Permit 74 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00615
Date Issued: 01/03/2024
T€(�.3AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135D605200
Jurisdiction: Tigard
Site address: 11450 SW 94TH AVE
Subdivision: MILLER Lot: 3
Project: Shelburg
Project Description: Rooftop solar PV system 7.56 kW with(2)branch circuits. Structural upgrade required.
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: $5,292.00 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.'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: Y Other Description: Rooftop solar array 7.56 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:
SHELBURG,HEIDI JANE ION DEVELOPER LLC Required Items and Reports(Conditions)
11450 SW 94TH AVE 3214 NORTH UNIVERSITY AVE
TIGARD,OR 97223 503
PROVO,UT 84604
PHONE: PHONE: (888)781-7074
FAX:
Total Fees: $422.42
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 req ' s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9-nnl nnln thrnii AR ea
v „nhnin a rnnv of nco r,i o cn fl c nr riirrr ndicnnc rn l INr:h�i Tallinn cri 99 S Z 107 nr'I Finn ZZ9',[gild
u
Issued By: � G� ���� Permittee Signature: of 4" 10 i1 1 1 «! 0:1 v1
1
/ Call 503.639.44 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept' 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.
a
Building Permit Applic'Ii el
Residential CC VED FOR OFFICE USE ONLY"
City of Tigard DEC 0 4 2023 Received j
Date/By: 1 LittL.7 a . Permit No.: ,
II
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ( p ��1 ���_ i
Phone: 503.718.2439 Fax: 5 1 Date/By: I (9 tj1, A-11- Other Permit:
I I e n R I) Inspection Line: 503.639.41 , . i� I IGARD Date Ready/By: 9 1 ris: ® See Page 2 for
Internet: www.tigard-or.govDUILDING DIVISION Notified/Method: IL ti I101ji.NI) )IL Supplemental Information
\(WJ4 OUstt tt .
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
ElAddition/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 ElCommercial/industrial Valuation: $ 5,292
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11450 SW 94th Ave New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Shelburg Solar Install 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: Miller Lot no.: 3 Permit fees*are based on the value of the work performed.
1 S 135D605200/R276070 Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: 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: $
7.56 kW.Addition of 2 circuits. Sk.Vav,r , ( U eir.,.,,,h....._ Existing building area: square feet
r.-4-1 3UV New building area: square feet
SI PROPERTY OWNER ❑ TENANT Number of stories:
Name: Heidi Shelburg Type of construction:
Address: 11450 SW 94th Ave Occupancy groups:
City/State/ZIP: Tigard, Oregon 97223 Existing:
Phone:((808)1679-9015 Fax:( ) New:
IX] APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: ION Developer LLC
Structural plan review fee(or deposit):
Contact name: Dustin Davidson
FLS plan review fee(if applicable):
Address: 44 East 800 North
City/State/ZIP: Orem, Utah, 84057
Total fees due upon application:
Phone:(385)396-4478 Fax::( ) Amount received:
E-mail: permits@ionsolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ION Developer LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 44 East 800 North Solar Installation Specialty Code checklist.
City/State/ZIP: Orem, Utah, 84057 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(385) 396-4478 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 230394 /,� Total fee due upon application: $201.60
//
Authorized signature: f 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: 11-30-2023 *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)
Document Ref:WWJFS-5XM8T-5GWN2-GNWXK Page 1 of 7
' Electrical Permit ApplicatioRECEIV L FOR OFFICE USE ONLY
City of Tigard Received 'g
13125 SW Hall Blvd.,Tigard,OR 97223 DEC 0 4 2023 Date/B : �i ( Jl
Plan Review
i Phone: 503.718.2439 Fax: 503.598.1960Related Permit#:
p CITY OF TIGARD Date/B
Inspection Line: 503.639.4175 Ready Date/By: Jnris: 10 See Page 2 for
1 1 C A It 1) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
O Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ®Other: PV Solar
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION, exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 11450 SW 94th Ave ❑Addition of new motor load of system.
100HP or more. ❑"A",`B","1-2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP: Tigard,Oregon 97223 0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg/apt.#: Project name: Shelburg Solar Install 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 I *
New residential single-or multi-family dwelling unit.
Subdivision: Miller Lot#: 3 Includes attached garage. •
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: 1S135DB05200/R276070 Ea.add'1 500 sq.ft.or portion 33.92 t
DESCRIPTION OF WORK Limited energy,residential 75.00(with above sq.ft.) 2
Installation of solar panels on existing residential roof. Limited energ
y,multi-family 75.00 2
7.56 kW.Addition of 2 circuits. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
l PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Heidi Shelburg 200 amps or less 100.70 2
Address: 11450 SW 94th Ave 201 amps to 400 amps 133.56 1 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:((808))679-9015 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: h.shelburg@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 I 2
Owner signature: Date: 401 amps to 599 amps 168.54 I 2 i
El APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: ION Developer LLC above service or feeder fee, 17.42 2
each branch circuit
Contact name: Dustin Davidson B.Fee for branch circuits without
service or feeder fee,fast 2
Address: 44 East 800 North 1 56.18 56.18
branch circuit
City/State/ZIP: Orem, Utah, 84057 Each add'l branch circuit 1 7.42 7.42 2
Miscellaneous(service or feeder not included)
Phone:(385)396-4478 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: permits@ionsolar.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: ION Developer LLC Sign or outline lighting 67.84 2
Address:44 East 800 North Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Orem, Utah, 84057 Additional inspection(1 hr min) 66.25/hr
Phone:(385) 396-4478 Fax:( ) Investigation(I hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
permits@ionsolar.com Inspections for which no fee is
CCB Lie.: 230394 Electrical Lie.: C1524 Suprv.Lic.: 6098S specifically listed(/hr min) 90.00/hr
ELECTRICAL PERMIT'FEES
Suprv.Electrician signature,required: Lhoot.(/► P Subtotal: 197.16
Print name: David S Conrad Date: 11-30-2023 0 Plan Review Required(25%of permit fee):
/� State surcharge(12%of permit fee): 23.66
Authorized signature: .€ate t ,_Pag4e.i4e, TOTAL PERMIT FEE: 220.82
This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date: 11-30-2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building Remits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(11/05/COM/WEB
Document Ref:WWJFS-5XM8T-5GWN2-GNWXK Page 2 of 7
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE Scfti±rnuLE
Fee for all residential systems combined: $75.00 Description Qty. Eat,, ,otal
Renewable electrical energy systems:
Check Type of Work Involved: s kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
n 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 Solargeneration* 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
specifically listed(Ye hr min) 90.00/hr
°_< • -
CO1vIMERCL&L[WORM ONLY: 'E CTICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 133.56
(SEE OAR 918-309-0000) " Number of inspections allowed per permit.
