Permit (4) CITY OF TIGARD MASTER PERMIT
_ III E •a COMMUNITY DEVELOPMENT Permit#: MST2023-00316
Date Issued: 07/25/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135CD01003
Jurisdiction: Tigard
Site address: 9885 SW SCOTT CT
Subdivision: SCOTT Lot: 1
Project: Benitez
Project Description: Rooftop solar system 13.2 kW and(3)circuits.
BUILDING
Floor Areas Rewired 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: $9,240.00 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
Bckllw 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
Fum>=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: 3
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 13.2 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:
MARTINEZ,GISELLE BENITEZ ION DEVELOPER LLC Required Items and Reports(Conditions)
MARTINEZ,JOSE MARTIN BENITEZ 3214 NORTH UNIVERSITY AVE
9885 SW SCOTT CT 503
TIGARD,OR 97223 PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $465.73
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: ' '-1�^II Permittee Signature: �Q I(yf��
C II 503.639.4175 by 7:00 a.m.for the next available Inspection date. 17'
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 RECEIVE II FOR OFFICE USE ONLY
11111
� City of Tigard Received 7 v
JUL 1 1 2023 DateBy: l( � Iv
Perm f ,�3 �-21
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review // r2am! ✓` tJ
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 2...,
Other Permit:
Inspection Line: 503.639.4175 1.,tTY OF TtGrAcR1 D Date Ready/By: Wn
'n Jana: 63 See Pa e 2 for
7'ICiARUInternet: www.tigard-or.gov BUILDING DI Y IJlONNyoti(fiie/d//Method:: •1{.I p Supplemental Information
LUA
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑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 ICI Other: RV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling 0 Commercial/industrial Valuation: $ 9,240
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
A JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 9885 SW Scott Ct New dwelling area: square feet
City/State/ZIP: Tigard,Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Benitez 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: Scott I Lot no.: 1 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1 S135CD07003/R274553 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: $
13.2 kW.Addition of 3 0-30A circuits. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Giselle Benitez Type of construction:
Address: 9885 SW Scott Ct Occupancy groups:
City/State/ZIP: Tigard,Oregon 97223 Existing:
Phone:((503))608-0697 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer Mier schedule)
Business name: 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 Fax ( ) Amount received:
E-mail: permits@ionsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic 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: Permit Fee(includes plan review
ty Provo, UT 84604 and administrative fees): $180.00
Phone:( 888) 781-7074 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 230394 Total fee due upon application: $201.60
Authorized signature: Z —Vavdiaa,
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Dustin Davidson Date: 07-07-2023 *Fee methodology set by Tri-County Building Industry
Service Board.
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Document Ref:BA7ON-BJZH3-ZQAYO-FG3MR Page 1 of 7
Electrical Permit Application RECEIVED FOR OFFICE USE ONLY
- City of Tigard Received Permit#:J(f�6)(a De: -e ID 3 i,
.1114 • 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 1 1 2023 Date/B
g Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1960 Date/B
Inspection Line: 503.639.4175 CITY nP TI(x71'D Ready Date/By: Jmis: ® See Page for
'i I L A RI) Internet. www.tigard-ocgov Notified/Method: Supplemental Information
BULLf
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
El Demolition ®Other: PV Solar 0 Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi-family El Master builder ElOther: F uor al]other installations. nstllats.
0 Fire re pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 9885 SW Scott Ct 100HP or more. ❑"A","E",°I-2","l-3",
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard,Oregon 97223 0 Health-ca a facilities. 0 Recreational vehicle parks.
0 Hazardous locations. ❑Supply voltage for more than
Suit /bldg./apt.#: Project name: Benitez Solar Install El Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I "
New residential single-or multi-family dwelling unit.
Subdivision: Scott Lot#: 1 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel ff: 1 S 135CD01003/R274553 Ea.add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
h above sq.ft.) 75.00 2
(wit
Installation of solar panels on existing residential roof. witLimitedene
rgy,multi-family 75.00 2
13.2 kW.Addition of 3 0-30A circuits. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
IZI PROPERTY OWNER ❑ TENANT , Services or feeders installation,alteration,and/or relocation
Name: Giselle Benitez 200 amps or less 100.70 2
Address: 9885 SW Scott Ct 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard,Oregon 97223 601 am
ps to 1,000 amps 301.04 2
Phone:((503))608-0697 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: gbtz101@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
Ea APPLICANT El 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 1 56.18 56.18 2
Address: 4801 N University Ave#900 branch circuit
City/State/ZIP: Provo, UT 84604 Each add'L branch circuit 2 7.42 14,84 2
Miscellaneous(service or feeder not included)
Phone:( 888) 781-7074 Fax: :( ) Each manufactured or modular 67.84 2
Email: dwelling,service and/or feeder
permits@ionsolar.eom Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: ION Developer LLC Sign or outline lighting 67.84 2
Address:4801 N UniversityAve#900 Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Provo, UT 84604 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 ionsolar.com Inspections for which no fee is
CCB Lic.: 230394 Electrical Lie.: C1524 Suprv.Lie.: 6098S
specifically listed(A tar min) 90.00/hr
n ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: AV��"41/.r>"..,.-s47 Subtotal: 197.16
Print name: David S Conrad Date: 07-07-2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 23.66
/
Authorized signature: / �,64-02ccsr -
TOTAL PERMIT FEE: 220.82
This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date: 07-07-2023 days after it has been accepted as complete.
Number of inspections allowed per permit.
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
D *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: s kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
D 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
50.01 to 100 kva 552.26 2
Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 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:
El Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
- Inspections for which no fee is 90.00/hr
specifically listed(.' hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 133.56
• 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
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
l Duildin61P rmits\ELC_PcrmitApp EI.R ERE.doc Rev 06/17/2015
Document Ref:8A70N-BJZH3-ZQAYO-FG3MR Page 3 of 7 3?
RECEIVED
City of Tigard JUL 1 1 2023
Building Division
C , CITY OF TIGAItL
13125 SW Hall Blvd, Tigard,OR 97223 8011.DING DIVISION
Phone: 503.718.2439 Fax: 503.598.1960
Ti G A R D Inspection Line: 503.639.4175
www.tigard-or.gov
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 9885 SW Scott Ct
City: Tigard Zip: 97223
Owner's Name: Giselle Benitez Date: 07-07-2023
Contractor's Name: ION Developer LLC CCB #: 230394
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? D No OSSC or ORSC for
design requirements.
Is the windexposure X❑ Yes
Wind ExposureIf"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 0 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
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Is the construction
El material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction as "conventional light ❑ N0 the prescriptive path.
frame"construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. ❑X Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. If"Yes", qualifies for
E Yes the prescriptive path.
❑ No
Is the combined weight X 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 X❑ Yes
with Section 305.4(3)of If"Yes", qualifies for
Elthe 2010 Oregon Solar No the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
RoofingCheck the type of ID of wood
shingle/shake one of the three types
material roofing material g checked, qualifies for
Max. two layers the prescriptive path.
❑x of composition
shingle.
Is the roof mounted Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
IIIframin blockingNO the prescriptive path.
to the roof g or
directly?
2
1:/Building/Fonns/PhotoVoltaic-Checklist02-01-11.docx
Document Ref:8A70N-BJZH3-ZOAYO-FG3MR gr*<""" '+
❑ 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
directlyto inches inches, qualifies for the
Maximum 60 inches prescriptive path.
standing seam
metal panels Width of roofing If the width of the panel
panels? 18 inches or less is less than 18 inches,
inches qualifies for the
prescriptive path.
Minimum#10 at 24
inches o/c?
Size and spacing of ❑ Yes If"Yes", qualifies for
fastener? the prescriptive path.
n No
Is the roof decking of
WSP min. '/s"thickness, ❑ Yes
decking connected to If"Yes", qualifies for
framing members ❑ 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 x❑ Yes the prescriptive path.
surface. ❑ No
3
I:Building/Forms/PhotoV oltaic-Checklist02-01-11.docx
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•
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: sip-too HC+
Listing Agency:
4
I:/Building/Forms/PhotoVoltaic-Checklist02-01.11.docx
Document Ref:8A7ON-BJZH3-ZQAYO-FG3MR '� 4
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.•.•,
$:''• Reference number:8A7ON-BJZH3-ZQAYO-FG3MR •:ti!
e, Signer Timestamp Signature •••:{
,:j:; Dustin Davidson %•
:: Email:dustin.davidson@ionsolar.com '� .,4 /�j �/ i::;
*".. Sent: 07 Jul 2023 21:33:44 UTC ;::�;
4
44...• Signed: 07 Jul 2023 21:33:45 UTC -- ------- -- *:
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