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Permit CITY OF TIGARD MASTER PERMIT . COMMUNITY DEVELOPMENT Permit#: MST2023-00559 T[ j3.L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2023 �1 Parcel: 2S 103 DB 13500 Jurisdiction: Tigard Site address: 13030 SW 115TH AVE Subdivision: 2019-031 PARTITION PLAT Lot: 1 Project: Borow Project Description: Rooftop solar PV system. 5.265 kW with service feeder. 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: $25,784.00 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: 1 201-400 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 Other: Y Rooftopsolar array5.265 kW N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 0 Owner: Contractor: BOROW,HARLAN S TESLA ENERGY Required Items and Reports(Conditions) SCHULTZ,ELLEN B 6132 NE 112TH AVE 13030 SW 115TH AVE PORTLAND,OR 97220 TIGARD,OR 97223 PHONE: PHONE: 503-894-6903 FAX: 866-445-7459 Total Fees: $515.27 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 Q59-nn1-nnln thrni, AR aR9-nnl-noon Yn,,m „n in a rnnv of the.ndoc nr rlirort minctinne to fll IN(:by Tallinn 6(1 919 10R7 nr I Rnn R19 91dd Issued By: i Permiftee Signature: `/?f-.r If/> cc. :d Y, Call 503.639.41 by 7:00 a.m.for the next available inspection date. This permit card shall be ke 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 Application Residential RECEIVED FOR OFFICE USE ONLY Cl of Tigard �/ Received �t h g Date/By: tO 'i6 W 1/3' pm Permit No.:MSA/L .OOS,Q 114 g 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 3 0 2023 Plan Review s Phone: 503.718.2439 Fax: 503.598.1960 Date/By: J /• 7 Other Permit: l 1 e;1 R t) Inspection Line: 503.639.4175 Date Ready/By: Juris: 155 See Page 4 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information ;...;k., :_ .:.:x•-F..:_ - . ..:.^ BUILDING / t7, TI t I � !�!a DIVISION ;a..,r^ _ ,.»_. .•>:�:,F..»_,.a,. .:,.: ,,._ wnx:ir,,.,_~m�;a,:r:;:•a:- ;,, .=,•::W•:: ��,y ,•� �� \t) Su le itv :^'S's::»:m:�c„••f�t=si?":;:e• ti,::.!�'..;.{x.:...__fi�xx.•is... ;;;;...;z,F. a, ..::�^.,_ .^,,. .,e..,::....:F3�=2:y - .xF,..a,a..,c,_:,:.:_ ...:..., ,._.z:.%.r- .. z,.. �i�t,.... n � 'Ez=:�»F:-. .'_°Ec?ee"fl•••'{;l•,,?`:a fir'.F.. 5.;5•••^,�r,... _ ,,._,.,:, .,:._..,;.r_,:••:::-t :=:.;..._,„d-•.dam-:. .� i._. 1E•... .,.:.N,74. _ . .. s:F•:a_,...m^..',, a,'-.::•::-_-140 .: - at ,1420 .....,.^�<F?",,,F.r-,._..x�t r,..a..,,^...r,.._..p..-r..r...aE�3L._.,,-�+...iiv ,:; 3�x ,�. M.,-»,-- �'F:,, ::iG.� "r r:x».r•.:=•:==.. .•',�. �;,.ix::x3?' ,�n3� .;»:�• '=?s n•»:;'r.:°•a�#�,:"••"tiicx,,r.E<i?i's-32..ii=u?7c.: 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 ®Addition/alteration/replacement 0 Other: �S.F?t.??{".:, ;»4;a4;c,y^ �.�:{^ava {{F..^.' F{..� equipment,materials,labor,overhead,and the profit for the .... .,...o.n- :,a::3,_.,.,„r...u,s.,s,_..:.,... _...,._. ..i,^ ., -:W-ur�mrasrs:3f`_-i."}={'t=vx€t?2>,:;?u{;F:#'q::•sF:•';:?sit=-s:=:t:.,.•L::,:#`si"�4znsE€r::ce-s:-:�v{»ts t;;,..,�v:rr:—::, ,,{.,�a...:-:::: r�.:�,a�<;F•..:;�•;;:. "-:•:{y=.::, _' ;• .sx .,t ._:_:::�:.,t.__.:•:;FS{s, =,:fie:-m:;:; '_;`_, work ,;;s ..ta;�,= i,,.iF=� a,it{'wF??;,{�,,:�::i�:�;,;s�:.... {r� ::-�.�,,,•,. - _ indicated on thisapplication. t:a%F::t.x:r.:sr:t:aisnluxsiS#:�Stii2%eei:a�5i:�iA9 e :::uktk+S'x` '�EE�=.? 