Permit CITY OF TIGARD MASTER PERMIT
`1 s.. . COMMUNITY DEVELOPMENT Permk#: MST2023-00357
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2023
Parcel: 2S109DB09100
Jurisdiction: Tigard
Site address: 13058 SW BLACK WALNUT ST
Subdivision: SUMMIT RIDGE NO.5 Lot: 159
Project: McPherson
Project Description: Rooftop solar system 10.9 kW.
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: $36,200.00 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
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: 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: Y Other Description: Roof top solar array 10.9 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:
MCPHERSON,AMBER M&LEE MIDDLEBROOKS ENTERPRISES LLC Required Items and Reports(Conditions)
13058 SW BLACK WALNUT ST 9182 SE HAMILTON LN
TIGARD,OR 97224 HAPPY VALLEY,OR 97088
PHONE: PHONE: (971)340-8321
FAX:
Total Fees: 5389.19
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. ATTENTIO - •regon I.w requires you to follow the rules adopted by the Oregon Utility Notific. Center. Those rules are set forth in OAR
OS9-nM-nfPln thrrw,nh• P QF9_nni •' Vn a nnnv of the ndee nr dirt nupefinne In(II INr1 hu.-Ilinn Sn ••.7 nr 1 arm 94
Issued By: � syZ'�' 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 lob site at the time of each Inspection.
r-
Building Permit Application
Residential
City of Tigard CEIVEDIIIII may: ,I,MlnMIMIII 7 a3 Per,° :y7-mob a3 _bo35?
III 13125 SW Hall Blvd.,Tigard,OR 97
Dian Review 7 /2.-3Phone:
Line: 03. Fax: 503.598.19Gt1 JUL 26 2023 Date Re i �" ale permit:
T i GA R D I Line: 503.639.4175 Date ReadyBy: , y runs: B See Page 4 for
Into net: www.tigard-or.gov Notifed/Method: `5la-}f .�Y
CITY OF TIGARD It Supplemental Information
TYPE OF wO4UILDING DIVISION REQUIRED DATA:I-AND 2-FAMILYDWFI.I.ING
❑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 ®Other:SOLAR
equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
III l 1-and 2-family dwelling 0 Comm l/i erciandustrial valuation: $36,200.00
4 0 Accessory building El Multi-familyNumber of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site arldress:13058 SW Black Walnut St New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldgJapt.no.: Project name:MC Pherson Solar 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.
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.
Solar photovoltaic rooftop array. System size 10,q kW DC. Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Lee and Amber McPherson Type of construction:
Address:13058 SW Black Walnut St Occupancy groups:
City/StaterLll':Tigard, OR 97224 Existing:
Phone:(919 )360-8011 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Businessname:Sunward Power (r&ssercjermjxse6ededel
Structural plan review fee(or deposit):
Conta«namc:Rebekah Middlebrooks
Address:9182 SE Hamilton Ln FLS plan review fee(if applicable):
City/State/ZIP:Happy Valley, OR 97086 Total fees due upon application:
Phone:602 )609-2759 Fax::( ) Amount received:
E-mail:permits@ sunwardpower.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business :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 checklist.
City/State/ZIP:Happy Valley, OR 97086 Permit Fee(includes plan review $180 00
and administrative fees):
Pam:(971 )340-8321 Fax:( ) Stale surcharge(12%of permit fee): $21.60
CCB lic.:238152
/� Q Total fee due upon application: $201.60
Authorized signature: t !G,„� 141, 6 I _ This permit application expires if a permit is not obtained
t/ c��xrcnr within 180 days after it has been accepted as complete.
Prim :Chris Middlebrooks Date:7/21/2023 *Fee methodology set by Tri County Building Industry
Service Board.
L'\Building\PermitslBup-RESPetmitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
fiectrical Permit Application RECEIVED lOR OF I I(T USE OyI.I
City of Tigard Received
•
Per...t. "-1f•.}3 5 0-,57
IIII13125 SW Hall Blvd.,Tigard,OR 97223 C 2�29 Plan Review ��1 /�I "' V
■ Phone: 503.718.2439 Fax: 503.598.1960 JUL 2 6 L JJ Date/By Related Permit 4:
Inspection I.inc: 503.639.4175 Ready Date/By: Dais H See Page 2 for
7 1 GA R D Internet: www.tigard-or.gov Notifiedethod: Supplemental Information
CITY OF TIGARD /M
TYPE OF waRSt&DING DIVISION PLAN REVIEW
ElNew construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition Other. L(�(Z 0 Service or feeder 400 amps or more 0 Building over three stones.
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 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amp❑Multi-family ❑Master builder ❑Other: Fire for allotherinstallations. buitngs.
0 Fife pump. 0 Installation.of 150 KVA or
JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separately derived
Job#: Job site address: 130) 5u..) 31 c`,k uJat i S 4_. ❑Addition of new motor load of system.
100HP or more. ❑"A" "E"••I-2" "I-3"
❑Six or more residential units. occupancy.
City/State/ZIP: IIaQ�d 2 H ❑Recreational vehicle parks.
J r � �' ❑Health-care facilities.
Suite/bldg./apt.#: Project name: (1\`v ( eSO�ac 0 Hazardous locations. 0 Supply voltage for more than
1 ['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: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'I 500 sq.ft.or portion 33.92 1
1•_ DESCRIPTION OF AWOR/K�`�'� '� Limited energy,residential 75.00 2
e) lc c DY o1-„VO t+qt(• an Q f�f J . (with above sq.ft.)
�y C�11 (J J Limited energy,multi-family 75.00 2
' ^)t 7�� Si Zt 10, /+ . residential(with above sq.ft.)
