Permit CITY OF TIGARD MASTER PERMIT
. COMMUNITY DEVELOPMENT Permit#: MST2023-00438
T I(,;Ali i) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2023
Parcel: 1 S 133DA08900
Jurisdiction: Tigard
Site address: 11078 SW 130TH AVE
Subdivision: CASTLES AT BRITTANY Lot: 19
Project: Gray
Project Description: Rooftop solar system 4.92kW.
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: $9,000.00 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
Roof topsolar array4.92N
Other: Y Other Description: kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
GRAY,EVELYN LEE SUNPATH SERVICES LLC Required Items and Reports(Conditions)
11078 SW 130TH AVE PO BOX 751
TIGARD,OR 97223 CANBY,OR 97013
PHONE: PHONE: 503-313-7253
FAX:
Total Fees: $314.38
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•k: Oregon law re•uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc i-M1 n thrni 1 - 0c9-nr11-nnon ir,nxi nhtnin m rnnu of the.n Jec nr riirenf nneetinne to cm INR hx,n.11inn 5nR 9'49 1 QA7 nr 1 A 9 9144
Issued By: -i7i1Z"--' 7 iitly Permittee Signature: t _--------.__
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 lob site at the time of each inspection.
Building Permit ApplicaticRECEIVED
Residential AUG 8 ���� FOR OFFICE USE ONLY
City of Tigard Receiv 4
Date/By: i`J !� ,)w'�0 4J 8
13125 SW Hall Blvd.,Tigard,OR 97223ITY OF TIGARD Plan Review ��
Phone: 503.718.2439 Fax: 503.59 2 Other Permit:
r I t A R n Inspection Line: 503.639.4175 ���D D N G DIVISION Date R adyBy: Q f NI/
h la See Page 4 for
Internet: www.tigard-or.gov Notified/Method: 1 W� • k P e . I Supplemental Information
Eu 64.r... . . • vJ _
., it O ,P 4 ,yf. a r c ,,-,1 4t i.9 0 1 i i ,1 4 t r yl✓w�Est,
❑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 Q Other: Solar equipment,materials,labor,overhead,and the profit for the
# a- it s 4 , , ,�, ., , i work indicated on this application.
® 1-and 2-famil dwellin Valuation: $9,000
Y g ❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
. f a + r r i Total number of floors:
—
Job site address: 11078 SW 130th Ave New dwelling area: square feet
City/State/ZIP: Portland, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solar-- Evelyn Gray&Keith Koplitz Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
riA9 r 4 ,+ a« a �x€tom I
a.,, .w 4..104k3r v;s.aae6!y.,4,-':sE.ua,r, %..,.,d,4.,,. •. ,'„xxb,,,,,
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
>7elialt t** :' ' ,; , , « work indicated on this application.
.... .a ,. .0 �
Installation of a roof-mounted 4.92kW PV System Valuation: $
Existing building area: square feet
New building area: square feet
zo A. , !
�.ltd ,. ,` ,;., ' � r � Number of stories:
t �, ,
Name:Evelyn Gray&Keith Koplitz Type of construction:
Address: 11078 SW 130th Ave Occupancy groups:
City/State/ZIP: Portland,OR 97223 Existing:
Phone:( 971) 570-0972 Fax ( )
New:
Business name:Sunpath Services .,.. - r . i t .44, t .sf
Structural plan review fee(or deposit):
Contact name: Maggie Ludden
Address: 9978 SW Arctic Dr
FLS plan review fee(if applicable):
City/State/ZIP:Beaverton,OR 97005 Total fees due upon application:
Phone:(907 ) 792-9290 Fax::( ) Amount received:
r ( k ;.
E-mail: maggie@sunpathservices.com ti�,��,��� �„i���.,�;�,�.a.,..sk1/4„s.,_....� ,� „, _,,� .b.,..„m«t,46,.
�
'-,‘,1; € b - , ",3 0,,,, x Commercial and residential prescriptive installation of
� � ..n .',. k - � _ � i.rt��,�"o' :,t�'�"`��'"'0;�� :��5, ,_�; roof-top mounted Photovoltaic Solar Panel System.
Business name:SUnpath Services Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 9978 SW Arctic Dr Solar Installation Specialty Code checklist.
City/State/ZIP: Beaverton, OR 97005 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(907 )792-9290 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:235715
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
:�,�r within 180 days after it has been accepted as complete.
Print name:Maggie Ludde Date: $/28/23 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pennits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
Electrical Permit ApplicationRECEIVE l FOR OFFICE USE ONLY
City of Tigard Received Or ,,. 5-DO ry
Petmit AfP Zry
• 13125 SW Hall Blvd.,Tigard,OR 97223 2' 2023
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 CITY OF TIGARD ReadyDate/By: Juris: fa See Page2 for
I I G A R 1) Internet: www.tigard-or.gov 8UILDINQ Opp Notified/Method: Supplemental Information
El New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
El Demolition Other: Solar El Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
.. '', s"z - sa '4
sx'_ � �'3 gg n'fls'�'�^sFSfo exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El 1-and 2-family dwelling 0 Commercial/industrial El Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ amps for all other installations. buildings.
