Permit rnsi z 523-ooREC t 3d
or21:3
City of Tigard
"
Building Division APR 1
13125 SW Hall Blvd,Tigard,OR 97223 CITY OF
Phone: 503.718.2439 Fax: 503.598.1960 BUILDING DIVISION
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: 13590 SW Sandridge Dr
City: Tigard
Zip: 97223
Owner's Name: Sebastian Ortiz Date: 4/7/2023
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? X❑ No OSSC or ORSC for
design requirements.
Is the wind exposure 0 Yes If
Wind Exposure "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 ❑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?
structures other than If"Yes", qualifies for
above ❑ Yes the prescriptive path.
❑ No
1
I:Building/Forms/Photovoltaic-Checklist02-01-I I.docx
Is the construction
Type of material wood and does X❑ Yes
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. 0 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 ❑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
Roofing Check the type of n 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 Yes
Connections of solar assembly
the solar assembly connected to roof
ElNo If"Yes", qualifies for
to the roof framing or blocking the prescriptive path.
directly?
2
I:Building/Fomms/PhotoVo]talc-Checklist02-01-11.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
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
3
I:Building/Eons/Photovoltaic-Checklist02-01-11.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: silfab
Model Number: SIL-400 HC+
Listing Agency:
4
I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
CITY OF TIGARD MASTER PERMIT
' _` ' COMMUNITY DEVELOPMENT Permit#: MST2023-00130
T I C;A R.1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2023
Parcel: 2S105DD04600
Jurisdiction: Tigard
Site address: 13590 SW SANDRIDGE DR
Subdivision: PACIFIC CREST Lot: 22
Project: Ortiz
Project Description: Rooftop solar PV system 6.4 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: $4,480.00 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
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'I 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: N Other Description: Roof top solar array 6.4 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:
RAMIREZ,MARIA L ION DEVELOPER LLC Required Items and Reports(Conditions)
ORTIZ,SEBASTIAN 3214 NORTH UNIVERSITY AVE
13590 SW SANDRIDGE DR 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 r-.uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
::::::
n thrni inh ri QSnnlnnon i tin n rnnv oftho rulee nrrlirort ni ioctnnoNrby 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.
Building Permit Application
Residential RECEI ° '
FOR OFFICE USE ONLY
City of Tigard APR 1 0 2023 Received ` ' n nn„
13125 SW Hall Blvd.,Tigard,OR 97223 RA
:a: : f{ L7/Gf ermit Io.: �,i �Phone: 503.718.2439 Fax: 503.598.1960 {�/ eview /�! i�CI I IOF I� ,".. ; : IERMII� Other Permit:
, ,c ,z,, Inspection Line: 503.639.4175 c Date Read/B
Internet: www.tigard-or.gov BUILDING DIVISIO� Y o y� Juris: 0 See age2for
Notified/Method:1 a 2 3 A o . Supplemental Information
EMPAL10 OlS IN
u >F Y,Pi We Ric . :'
<REQUIRED DATA: AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
El Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all
Other: PV Solar equipment,materials,labor,overhead,and the profit for the
* ,r.• v ,, ,,.a_ CATEGORY OFCONSTRUCTIONON,,,
, 4. work indicated on this application.
II 1-and 2-family dwelling ElCommercial/industrial h Valuation: $4,480
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder ElOther: Number of bathrooms:
v ' SOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13590 SW Sandridge Dr New dwelling area: square feet
City/State/ZIP: Tigard, Oregon, 97223 Garage/carport
g arport area: square feet
Suite/bldg./apt.no.: I Project name:Ortiz Solar Install
Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
REQUIRED DATAt,!COM1►7E12cIA'I.;-.'(SSE CHECKLIST
Subdivision: Pacific Crest I Lot no.: 22 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.:2S105DD04600/R2112900
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: $
6.4 kW.Addition of 2 0-30A circuits. Existing building area: square feet
New building area: square feet
1.PROPERTY OWNER .I ,.,; '❑`TENANT 4 Number of stories:
Name: Sebastian Ortiz
Type of construction:
Address: 13590 SW Sandridge Dr
Occupancy groups:
City/State/ZIP: Tigard, Oregon, 97223
Phone:(954 )618-3905 Fax:( ) Existing:
�"APF)(ICANT, New:
'CONTACT PERSON
sf „ s. PUiLRllyPPEH1VT'"FINS*
Business name: ION DEVELOPER LLC (Please refer toe the Jule)
Contact name: Dustin Davidson Structural plan review fee(or deposit):
Address:4801 N University Ave#900 FLS plan review fee(if applicable):
City/State/ZIP: Provo, UT 84604 Total fees due upon application:
Phone:( 888) 781-7074 I Fax::( ) Amotlrtt received:
E-mail: permits@IOnSOIar.COm PHOTOVOLTAICSOLAR PANEL SYSTEM"FEES*
Commercial and residential prescriptive installation of
CONTRACTOR
roof-top mounted Photo Voltaic Solar Panel System.
