Permit (5) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00317
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2023
Parcel: 1 S133DA05900
Jurisdiction: Tigard
Site address: 12940 SW GLACIER LILY CIR
Subdivision: AMART SUMMER LAKE Lot: 81
Project: Shanks
Project Description: Rooftop solar system 7.6 kW and(2)circuits.
BUILDING
Floor Areas Required Setbacks Required
Stones: 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: $5,320.00 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'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 2
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-100Dv: 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 7.6 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:
SHANKS FAMILY TRUST ION DEVELOPER LLC Required Items and Reports(Conditions)
BY SHANKS,MARY M TR 3214 NORTH UNIVERSITY AVE
12940 SW GLACIER LILY CIR 503
TIGARD,OR 97223 PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $457.42
This permit Is Issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
059-OnLOMn fhrni in R 09JIn1-nflgn Vnu rung nhtain a,nnv of inch mine nr riirnof n,neenne in f11 INC FA,Tallinn 503 9S9 10R7 nr 1 Ann Afi9 94dd
Issued By: ' 1 Q/1 eilkill Permittee Signature: Ste— C t'
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. a
Building Permit Applicatiozi-- VED
Residential [`��!!'�� FOR OFFICE USE ONLY
JUL 1 12023 Received
I Cityof Tigard
PemU
• 131SW Hall Blvd.,Tigard,OR 97223 Plan Date/By: 7 I( �' ��$ "J��r}'�/ — .r�
g r,r�l OF Date/By:
/? ?2
11�! 44 1 1 �+ Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960t r �n `n DateBy:
Inspection Line: 503.639.4175 �U Ml v iSION Date ReadyBy: lov bola, ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 1f Supplemental information
J Y'
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: S 5,320
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
^O
4 Job site address: 12940 SW Glacier Lily Cir New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Shanks 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: Amart Summer Lake Lot no.: 81 Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 1 S133DA05900/R1113280 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: $
7.6 kW.Addition of 2 0-30A circuits. Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Mary Shanks Type of construction:
Address: 12940 SW Glacier Lily Cir Occupancy groups:
City/State/ZIP: Tigard,Oregon 97223 Existing:
Phone:((503))317-4023 Fax:( ) New:
] APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee 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 Amount received:
Phone:( 888) 781-7074 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: permits@ionsolar.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name: ION Developer LLC
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 $180.00
and administrative fees):
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: 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: Dustin Davidson Date: 07-07-2023 Service Board.
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a Electrical Permit A •lira ,i't,;,,C L. FOR OFFICE USE ONLY
City O 71 aril Received
a eed Permit#: �e_p
�3_�
1111 =• 13125 SW all Blvd.,Tigard,OR 972I 3i L 1 1 2023 Plan Review `
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit tt:
Inspection Line: 503.639.4175 I f'C Ti"--`'Dr) Ready Date/By: luris: ® See Page 2 for
TI GAKD Internet: wryvw.tigard-or.gov �,`�`,.,). e i Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans uditems checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ®Other: PV Solar where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 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 0 Emergency system. larger separately derived
o Addition of new motor load of system.
Job#: Job site address: 12940 SW Glacier Lily Cir 10011P or more. ❑"A^.'U","1-2","1-3
Oregon City/State/ZIP: Tigard, 97223 ❑Six or more residential units. occupancy.
g ❑Healthcare facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Shanks Solar Install ❑Hazardous locations. 0 Supply voltage for more than
❑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: Amart Summer Lake Lot#: 81 Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
1 S133DA05900/R1113280 Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Installation of solar panels on existing residential roof. Limited energ
y,multi-family 75.00 2
7.6 kW.Addition of 2 0-30A circuits. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
ISI PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Mary Shanks 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 12940 SW Glacier Lily Cir 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))317-4023 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: mshanks54@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
El APPLICANT ❑ 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,
each branch circuit 7.42 2
Contact name: Dustin Davidson B.Fee for branch circuits without
Address: 4801 N UniversityAve#900 service it feeder fee,first 1 56.18 56.18 2
branch circuit
City/State/ZIP:Provo, UT 84604 Each add'l branch circuit 1 7.42 7.42 2
Phone: 888 781-7074 Fax: : Miscellaneous(service or feeder not included)
( ) ( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permits@ionsolar.com
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 Signaln circuit(s)or extension. 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) 76.16/hr
permits@ionsolar.com Inspections for which no fee is
CCB Lie.: 230394 Electrical Lic.: C1524 Suprv.Lie,: 6098S specifically listed(/z hr min) 9o.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal: 197.16
Print name: David S Conrad Date: 07-07-2023 ❑Plan Review Required(25%of permit fee):
� /1 State surcharge(12%of permit fee): 23.66
Y
Authorized signature: ee,_ 4r , 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.
I:\Building\Permits\ELC PennitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB
Document Ref:AN59G-WXUYX-BSOPM-DWCBN :Page 2 of7
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 Description 1 DD. I Each Total I -
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
❑ Audio and Stereo Systems* 15.01 to25kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to so 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* >100kva-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(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1): 133.56
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
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all •
other installations
1`Building\Pcrmits\ELC PermrtApp_ELRERE.doe Rev 06/1720/5
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•
RECEIVE
City of Tigard JUL 1 1 2023
' Building Division
OF'WAf L
' - 13125 SW Hall Blvd,Tigard,OR 97223 DIVISION
Phone: 503.718.2439 Fax: 503.598.1960
T I GA RD 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: 12940 SW Glacier Lily Cir
City: Tigard Zip: 97223
Owner's Name: Mary Shanks 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 El Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? X❑ No OSSC or ORSC for
design requirements.
Is the wind exposure Yes If"Yes"
Wind Exposure p 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 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
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Document Ref:AN59G-WXUYX-BSOPM-DWCBN Page 4 of 7
Is the construction
material wood and does El YesType of the construction qualify If"Yes", qualifies for
Construction ❑ No the prescriptive path.
as "conventional light
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
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
the 2010 Oregon Solar ❑ No the prescriptive path.
Code?
I I Metal
Single layer If roofing material is
Roofing Check the type of ❑ of wood one of the three types
material roofmg material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
Q of composition
shingle.
Is the roof mounted ® yes
Connections of solar assembly
If"Yes", qualifies for
the solar assembly connected to roof ❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
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Document Ref:AN59G-WXUYX-BSOPM-DWCBN Page 5 of 7
Is the gauge 26 or less? ❑ Yes If"Yes", qualifies for
❑ 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
directly to inches Maximum 60 inches inches, qualifies for the
standing seam prescriptive path.
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 If"Yes", qualifies for
fastener? ❑ Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. '/2"thickness, Yes
decking connected to If"Yes", qualifies for
framing members E 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
1:/Bui lding/Forms/PhotoVoltaic-Checklist02-0I-11.docx
Document Ref:AN59G-WXUYX-BSOPM-DWCBN �:i` Page 6 of 7
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-400 HC+
Listing Agency:
4
1:Building/Forms/PhotoVoltaie-Checklis102-01-11.docx
Document Ref.AN59G-WXUYX-BSOPM-DWCBN Page 7 of 7
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