5pCr°:�'•�•.rC;'',•fx El1-and 2-family dwellin Valuation: $25,784 g ❑Commercial/industrial El Accessory building ❑Multi-family Number of bedrooms: El Master builder 0 Other: Number of bathrooms: ,.r.»::•.."e::.::::,..,e:»:.•:.><:k:;;:e'edr-;:-sa:=..... •_ .r:, r,R..:_ . .::::........ . r' ' :::q:c.;u::.;i::R 33#w�;•3{'••"ai,v:::;:;;"e r:::;f:s�.:ti.==m•,rti.�:-,�i,_._:._.� : i.v�E;,:.�d � 9�:��,=gym;:``° Total number of floors: s8-.:,:.-.--„g :{a3: itti .,:Ai:s k•»-a,.:• .__ s ._. , a. _. " =t itiw rift . :;,3-6.r'.'," ~{..,,r..�,...,..__,.,� �� `'• '' r" ..:IT ,. _€�-�-_� ors..,: ...,..�.:.....,..f....._,1......:,.,, '1wt�,-�:3,:»-�•�'[__�,. .,::;.:-�a::::::;r�::..:::.......:a:zsz..,ss�';k�:-'=:s�n.:::^..;#i?::i;::s�:iEt:::-;�a'r::„!�.�';�:=*'.:''a`—'-',s Ew 'mx, Job site address:13030 SW 115th Ave New dwelling area: square feet City/State/ZIP: Tigard /OR/97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Borrow- PV+ ESS Covered porch area: square feet Cross street/directions to job site: SW Fonner Street Deck area: square feet Other structure area: square feet 47, j ::,:?i, ' a: t a:::n.q.-yc �`'.'••cx°•' :'•x..&o^'@ . ,BSv?„..ex,°:sRLE'.EE:x;;�r�'"_�-'.r.?,ii::Sy.:rz ;r4`:, 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.: r{;;;:.r»mii3F;#;nr, :,: 4 r,::,=; ,::...:::. ........r, :,,:.;;;,.,. ....._, ,, equipment,materials,labor,overhead and the profit for the ..,...,.a��::�...._..:�.._....z�:-,.:.�..,..."..x,=_r::,.�:�: ,{::•m:,,:_:.,..�.....•»�r::,:.::-;:::�*....>:»:::::»-:;;•::n::,.,.�.,�:,�:::v-�..,,,;..,,,�.:�::>:}:�...,..x,.,....:,.,. P ,,.,,..,_,x;..._.................'.»ate..r Y.:rz:::,?::•,ur:: ....:.:S"t...,.. m ....... ,,.......1 rc:�.i._.::»:r::eva..,;;.._::., ::ca:::-;,,t.:F.:,;.:::,..0�.r.-i'urs'tEt•.�;s ........E�:::F:a.•,..:::^�.- v..», a:»m.S:2:v '7WxYY1cT..,, 3=, :v»...:nu;;.�,.;,"y:..•y:r-•" PC`tr'....c»..0 .,,{:.;;.,;rrzc'r,.,r.::»..:z:a:7exnc�......?k..� ..._...:v.:. #Ela2�:ii?»�:7-sn:S."rc'i,:(#!'iii"'�;;-,a`sii'ys;{t::�i .,,,,.,_ .._4'•t.... t :''vr.F:^:7.-4a:x%.. •.x, xft�;_. ...-..,a ,F,.,'�;;{rzh::...;,....:•.{:.:{:�=r:r-_.:;... ._ •..-`---=a-:r^�s:::-.:�r~......- :...r r k_,.:_.. r_.. -. ,,�:_,,;.t..:�sa �,:::: work indicated on this application. .,,..._._..._.._,- ,.f....,. �:r--Y .�•� =k.�,,.. ,t. �r"l• "@•• .M;,_,..,-...6- tF;i�...,�•�s�::=..<s�-k 5.265 KW PV ARRAY 13 PANELS +2 POWERWALLS ON BACK HOUSE Valuation: $ Existing building area: square feet New building area: square feet .,::-i:k�.;,::;::; - ,, .. ._._,.; . .w:»#�a,»=�,,�„t>ts:?:a,::ist:.�w:F::<:::.E..,_::'#��;it.?t:mA�,�a»;-F.,s{am �n.{::i;:::atx:••,a� .. {t=:r::a�:r:»:•a;,»::;x :::i::ti.s„a:,..;t;��,�#��r..xF?::»s;?5;t':'�:;.�.�:;F,x~� • ;xv�:,:�::i.,>�».?���':: `��'��T r::»,c;i:n. i`,a � ...:. Number of stones tt i5�} ,:••.:S=',3."yE•?:•:'•.xY3m.=Yf:,;...4.-s.,�":.,.r.:'t,E:.s,••a ..:_ca.•:v.,.:,,,ht-:�� � x:...a_ .... s, ..r.,..e S3:'•:,. ...., ,�' ,a;;?#.»E yraii;si�'u�yg3�,?.;�"e°s:^:j rva.:r= ,_::;:,.,.,,ax=.F�a>:=_•:;=r.� ._.-wa','a>:;,:;3s._i:= ,�3�ttas;,si€�s;ni.'-"i:-"'����;� ,•,,M�:»,�`��r,!-.,era u.�.:r�x�::::Grf.,,_;r,,,-�;•tt.za Name: Harlan Borow Type of construction: Address:13030 SW 115th Ave Occupancy groups: City/State/ZIP:Tigard/OR/97223 Existing: Phone:( 503) 713-8627 Fax:( ) :r _.... ._., . ._. :;n...>s_,,.. .., . - •.:_.,.;:•,-;,•._:-::r:::te .=W€�€..TA.A.. !*�t.,�{i4.:x;.,�:.�h:;::;a5st;,: , a :�€5?'.:.,'� �:'ts�.ai Business name:Tesla Energy .n,. �k . •%::Y: K ' 'c k . ,3.::»wi?