Permit (64) CITY OF TIGARD MASTER PERMIT
I ' ' COMMUNITY DEVELOPMENT Permit#: MST2023-00246
T I t;ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21J2023
Parcel: 2S1126C09000
Jurisdiction: Tigard
Site address: 14755 SW BOTH AVE .
Subdivision: RAZE MEADOWS Lot: 13
Project: Ellermeier
Project Description: Rooftop solar PV system 7.9 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: $2,000.00 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'I 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 7.9 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:
ELLERMEIER FAMILY REVOCABLE TRUPRO STAT SERVICES LLC Required Items and Reports(Conditions)
14755 SW 80TH AVE 1721 NE 64TH AVE STE 120
TIGARD,OR 97224 VANCOUVER,WA 98661
PHONE: PHONE: (360)859-3749
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 require. . o follow the rules adopted by the Oregon Utility Notification Center. Thosey/�rules are set forth in OAR
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IdIssued By: Permittee Signature:
1503. y 7:00 a.m.for the next available inspection ate.
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 iob site at the time of each inspection.
i
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard RecE1Ved $ o
?I 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 3 0 2023 Plan Review 3 P >� .0 —t9 6
Phone: 503.718.2439 Fax: 503.598.1 q� Date/By: 23 �� Other Permit:
II
c A P Inspection Line: 503.639.4175 Dam ReadyBy: n luris: RI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD NotiSed/Methad: ��\.�� Su
g BUILDING DIVISION VV ppteroentallnfurmation
w-134.l d.LCf r, •
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
O 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:SOLAR equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-familydwelling ❑Commercial/industrial Valuation: S2,000
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14755 SW 80th Ave Tigard,OR 97224 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:ELLERMEIER,RICHARD 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.
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 PV INSTALLATION Valuation: $
7.9 kW Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: ELLERMEIER,RICHARD Type of construction:
Address:14755 SW 80th Ave Tigard,OR 97224 Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)703-4675 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:PROSTAT ELECTRIC (Please refer to fee scAedukJ
Structural plan review fee(or deposit):
Contact name:DALE KRUEGER
FLS plan review fee(if applicable):
Address:1721 NE 64TH AVE
Total fees due upon application:
City/State/ZIP:VANCOUVER,WA 98661
Amount received:
Phone:(503)539-7772 Fax::( )
E-mail:dale.krueger@comcast net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:PROSTAT ELECTRIC Submit two(2)sets of roof plan with connection details
Address:1721 NE 64TH AVE and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:VANCOUVER,WA 98661 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)539-7772 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:189902 Total fee due upon application: $201.60
Authorized signature: Z7 This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:DALE KRUEGER Date:5/5/23 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
. A
Electrical Permit Application RECEIVE i I t)it c,I 1,1( 1 1 •F 11\1 \
City of Tigard Received
iraee sy: T7 0�3 J c? `�io
gl
hone SW Hatt Blvd,Tigard OR 97223 MAY 3 0 2023 Plan Review Related Permit s:
Phone: 503.718.2439 Fax: 503.598.1960 DattYBy:
inspection line: 503.639.4175 CITY OF TIGARD Ro flea,«Iwa: Iwo �ppw Page a�asarmatiaa
Internet: www.tigard-or.gov BUILDING fII IS10� ,
i r TYPE OF WORK i PLAN REVIEW
U New construction ®Addition/alteration/replacement I Please check all that apply(submit 2 sets or plans wiitetts checked):
0 Service or feeder 460 amps or more 0 Building over three MACS-
0 Demolition 0 Other: where the available fault current ❑Minims and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 floating buildings.
Q I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building fess to ground,or exceeds 14,000 0 commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pomp. 0 Installation of l 50 KVA or
JOB SITE INFORMATION AND LOCATION , ❑Emergency system larger separately derived
❑Addition of new motor load of system
Job#: Job site address: 14755 SW 50th Ave Tigard,OR 97224 100HP or more. ❑`A "E, p-z", 1-3"
Ci /SCatrJZIP: Tigard,OR 97224 ❑Six or more residential wets. occupancy.
tY 9 ❑Health-dirt facilities. ❑Recreational vehicle parks.
Suite/bld /a t. 0 Hazardous locations. ❑Supply voltage for more than
g• P #: Project name: ELLERMEIER,RICHARD
0 Service or feeder 600 amps or more. 600 volt,nominal.
Cross street/directions to job site: FEE SCHEDULE
ikeedptioa I Qtr. 1 Farb i Twat I v
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.R.or portion 33.92 1
DESCRIPTION OF We-vfORK - -- Limited energy,residential
75.00 2
r r ,j+�"�� (wish alcove sq. lti
J�!'s�,rT� Limited energy,multi-family 75.00 2
7.9 kW residential(with above sq.ft.)
PROPERTY OWNER ❑ TENANT Renewable Energy CI See Page 2 I
® Services or feeders installation,alteration,and/or relocation
Name: ELLERMEIER,RICHARD 200 amps or less 100.70 2
Address: 14755 SW 80th Ave Tigard,OR 97224 201 amps to 400 amps 13356 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard,OR 97224 601 amps to 1,000 amps 301.04 2
Phone:( 503-7)03-4675 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This ineratlation is being made on property that I own which is not 200 amps or less 5936 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 ,
pr AP�,LCANT J81 CONTACT PERSON
`
Bench circuits—new,alteration,or eateasion,per pane
( L fP !��{ � A.Fee for branch circuits with
Business name: t l 7 1 4 gw""� above service or feeder fee, 7.42 2
\'1�i( rack brunch circuit
' Contact name: .. >.• \Le5 e B.Fee for branch circuits wirhouf 1
,� '�p service or feeder fee,fast 56.18 2
Address: (IAA �\.� J�t/e./�� branch circuit
City/State/ZIP: t Vey �,��L,,. [/�A. Nn.L1 Fach add'1 branch circuit 7.42 2
f l Miseaseneons(stroke or feeder not included)
Phone:(61} ) ei i 71 Fax::( ) Each manufactured or modular 6784 2 ,
{,,, dwrelling,service and/or feeder
Email: �+ „11-4V.Ea®f ci r&c l.5 S • g-t€k Reconnect only 67.84 2
`fAL JCON"TRACTOR ' Pump or irrigation circle 67.84 2
i Business name: ifgi.i1 '� l[�� Sign or outline lighting 67.84 2
��11��' r` panel.
circuits)or limited-energy
extension.
❑. ��e2 2
Address: 1 Va :! � paneE.alteration,or extension.
City/State/ZIP: iU ( .i.-A--p c. a 'A?(0%,( Each additional inspection over allowable in any of the above
5-3
A a }� t� Additional inspection(i hr min) 66.25/hr
Phone:(913) 5-3*d•+ 177 1r- Fax:( ) Investigation(1 hr min) 90.00/hr
J It ,��,.a,(�, (�}•'� Industrial plant hrmin) 78.18/hr
Email: v l dae' e Vw Cy `�p`" in„..s for which no fee is
V specifically'listed(4:hr min} I 90.00/fir
1 CCB Lia: I( 4Z, Electrical -+. Suprv.Lic.: 1 72,4 S
i AA ELECTRICAL PERMIT FEES
Suprv.Electric': signature,retlu :ii4 � Subtotal:
❑Plan Review Required(25%ofpermit fee):
name: �'. O 4i Date: 5/5/23aN
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
�+"�_ This permit application expires if a permit is not obtained within 186
Print name: Date: 5/5/23 days after it has been accepted as complete.
• Number of inspections allowed per permit.
b\luddingtl'ermtsdii.0 PamitApp Et.R_EB.E.doe Rev tffi'17/2015 44046)5T(11/05/COM/WEB
w *
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
DFee for all residential systems combined: $75.00 Renewable I Qty. I Each l Total
y R®ewable electrical energy systems:
Check Type of Work Involved: s kva 1 7° _ z
5.01to15kva 133.56 2
0 Audio and Stereo Systems* o25 kva —zso34 2
Wind generation systems in excess of 25 kva:
0 Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
0 Garage Door Opener* 100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
0 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:
O Other: Each additional inspection is 66.25!hr
charged at an hourly(1 be min)
Inspections for which no fee is 90.00I hr
specifically listed(%i hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):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*
r] 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
\nuixdinstPermea\:LC_PeemkApp Eta_ERE.doc Rev06r'17401S
RECEIVED
City of Tigard MAY 3 0 2023
.li .g
�� Building Division CITY OF TIGARD
• 13125 SW Hall Blvd,Tigard,OR 97223 BUILDING DIVISION
Phone: 503.718.2439 Fax: 503.598.1960
TIGARD 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: 14755 SW 80th Ave
City: Tigard Zip: 97224
Owner's Name: Richard Ellermeier Date: 5/8/2023
Contractor's Name: Pro-Stat Services LLC CCB #: 189902
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? O No OSSC or ORSC for
design requirements.
•
Yes
Wind Exposure Is the wind expsure 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 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?
If"Yes", qualifies for
structures other than
0 Yes the prescriptive path.
above
0 No
1
I:Building/Forms/PhotoVoltaic-Checklist02-01-I I.docx
Is the construction Q Yes
Type of material wood and does
the construction qualify If"Yes",qualifies for
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
the prescriptive path.
® No
Roof framing
members Is the spacing 24 inches
or less?
If"Yes",qualifies for
Nominal lumber.
® Yes the prescriptive path.
0 No
Is the combined weight • Yes
of the PV modules and If"Yes", qualifies for
racking less than or 0 No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation (� Yes
layout in accordance ` If"Yes", qualifies for
with Section 305.4(3) of ® No the prescriptive path.
the 2010 Oregon Solar
Code?
0 Metal
Single layer If roofing material is
Roofing ® of wood Check the type of one of the three types
material roofing material shingle/shake checked,qualifies for
Max. two layers the prescriptive path.
0 of composition
shingle.
Is the roof mounted Yes
Connections of solar assembly 0
the solar assembly connected to roof 0 No If"Yes",qualifies for
framingblockingthe prescriptive path.
to the roof or
directly?
2
I:Building/Forms/Photo Voltaic-ChecklistO2-01-11.docx
Is the gauge 26 or less? ® Yes If"Yes",qualifies for
0 No the prescriptive path.
115 lbs for 60 inch
spacing or less?
If"Yes", qualifies for
® Yes the prescriptive path.
0 No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes", qualifies for
0 Yes the prescriptive path.
0 No
Attachment of
roof mounted If the spacing falls
solar systems Spacing of clamps? Minimum 24 inches within 24 inches and 60
directly to inches Maximum 60 inches inches, qualifies for the
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.
0 No
Is the roof decking of
WSP min. ''/2"thickness, 0 Yes
decking connected to If"Yes", qualifies for
framing members Q 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 O Yes the prescriptive path.
surface. 0 No
3
I:Building/Forms/Photo Voltaic-Checklist02-01-l 1.docx
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: Mission Solar
Model Number: MSE395SX9R
Listing Agency: UL 1703
4
I:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx