Permit CITY OF TIGARD MASTER PERMIT
: ' , ' COMMUNITY DEVELOPMENT Permit#: MST2023-00478
Date Issued: 10/09/2023
T f G A Ii.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102BC01804
Jurisdiction: Tigard
Site address: 12575 SW WATKINS AVE
Subdivision: NORTH TIGARDVILLE ADDITION Lot: 26
Project: Gebreselassie
Project Description: Rooftop solar PV system 6 kW with(2)circuits.
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: $4,200.00 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 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 SrvclFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 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 6 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:
GEBRESELASSIE,TILAYE HAYE ION DEVELOPER LLC Required Items and Reports(Conditions)
WELDE,AZEB ZELEKE 3214 NORTH UNIVERSITY AVE
12575 SW WATKINS AVE 503
PORTLAND,OR 97223 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 requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: 1i(A ? Permittee Signature: r r cf r p Il c q-.7-. 011
Cal 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card sha 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 Applicatio>�ECEIVED
Residential FOR OFFICE USE ONLY
Received 1 n ^^
City of Tigard SEP 19 2023 Date/By: tJ� 1 . �� Permit .1\ /1+'�/l)_01041
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review t/U v 111
' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ZS Other Permit:
I t G n t:a Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: _ f < lulls: Ill See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Lry 3/d ._* "It n Supplemental Information
4
% " ,'TYPE OF WORK REQUIRED DATA .,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
0 Addition/alteration/replacement ®Other: PV Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 4,200
® 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12575 SW Watkins Ave New dwelling area: square feet
City/State/ZIP: Tigard, Oregon 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Gebreselassie Solar Install Covered porch area: square feet0(
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.: 2S102BC01804/R463670 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.
Installation of solar panels on existing residential roof. Valuation: $
6 kW.Addition of 2 0-30A circuits. Existing building area: square feet
New building area: square feet
®;,PROPERTY OWNER Q TENANT Number of stories:
Name: Tilaye Gebreselassie Type of construction:
Address: 12575 SW Watkins Ave Occupancy groups:
City/State/ZIP: Tigard, Oregon 97223 Existing:
Phone:((510))388-4378 Fax:( ) New:
IX] APPLICANT ".,`.
:., ❑ CONTACT PERSON BUILDJNG 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:4801 N University Ave#900
Total fees due upon application:
City/State/ZIP: Provo, UT 84604
Phone:( 888) 781-7074 Fax::( )
Amount received:
E-mail: permits@IOnSOIar.COm PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONS RACTOR 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: 4801 N University Ave#900 Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
Y Provo, UT 84604 and administrative fees):
Phone:( 888) 781-7074 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: 230394 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.
*Fee methodology set by Tri-County Building Industry
Print name: Dustin Davidson Date: 09-13-2023 Service Board.
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Electrical Permit ApplicationECEIVED FOR OFFICE USE ONLY
III II 13125
of Tigard S E P 1 9 2023 Received \(t ,1^ 1 t
Date/B : Permit#: ` 'V
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.CCm/OF TIGARD Date/B : Related Permit#:
T 1 G A RD Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/By: Juris: la 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):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition E Other: PV Solar where the available fault
t current ❑Marinas and boatyards.
. CATEGORY OF CONSTRUCTION `` exceeds 10,000 amps at 150 volts or 0 Floating buildings.
E 1-and 2-family dwelling El Commercial/industrial ElAccessory 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. ❑Installation of 150 KVA or
JOB iSITE INFORMA_1<'IOr AND LOCATION 0,Emergency system. larger separately derived
Job#: Job site address: 0 Addition of new motor load of system.
12575 SW Watkins Ave 100HP or more. ❑°'A","E",'1-z','1-3",
0 Six or more residential units. occupancy.
City/State/ZIP: Tigard,Oregon 97223 ❑Recreational vehicle parks.
❑Health-care facilities.
Suite/bldg./apt.#: Project name: Gebreselassie Solar Install 0 Hazardous locations. ❑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: Lot#: Includes attached garage.