Multi-family
0 Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
B a P`'+ t i'' " t k t e 's .-46'� - r 0 Emergency system. larger separately derived
' " ❑Addition of new motor load of system.
Job#: Job site address: 11078 SW 130th Ave 1001IP or more. ❑"A","E","1-2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP: Portland, OR 97223Recreational vehicle parks.
❑Health-care facilities. 0
Suite/bldg./apt.#: I Project name: Solar— Evelyn Gray&Keith Koplitz 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: r. MJI ;V . _ :';, _ ._ /7. � ,ic' 1
Description Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#
_ Ea.add'l 500 sq.ft.or portion 33.92 1
x t ,`* .'' :rt r ° '"`t ." it i i, 7.57'n n Limited energy,residential 75.00 2
Installation of a roof-mounted 4.92kW PV System (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy See Page 2
„< " 0 v � ,1 _- .:4_ Imo: Services or feeders installation,a teration,and/or relocation
Name:Evelyn Gray & Keith Koplitz 200 amps or less 100.70 2
Address: 11078 SW 130th Ave 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Portland, OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( 971 )570-0972 I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: keithkoplitz@gmail.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
s 1'i 1 tW ,et u 1 x 3 t ,a �t " Branch circuits—new,alteration,or extension,per panel
". �� .., '" -� ,_, A.Fee for branch circuits with
Business name:Sunpath Services above service or feeder fee, 7.42 2
each branch circuit
Contact name:Maggie Ludden B.Fee for branch circuits without
Address: 9978 SW Arctic Dr brran
nice or feeder fee,first 56.18 2
b ch circuit _
City/State/ZIP:Beaverton,OR 97005 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(907) 792-9290 I Fax: :( ) Each manufactured or modular 67.84 2
Email:maggie@sunpathservices.com dwelling,service and/or feeder
g Reconnect only 67.84 2
` ". „ti Pump or irrigation circle 67.84 2
Business name:Sunpath Services Sign or outline lighting 67.84 2
Address:9978 SW Arctic Dr Signalnel,alteratit(s)on,or
extension.eienergy ❑ See Paget 2
panel,alteration,or
City/State/ZIP:Beoverton,OR 97005 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(907) 792-9290 Fax:( ) Investigation(I hr min) 90.00/hr
Email:maggie@sunpathservices.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90 00/hr
CCB Lic.235715 Electrical Lic.0 LR5O Suprv.Lie.: 122LRT s cificall listed %:hrmin
_ L . ra '
Suprv.Electrician signature,required: iiQ. ,n� Subtotal:
Print name:Jake Hoskins I Date:8/28/23 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
�vt This permit application expires if a permit is not obtained within 180
Print name:Maggie Lud Date:8/28/23 days after it has been accepted as complete.
" Number of inspections allowed per permit.
I:\Building\Permits\ELC_PemdtApp_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:
RESIDENT Wfi.... t
Fee for all residential systems combined: $75.00 Description 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 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to loo kva 552.26 2
>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(Y2 hr min)
COMMERCIALWOR 1 ;Y: .' 4 '9 ' ., . _ r ? 0k
Fee for each commercial system: $75.007ry Subtotal(Enter on Page 1): 1
(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
❑ 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:\Buildmg\Permits\ELC_Pem0tApp_ELR_ERE.doc Rev 06/17/2015
RECEIVED
City of Tigard Lib 2 S 2(Z3
14 'I Building Division ;I1Y OF TIGARL
13125 SW Hall Blvd,Tigard,OR 97223 ,3U1L ING 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: 11078 SW 130th Ave
City: Portland/Tigard Zip:97223
Owner's Name: Evelyn Gray & Keith Koplitz Date: 8/28/23
Contractor's Name: Sunpath Services CCB #:235715
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? 11 No OSSC or ORSC for
design requirements.
Is the wind exposure 0 Yes If"Yes", qualifies for
Wind Exposure °`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 ✓❑ 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 thanEl
If"Yes", qualifies for
above Yes the prescriptive path.
❑ No
1
I:Building/Forms/Photovoltaic-checklisto2-ol-1 l.docx
Is the construction D Yes
Type of material wood and does If"Yes", qualifies for
the construction qualify No theprescriptive ath.
Construction as"conventional light ❑ p
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 In 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 ❑ of wood one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
ID of composition
shingle.
Is the roof mounted p Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
to the roof framing or blocking ❑ No the prescriptive path.
directly?
2
I:Bui lding/Forms/PhotoVoltaic-Checklist02-01-11.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 If the spacing falls
solar systems Spacing of clamps? Minimum 24 inches within 24 inches and 60
directly to inches Maximum 60 inches inches, qualifies for the
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 n If"Yes", qualifies for
fastener? I I Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. '/2"thickness, n 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 U Yes the prescriptive path.
surface. ❑ No
3
I:Building/Forms/Photovoltaic-Checklist02-01-11.docx
f
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
Listing Agency: U L 61730
4
11Building/Forms/Photovoltaic-Checklist02-01-11.docx