10-October (21) `IICITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permit#: MST2023-00540
T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2023
Parcel: 2S108DB00800
Jurisdiction: Tigard
Site address: 15015 SW DANUBE DR
Subdivision: POLYGON AT BULL MOUNTAIN Lot: 6
Project: Luiz
Project Description: Rooftop solar system 17.2 kW.Addition of(1)200A 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: $117,470.00 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
Bckfiw 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
Fum>=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: 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
Y Roof top solar array17.2 kW N
Other: Other Description: P Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
LUIZ,JOSHIN A GREEN RIDGE SOLAR Required Items and Reports(Conditions)
RIPATTI,KRISTIINA V 19450 SW MOHAVE CT
15015 SW DANUBE DR TUALATIN,OR 97062
TIGARD,OR 97224
PHONE: PHONE: 503-395-1943
FAX:
Total Fees: $351.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire If work is not started within 180 day o issuan , or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi do Cent . Those rules are set forth in OAR
Q99-fHN-nnin fhrn,,nh(TAP QS9-nnl-noon Vn„m n a rnnv of fh Aac nr rlirarr nnacfinnc fn(ll IN(:hu ra Ili nn Sn 71110117 r An Tv,9144
Issued By: er a Signature: •
. .4175 by 7:00 a.m.for the next available inspection d
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1$uildin2 Permit Application
Residential RECEIVED_
FOR OFFICE US ONLY
Received ' T�a�'�[,-..2,,�,/�1 yv C
City ofW Tigard OCT 17 2023 Date/By: o ( � Pe t td,/ VV a
111 -'e 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /r(
li Q Other Permit:
Phone: 503.718.2439 Fax: 5(13.598.1960 Date/By:
IIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Jam 0 See Page 2 far
Internet: www.tigard-or.gov BUILDING DIVISION Notit�- Supplemental Information
dJ..It� .W 7lJr!�
TYPE OF WORK REQUIRED DATA:1-XND 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
❑Addition/alterationlreplacement ®Other:Solar Installation equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 117,470
® 1-and 2-family dwelling ❑Commercial:industrial
❑Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15015 SW Danube Dr New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Luiz Solar Project Covered porch area: square feet
Cross streetidirections to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST J�
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.
Hookup and installation of 17.2 kW roof mounted solar system Valuation: $
With (1)200 amp service for back up storage Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:Joshin Luiz Type of construction:
Address:15015 SW Danube Dr Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:I )408-916-6816 Fax:I I New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedale)
Business name:Green Ridge Solar
Structural plan review fee(or deposit):
Contact name:Amanda Owen
Address:19450 SW Mohave Ct FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Tualatin, OR 97062
Amount received:
Phone:( 503)395-1943 Fax: :( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
operationsgreenridgesolar.com
Commercial and residential prescriptive installation of
CONTRACTOR rooftop mounted PhotoVoltaic Solar Panel System.
Business name:Green Ridge Solar Submit two(2)sets of roof plan with connection details
and tire department access,along with the 2010 Oregon
Address:19450 SW Mohave Ct Solar Installation Specialty Code checklist.
City/State/ZIP:Tualatin, OR 97062 Permit Fee(includes plan review $150.00
and administrative fees):
Phone:( 503)395-1943 Fax:( I State surcharge(12%of permit fee): $21.60
CCB lic.:210450 Total fee due upon application: $201.60
Authorized signature: 1 V This permit application expires if a permit is not obtained
within 1R0 days after it has been accepted as complete.
Print name: Date:10/16/2023 *Fee methodology set by Tri-County Building Industry
Amanda Owen Service Board.
I:\Building\Ponnits\EILP-RESPennitApp.doii 02/24/20I I 440-4613T(I I/02 COM/WEB)
•
Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard ReceivedDmc/Br Permit No.
111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
l t A u I t Inspection Line: 503.639.4175 Date Ready/By: furs: ® See Page 2 for
Internet: www.tigardor.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-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
❑Addition/alteration/replacement ®Other:Solar Installation equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 117,470
1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15015 SW Danube Dr New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Luiz Solar Project 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: 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
DESCRIPTION OF WORK work indicated on this application.
Hookup and installation of 17.2 kW roof mounted solar system Valuation: S
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name:Jos hln Luiz Type of construction:
Address:15015 SW Danube Dr Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:( )408-916-6816 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Green Ridge Solar (Please refer phe schedule)
Structural plan review fee(or deposit):
Contact name:Amanda Owen FLS plan review fee(if applicable):
Address:19450 SW Mohave Ct
City/State/ZIP:Tualatin, OR 97062 Total fees due upon application:
Amount received:
Phone:( 503)395-1943 Fax::( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
operations@greenridgesolar.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Green Ridge Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:19450 SW Mohave Ct Solar Installation Specially Code checklist.
