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Permit (2) 114 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2023-00491 Date Issued: 12/18/2023 T f.f:3 A R.O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114BA00800 Jurisdiction: Tigard Site address: 9965 SW SERENA WAY Subdivision: PICK'S LANDING NO.2 Lot: 131 Project: Barnhart Project Description: Rooftop solar PV system 10.66 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: $16,163.00 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<10OK: 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 10.66 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: BARNHART,JEFFREY TYLER& POWER NORTHWEST INCORPORATED Required Items and Reports(Conditions) BARNHART,MONICA ELIZABETH 2711 NW SAINT HELENS RD 9965 SW SERENA WAY PORTLAND,OR 97210 TIGARD,OR 97224 PHONE PHONE: 503-208-4537 FAX: Total Fees: $351.19 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: • regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oc9_nn1_nn1n rhrni Intl nn c9_nn1_nnOn vnn nhrnin n nr, nP+ho'lilac nr diron+ni inclinne rn ni inir`by nollinn Am 91,)10R7 nr 1 Ann AAo 9QAA Issued By: .. 1..-21 i - Permittee Signature: ..¢""—'—'— 4.. 1503.639.4175 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 job site at the time of each inspection. L Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY City of Tigard Datei y: ' i 1/ l I, Permit No.:11131[NZ 664`1 • 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 2 8 2023 Plan Review ii �� • S' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 i/'j AA— Other Permit: T I G A R D Inspection Line: 503.639.4175 CITY OF TIGAND Date Ready/By.: O ( W yt J ii. Fa. See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION otified/Me od: `J Supplemental information TYPE.OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Q Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ®1-and 2-family dwelling ❑Commercial/industrial Valuation: $16,163.00 ❑Accessory building 0 Multi-family Number of bedrooms: 0 ®Master builder ®Other: Number of bathrooms: 0 JOB SITE INFORMATION AND LOCATION Total number of floors: 0 Job site address: 9965 SW Serena Way New dwelling area: 0 square feet City/State/ZIP: Tigard, OR 97224 Garage/carport area: 0 square feet Suite/bldg./apt.no.: Project name: Jeff Barnhart Covered porch area: 0 square feet Cross street/directions to job site: Deck area: 0 square feet Other structure area: 0 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. 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. 8KWAC Roof Mounted Solar Array Valuation: $ 'Q•(k Existing building area: square feet New building area: square feet PROPERTY OWNER ® TENANT Number of stories: Name: Jeff Barnhart Type of construction: Address: 9965 SW Serena Way Occupancy groups: City/State/ZIP: Tigard, OR 97224 Existing: Phone:( ) 5033205235 Fax:( ) New: ly APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (PIease refer to fee schedule) Business name: Power Northwest Structural plan review fee(or deposit): Contact name: Garrett Hartwell FLS plan review fee(if applicable): Address: 2711 NW St Helens Rd Total fees due upon application: City/State/ZIP: Portland,Oregon 97210 Amount received: Phone:( ) 503-928-7906 Fax::( ) E-mail: pdaluz@powernw.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: Power Northwest Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 2711 NW St Helens Rd Solar Installation Specialty Code checklist. City/State/ZIP: Portland,Oregon 97210 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) 5033482858 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: 229987 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained ;2�.k`74 .e within 180 days after it has been accepted as complete. Print name: Garrett Hartwell Date: 09/20/2023 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Document Ref:XDZ2J-Z8E6S-SKZUE-FFTUA Page 1 of 2 Electrical Permit Application RECEIVE . FOR OFFICE USE ONLY CityofReceived Tigard Permit#: 111 a 131S SW Blvd.,Tigard,OR 97223 SEP 2 7 2023 Plan t Review ti Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#i: Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Jurist H See Page 2 for TIGAR0 Internet: www.tigard-or.gov BUILDING DIVISION 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): O Service or feeder 400 amps or more 0 Building over three stories. El Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ®Floating buildings. ® 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. O Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 9965 SW Serena Wa 0 Addition of new motor load of system. y 100HP or more. ❑"A" "E" "]-2""1 3" City/State/ZIP: Tigard, OR 97224 ❑Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Jeff Barnhart 0 Hazardous locations. ®Supply voltage for more than O 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. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential KWAC Roof Mounted Solar Array (with above sq.ft.) 75.00 2 Limited energy,multi-family '() I.1, residential(with above sq.ft.) 75.00 2 V• QY!2 PROPERTY OWNER 0 TENANT Renewable Energy ® See Page 2 Services or feeders installation,alteration,and/or relocation Name: Jeff Barnhart 200 amps or less 100.70 2 Address: 9965 SW Serena Way 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard, OR 97224 _ _ 601 amps to 1,000 amps 301.04 2 Phone:( ) 5033205235 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: jtbarney3@hotmail.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 l'iAPPLICANT Q CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Power Northwest above service or feeder fee, 7.42 2 each branch circuit Contact name: Garrett Hartwell B.Fee for branch circuits without Address: 2711 NW St Helens Rd service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Portland,Oregon 97210 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) 503-928-7906 Fax: :( ) Each manufactured or modular 67.84 2 Email: pdaluz@powernw.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Power Northwest Sign or outline lighting 67.84 2 Address: 2711 NW St Helens Rd Signaln circuit(s)alteration,or extension. ❑ See Page 2 2 panel, or extension. City/State/ZIP: Portland,Oregon 97210 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) 503-928-7906 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: pdaluz@powernw.com Inspections for which no fee is CCB Lic.: 229987 Electrical Lie.: C1669 Suprv.Lic.: 5877S specifically listed(1/4hr min) 90.00/hr ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: AadreorMarkt Subtotal: Print name: Andrew Marks Date: 09/20/2023 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: :,.r2`74r,;, TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Garrett Hartwell Date: 09/20/2023 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_kiLR_ERE.doc Rev 06/17/2015 440-4615T(I 1/05/COM/WEB • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description Qt5• I Each I Total Fee for all residential systems combined: $75.00 3' Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 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 ❑ 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: El 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('h hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal l per permerit. t.o Page 1): y ' Number of inspections allowed 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:\uuilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 I. ,�R.... . A..Z.: x ,r .t,,fir 'f£; ,,;, ,r F �. , �,.. , +� . � e.€��'Kclfrtdau .;v�n�u4a+xktwa.aa,�aW. : f ' A ` Signature Certificate r,4 ' Reference number:XDZ2J-Z8E6S-SKZUE-FFTUA iSigner Timestamp Signature Garrett Hartwell # Email:garrett@powemw.com , # ,Lc7-�4,?� � ' Sent: 20 Sep 2023 23:11:17 UTC ccrcrit4e,e ',,,,.cii,,,,,,),..',,,,^1.: Signed: 20 Sep 2023 23:11:17 UTC IP address:49.145.43.14 Location:Cebu City,Philippines ^' WO 1 DocuSepment2023 comple 23:11te:1d7 by ailUTact', C parties on t 20 7 tit Page 1 of 1 f 4 d j y ., i f: # } tit * # I % t ,r4 i 1 i y 1}- ff F V I., , Signed with PandaDoc0. .t* : 1 01 • -'' PandaDoc is a document workflow and certified eSignature ., T. PIP4 I solution trusted by 40,000+companies worldwide. El' ' i a' a i # . ,;`f>,, -] P. d :*`Fk n City of Tigard RECEIVE SEP 2 7, 2023 '1 Building Division 111 13125 SW Hall Blvd,Tigard,OR 97223 CITY BUILDING T YARD Phone: 503.718.2439 Fax: 503.598.1960 DIVISION T I GARD 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: `i 7 6 S 5 i.1 5 E-e 4ii4 r City: 7;6?,4,e Zip: t p 22 Owner's Name: 34-gA,-„ve T Date: a 912 7/z02 Contractor's Name: few eR �/���HWe-5 .T CCB #: 22 g 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. Is the wind exposure 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? If"Yes", qualifies for structures other than E. Yes the prescriptive path. above ❑ No 1 I:Building/Forms/Photovoltaic-Checklist02-O 1-11.docx Is the construction Eg material wood and does Yes Type of If"Yes", qualifies for the construction qualify 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 Nj 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 12 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. 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 I:Building/Forms/PhotoV oltaic-Chcckli st02-01-11.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 1-16 directly to inches Maximum 60 inches inches, qualifies for the standing seam prescriptive path. metal panels If the width of the panel P Width of roofing panels? 18 inches or less is less than 18 inches, qualifies for the /b inches 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. t/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 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: e F( Model Number: /6C 410 AA Listing Agency: 4 I:Building/Forms/PhotoV oltaic-Checklist02-01-11.docx