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Permit
11CITY OF TIGARD MASTER PERMIT a ' COMMUNITY DEVELOPMENT Permit#: MST2023-00290 Date Issued: 07/13/2023 T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S134CC03800 Jurisdiction: Tigard Site address: 12414 SW WINTER LAKE DR Subdivision: CAPSTONE Lot: 5 Project: Kuhn Project Description: Rooftop solar PV system 5.33 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: $4,230.00 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: 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: Rooftop solar array 5.33 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: KUHN,ANNETTE G ELEMENTAL ENERGY LLC Required Items and Reports(Conditions) 12414 SW WINTER LAKE DR 1339 SE 8TH AVE#B TIGARD,OR 97223 PORTLAND,OR 97214 PHONE: PHONE: 503-967-5786 FAX: Total Fees: $356.19 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 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR QS9-M1-nn1 n thrni inh neaq QS9-nnl-noon Vnu min of fhc n ilce nr rlircrt ni,cetinne to fll INC by rnllinn Sn3 939 1 QR7 nr i RM 319 914 l nv '/ Issued By: .fir-, .. Permittee Signature: (20-°; � C: 1- 7 all 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 iob site at the time of each inspection. Building Permit Applicatio -° Residential ' _ �y q /�� rtliz<>rr►c-l: l S►�:t�Ni.N �/ [f�j City of Tigard I i � RDateBy l 1 U 1 14 i/ ' AD Permit No.:(VIM U�..00 1 I V 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review (ji11 ,Phone: 503.718.2439 Fax: 503598 190 Date/By: iii / Other Permit: I1ci \R t) Inspection Line: 503.639.4175 E Date Ready/By: .1 ris: o See Page 2 for Internet: www.tigard-or.gov Notified/Method: I d-./1 D "11 . I Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑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 R]Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. E1-and 2-family dwelling ❑ m Comercial/industrial Valuation: $ 4230 ❑Accessory building ❑Multi-family Number of bedrooms: ElMaster builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12414 Sn►Jthwest Winter LakA Drive New dwelling area: square feet City/State/ZIPTi(gard, OR 9 273 Garage/carport area: square feet Suite/bldg./apt.no.: I Project nameAnnette Kuhn Residence 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.: 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. Annette Kunh -4.23KWAC Prescriptive Roof Mounted Grid Valuation: $ Tied PV Solar System Existing building area: square feet New building area: square feet 11 PROPERTY OWNER ❑ TENANT Number of stories: Name:Annette Kuhn Type of construction: Address: 12414 Southwest Winter Lake Drive Occupancy groups: City/State/ZIP: Tigard, OR 97223 Existing: Phone:( ) 503-320-4916 Fax:( ) New: ❑ APPLICANT ® CONTACT PERSON `'BUILDING PERMIT FEES* Business name: Elemental Energy LLC (Please refer ro fee schedule) Structural plan review fee(or deposit): Contact name: Alec Sommer Address: 6800 NE 59th Place FLS plan review fee(if applicable): City/State/ZIP: Portland OR 97218 Total fees due upon application: Phone:( 920-392-9884 Fax::( ) Amount received: E-mail: permits@elementalenergy.net elementalenergy.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: Elemental Energy LLC and fire department access,along with the 2010 Oregon Address: 6800 NE 59th Place Solar Installation Specialty Code checklist. City/State/ZIP: Portland OR 97218 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) 920-392-9884 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 1951 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: Molly Becket Date: 6/19/2023 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Petmits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(11/02/COM/WEB) 4 Building Permit Application Checklist One- and Two-Family Dwelling roll orr,ci: ist: o'i.N City of Tigard Received Permit No.: Date/By: 1111 g 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: I Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 El Electrical 0 Plumbing 0 Mechanical T 1<'.4 K 1> Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1es y° y, k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 ❑ 3 Verification of approved plat/lot. 0 0 0 4 Fire district approval required. Name of district: 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity 0 0 0 6 Sewer permit. El 0 El Water district approval. 0 CI 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0 basin protection,etc. 0 0 0 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. ❑ CI 0 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size and location. 0 0 0 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. El 0 0 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 0 0 0 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 ❑ 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. ❑ 0 0 20 Manufactured floor/roof truss design details. 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. El 0 0 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review. 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 0 ❑ 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0 27 "Drawn to scale"indicates standard architect or engineer scale. 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard 0 ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. El 0 El A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9, 1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE FSI: ()\1.