION: Oregon law requires ou to follow the rules adopted by the Oregon Utility Notificatio Center. Those rules are set forth in OAR ac9-nnl nnln thrnn na oc9-nnl_nnan n in a rnnv of thin ndce nr rfircrf rnicetinne in ill Mir by Tallinn cn4 9 101;7 1 nn 'v)9144 Issued By: I 7,_ Permittee Signature: Call 503.639.4175 by 0 a.m.for the next available inspection date. This permit card shall be kept i, onspicuous 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 Residential RECEIVEFOR OFFICE USE ONLY City of Tigard Date/B I •• Permit No.: r twit t 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 OCT ry 0 DaPl DateanBRev:iew " • -' L, Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: i` � ® See Page 2 for Internet: www.tigard-orgov Gill T l CM: 1^�" Notified/Method:IA nor♦ Supplemental Information TYPE OF WORK Tilt REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction Li Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 12 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ ®1-and 2-family dwelling Li Commercial/industrial 2610 Number of bedrooms: ❑Accessory building ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13088 SW BOUNEFF ST New dwelling area: square feet City/State/ZIP: TIGARD, OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Bledsoe, Laura Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet UIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel 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. 2.61 KWAC roof mounted photovoltaic solar Valuation: $ Existing building area: square feet New building area: square feet E] PROPERTY OWNER ❑ TENANT Number of stories: Name:Bledsoe, Laura Type of construction: Address: 13088 SW BOUNEFF ST Occupancy groups: City/State/ZIP: TIGARD, OR 97223 Existing: Phone:( 503-590-0626 Fax:( ) New: )j APPLI ANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: Elemental Energy LLC (Please refer w fee schedule) Structural plan review fee(or deposit): Contact name: Tom Marshall Address: 6800 N E 59TH PL FLS plan review fee(if applicable): City/State/ZIP: POI- TLAND OR 9/218 Total fees due upon application: Phone:( (503) 967-5786 Fax::( ) Amount received: E-mail: permits@elementalenergy.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: Same Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 195141 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. *Fee methodology set by Tri-County Building Industry Print name:Tp � Date:10/19/22 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 ReceivedDate/By: permitNo.: • 13125 SW Hall Blvd.,Tigard,OR 97223 ■ ' Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing ❑ Mechanical T I G A R D 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 ❑ ❑ 3 Verification of approved plat/lot. ❑ ❑ ❑ 4 Fire district approval required. Name of district: . 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ 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 ❑ ❑ ❑ 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- ❑ ❑ ❑ 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 ❑ ❑ ❑ 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. 0 ❑ ❑ 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 .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". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ ❑ 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. ❑ ❑ 0 27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ ❑ 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, 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, ❑ ❑ ❑ 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 App11C CFOR OFFICE USE ONLY City Of Tigard RDate/Bed IIIPermit N: v 13125 SW Hall Blvd.,Tigard,OR 972 '��Z Y _ g Plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1' DateBy:. Inspection Line: 503.639.4175 1 p Ready Date/By: Juds. ® See Page 2 for FIGARD Internet: www.tigard-or.gov CITY Y OF 1�aARQ Notified/Method: Supplemental Information ' Hama: � � 1 :`-'' 0 New construction I_I Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. 0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards. 1l 7. I I ISTB` , . , exceeds 10,000 amps at 150 volts or ❑Floating buildings. El-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground or exceeds la,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or - TIO1 P � s c)GATI(?i 4Nri t 0 Emergency system, larger separately derived 13088 SW BOUNEFF N E F F ST El Addition of new motor load of system. Job#: I Job site address: lOoHP or more. ❑"A","E","1-2","la", ❑Six or more residential units. occupancy. City/State/ZIP: TIGARD, OR 97223 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Bledsoe, Laura ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: -M"° i" : h „.rs, � T - ) Description I Qty. I Each 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'l 500 sq.ft.or portion 33.92 1 7,:- . -x_. D' ` I' IO 10F WOT2 `-" I _. Limited energy,residential 75.00 2 2.61 KWAC roof mounted photovoltaic solar (with'above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 4 i i Renewable Energy 0 See Page 2 ❑ TENANT s {'ritF � � i� "' Services or feeders installation,alteration,and/or relocation Name: Bledsoe, Laura 200 amps or less 1 100.70 2 Address: 201 amps to 400 amps 133.56 2 13088 SW ROUNFFF ST 401 amps to 600 amps 200.34 2 City/State/ZIP: TIGARD, OR 97223 601 amps to 1,000 amps 301.04 2 Phone:(50315(lo-062R I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:lebledsoe@msn.com 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 a M Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Elemental Energy LLC above service or feeder fee, 7 42 2 each branch circuit Contact name: Tom Marshall . B.Fee for branch circuits without Address: 6800 NE 59TH PL bT non circa taer fee'srst 56.18 2 City/State/ZIP: PORTLAND OR 9(218 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:((505) 967-5786 I Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permits@elementalerlergy.net Reconnect only 67.84 2 Imo= mRA 1 ! `` '' Pump or irrigation circle 67.84 2 Business name: Same Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: Inspections for which no fee is 90.00/hr CCB Lie,:195141 Electrical Lic.: C1228 Suprv.Lie.: 4894S s ecifieall listed '%hrmin ESQ e'fi - -:,' Suprv.Electrician signature,required: AP u.4{� Subtotal: Print name: Dave Gehrke Date:10/20/22 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature:Tam, 1)'1 ,i,iva TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Tom Marshall Date:1 0/20/22 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(11/05/COM/WEB " Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: i910:$1PEN 1� '�" W©1 i�P WY P l�n� �F���'� r t ,{; EESCHEDULE 1 d'z�K ,,..- �'` �PtNs.xi ��.. Description I QtY. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 1 Check Type of Work Involved: 5 kva or less 100.70 2 5.O1to15kva 133.56 2 ri Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 • with OAR 918-309-0040) 2 ❑ 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(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('h hr min) C,„ C 1 E �� n i�1 r v �f & `iui I,E RICAL PERMIT FEES ��� I' � * ml i � wu'4 2i l�' ,t��r'3(�• ,a"� �� �b ! '° `"` 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 ❑ 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 for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 City of Tigard ED Building Division ' MI 13125 SW Hall Blvd,Tigard, OR 97223 OCT 2 0 Mt Phone: 503.718.2439 Fax: 503.598.1960 RECEIV T I GARD Inspection Line: CITY OF TIGAPU www.tigard-or.gov DN�SIC1Cl 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 13088 SW BOUNEFF ST City: Tigard, OR Zip: 97223 Owner's Name: Bledsoe, Laura Date: 10/20/2022 Contractor's Name: Elemental Energy LLC CCB #: 195141 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation ❑ Yes qualify for the Area Located in a flood prescriptive path, follow plain/flood way? 5- No OSSC or ORSC for design requirements. Wind Exposure Is the wind exposure Yes If"Yes", qualifies for "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 n 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 n No 1 I./Building/Forms/PhotoVoltaic-Checklist02-01-11.docx Is the construction ❑ material wood and does Yes Type of If"Yes", qualifies for the construction qualify Construction as"conventional light n No the prescriptive path. frame"construction? Is the spacing 24 inches or less? Pre-engineered trusses. ❑ Yes If"Yes", qualifies for the prescriptive path. No Roof framing members Is the spacing 24 inches or less? Nominal lumber. a If"Yes", qualifies for Yes the prescriptive path. ❑ No Is the combined weight ® Yes of the PV modules and If"Yes", qualifies for racking less than or ❑ No the prescriptive path. Solar equal to 4.5 psf? installation Is the solar installation layout in accordance Q Yes If"Yes", qualifies for with Section 305.4(3)of No the prescriptive path. the 2010 Oregon Solar 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. c❑ of composition shingle. Is the roof mounted Ri Yes Connections of solar assembly the solar assembly connected to roof If"Yes", qualifies for ❑ No the prescriptive path. to the roof framing or blocking directly? 2 I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx n Yes If"Yes", qualifies for Is the gauge 26 or less? n No the prescriptive path. 115 lbs for 60 inch spacing or less? If"Yes", qualifies for n 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 If the spacing falls Minimum 24 inches solar systems Spacing of clamps? within 24 inches and 60 directl y to inches Maximum 60 inches inches, qualifies for the 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 If"Yes", qualifies for fastener? ❑ Yes the prescriptive path. ❑ No Is the roof decking of WSP min. ''Y2" thickness, ❑ 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 Yes If"Yes", qualifies for solar modules module to the roof ❑ the prescriptive path. surface. ❑ No J I:/Building/Forms/PhotoV oltaic-Checklist02-01-11.docx 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 Solar Model Number: SIL-370 HC Listing Agency: UL1703 • I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx