Permit CITY OF TIGARD MASTER PERMIT
' a . COMMUNITY DEVELOPMENTPermit#: MST2023-00431
3
T f(_AR T) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/28/2023
Parcel: 2S103DD00429
Jurisdiction: Tigard
Site address: 10830 SW FAIRHAVEN WAY
Subdivision: FAIRHAVEN COURT Lot: 9
Project: Bafus
Project Description: Rooftop solar PV system 3.2 kW with 200 amp service.
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right: Detectors:
Total: sf Value: $10,400.00 Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Drains: Storm Sewer:
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Catch Basins:
Footing Drain: Ice Maker: Hose Bib: Backwater Value: Bckflw Prevntr:
Drywell-Trench Drain: Other Fixtures:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=10OK:
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 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: 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
Other: Y Other Description: Rooftop solar array 3.2 kW N
Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB
R-3
Owner: Contractor:
MARJEAN BAFUS LUMIO HX INC Required Items and Reports(Conditions)
10830 SW FAIRHAVEN WAY 2500 MOTTMAN RD SW STE 100
TIGARD,OR 97223 TUMWATER,WA 98512
PHONE: 206-354-8351 PHONE: 360-777-6681
FAX:
Total Fees: $432.17
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
Qc9_nn1_nnln thrnn AR oc ..nn1_nnon ro,m w nhtain n rnnw of thin ndac nr rlirart rnlactinne to ell INC`by Tallinn gill 719 10R7 nr 1 Rnn'i19 9'3dd
Issued By: Permittee Signature: 5 a•'e' �f f c`t i-;D d�
Call 503.63 .4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be ept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
x Building Permit Application
Residential f. . FOR OFFICE USE ONLY
�.,•` Received /� �/� Q �$�
City Of Tigard DateBy: �/ I��/ �p Permit No.: MS ` ZJ.CYJ4 1
Ili
ECE
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review V
I Phone: 503.718.2439 Fax: 503.598.196(A U G 2 2 Date/By: Zt12 Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: J s. El See Page 4 for
Internet: www.ti and-or. ov Notified.Method:(]/1..)...` A Supplemental Information
g g CITY OF TIGARD /1
���' E 4 rci (p tb u.�.
TYPE OF 1 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: equipment,materials,labor,overhead,and the profit for the
CATEGORY-:OF"CONSTRUCTION E,, work indicated on this application.
lit. _® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $10400.00
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND,LOCATION .1.:, ;. Total number of floors:
Job site address:10830 SW Fairhaveviway New dwelling area: square feet
City/State/ZIP:Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solar project- Bafus 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.: J 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.
3.2kwdc rooftop photovoltaic system and main panel upgrade Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑'TENANT f Number of stories:
Name:Marjean Bafus Type of construction:
Address:10830 Southwest Fairhaven Way Occupancy groups:
City/State/ZIP:Tigard, Oregon 97223 Existing:
Phone:( 206)354-8351 Fax:( ) New:
0"APPLICANT „ , GOl!i, PERSON BUILDING PERMIT FEES*
. a
Business name:LUMIO HX (Please rejerto fee schedule):.,
Structural plan review fee(or deposit):
Contact name:Jessica Paxton
FLS plan review fee(if applicable):
Address:1550 W Digital Dr.
Total fees due upon application:
City/State/ZIP:Lehi/UT/84043
Phone:( 360)777-6681 Fax::( ) Amount received:
E-mail:PNW.PERMITTING@LUMIO.COM PHOTOVOLTAIC SOLAR.PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR , roof-top mounted Photo Voltaic Solar Panel System.
Business name:LUMIO HX Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:1550 W Digital Dr. Solar Installation Specialty Code checklist.
City/State/ZIP:Lehi/UT/84043 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 360)777-6681 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:242553 Total fee due upon application: $201.60
Authorized signature: �� D6,t,„.td, This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Tearua Downs Date:8/17/2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received y � mum
1,1 li DateB : ril a 13125 SW Hall Blvd.,Tigard,OR 9 Plan Review
MI Phone: 503.718.2439 Fax: 503.59AECEIVED DateB : Related Permit#:
T I G A R D Inspection Line: 503.639.4175 Ready Date/By: lurk: ® See Page 2 for
Internet: www.tigard-or.gov Notified Method: Supplemental Information
7 2023
TYPE.OF,WORT 4a r 4,,,,,," w A��., b f"�F„da;F%rfR„;R. r,Y Xxdtt��. v ,„ ;�<x c�„,s,..< y%E :� W N��. . .,",�x�, '.
❑New construction ®Addition/alteratiolt713[Q(�d0fle iIGARD Please check all that apply(submit 2 sets of plans w/items checked):
El Demolition ❑Other: VV9�'rr�' ,, ❑Service or feeder 400 amps or more ❑Building over three stories.
❑u� DING DIVISIONwhere the available fault current
idL�� 0 Marinas and boatyards.
x 1„ , / :r, , CATEGORY„OF,CONSTRUCTION r, mr""" 2 Vie, i#„: exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
,x JOB'''SITE ANVORmATION:AND:tOCATiOKM;;VAVINz; 0 Emergency system. larger separately derived
0 Addition of new motor load of system.
Job#: Job site address:10830 Southwest Fairhaven Way 100HP or more. ❑"A",°`E",°`I-z",°1-3",
City/State/ZIP:Tigard, Oregon 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solar project- Bafus ❑Hazardous Locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: gfa FEE SCHEDIIE,E `,t
Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
',„ ,., ;x,.lw . „ DESCRIPTION,OF",4WORK , r ,,.; , Y ` )4$ Limited energy,residential
(with above sq.It.) 75.00 2
3.2kwdc rooftop photovoltaic system and main panel upgrade Limited e gy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
„"�. ROPERTV OWNER =:e ,y ❑ EN 4N`I` " "M �% Services or feeders installation,alteration,and/or relocation
Name:Marjean Bafus 200 amps or less 1 100.70 2
Address:10830 Southwest Fairhaven Way 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard, Oregon 97223 601 amps to 1,000 amps 301.04 2
Phone:( 206)354-8351 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:marjean.Bafus@hotmail.corn 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
Branch circuits—new,alteration,or extension,per panel
v®;APPLICANT IIZI'CONTCTj PERSON. re A.Fee for branch circuits with
Business name:L U M I O HX above service or feeder fee, 7.42 2
each branch circuit
Contact name:Jessica Paxton B.Fee for branch circuits without
service or feeder fee,first
Address:1550 W Digital Dr. branch circuit 56.18 2
City/State/ZIP:Lehi/UT/84043 Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(360)7776681 Fax: :( ) Each manufactured or modular
Email:PNW.PERMITTING@LUMIO.COM dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
�t^,, s„l .A,., 1t..CO,N RAcTUI a``'n ' ?„„lit, P t Pump or irrigation circle 67.84 2
Business name:LUMIO HX Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 1550 W Digital Dr. panel,alteration,or extension. ® See Page 2 2
City/State/ZIP:Lehi/UT/84043 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(360)7776681 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:PNW.PERMITTING@LUMIO.COM Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.:242553 Electrical Lic.:C 1757 Suprv.Lic.:6716S specifically listed(%z hr min) 90 00/hr
i ,FEES 1,
;. .71, ... r� �RLCI�ICr�T.�I�SItI`T a �r � �
Suprv.Electrician signature,required:,jr�y ;, , Subtotal:
Print name: Bryson Jeffs sate:8/17/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: P ifi TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Jessie axton Date:8/17/2023 * days after it has been accepted as complete.
Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL;WORK ONLY <a ..a It a .FEE,SCHEDUL
Fee for all residential systems combined: $75.00Rene 1on I Qty. I Each I Total I *
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 2
5.01 to 15 kva 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 so kva 301.04 2
❑ 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 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 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY i s LEC R1CAt°PERMIr;>EES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* 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
City of Tigard
II
'' Building Division IVED
13125 SW Hall Blvd,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 AUG2 2 2023
T I GARD Inspection Line: 503.639.4175 e
www.tigard-or.gov CITY OF T'�aAAD
BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address:10830 Southwest Fairhaven Way
City: Tigard Zip: 97223
Owner's Name: Marjean Bafus Date: 8/17/2023
Contractor's Name: LUMIO HX CCB #: 242553
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? ® No OSSC or ORSC for
design requirements.
Wind Ex osure Is the wind exposure ® Yes If"Yes", qualifies for
p "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 V 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:Building/Forms/Photo Voltaic-Checklist02-01-11.docx
Is the construction
material wood and does Yes
Type of 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?
Nominal lumber. ® If"Yes", qualifies for
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
with Section 305.4(3) of If"Yes", qualifies for
Elthe 2010 Oregon Solar No the prescriptive path.
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.
® of composition
shingle.
Is the roof mounted Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
I:Building/Forms/Photo Voltaic-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
directly to inches Maximum 60 inches inches, qualifies for the
standing seam prescriptive path.
metal panels If the width of the panel
Width of roofing is less than 18 inches,
panels? 18 inches or less
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. 'IA"thickness, V 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 ® Yes the prescriptive path.
surface. ❑ No
3
1•Building/Forms/Photo Voltaic-Checklist02-01-1 I.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:Q CELL Q. PEAK DUO
Model Number:BLK ML-G10+(400W)
Listing Agency:
4
L•Building/Forms/PhotoVoltaic-Checklist02-01-11.docx