Permit I' C-ZcZg- CO\ctt
City of Tigard MAY 23
Building Division
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: 9879 SW Landau PI
City: Tigard Zip: 97223
Owner's Name: Scott Groshong Date: 04-27-2023
Contractor's Name: ION Developer LLC CCB #: 230394
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? 0 No OSSC or ORSC for
design requirements.
Wind Exposure Is the wind exposure 0 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 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?
structures other than If"Yes", qualifies for
❑ Yes the prescriptive path.
above
❑ No
1
I:/Building/Forms/PhotoVoltaic-Checklist02-01-1 l.docx
Document Ref:P3K3F-XCWCJ-SQCJW-RT692 Page 4 of 7
Is the construction
111 material wood and does Yes
Type of 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
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. ElIf"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 0 Yes
with Section 305.4(3)of If"Yes", qualifies for
the 2010 Oregon Solar ❑ No the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
RoofingCheck the type of ❑ ofwood
d
yhone 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 X❑ yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
ElNo the prescriptive path.
to the roof framing or blocking
directly?
IlBuilding/Forms/Photovoltaic-Checklist02-01-1 I.docx 2
POcurla nt Ref.P3K3l)CQV FCJ-SQCJw-RT892 ' r
f; Page--01I
❑ Yes If"Yes"
Is the gauge 26 or less? , 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
directl to inches inches, qualifies for the
y Maximum 60 inches 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.
❑ No
Is the roof decking of
WSP min. t/2"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
solar modules module to the roof X❑ Yes the prescriptive path.
surface. ❑ No
I:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx 3
A'Document Ref:P3K31=-XCW SQCJW RT69 . Page of I
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:
IJBuilding/Forms/Photovoltaic-Checklist02-01-1 I.docx 4
.DQcument Ref P3I6F Xt /CI-SQCJW RT692
Page 7 of 7-
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•v.' Signer Timestamp Signature !••••
�.�.: Dustin Davidson .':•:'
;•n Email:dustin.davidson@ionsolar.com /�/'f,f j��jff '.•••:
;.,*%.; Sent: 27 Apr 2023 18:53:33 UTC I v.;
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CITY OF TIGARD MASTER PERMIT
F COMMUNITY DEVELOPMENT Permit MASTER
MST2023-00191
Date Issued: 05/25/2023
T[GAP:.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S125CD08000
Jurisdiction: Tigard
Site address: 9879 SW LANDAU PL
Subdivision: TIGARD WOODS Lot: 6
Project: Groshong
Project Description: Rooftop solar PV system 6.8 kW and (2)circuits.
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: $4,760.00 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
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''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-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 6.8 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:
GROSHONG,SCOTT C ION DEVELOPER LLC Required Items and Reports(Conditions)
GROSHONG,EILEEN P 3214 NORTH UNIVERSITY AVE
9879 SW LANDAU PL 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
Qc9-MN-M1n thrni inh(lAP Q69 1-nno Vnn av nhtain a r v of then nilac nr direnrt ni ienetinne to(II IN(:by Tallinn cm 919 1QA7 nr 1 Ann T 91dd
Issued By: Permittee Signature:7 //d 7GC/
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.
Building Permit Application , r.;_
Residential V 1'—
FOR OFFICE USE O\LN"
City of Tigard MAY 2 2223 Reeeived 5111213. 'fl'p
u 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: Permit No.: M S Z 2 3 ��'q
.14 S Plan Review V
Phone: 503.718.2439 Fax: 503.598.1960 �.,--� r- l r , Date/By: t -3 l Other Permit:
Inspection Line: 503.639.4175 I I to Read B Juri4:
l IGAtti> �r g g gg>p Y yd � See Page 2for
Internet: www.tigard-or.gov G 1Lyii i:! Di� l 'iNbtiSed/Method:✓ ?3 Supplemental Information
1 D4�ffi`i
. TYPE OF WORK , ;REQUIRED DATA:1-ANDu AMILY DVi ILLING ,.
0 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
work indicated on this application.
CATEGORY OF CONSTRUCTION pp
® 1-and 2-family dwelling ElCommercial/industrial Valuation: $4,760
0 0 Accessory building ID Multi-familyNumber of bedrooms:
1 0 Master builder ❑Other: Number of bathrooms:
JOB-SITE INEt3RMATI(Q>~i AND LOCATION
Total number of floors:
Job site address: 9879 SW Landau PI New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Groshong Solar Install Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUJ EDDATA COMMERCIAL U E CHECKLIST
Subdivision: Tigard Woods Lot no.: 6 Permit fees*are based on the value of the work performed.
Tax map/parcel no.: 1S125CD08000/R2081399 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.
