Permit (69) IN CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00269
T I G A A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2023
Parcel: 2S103CC04400
Jurisdiction: Tigard
Site address: 13815 SW 124TH AVE
Subdivision: EAGLE POINTE Lot: 19
Project: Schwarz
Project Description: Rooftop solar system 6kW.
BUILDING
Floor Areas Required Setbacks Reauired
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: $19,189.00 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
Drywall-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'1500 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 6.0 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:
SCHWARZ,CHARLES G PURE LIGHT POWER Required Items and Reports(Conditions)
DIZNEY,CARROLL A 541 PARSONS DRIVE
13815 SW 124TH AVE MEDFORD,OR 97501
TIGARD,OR 97223
PHONE: PHONE: 541-816-4047
FAX:
Total Fees: $362.19
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 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. ATTENTI on law re uires you to follow the rules adopted by the Oregon Utility N ' i n Center ese rules are set forth in OAR
Qc911M-nnin Ihrrw,n A 9_nn1_nnQn AV nhtain a rnmi of the r lea nr Airart no actinne to rii iI1( Far raliin n1 9 9'MA nr 1 Ann'119 9144
Issued By: '� 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 job site at the time of each inspection.
DocuSign Envelope ID:50711616-962D-4E30-A1FF-49C280FB481C
Building Permit Application
Residential RECEIVED I01R OFFICE USE ONLY
City of Tigard Dat
Receive/Bed • Pe fa oa3 _ as
1 3 2023
13125 SW Hall Blvd.,Tigard,OR 972231UN Plan Review '/
Phone: 503.718.2439 Fax: 503.598.1960 Date/Bv: ' �r, 01herPermit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD rate 'e..y :y: laris: El See Page for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method.b i I .1� ' / Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $$19,189
^/ ❑Accessory building 0 Multi-family Number of bedrooms:
girl 0 Master builder ®Other: Solar Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13815 SW 124th Ave New dwelling area: square feet
City/State/ZIP: Ti gard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: 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: 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.
6.0 kw solar installation on customer's stated structure Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Charles Schwarz Type of construction:
Address: 13815 SW 124th Ave Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing:
Phone:( ) 5039563939 Fax:( ) New:
51 APPLICANT E] CONTACT PERSON BUILDING PERMIT FEES*
Business name: Purelight Power (Pleasereferwfeeschedule)
Contact name:
Caroline Brown Structural plan review fee(or deposit):
Address: 3895 Cascadia Canyon Ave SE Suite 140 FLS plan review fee(if applicable):
City/State/ZIP: Salem, OR 97302 Total fees due upon application:
Amount received:
Phone:( ) 971 272 8717 Fax: :( )
picslem@purelightpower.com 1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Pu re l i g ht Power Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 3895 Cascadia Canyon Ave SE Suite 140 Solar Installation Specialty Code checklist.
City/State/ZIP: Salem, OR 97302 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) 971 272 8717 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: 226333
Total fee due upon application: $201.60
<-nocuSigned by.
This permit application expires if a permit is not obtained
• (Ardiint, hawk, within 180 days after it has been accepted as complete.
Print name:Carol i ne BY1SW19897D4AE Date: 6/2/2023 I 3:10:13 "Fp$Ce pet►lodology set by Tri-County Building Industry
Service Board.
l:1Building\Permits1BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
DocuSign Envelope ID: E7563CA1-4F92-4476-A6B4-5AF72A5F5F02
Electrical Permit Application RECEIVE , FOR OFFICE USE ONLI-
CI`J b ofTigard Received P t r a�a27=1 t12
DateB1 '�dO�'-O�
III .113125 SW Hall Blvd.,Tigard,OR 97223 3 2023 plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit II:
TIGARD Inspection Line: 503.639.4175 Ready Date/ByJune: la See Page 2 for
Internet: www.tigardor.gov CITY OF TIGARD Notifed/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ® Other: Sol ar
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El1-and 2-family dwelling ElCommercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
El Multi-family 0 Master builder E Other: Solar ❑Fire pwnp. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 13815 SW 124th Ave ❑A 100 HPnp o of new motor load of system.
or more. ❑"A" "E" `9-2" "1-3",
City/State/ZIP: Ti gardOR 97223 ❑Six or more residential units. occupancy.
, Recreational vehicle parks.
❑Health-care facilities.
Suite/bldg./apt.#: Project name: ❑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 [sty. 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
DESCRIPTION OF WORK Limited energy,residential
6.0 kw solar installation on customer's house (with above sq.ft.) 7500 z
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy Dit See Page 2
15I PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Charles Schwarz 200 amps or less 100.70 2
Address: 13815 SW 124th Ave 201 amps 133.56 2
•
401 amps to 600 amps 200.34 2
City/State/ZIP:Ti ga rd, OR 97223 601 amps to 1,000 amps 301.04 2
Phone: ( ) 5039563939 Fax: ( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: ccnm_schwarz@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
® APPLICANT II CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Pu rel i ght Power above service or feeder fee, 7.42 2
Caroline Brown each branch circuit •
Contact name: B.Fee for branch circuits without
e
Address: 3895 Cascadia Canyon Ave SE Suite 140 rach cir feeder fee,first
brannch crcuit 56.18 2
b
City/State/ZIP: Salem, OR 97302 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone: ( ) 9712728717 Fax: : ( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: picsalem@purelightpower.com
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Pu rel i ght Power Sign or outline lighting 67.84 2
Address: 3895 Cascadia Canyon Ave SE Suite 140 pinna,al teatio)or extension_ ❑ See Page 2
y panel,alteration,or extension_
City/State/ZIP: Sal em, OR 97302 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) 9712728717 Fax:( ) Investigation(1 hr min) 90,00/hr
Email: pi csal em@pu rel i ghtpower.com Industrial plant(Inr min) 78 18 hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 226333 Electrical Lic.: C1498 Suprv. 62865 specifcallylisted(Y2hrmin)
D a":an-aa,. ELECTRICAL PERMIT FEES
Suprv. Electrician signature,required - 111jf.v' Subtotal:
Print name: Tom Keller '-at4E17Eoes7044E_ Date:6/2/2023 I 3:18:46c1 iatff.giew Required(25%of permit fee):
-- __
,—oocusigned by:
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
( ArnutA t. breadIA. This permit application expires if a permit is not obtained within 180
print name:Carolir1 -&lgowfi7o4AE Date:6/2/2023 I 3:18:16 PM PDT days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:IBuilding\Permits1ELC_PermitApp_ELR ERE.doc Rev 06(17./2015 440-4615T(11/05/COM/WEB
DocuSign Envelope ID: E7563CA1-4F92-4476-A6B4-5AF72A5F5F02
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each I Total I
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 2
❑ Audio and Stereo Systems* 1501 to 25 kva 200,34 2
Wind generation systems in excess of 25 kva:
n 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:
❑ 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('r,hr min)
COMMERCIAL WORK ONLY; ELECTRICAL PERMIT FEES
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:
n Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I.\Building\Permits\ELC_PermitApp_ELR_ERE.dot Rev 06/17/2015
DocuSign Envelope ID, B726103E-B9F2-40EB-AF89-05624A3024F2
City of Tigard
n Building Division
in 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960
T I 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: 13815 Sw 124th Ave
City: Tigard Zip: 97223
Owner's Name: Charles Schwarz Date: 6/1/2023 I 1:38:47 PM PDT
Contractor's Name: Purelight Power CCB #: 226333
Design Parameters of the Property/Structure
If"Yes", does not
Is the installation qualify for the
Flood Hazard ElYes
Area Located in a flood prescriptive path, follow
plain/flood way? ❑ No OSSC or ORSC for
design requirements.
Is the wind exposure ❑x Yes If"Yes", qualifies for
Wind Exposure "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?
If"Yes", qualifies for
structures other than
❑ Yes the prescriptive path.
above
❑ No
1
I:Build ing/Forms/Photo V oltai c-Checkl ist02-O 1-11.docx
DocuSign Envelope ID:B726103E-B9F2-40EB-AF89-05624A3024F2
Is the construction n yes
Type of material wood and does If"Yes", qualifies for
the construction qualify
Construction as "conventional light I No the prescriptive path.
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. E Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
X If"Yes", qualifies for
Nominal lumber. 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 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.
❑x of composition
shingle.
Is the roof mounted 0 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
I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
DocuSi9n Envelope ID:B726103E-B9F2-40EB-AF89-05624A3024F2
Is the gauge 26 or less? ❑ Yes If"Yes", qualifies for
U 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 n Yes the prescriptive path.
surface. ❑ No
3
I:Building/Fo ms/PhotoVoltaic-Checklist02-0I-I I.docx
DocuSir Envelope ID:6726103E-B9F2-40EB-AF89-05624A3024F2
s •
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: ZNSHINE SOLAR
Model Number: ZXM7-SH1O8
Listing Agency: uL Li sted
4
1:/B u it d ing/Forms/Photo Voltaic-Checklist02-01-11.docx