€u�t�,'•.•a"_„-•'..iiwk€@€,u?'a'tku Structural plan review fee(or deposit): Contact name: Joshua Wiggins FLS plan review fee(if applicable): Address:6132 NE 112th AVE City/State/ZIP: Portand/OR/97220 Total fees due upon application: Phone:(916 )846-3162 J Fax::( ) Amount received: m , E-mail:Jowiggins@Tesla.com z a A r:as:..;.+.;?•-,..a:^;.,.,y,:;em .,u i }„"a�;�s:..a. 4 F'E S:,.a>: x....:..F,nt'»., ".�:a^,:.'�, ,F ef..:r.,ax.;s�:.a ,�9P<s:-o ::,....., $v.?:a::< -s.E.i :a: .v:r.,,it:rr::xs:::,::e..:•: .x ...v.,•.en,W:Pi?5::::'h:^r::::ye:{r,i�u.:,..•...:,.,cea:r.•5?h:::N4�,::'.`EI •c:i».., :..,.....,:t:ra�s,...:a::::.::��,�- •:�:� --::»,:,•_...::;:�, ., , ,. �._..,:,::::�-•�;.:=ems��t::s:,.E,;�r =pia.{:...;»:��: •:r��a:=;{.,.,:,•� ��t;:i•s Commercial and residentialprescriptive installation of r.._,:r�;.,.,..u•,.E;=.,.. �.;.E ,•,�:^r:{:t€::•"�,.:•N-•-�...;:•.�;nI�t.rt'a ..:- �t;�t'.,;€.,`,M.:t,�•,;..^r..:,:::m-,»:., r •� � , _• _:• :rt r _ :: t °=st= �f's` rooftop mounted Photovoltaic Solar Panel System. Business name:Tesla Energy Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 6132 NE 112th AVE Solar Installation Specialty Code checklist. City/State/ZIP:Portand/OR/97220 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 916)846-3162 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:180498 Total fee due upon application: $201.60 Authorized signature: W` � This permit application expires if a permit is not obtained /� within 180 days after it has been accepted as complete. Date:Print name: *Fee methodology set by Tri-County Building Industry 94944/4, oshua Wiggins 10/25/2023 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 01/25/2023 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard ReceivDate/Bed Permit No.: RI 13125 SW Hall Blvd.,Tigard,OR 97223 Y g Associated permits: • Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical I It,A R D Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1'es No NI 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. F .I 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. X 3 Verification of approved plat/lot. n n n 4 Fire district approval required. Name of district: • n nn 5 Septic system permit or authorization for remodel. Existing system capacity . n n nX 6 Sewer permit. n n n 7 Water district approval. n n I5 8 Soils report. Must carry original applicable stamp and signature on file or with application. n n n 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ Ei basin protection,etc. 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 ® -El ❑ 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. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ® 0 0 and location. 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- ® ❑ ❑ 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. 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. 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 ® ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 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 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ® ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ Ut for four or more appliances. 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 t on and shall be shown to be a.i licable to the .ro'ect under review. 11_ ICI III( I It)\ ki ',Tr( II I( 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 4 - - 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. JJ n n 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. n n 13Z1 27 "Drawn to scale"indicates standard architect or engineer scale. El El a 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ 121 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ 13 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 01/25/2023 440-4613T(11/02/COM/WEB) .- Electrical Permit ApplicatiRECEIVED FOR OFFICE USE ONLY City of Tigard Received Date/B II el 13125 SW Hall Blvd.,Tigard,OR 9722 3 0 2023 Plan Review (r Phone: 503.718.2439 Fax: 503.598.190CT Date/B : Related Permit#: Inspection Line: 503.639.4175 ReadyDate/By: furls: 11(,1 R l ® See Page 2 for Internet www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information t °.:•: ,'.l "'�: i�'..is,.-tt.• ; _._,. '�.. 6 ,„s,7 i„,rx'�R,�.. ..,-»fitt, -a�.r='. a:,..,s.,is i.:e:_. g`ti.L='s qd'„:°,' •?' 't: ' '; .;ea._ :Arrs5oe ❑New construction ix 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 0 Other: I ,a where the available fault t current 0 Marinas and boatya rds. t IR — , t i, & ® e I " 'sr , • y_ exceeds 10,000 amps at 150 volts or 0 Floating buildings. I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or 4.1.1 v ;, ymt 1 5 c`tiII„,.. v i 8 ta_it y ,e f 3 rye 0 Emergency system. larger separately derived Job#: Job site address: 13030$W 115th Ave ❑Addition of new motor load of system. �� ¢S t100HP or more. ❑..A„ ..E„ ..1.2„ ..1 3„ ❑Six or more residential units. occupancy. City/State/ZIP:Tigard/OR/97223 ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Borow- PV+ ESS 0 Hazardous locations. 0 Supply voltage for more than O Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions tojob site: I x SW Former Street ��,, �,. - �»; �fi •.��t;S's r: ;"�•w°x . a.i���`•e^FaY ``;iM.ao ��'i n'?'�" Description Qty. Each 1 Total 1 * 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'I 500 sq.ft.or portion 33.92 1 u,=.E IMM41 .1, „ tt€rt..,.07445r#l=0„• ,i.31-ytt:;',1 10i7gt_.: :.._ 'lial; Limited energy,residential (with about s .ft.) 75.00 2 5.265 KW PV ARRAY 13 PANELS+2 POWERWALLS ON BACK HOUSE Limited energy,mqulti-family residential(with above sq.ft.) 75.00 2 P i i 3 ,t Renewable Energy (� See Page 2 • .' 1" 1• ` _ _ :.. r _ r _, s. ."_ ,_. _,' ,_.._I,,. .�� :. Services or feeders installation,alteration,and/or relocation Name: Harlan Borow 200 amps or less 100.70 2 Address:13030 SW 115th Ave 201 amps to 400 amps 1 133.56 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard/OR/97223 601 amps to 1,000 amps 301.04 2 Phone:(503 )713-8627 I Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:hsborow@gmail.com relocation Owner installation:This installation is being made on property that 1 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 Branch — w,alteration p ,� ..,: '..,, t„, �9t � t t`Is1 .s,, .;,.,,:`°. �.' .�•.F�f...:1�07017.7m?,_ "e»P 4�,•;�. i�: ,or extension,per panel A.Fee for branccircuitsh circuits with Business name:Tesla Energy above service or feeder fee, 7.42 2 each branch circuit Contact name: Joshua Wiggins B.Fee for branch circuits without Address: 6132 NE 112th AVE service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Portand/OR/97220 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(916 )846-3162 I Fax: :( ) Each manufactured or modular Email:Jowiggins@Tesla.