City/State/ZIP:Tualatin, OR 97062 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( 503)395-1943 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB tic.:210450 Total fee due upon application: $201.60
Authorized signature: V�./1- This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date:10l16l2023 *Fee methodology set by Tri-County Building Industry
Amanda Owen Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46I3T(11/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
_ 8I 13125 SW Hall Blvd.,Tigard,OR 97223
Date/By:
Permit No.:
Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
TIGARD 24-Hour Inspection Line: 503.639.4175 ❑ Electrical 0 Plumbing ❑ Mechanical
Internet: www.tigard-or.gov 0 Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. 0 0 ❑
2 Zoning. Flood plain,solar balance points,seismic soils desi ation,historic district,etc. 0 0 0
3 Verification of approved plat/lot. 0 0 0
4 Fire district approval required. Name of district:
5 Septic system permit or authorization for remodel. Existing system capacity ❑❑ 0❑ 0
6 Sewer permit. ❑ 0
0
7 Water district approval. 0 0 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 0
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 0
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 0 0 ❑
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, 0 0 0
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- ❑ 0 ❑
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. 0 0 0
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- 0 0 0
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 0 ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 0
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 0
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0
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 0 ❑ ❑
architect licensed in Ore on and shall be shown to be applicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". • ❑ •
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑
27 "Drawn to scale"indicates standard architect or engineer scale. 0 ❑ 0
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, ❑ ❑ 0
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 a]]building additions, ❑ 0 0
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.
l:\Building\Pennits\BUP-RESPemucApp.doc 02/24/2011 440-4613T(l l/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE .►Recei Received i ` ,� /Pr' Permit• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: /�] j /11"6 p_as*
g Plan Review I I
11.. Phone: 503.718.2439 Fax: 503.598.1960 OCT q C Date/By: Related Permit#:
Inspection Line: 503.639.4175 l• ` J 2023 Ready Date/By: Suns: ® See Page 2 for
T[I;ARID Internet: www.tigardor.gov Notified/Method: Supplemental Information
TYPE OF wo CITY OF TIGARD
I UILDING plVISIOiPLAN REVIEW
0 New construction ❑Addition/alteration rep acem:,r _ Please cheek all that apply(submit 2 sets of plans wiitcros checked):
0 ® SDemolition Other: 1 ` ❑Service or feeder 400 amps or more 0 Building over three stones.
olar Installs l' - where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION ini �ral exceeds 10,000 amps at 150 volts or 0 Floating buildings.
® 1-and 2-family dwelling 0 Commercial/industrial ❑ s ' s u1 ding less to ground or exceeds 14,000 0 Comme cial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑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:15015 SW Danube Dr ❑1001I on of oew motor load of system.
00HP or more. ❑"A","E""1-2" "l-3"
City/State/ZIP:Ti and OR 97224 ❑Six or more residential units. occupancy.
g ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Luiz Solar Project 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: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add.'500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Hookup and installation of 17.2 kW roof mounted solar system Limited energy,multi-family
Wi residential(with above sq.ft.) 75.00 2
�
Renewable Energy 0 See Page 2
l;a PROPERTY OWNER 0 TENANT Services or feeders installation,alteratjon,and/or relocation
Name:Joshin Luiz 200 amps Or less 7 100.70 2
Address:15015 SW Danube Dr 201 amps to 400 amps 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:( )408-916-6816 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:osujoshin@gmail.com relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 I
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
.0 APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Green Ridge Solar above service or feeder fee, 7.42 2
each branch circuit _
Contact name:Amanda Owen B.Fee for branch circuits without
service or feeder fee,first Address:19450 SW Mohave Ct branch circuit 56.18 2
City/State/ZIP:Tualatin, OR 97062 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 503)395-1943 Fax: : ( ) Each manufactured or modular 67.84 2
Email:permitting@greenridgesolar.com dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Green Ridge Solar Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address:19450 SW Mohave Ct panel,alteration,or extension.
city/state/zIP:Tualatin, OR 97062 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)395-1943 Fax: ( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(lhrmin) 78.18/hr
operationsegreenridgesolar.com Inspections for which no fee is
CCB Lie.:210450 Electrical Lie. Cl90 Suprv.Lic.:6478S specifically listed(Vs hr min) 90.00/hr
C
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:52[tzIc.Sc jeep Subtotal:
Print name: Brian Butterfield v Date:10/16/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:
Ot. —_ TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Amanda Owen Date:10/16/2023 days after it has been accepted as complete.
" Number of inspections allowed per pemut.
I:'Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page'L—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 Rene R ton Qty. IEaeh 7mtil
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01to15kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 1 200.34 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* >100kva—no additional charge 0.0 3
El Other:
additional inspection over allowable in any of the above:
Other: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: S75.00 slowed (Enter on Page 1):
(SEE OAR 918-309-0000) ' Number of inspections allowed pe 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
\BuildnglPermits\ELC_PermrtApp_ELR_ERE.doc Rev 06/I7/2015
City of Tigard
III 'I Building Division
13125 SW Hall Blvd, Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 RECEIVED
TIGARD Inspection Line: 503.639.4175
www.tigard-or.gov OCT 2 5 2023
CITY OF TIGARD
2010 Oregon Solar Installation Specialty Code BUILDING DIVISION
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 15015 SW Danube Dr
City: Tigard Zip: 97224
Owner's Name: Joshin Luiz Date: 10/16/2023
Contractor's Name; Green Ridge Solar CCB #: 210450
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.
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 ® 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
❑ Yes the prescriptive path.
above
❑ No
1
1:/Bui Iding/Fomis/PhotoVoltai c-checkli st02-01-11.docx
Is the construction
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 ® 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 ® Yes
If"Yes", qualifies for
with Section 305.4(3) of ❑ No the prescriptive path.
the 2010 Oregon Solar
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.
V of composition
shingle.
Is the roof mounted10 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
I:Building/Fortes/PhotoVoltaic-Checklist02-OI-1 1.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 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 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 ® Yes the prescriptive path.
surface. ❑ No
3
I:Bui Iding/Forms/Photovoltaic-Checklist02-01-11.docx
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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:Canadian Solar
Model Number:CS6R-400MS-HL
Listing Agency:UL
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I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx