Permit (2) CITY OF TIGARD MASTER PERMIT
E C ,
COMMUNITY DEVELOPMENT Permit#: MST2023-00358
T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/09/2023
Parcel: 2S107AA22100
Jurisdiction: Tigard
Site address: 16609 SW DARWIN LOOP
Subdivision: ROSHAK RIDGE Lot: 221
Project: Jasperson
Project Description: Rooftop solar system 10.4kW.
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: $32,900.00 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
Dryweil-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
Fum<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 SvclFdr: 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
Other: Y Other Description: Roof top solar array 10.4 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:
JASPERSON,JENS CHRISTIAN MIDDLEBROOKS ENTERPRISES LLC Required Items and Reports(Conditions)
JASPERSON,KIRSTEN ANNE 9182 SE HAMILTON LN
SCHWIEDER,CHARLES S HAPPY VALLEY,OR 97086
16609 SW DARWIN LOOP
TIGARD,OR 97224
PHONE: PHONE: (971)340-8321
FAX:
Total Fees: $358.19
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
QS9AM-nni n thrn rIAR QF9-rxl1 V „may nhtain a rnnv of the.n,I nr rlirart no aetinnc in(II min by Tallinn Ant 919 1 QA7 nr 1 Ann 419 9'idd
c"e p CSC L c�Ill
Issued By: Permittee Signature: �l QJ I r
Ca 503.639.4175 by 7:00 a.m.for the next available inspection date. Ir
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 lob site at the time of each Inspection.
Building Permit Application
Residential FOR OFFICE I SE ONLY
City of Tigard Y ,3 G a 3 P 9C i3 -co 3 S t
MI
• 13125 SW Hall Blvd.,Tigard,OR 9722 EC E IVE D Plan Review.'(/ �y�
Phone: 503.7182439 Fax: 503.598_i Date/By. / 1� iv(
a6aPe�m'1'
T I GARD Inspection Line: 503.639.4175 Date Ready/By. +: ® See Page 4 for
Internet: www.tigard-or.gov JUL 2 6 2023 Notified Method: J I Supplemental Information
Ie4Ctl1',
TYPE OF W0R 11Y OFNG DIVISIONEGARREQUIRED DATA:1-AND 2-FAMILY DWF.f.LING
❑New construction ❑Demo coon Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement Il Other:SOLAR equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION w indicated an this application.
\\,. fil 1-and 2-family dwelling 0 Commercial/industrial Valuation: $32900.00
\ 0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:16609 SW Darwin Lp New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
suite/bldgJapt_no.: Project name:Jens Jasperson Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area SOLAR square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: 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.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Solar photovoltaic rooftop array. System size 10.4 kW DC. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Jens Jasperson Type of construction:
Address:16609 SW Darwin Lp Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing.
Phone:((206))940-4084 Fax:( ) New:
III APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer m fee>rrrednr<)
Business name:Sunward Power
Structural plan review fee(or deposit):
Contact name:Chris Middlebrooks
FLS plan review fee(if applicable):
Address:9182 Se Hamilton Ln Total fees due upon application:
city/StatelzlP:Happy Valley,OR 97086
Amount received:
Phone:(971))340-8321 Fax::( )
E mpermits@SUnwardpOWer.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Sunward Power Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:9182 Se Hamilton Ln Solar Installation Specialty Code cheeldist.
City/State/ZIP:Happy Valley,OR 97086 Permit Feeee(in cl admi' plan review $180.00
ees):
Phone:(971 )340-8321 Fax:( 1 State surcharge(12%of permit fee): $21.60
CCB lic.:238152 / y Total fee due upon application: $201.60
Authorized signorine: i'/���///t� Q This permit application expires if a permit is not obtained
"�"�C� within 180 days after it has been accepted as complete.
Print name:Chris Middlebrooks Date:7/24/2023 *Fee methodology set by Tri County Building Industry
Service Board.
l:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 430-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE roe Ovi )
City of Tigard Received Pe?i4 0d- -CO3 y S
igard,OR 97223
e Phone:13125S503.W 8.2439 Hall Blvd.,TF 503.598.1960 R E C E I r,T o Related Permit#:
iiGARD Inspection Line: 503.639.4175 ss.,_: : runt FR See Page 2for
Internet www.tigard-ar.gov IUL 2 6 IN".
Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/rep
lacem Please check all that apply(submit z sets of plans wiitems checked):
�?ITYOFTIGARD ❑Service or feeder 400 amps ormore ❑Building over three stones.
ID Demolition ►7+ Other: RUJILDING DIM ON where the available fault current ❑Marinas and boatyards.
CA P. 'V OF CONSTRUCTION exceeds 16,000 amps at iSo volts or Q Floating buildings.
ba 1-and 2-family dwelling 0 Commercial/Industrial [1 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
0 Multi-family ❑Master builder amps for all other iasWlabons. buildings.
❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separaielyderived
7�#: Job site address: ❑Addition of new motor load of system.
/� '(Ly�^IY o Q ✓V V ay'u l 11 tie 100FIP or more.
City/Stair/ZIP:1i A(�ira K� t'1 i-,2j ['Six or more rwih,nai units. � y
`('jLU t ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: 0 Hazardous locations. ❑Supply voltage for more than
❑Se,,ice or feeder 600 amps or more. 600`ohs nominal.
Cross street/directions to job site: FEE SCITEDLI.JE
Dmoipdos I Qly. I Saco I Taal 1
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#= 1,000 sq.R or less 168.54 4
Pa add'I 500 sq.f or portion 33.92 1
CC��__ �q j, DESCRIPTION OF WORK Limited energy,residential
txl t(�tl3V0. 11iNtC in0 air (with above sq.R) 75.00 2
\ Limited ear,multi-fmnily 75.00 2
Vtk VY1 S z 10,4 I/; �_. residential(with above sq.ft.)
PROPEn!YOWNER 0 TENANT Reviewable Energy VI See Page 2
- x • Services 9r in labour Alteration,and/or relocation
Name: ; �f(,f)� S�j JQ e()-��t-StC ` 200 amps or less 100-70 2
Address: 1(P U)o"1��..Vff r5 u) 4)0 w tYl I 201 amps to 400 amps 133.56 2
City/Slate/ZIP: l -1 401 amps to 600 amps 200.34 2
, O(- 12 601 amps to 1,000 amps 301.04 2
Phone:(�)1 ) qL - t.Ips�l� Fax ( ) Over 1,000 amps or volts 552.26 2
Temporary Email: i ck*o A {a l{A *Abe win relocation
services or feeders ia�tlh�,alteration,and/or
Owner This' ton is g made on property that 1 own which is not Maims 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 ants 168.54 2
a APPLICANT I orCONTACr PERSON Bruck Nrenla-new,alteration,or extension,per panel
'n, 8' A.Feabove
e or ime or fee ets with
Business name: CMr r,W eou,R(- altot�service or feeder fee, 7.42 z
Contact name: /�l,, ,/�/� (� bo each branch cimrrt
A �/elp 1Cl s �t�]a Z b -.S B.Fee for branch circuits without
Address: 1 t .Z �1f.1 lAn1 t t 1,�.- branch circuit service or feeder fee,first
56.18 2
City/State/ZIP: octA V R.IUA, !)� o 1i tD g co Bath add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Mae:(fl'(\ ) 340• 3 21 IFax::( ) Each Maoarfacbaed or modular
,,; dwelling,serviceand/or feeder
Email ' 67-84 2
-Qt"att S �) 8lt_f,liv..;00-c• (-3 - i-L. CC)sYv R to„ly 67-84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: . Sign or outline lighting 67.84 2
, tff � i+ ^ ; ` Signal circuit(s)a limited-energy
Address: glJt�W o//1���`n`Q. [f�Q'1 ^.: 1 A�j panel,ala�atan,erea sitm. ❑ See Pie2 2
Criy/State/ZIP: U/'nr). . 'l--1- 0. ' -'�i Each additional iaspethun over allowable in any of the above
Ackhrional inspection(1
K�)
Phone:(503) 6�l- VI o Fax:( ) b vesbgatim( ) 90.00/hr
yy
Email: (()j\4, +e . tkY'1.c_ 0 9o,u.‘t<I 6k'1f! Industrial plant(1 hr tie) 78.18/br
Inspections far which no fee is 90.00/hr
CCB Lie.: 15'j1514 Electrical Lic.: 1--(t C C Suprv.Lir: 4 Cj 5 fi ix listed('h hrmin)
•
Suprv.Electrician signature,required:Teal ELEG[RICAL PERMIT FEES
�/�(� �n,6 r^,��(�� f Subtotal:
Print name: h 1 1 C) tic( \-JO�-i.t r Date: -1/Z /2,,, Q Plan Review R (25%ofpermit fee):
!! !(I State sun:barge(12%ofpermit fee):
Authorized signature: AtlogWor TOTAL PERMIT FEE:
q� c/ 17, This pwwA application expires if a perrot is rot*Maimed within ISO
i4-c
Print name: ' r(� }(-- Date: "� 24/ days after it has beta accepted as awld pe.