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.8 2rfi1 �� � . ;... nr; N .DWI �, , , e � ; � 1, 3a1 Pump or irrigation circle 67.84 2 Business name:Tesla Energy Sign or outline lighting 67.84 2 Address:6132 NE 112th AVE Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Portand/OR/97220 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(916) 846-3162 Fax:( ) Investigation(1 hr min) 90.00/hr Email: Jowiggins@TesIa.com Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 180498 Electrical Lie.: C562 Suprv.Lie.: 5873S s.ecifically listed 1/2hr min) Suprv.Electrician // li .5177 ... . 1 ; , a Psignature,required:4% i,e4,h 4,..ae Q- S .3 . 6,. ; (J Subtotal: 133.56 Print name: Nick Armstrong l Date: 10/25/2023 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature:Q .4,.. a)�Ziil#t s_ TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Joshua Wiggins Date: 10/25/2023 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_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: A. . e Fee for all residential systems combined: $75.00 Description Qty. Each Total y 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 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 '4.. xn. s ectfically liste Yz r mm C .,' * ► .r,u., # Subtotal(Enter u"..� 3� on Page 1). 133.56 Fee for each commercial system: $75.00 Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ A• udio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ L• andscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ O• utdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Permils\ELC_PermitApp_ELR_ERE.doe Rcv 06/17/2015 MS1 to,3' b6s54 RECEIVED City of Tigard : .1 IN a Building Division CITY OF TIGARD 13125 SW Hall Blvd,Tigard, OR 97223 BUILDING DIVISION Phone: 503.718.2439 Fax: 503.598.1960 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:13030 SW 115th Ave City: Tigard Zip: 97223 Owner's Name: Harlan Borow Date: 10/25/2023 Contractor's Name: Tesla Energy CCB #: 180498 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. Ei 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 I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx Is the construction material wood and does ❑X Yes Type of If"Yes", Yes , qualifies for Construction the construction qualify p p p as "conventional light ❑ No the rescri tive ath. 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. ® Yes If"Yes", qualifies for the prescriptive path. ❑ No Is the combined weight ® 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 IA layout in accordance YeS If"Yes", qualifies for with Section 305.4(3) of 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. FR 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/PhotoVoltaic-Checklist02-01-11.docx Is the gauge 26 or less? ❑ Yes If"Yes", 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 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 El Yes If"Yes", qualifies for fastener? the prescriptive path. ❑ No Is the roof decking of WSP min. '/z"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 3 I:Bui lding/Forms/Photo Voltaic-Checkli st02-01-11.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:Tesla Energy Model Number: Hanwha -# Q.PEAK DUO BLK ML-G10+ /TS 405 Listing Agency: UL 4 I:Building/Forms/Photovoltaic-Checklist02-01-11.docx