Permit (2) (rl 2623"6013G
RECEIVFD
City of Tigard APR 1 2 2023
0111
P MI
Building Division CITY OF TIGARD
13125 SW Hall Blvd,Tigard,OR 97223
BUILDING DIVISION
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: 6770 SW Taylors Ferry Rd
City: Tigard Zip: 97223
Owner's Name: Derek Demoss
Date: 04-11-2023
Contractor's Name: ION Developer LLc CCB #: 230394
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation
Located in a flood El Yes qualify for the
Area plain/flood way? prescriptive path, follow
0 No OS SC 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 ❑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
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Is the construction
Type of material wood and does 0 Yes
Construction the construction qualify If"yes"
as "conventional light El
, qualifies for
frame"construction? the prescriptive path.
Is the spacing 24 inches
or less?
"
Pre-engineered trusses. If Yes" q
X❑ Yes qualifies for
the prescriptive path.
Roof framing ❑ No
members
Is the spacing 24 inches
or less?
If"Y
Nominal lumber. "Yes",
❑ Yes qualifies for
the prescriptive path.
❑ No
Is the combined weight
of the PV modules and 0 Yes
racking less than or If"Yes", qualifies for
Solar equal to 4.5 psf? ❑ No the prescriptive path.
installation Is the solar installation
layout in accordance 0 Yes
with Section 305.4(3) of
❑ No
the 2010 Oregon Solar If"Yes", qualifies for
the prescriptive path.
Code?
❑ Metal
Roofing Single layer
Check the type of ❑ of wood If roofing material is
material roofing material shingle/shake one of the three types
checked, qualifies for
the prescriptive path.
Max. two layers
of composition
shingle.
Is the roof mounted
Connections of
the solar assemblysolar assembly Yes
connected to roof If"Yes", qualifies for
to the roof framing or blocking ❑ No
the prescriptive path.
directly?
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❑ 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.
n 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 If the spacing falls
solar systems Spacing of clamps? Minimum 24 inches p g
within 24 inches and 60
directly to inches inches, qualifies for the
Maximum 60 inches
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? n Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. 1/2"thickness, ❑ Yes
decking connected to If"Yes", qualifies for
framing members f 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",
solar modules module to the roof Yes qualifies for
the prescriptive path.
surface. ❑ No
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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:
liBuilding/Forms/PhotoVoltaic-Checklist02-01-11.docx 4
Document Ref:;.URINU-UK4A5-5OZDL BSDBB
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CITY OF TIGARD MASTER PERMIT
` ' . COMMUNITY DEVELOPMENT Permit#: MST2023-00136
T f C;Al.n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2023
Parcel: 1 S125DA01601
Jurisdiction: Tigard
Site address: 6770 SW TAYLORS FERRY RD
Subdivision: KINGS VIEW Lot: 1
Project: Demoss
Project Description: Rooftop solar PV system 4.4 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: $3,080.00 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: 1
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 4.4 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:
DEMOSS,DEREK ALAN ION DEVELOPER LLC Required Items and Reports(Conditions)
6770 SW TAYLORS FERRY RD 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: 888-781-7074
FAX:
Total Fees: $412.31
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. ATTENTI N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
QS9-nn1_rim n fhrnnnh R 069-nrN-nnon Vni i m hfmin n rnrni of fhn n Jce nr rlircrf nncefinne to nu INr hu rnllinn SnA 919 1QR n TV,9QA
Issued By: \ t Permfttee 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
FOR OFFICE USE ONLY
City of Tigard ,,,,,,. Received
13125 S W Hall Blvd.,Tigard,OR 97223 !) t Date/By: q I I r2 Permit No.:/ / / 7/1�� �ry��r
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
y / !%t/ (.V
I t G A R I3 Inspection Line: 503.639.4175 G`I @I' DateBy: { �' 23 — Other Permit:
s �.... Date Ready/By:Internet: www.tigard-or.gov BUILDING DlVISIth All I2�•
An ha is: I S See Page 2i Information
MAIL En DUS IN •
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
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
CATEGORY OF CONSTRUCTION work indicated on this application.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3,080
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
�✓ JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 6770 SW Taylors Ferry Rd
New dwelling area: square feet
City/State/ZIP: Tigard,Oregon 97223
Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: Demoss Solar Install
Covered porch area: square feet
Cross street/directions to job site:
Deck area: square feet
Other structure area: square feet
Subdivision: KingsREQUIRED DATA:COMMERCIAL=USE CHECKLIST
VieW I Lot no.: 1 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.: 1 S 125DA01601 /R230048,
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:
4.4 kW.Addition of 1 0-30A circuit.
Existing building area: square feet
New building area: square feet
IgJ PROPERTY OWNER I 0 TENANT
Number of stories:
Name: Derek Demoss
Address: 6770 SW Taylors Ferry Rd Type of construction:
City/State/ZIP: Tigard, Oregon 97223 Occupancy groups:
Phone:((503))756-1852 Existing:
Fax:( )
APPLICANT New:
I0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: ION Developer LLC
(Please refer to fee schedule)
Contact name: Dustin Davidson Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address:4801 N University Ave#900
City/State/ZIP: Provo, UT 84604 Total fees due upon application:
Phone:( 888) 781-7074 Fax::( ) Amount received:
E-mail: p@rCI11tS@IOr1SOlar.COt11 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
Business name: roof-top mounted Photo Voltaic Solar Panel System.
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 Specially Code checklist.
City/State/ZIP: Provo, UT 84604 Permit Fee(includes plan review
Phone:( 888) 781-7074 I Fax:( ) and administrative fees): $180.00
CCB lie.: 230394 State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: �} '%�
,_./ �,/ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Dustin Davidson Date: I *Fee methodology set by Tri-County Building Industry
04-11-2023
Service Board.
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Electrical Permit Application = ��
FOR OFFICE USE ONLY
City of Tigard Received ,
pfl23
Date/B : Permit#:
13125 SW Hall Blvd.,Tigard,OR 97223 ° a1 f_ ��°�
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review ��
Inspection Line: 503.639.4175 Date/B : 12
.
T[G A R D Internet: Line:gard-or.gov CITY � ) Ready Date/By: lmi.: ® See Page 2 for
BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply
pp y(submit 2 sets of plans w/items checked):
❑Demolition ®Other: PV Solar 0 Service or feeder 400 amps or more 0 Building over three stories.
CATEGORY OF CONSTRUCTION where the available fault current ❑Marinas and boatyards.
. exceeds 10,000 amps at 150 volts or 0 Floating buildings.
j 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
El Multi-family ❑Master builder 0 Other:
JOB SITE INFORMATION AND LOCATION ❑Fire pump. ❑Installation at 150 KVA or
❑Emergency system. larger separately derived
Job#: I Job site address: 6770 SW Taylors Ferry Rd 0 Addition of new motor load of system.
100HP or more. ❑"A„ "E" "1-2" "1-3,
City/State/ZIP: Tigard, Oregon 97223 0 Six or more residential units. occupancy.
SUlte/bld /a t.#: ❑Health-care facilities. ❑Recreational vehicle parks.
g• p I Project name: Demoss Solar Install 0 Hazardous locations. 0 Supply voltage for more than
Cross street/directions to job site: ❑Service or feeder 600 amps or more. 600 volts nominal.
FEE SCHEDULE
Description
Y Each Total
Tax map/parcel#: 1 S 125DA01601 /R230048
New residential single-or multi-faQmilyI dwelling uInit.
Subdivision: Kings View Lot#: 1 Includes attached garage.
1,000 sq.ft.or less 168.54 4
DESCRIPTION OF WORK Ea.add'l 500 sq.ft.or portion 33.92 1
Limited energy,residential
Installation of solar panels on existing residential roof. (with above sq.ft.) 75.00 2
4.4 kW.Addition of 1 0-30A circuit. Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
OD PROPERTY OWNER I`~ 0'TENANT Renewable Energy ❑ See Page 2
Name: Derek Demoss
Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Address: 6770 SW Taylors Ferry Rd 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:((503))756-1852 I Fax:( ) Over 1,000 amps or volts 552.26
2
Email: derekCat@gmaIl.COm Temporary services or feeders installation,alteration,and/or
relocatin
Owner installation:This installation is being made on property that I own which is not 200 ampso or less
P 125.08
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps59.36 2
2
Owner signature: Date: 401 amps to 599 amps 168.54
2
ag APPLICANT I 0 CONTACT PERSON 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: each branch circuit 7.42 2
Dustin Davidson B.Fee for branch circuits without
Address: 4801 N University Ave#900 service or feeder fee,first 1
branch circuit 56.18 56.18 2
City/State/ZIP: Provo, UT 84604 Each add'1 branch circuit
7.42 2
Phone:( $$$) 781-7074 I Fax: :( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: permits@ionsolar.eom dwelling,service and/or feeder 67.84 2
CONTRACTOR Reconnect only 67.84 2
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. ❑ 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(]hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 230394 I Electrical Lie.: C1524 Suprv.Lie.: 6098S specifically listed(' hr min) 90.00/hr
Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES
tiOoliaz A e
Subtotal: 156.88
Print name:
David S Conrad Date: 04-11-2023 0 Plan Review Required(25%of permit fee):
wed State surcharge T(12%L of permit
MIT FEE:
18.82
Authorized signature: .�// TOTAL PERMIT FEE:
175.70
Print name: Dustin Davidson I This permit application expires if a permit is not obtained within 180
Date: 04-11-2023 J days after it has been accepted as complete.
* Number of inspections allowed per permit.
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Page 2 of 7
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESID1NTL4L;WORK ONLY: 'EE SCHEDULE..,
Fee for all residential systems combined: $75.00 Descriptions I Qty• I Each I T°tal# j *
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
ElBurglar 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
with OAR 918-309-0040) 552.26 2
Heating, Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
El
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 ]
Inspections for which no fee is
specifically listed(A hr min) 90.00/hr
CUMMtRtCIAI.WORK ONLY: y,. ry ..; ELECTRICAL PERMIT,FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 1100 70
(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
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ N• urse Calls
❑ Outdoor Landscape Lighting*
❑ P• rotective Signaling
❑ O• ther:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
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