Installation of solar panels on existing residential roof. Valuation: $
6.8 kW.Addition of 2 0-30A circuits. Existing building area: square feet
New building area: square feet
El PROPERTY OWNER <;Q TENANT Number of stories:
Name: Scott Groshong Type of construction:
Address: 9879 SW Landau PI Occupancy groups:
City/State/ZIP: Tigard, Oregon 97223 Existing:
Phone:((503))836-4990 Fax:( ) New:
® APPLICANT
CONTACT PRSON BI3Ii,DING: 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
Phone:( 888) 781-7074 Fax: ( ) Amount received:
E-mail: pernlltS p�IOnSOIar.COnl PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*'
nfx i Commercial and residential prescriptive installation of
CONTRACTOR t:- roof-top mounted Photo Voltaic Solar Panel System.
Business name: ION Developer LLC Submit two(2)sets of roof plan with connection details
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: 1f/� // This permit application expires if a permit is not obtained
' .•^F within 180 days after it has been accepted as complete.
Print name: Dustin Davidson Date: 04-27-2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPemiitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Document Ref:P3K3F-XCWCJ-SQCJVJ-RT692 Paget.of 7
Electrical Permit ApplicatioNn, -1 j FOR OFFICE USE ONLY
City of Tigard MAY 2 2323 Received
Date/B : Permit#:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ Phone: 503.718.2439 Fax: 503.598.pp.,,e 3 Date/B : Related Permit#:
Inspection Line: 503.639.4175 i `,.r +1 D Ready Date/By: hiris: ® See Page 2 for
1 I G A R t) Internet: www.ti and-or. ov a 3 i` ;i + y ,, r wA t Notified/Method: Supplemental Information
g g ��u,t-✓ia��,v. Ldi d oule.SiV
''` TYPE OF WORK . , N fa¢ PLAN REVIEW
xM,
❑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: PV Solar where the available fault current 0 Marinas and boatyards.
,CATEGORY OF?CO STROCTTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
E 1-and 2-family dwelling El Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION ND CATION `£ 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 9879 SW Landau PI 100HP or more. ❑"A","E","1-2","1 3',
0 Six or more residential units. occupancy.
City/State/ZIP: Tigard,Oregon 97223 0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Groshong 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: Tigard Woods Lot#: 6 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 1 S125CD08000/R2081399
Ea.add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK r, Limited energy,residential
Installation of solar panels on existing residential roof.
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
6.8 kW.Addition of 2 0-30A circuits. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
1XI,PROPERTY OWNER 0 TENANT= iv,. * Services or feeders installation,alteration,and/or relocation
Name: Scott Groshong 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 9879 SW Landau PI 401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard,Oregon 97223 601 amps to 1,000 amps 301.04 2
Phone:((503))836-4990 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: groshongk9@yahoo.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
® APPLICANT CI;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, 7.42 2
each branch circuit
Contact name: Dustin Davidson B.Fee for branch circuits without
service or feeder fee,first 1 56.18 56.18 2
Address: 4801 N University Ave#900 branch circuit
City/State/ZIP:Provo, UT 84604
Each add'l branch circuit 1 7.42 7.42 2
Miscellaneous(service or feeder not included)
Phone:(888) 781-7074 Fax: :( ) Each manufactured or modular 67.84 2
Email: dwelling,service and/or feeder
permits@ionsolar.com Reconnect only 67.84 2
w .; CONTRACTOR, Pump or irrigation circle 67.84 2
Business name: ION Developer LLC Sign or outline lighting 67.84 2
Address:4801 N University Ave#900 Signalalteration,
circuit(s)or limited-energy ❑ See Page 2 2
y 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) 78.18/hr
permits@ionsolar.com Inspections for which no fee is
s ecifically listed(V2 hr min 90.00/hr
CCB Lie.: 230394 Electrical Lie.: C1524 Suprv.Lie.: 6098S )
,` ELECTRICAL J'EIT TEES
Suprv.Electrician signature,required: �,� a� Subtotal: 197.16
Print name: David S Conrad Date: 04-27-2023 0 Plan Review Required(25%of permit fee):
^ State surcharge(12%of permit fee): 23.66
Authorized signature: .,.!�' TOTAL PERMIT FEE: 220.82
This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date: 04-27-2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB
Document Ref:P3K3F-XCWCJ-SQCJW-RT692 Page 2 of 7
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RE$ WE T, '.£. OW0 . . .. *
Fee for all residential systems combined: $75.00 °° � . x
Renewable electrical energy systems: Each Total
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 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ 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
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is 90.00/hr
s e ically listed(/hr min)
4 S. PEfIT,.FEES
COR t W,{ lv. l; n Subtotal(Enter on Pagel). 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
❑ 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
L\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015
Document Ref:Pf(3F XCWGJ SgC.f W-RT692 Page 3 of 7