\ lf� � t � s City of Tigard `' - Received • ICINIIIIIII 13125 SW Hall Blvd.,Tigard,OR 97223 DateB : Related Pe \ ` illig Plan Review a Phone: 503.718.2439 Fax: 503.598. 6Q ;' ' Date/B : Permit#: Inspection Line: 503.639.4175 Ready I I G A R 1) D ate/By: Avis' ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK ' PLAN REVIEW ❑New construction ©Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ElDemolition 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. IE 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 ❑Master builder ❑Other: ❑Fire pump. 0 Insta]lation of 150 KVA or JOB,SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: R23-1140 Job site addressl 2414 Southwest Winter Lake Drive°Addition of new motor load of system. 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP: Tigard, OR 97223 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Annette Kuhn Residence 0 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 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.It.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Annette Kuhn -4.23kwac Prescriptive Roof Mounted Grid (with above sq.ft.) 75.00 2 Tied PV Solar System Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 0PROPERTY OWNER 0 TENANT' Renewable Energy See Page 2 Services or feeders installation,a pee and/or relocation Name:Annette Kuhn 200 amps or less 100.70 2 Address:12414 Southwest Winter Lake Drive 201 amps to400 amps 133.56 2 city/state/ZIPTigard, OR 97223 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Phone:( )503-320-4916 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: netgkn1@gmail.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 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 0 APPLICANT E CONTACT PERSON Branch circuits-c new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Elemental Energy LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Alec Sommer B.Fee for branch circuits without service or feeder fee,first Address: 6800 NE 59th Ave branch circuit 56.18 2 City/State/ZIP: Each add'l branch circuit 7.42 2 Phone: 503)9675786Miscellaneous(service or feeder not included) ( Fax::( ) Each manufactured or modular 67.84 2 Email: permits@elementalenergy.net dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Elemental Energy LLC Sign or outline lighting 67.84 2 6800 NE 59th Place Signal circuit(s)or limited-energy Address: panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Portland, Or 97128 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 503 9675786 Fax:( ) Investigation(1 hr min) 90.00/hr Email:permits@elementalenergy.net Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 195141 Electrical Lie.: C1228 .,Suprv.Lic.: 4894S specifically listed CAA hr min) 90.00/hr Suprv.Electrician signature,required: ' ELECTRICAL PERMIT FEES i% Subtotal: Print name: David Gerke Date:6/19/2023 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Molly Beckel Date: 6/16/2023 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PemtitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I 1/05/COM/WEB 4 • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 1 100.70 2 Check Type of Work Involved: 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 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ 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('/2 hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1): 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 n 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 I:\Building\Permits\ELC_PermitAPP_ELR_ERE.doe Rev 06/17/2015 r City of Ti gard Building Division.111 • 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:12414 Southwest Winter Lake Drive City: Tigard, OR Zip: 97223 Owner's Name: Annette Kuhn Date: 6/22/23 Contractor's Name: Elemental Energy LLC CCB #: 195141 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 Exposure Is the wind exposure 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 l I:Building/Forms/Photovoltaic-Checklist02-01-11.docx I Is the construction In Type of material wood and does Yes If"Yes", Yes , qualifies for the construction qualify ❑ No the prescriptive path. Construction as"conventional light frame"construction? Is the spacing 24 inches or less? If"Yes", qualifies for Pre-engineered trusses. X❑ Yes the prescriptive path. ❑ No Roof framing members Is the spacing 24 inches or less? If"Yes", qualifies for Nominal lumber. ❑ Yes the prescriptive path. ❑ No Is the combined weight 0 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 If"Yes", qualifies for with Section 305.4(3) of ❑ No the prescriptive path. the 2010 Oregon Solar 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. II of composition shingle. Is the roof mounted ❑X Yes Connections of solar assembly If"Yes", qualifies for the solar assembly connected to roof ❑ No the prescriptive path. to the roof framing or blocking directly? 2 I:Building/Forms/PhotoVoltaic-Checklist02-01-1 1.docx ❑ 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. ''Y2"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 ® Yes the prescriptive path. surface. ❑ No 3 I:Building/Forms/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: Rec Solar Model Number: REC410AA PURE (410W) Listing Agency: UL 61730 4 I:Building/Forms/Photo Voltaic-Checklist02-01-11.docx