Check Type of Work Involved:
❑ A• udio and Stereo Systems
❑ B• oiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ O• utdoor Landscape Lighting*
n P• rotective Signaling
❑ O• ther:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015
Document Ref:WWJFS-5XM8T-5GWN2-GNWXK Page 3 of 7
City of Tigard RECEIVED
Building Division DEC 0 4 2023
13125 SW Hall Blvd,Tigard, OR 97223 CITY OF TIGARD
Phone: 503.718.2439 Fax: 503.59,8.1960 BUILDING DIVISION
TIGARD 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: 11450 SW 94th Ave
City: Tigard Zip: 97223
Owner's Name: Heidi Shelburg Date: 11-30-2023
Contractor's Name: ION Developer LLC CCB #: 230394
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation [1 Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? 0 No OSSC or ORSC for
design requirements.
Is the wind exposure 0 Yes If"Yes", qualifies for
Wind Exposure
C or less? 0 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 0 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
I:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx 1
Document Ref:WWJFS-5XM8T-5GWN2-GNWXK Page 4 of 7
Is the construction
material wood and does n Yes
Type of If"Yes", qualifies for
the construction qualify
Construction as "conventional light n No the prescriptive path.
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. ElYes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. If"Yes", qualifies for
n 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 n Yes
with Section 305.4(3)of If Yes , qualifies for
❑
the 2010 Oregon Solar No the prescriptive path.
Code?
❑ Metal
Single layer If roofmg 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 If"Yes", qualifies for
the solar assembly connected to roof ❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
1:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
Document Ref:WWJFS-5XM8T-5GWN2-GNWXK Page 5 of 7
❑ 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 If"Yes", qualifies for
fastener? ❑ Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. '/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 0 Yes the prescriptive path.
surface. ❑ No
1:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx 3
Document Ref:WWJFS-5XM8T-5GWN2-GNWXK Page 6 of 7
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-420 HC+
Listing Agency:
1:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx 4
Document Ref:WWJFS-5XM8T5GWN2-GNWXK Page 7 of 7
•
•••":;t•� ..!•t t*...•.!:!•!••t•t•t•t•••t•!•t•❖•f t.:�.-•..t.•.±.•�•�,..,%��t•Nt•t�•tort••t::•:••❖::••❖•t•t•::!.••..•••:•::❖���•:t.::!:••!:!:•:••t•t•t f•-•,•••••!t.:,:
•••4, 4i'.,
V••
•!.•` Signature Certificate !•••'.
.•s:
.O•: Refcrence number:WWJFS-5XM8T-5GWN2-GNWXK .AV
%:;.;
..•
•:•.., !•••.
4.4
'*. 0O•••• SignerTimestamp Signature
• !•.,Dustin Davidson .....;
;�;t� Email:dustin.davidson@ionsolar.com • �:4%,
!-••• Sent: 30 Nov 2023 16:38:10 UTC /A tll'i..l� i ':•:'
'.•(6. Signed: 30 Nov 2023 16:38:11 UTC ••
%: IP address:8.33.47.146 :•%:•
••• •.•
!.•.•, Location:Orem,United States ••P•.:*
',.' $::
• :44: Document completed by c.11 parties on: • ;o•;
•
.•••' 30 Nov 2023 16:38:11 UTC ;•;:;,
1;:•:•: Page 1 of 1 ;;•,'.
•:•i•: '.••••:
•., ,.••
W.
•••• •••
!••••, W.
!••♦••• ••••.
❖:• 4.4.•♦,
••• •••
••• .••�
�•�•: .•+•.'
•♦, 11••
;`.�•�• .•..*.
•0••�, ••.
• .••❖,
❖: . '
.•, ••.
.•••• ...,
1...•, 1.•:1,
!••♦•, 1•••••,
'4..•.•
44
••••••
....Z.' 4.4
.
••••1 •❖:
V•••: •1❖•1
:••••, 1❖•••
V.' Signed with PandaDoc •:•:'
4•� PandaDoc is a document workflow and certified eSignature 11:+ 4.4: .;:•.:
•.•••:. solution trusted by 50,000+companies worldwide. t !o' ;.;.;:
.. ❑
•••••• !•O••
:.••.0 •...�..,
•♦• •
•
.❖: :0.•
•❖:, ••❖.'
•• •.,
;❖: ;0••:
00...;:::•i�•:•iii❖:•1iK�•�.•iii❖i:•i�iisi•�••iiii••••iiii�••i•i•iii�•ii-•••iiii•••ii�•••�••iiiii•••iiii••i:i'i••.i:••::i:'#0.