Tax map/parcel#: 2S 102BC01804/R463670 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
' s:" DESCRIPTION OF WO*K ".° y Limited energy,residential
Installation of solar panels on existing residential roof. (with above sq.ft.) 75.00 2
Limited energy,multi-family
6 kW.Addition of 2 0-30A circuits. residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
►d'..PROPERTY OWNER 0 TENANT!'": Services or feeders installation,alteration,and/or relocation
Name: Tilaye Gebreselassie 200 amps or less 100.70 2
Address: 12575 SW Watkins Ave 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:((510)1388-4378 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: tilayemm@yahoo.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
=�'IXI APPLICANT Branch circuits—new,alteration,or extension,per panel
:CONTACT PE"ItSON A.Fee for branch circuits with
Business name: ION Developer LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name: Dustin Davidson B.Fee for branch circuits without
service or feeder fee,first 2
Address: 4801 N University Ave#900 branch circuit 1 56.18 56.18
City/State/ZIP: Provo, UT 84604 Each add'l branch circuit 1 7.42 7,42 2
Miscellaneous(service or feeder not included)
Phone:(888) 781-7074 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permits@ionsolar.eom Reconnect only 67.84 2
CONTRACTOR .,,, :,.x, Pump or irrigation circle 67.84 2
Business name: ION Developer LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 4801 N University Ave#900 panel,alteration,or extension. 0 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 Fax:( ) Investigation(1 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 Lic.: Suprv.Lie.: specifically listed('/z hr min) 90.00/hr
C1524 p 6098S
Suprv.Electrician signature,required: ,�
ELECTRICAL PEIt IT, FEES
N(j'��,f,��p Subtotal: 197.16
Print name: David S Conrad Date: 09-13-2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): 23.66
Authorized signature: 1t �ait� � TOTAL PERMIT FEE: 220.82
This permit application expires if a permit is not obtained within 180
Print name: Dustin Davidson Date: 09-13-2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
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Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined: $75.00 n ne5c Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 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
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(Yz hr min)
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): 133.56
* 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
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
Document Ref:KB4NA-9UGar O P1,15(TNPIR„'. Page 3 of`ir
•
RECEIVED
City of Tigard SEP 19 2023
Building Division CITY OF TIGAtio
IN
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: 12575 SW Watkins Ave
City: Tigard Zip: 97223
Owner's Name: Tilaye Gebreselassie Date: 09-13-2023
Contractor's Name: ION Developer LLc CCB #: 230394
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? X❑ 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
❑ Yes the prescriptive path.
above
❑ No
1
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Is the construction
Type of
material wood and does n Yes
yP 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. n Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
If"Yes", qualifies for
Nominal lumber. El Yes the prescriptive path.
n No
Is the combined weight L 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 X❑ 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
RoofingCheck the type of ❑ of wood
one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
n 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
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Document Ref:KB4WA UGJF-CFPN'Y PlR Page 5 of Y.;
❑ 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 If the spacing falls
solar systems Spacing of clamps? Minimum 24 inches within 24 inches and 60
directly 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.
n No
Is the roof decking of
WSP min. %2"thickness, ❑ Yes
decking connected to If"Yes", qualifies for
framing members n 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 X❑ Yes the prescriptive path.
surface. ❑ No
3
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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:
4
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e o icurnent Ref KB4MA�3 JF CFP tt1p1R.
.. . Page 7 of 7
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:;;.. Signature Certificate • .
:❖: Reference number:KB4NA-9UGJF-CFPVY-TNPIR ::ti',
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:•:•:�, Signer Timestamp Signature y::
••• •••••.
Dustin Davidson
•y./, Email:dustin.davidson@ionsolar.com i ,,,
:❖.' Sent: 13 Sep 2023 20:40:36 UTC *
:•••;• Signed: 13 Sep 2023 20:40:36 UTC -.._.. - ..__.....,._ ®__ ._. .....____._ ;••;
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