— l/\ PROPERTY OWNER 1 ❑ TENANT Renewable Energy See Page 2
�r f r e 2Services0or feeders installation,alteration, or relocation
Name: 1. 1. 200 ampsor less 100.70 2
Address: 113057
S w ` vu kdo I 201 amps to 400 amps 133.56 2
My t '�`� 401 amps to 600 amps 200.34 2
City/State/ZIP:11.944 0_ 2(4 601 amps to 1,000 amps 301.04 2
Phone:(9 1(1 ) 3WO _5 b` Fax:( ) Over 1,0W amps or volts 55226 2
l� Temporary services or feeders installation,alteration,and/or
Email: /Y4!'eVve.(5iCO (@c. Mcktk.L'OM relocation
Owner installation:This installation}is being made on property that 1 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
1;1,APPLICANT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: urn uu CtrrAI . D l( above service or feeder fee, 7.42 2
�t b dd LQ �or-S each branch circuit
Contact name: ('15 B.Fee for branch circuits without
i
Address: 14 S . —{;( t l service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: U l l e 1 v O� a`1 �g Each add'I branch circuit 7.42 2
`r J Miscellaneous(service or feeder not included)
Phone:(chi ) 3 2 I Fax: :( ) Each manufactured or modular
1 //�� dwelling,service and/or feeder 67.84 2
Email: I r/YI1A-5 P 5kkY1 LO 0,1 DO 113-e r.
Reconnect only 67 84 2
r� CONTRAC'OR Pump or irrigation circle 67.84 2
Business name: pm ' Q.l�l,{.Y 1 c Sign or outline lighting 67.84 2
Address: C s I� Signal circuit(s)or limited-energy ❑ See Page 2 2
Q 1 LP n of� r C(d I Si . S - .. I S 3 panel,alteration,or extension.
City/State/ZIP: lIl 1 Each additional inspection over allowable in any of the above
1'Q.t r 1 n I ✓0 Z Additional inspection(1 hr min) 66.25/hr
Phone:60$) SS\ - U'7 o 4 Fax:( ) Investigation(l hr min) 90.00/hr
•
Email: molrkk,&llte.‘ ' e�ric(. 5 11•cw� Industrial plant(1 hr min) 78.18/hr
90.18 Inspections for which no fee is 78 /hr
CCB Lie.: 153a5�{ Electrical Lie.: Z' '{_ —leiL` Suprv.Lie.: t-tCt VI specifically listed(%hrmin)
rr ELECTRICAL PERMIT'FEES
Suprv.Electrician signature,required: M� \Qr / Subtotal:
If l Print name: \O �0. a ( Date: -7 19 I I2 0 Plan Review Required(25%of permit fee):
1 1 /U ?. A`l 11 r State surcharge(12%of permit fee):
Authorized signature: I r r TOTAL PERMIT FEE:
M /� This permit application expires if a permit is not obtained within ISO
Print name: i t i( 'I�{I gyp iir Date: 1 a 2 3 days after it has been accepted as complete.
�'l "` * Number of inspections allowed per permit.
IRandingtPermits1ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 44 615T(I IRE/COM/WEB
�*
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 ription I Qty. I Earl I Total I •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva orless 100.70 z
•
5.01 to 15 kva 1 133.56 2
n Audio and Stereo Systems* 15.01 to 25 kva 20034 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
with OAR 918-309-0040) 55226 2
❑ Heating, Ventilation and Air Conditioning Solargeneration* 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(I hr min)
Inspections for which no fee is
specifically listed('/z hr min) 90.00/hr
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on pas l):
•
(SEE OAR 918-309-0000) Namber°e'"spe°t°nsail°wedpe`pe""i'.
Check Type of Work Involved:
❑ Audio and Stereo Systems
n Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
El 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
I\Building\Permits\ELC_PetmitApp ELR_ERE.doc Rev 06/17/2015
City of Tigard
111 .
Building Division
13125 SW Hall Blvd,Tigard,OR 97223 RECEIVED
Phone: 503.718.2439 Fax: 503.598.1960
TIGARD Inspection Line: 503.639.4175 JUL 2 6 2023
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: 130 S c( NW al kkJOIVN,u - %+-
City: i ourck , 0 Zip: �q1 22).
Owner's me: 'e f PMIJGY ��ACPtQ,IrSch 1 Date: ! �712_3
Contractor's Name: 3 i j -d poui CCB #: 27 �<<j 2
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? 10 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 [ 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
►1 Yes the prescriptive path.
above
❑ No
1
I:/[3uilding/Forms/PhotoVoltaic-Checklist02-01-I t.docx
,
Is the construction
Type of material wood and does Yes If"Yes",qualifies for
the construction qualify
Construction "conventional light El No the prescriptive path.
asframe"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. If"Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
Is the combined weight NI 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
with Section 305.4(3)of If"Yes",qualifies for
the 2010 Oregon Solar El 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.
tE21 of composition
shingle.
Is the roof mounted (o, Yes
Connections of solar assembly If"Yes",qualifies for
the solar assembly connected to roof No
to the roof framing or blocking ❑ the prescriptive path.
directly?
2
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•
Is the gauge 26 or less? n 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.
If\
❑ No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes",qualifies for
N ❑ 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
6�'1 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. %"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 M. Yes If"Yes",qualifies for
solar modules module to the roof the prescriptive path.
surface. ❑ No
3
I./Building/Fomms/Photo Voltaic-Chcckl is102-01-11.docx
f '
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: 5` uF A
Model Number: 511. --t-(O 1 C
Listing Agency:
4
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