/l•'� ( / ` Number of inspections allowed per permit.
T\Rald nga n.mi ELCPersitApp FLR EREdoc AarON172015 4404615T(IIAOS/CmOWBB
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 I Qty. I Each Tow .
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
❑ 5.01 to I5 kva 133.56 2
Audio and Stereo Systems* 15.01 to 25 kva
200.34 2
ElBurglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
El Garage Door Opener* 50.01 to lookva 552.26 2
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
Heating, Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
nVacuum Systems* >100 kva—no additional charge 0.0 3
El
Each additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 66'25/
Inspections for which no fee is
specifically listed('/a hr min) 90.00/hr
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75,00 Subtotal(Enter on Page l):
(SEE OAR 918-309-0000) Number of inspections allowed per permit
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
n HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ N• urse Calls
[1 O• utdoor Landscape Lighting*
El P• rotective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
11BuildingUrennits\EI.C_Pemti[App_EIR_ERE.doc Rev 06/17/2015
City of Tigard RECEIVED
11111 '� Building Division
13125 SW Hall Blvd,Tigard,OR 97223 JUL 2 6 2023
Phone: 503.718.2439 Fax: 503.598.1960
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD
www.tigard-or.gov BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 14s�ok 3 c 'rV Up
City: --q,cj,Gv"Gk Zip: CI �'� "2L
Owner's Name: )�'1kAs 10.S v'St" Date: -1) 2L/_
Contractor's Name: SuxcoQ.( ir CCB #: 2 3$\5 o2
Design Parameters of the Property/Structure
If"Yes", does not
Is the installation qualify for the
Flood Hazard Located in a flood ❑ Yes
prescriptive path,follow
Area plain/flood way? Ist No OSSC or ORSC for
y design requirements.
Wind Exposure Is the wind exposure J 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 tt 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 thanIf"Yes",qualifies for
El Yes the prescriptive path.
above ❑
No
1
I/Building/Forms/PhotoVoltaic-ChecklistO2-01-1 l.docx
Is the construction
Type of material wood and does Yes If"Yes",qualifies for
the construction qualify
Construction as"conventional light ❑ No the prescriptive path.
frame"construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. Yes If"Yes",qualifies for
yj
the prescriptive path.
L] No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. El Yes If"Yes", qualifies for
the prescriptive path.
0(' ❑ 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 ] Yes If"Yes",qualifies for
with Section 305.4(3)of
the 2010 Oregon Solar ❑ No the prescriptive path.
Code?
Metal
Single layer If roofing material is
Roofing Check the type of El of wood one of the three types
material roofing material shingle/shake checked,qualifies for
Max. two layers the prescriptive path.
aof composition
shingle.
Is the roof mounted Yes
Connections of solar assembly
the solar assembly connected to roofIf"Yes",prescriptiveqp path.for
to the roof framing or blocking El No the
directly?
2
I:/Building/Forms/PhotoVoltaic-Checklist02-0 I-I 1_docx
❑ 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
directly to inches Maximum 60 inches inches,qualifies for the
prescriptive path.
standing seam
metal panels Width of roofmg 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? El Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. V2"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
tt
solar modules module to the roof Yes the prescriptive path.
surface. ❑ No
3
1:/Buildmg/Forms/Photo Vo1W ic-Checklist02-01-11.docx