Business name: ION DEVELOPER LLC Submit two(2)sets of roof plan with connection details
Address: 4801 N University Ave#900 and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Provo, UT 84604 Permit Fee(includes plan review
and administrative fees):
Phone: $180.00
( 888) 781-7074 I Fax:( )
CCB lie.: State surcharge(12%of permit fee): $21.60
230394
����� Total fee due upon application: $201.60
Authorized signature: D , t�./CtTri, Q�L This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Dustin Davidson I Date: 4/7/2023 I *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
RECEIVED
* Electrical Permit Application
FOR OFFICE USE ONLY'APR t Q 2023
City of Tigard Received
Iiii . 13125 SW Hall Blvd.,Tigard,OR 97223Date/B : Permit#:
• Phone: 503.718.2439 Fax: 503.598.196$�D OF TIGRR�
Inspection Line: 503.639.4175 �.7 DIVISIO:''e ° Related Permit#: x -,� ,
I I G A R D eady Date/By: Juris: Page® See!/ 2 for
Internet: www.tigard-or.gov Notified/Method:
Supplemental
*:'f xz r � �f, u piemental Information
t : . r,a TYPE F WO]fLK . ,r., r, :r . 44 xi .__ �'PTA`IY REVIEW }
ElNew construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): N
❑Demolition Other: PV Solar ❑Service or feeder 400 amps or more 0 Building over three stories.
: x: 1 sT�R F CONSTrAPC11:0i t where the available fault current 0 Marinas bud dings. ds.
" � x ;f `* � exceeds 10,000 amps at 150 volts or ❑Floating buildings.
• 1 and 2-family dwelling ❑Commercial/industrial 0 Accessory building less 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 pump.
999 0 Installation 1150y KVA or
" ,J()r E l i?O iClk �t l ANDO,CA It N,. Y 0 Emergency system. larger separately derived
Job#: I Job site address: 13590 SW Sandridge Dr ❑Addition of new motor load of system.
l0OHP or more. ❑"A","E", 'l-2","1-3",
City/State/ZIP:Tigard, Oregon, 97223 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Ortiz Solar Install ❑Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal.
°.„a ,
Fgese 3EDIII,E
Description I Qty. I Each I Total 1 *
New residential single-or multi-family dwelling unit.
Subdivision: Pacific Crest I Lot#: 22 Includes attached garage.
Tax map/parcel#: 2S 105DD04600/R2112900 1,000 sq.ft.or less 168.54 4
r ., Ea.add'l 500 sq.ft.or portion 33.92 1
: t, ,. . ..; 11ES PTIOI J;:OF WORK n..;''. ,
Limited energy,residential
Installation of solar panels on existing residential roof. (with above sq.ft.) 75.00 2
Limited energy,multi-family
6.4 kW.Addition of 2 0-30A circuits. residential(with above sq.ft.) 75.00 2
1'ROI*ERTIr 1•V1Page 2
.. , Q., ,BIZ ,._ �. � 4. �"�'I� 'T'EftA1wTT:; x.
Renewable Energy 0See
Services or feeders installation,alteration,and/or relocation
Name: Sebastian Ortiz
200 amps or less 100.70 2
Address: 13590 SW Sandridge Dr 201 amps to 400 amps 133.56 2
City/State/ZIP: Tigard, Oregon, 97223 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:(954 )618-3905 I Fax:( ) Over 1,000 amps or volts 552.26 2
Email:sebasortiz@msn.com Temporary services or feeders installation,alteration,and/or
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 1
P125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54
2
-ft 111 (M.PPCNT' ° t In Branch circuits—new,alteration,or extension,per panel
Business name: ION DEVELOPER LLC A.Fee for branch circuits with
above service or feeder fee,
Contact name: Dustin Davidson each branch circuit 7.42 2
B.Fee for branch circuits without
Address: 4801 N University Ave#900 service or feeder fee,first
branch circuit 1 56.18 $56.18 2
City/State/ZIP: Provo, UT 84604 Each add'l branch circuit 1 7.42 $7.42 2
Phone:( $$$) 781-7074 I Fax: :( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: dwelling,service and/or feeder 67.84 2
permits@ionsolar.com
Reconnect only
. ., , ": CONTRACTOR .,. _. ". i.;; 2
�,,n ,,;, 67 84
" _" '" 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 Signal circuit(s)or limited energy
panel,alteration,or extension. 0 See Page 2 2
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 I Fax:( )
Investigation(1 hr min) 90.00/hr
Email: permits@ionsolar.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 230394 Electrical Lie.: C 1524 I Suprv.Lic.: 6098S specifically listed(A.hr min) 90.00/hr
Suprv.Electrician signature,required: 'Y ELECTRICAL PERMITFEES ` w. 'Y
Print name: -� Subtotal: $197.16
David S Conrad 1 Date:4/7/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): $23.66
Authorized signature: 7�u5 �a444°I't TOTAL PERMIT FEE: $220 82
Print name: Dustin Davidson This permit application expires if a permit is not obtained within 180
Date:4/7/2023 I days after it has been accepted as complete.
* Number of inspections allowed per permit.
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•
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined: $75.00 Description Qty. Each Total °*
Renewable electrical energy systems:
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
El Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
El Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance
❑ Heating,Ventilation and Air Conditioning with OAR 918-309-0040) 552.26 2
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva-no additional charge o.o
3
ElEach additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr l
Inspections for which no fee is
specifically listed('/2 hr min Ir
..r 0
trtH:- .,ti,;_yarz 4142094
Fee for each commercial system: $75.00 subtotal(Enter on Page 1) 1$133.56
(SEE OAR 918-309-0000) * Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
n 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
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