10-October (20) CITY OF TIGARD MASTER PERMIT
'� • ' COMMUNITY DEVELOPMENT Permit#: MST2023-00560
• Date Issued: 11/09/2023
-i I t;n I:,I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109AA00600
Jurisdiction: Tigard
Site address: 14275 SW 125TH AVE
Subdivision: None Lot: None
Project: Gerhard
Project Description: Rooftop solar PV system:13.44 kW with 200amp service and(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: 510,800.00 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
Other Fixtures: 0
Drywall-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
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 2
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: 0 801+amp-1000v: 0
1000+amplvolt: 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 13.44 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:
GERHARD,JOHN C&GERHARD.AMY LELEMENTAL ENERGY LLC Required Items and Reports(Conditions)
1339 SE 8TH AVE#B
PORTLAND,OR 97214
PHONE: PHONE: $033-967-5786
FAX:
Total Fees: $360.69
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: • �C//` Permittee Signature: c� � r Gti�`
CeAS03.839.4175 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 lob site at the time of each Inspection.
Building Permit Application �+ ,
Residential RECEIVE
�' FOR OFFICE USE ONLY
City of Tigard OCT )) Received /J/ /I',q h y3
IN
• VL .l O 20�� Plan Re: ���36� W V IyY Permit No.: MC I�� 60K
13125 SW Hall Blvd.,Tigard,OR 97223 3 W il O
Plan Review � 7
Phone: 503.718.2439 Fax: 503.598.I960 DateBy: j'- 7. 2.J Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Re B : mom:
Internet: www.ti and-or. ov f-: \!' SI /. adY o ® See Pauliage 4 for
g g BUILDING ��4�,.,t, , ; Notified/Method: /i3 ,f Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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
0 Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
■ 1-and 2-famil dwellin Valuation: $10800
❑ y g ❑Commercial/industrial
❑Accessory building El Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:14275 Southwest 125th Avenue New dwelling area: square feet
City/State/ZIP:Portland,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Gerhard PV 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.
Valuation: $
10.08 KWAC roof m
prAsrri tIVB ?xgnlar hatter_y ba( kup Existing building area: square feet
New building area: square feet
I] PROPERTY OWNER El TENANT Number of stories:
Name:John Gerhard Type of construction:
Address:14275 Southwest 125th Avenue Occupancy groups:
City/State/ZIP:Portland,OR 97224 Existing:
Phone:(+13123399721 Fax:( ) New:
OO APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:Elemental Energy LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Tom Marshall
FLS plan review fee(if applicable):
Address:6800 NE 59TH PL
City/State/ZIP:PORTLAND OR 97218 Total fees due upon application:
Phone:60396)75786 Fax::( ) Amount received:
E-mail:permits@elementalenergy.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Elemental Energy LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6800 NE 59TH PL Solar Installation Specialty Code checklist.
City/State/ZIP:PORTLAND OR 97218 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(5039075786 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:195141
Total fee due upon application: $201.60
Authorized signature: Tom Marshall =='�'�- - This permit application expires If a permit is not obtained
`F..,..— within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Print name:Tom Marshall Date:10/27/23
Service Board.
1:1Building\Pennits1BUP-RESPemiltApp.doc 01/25/2023 440-4613T(11/02/COM/WEB)
Electrical Permit ApplicaUCEI V ED ;
FOR OFFICE a SN ONLY
- City of Tigard OCT 3 0 2023 Received
ertnit#:
ill 13125 SW Hall Blvd.,Tigard,OR 97223 Dana : f �i
Plan Review
Phone: SD3.718,2439 Fax: 503.59g�o DateB :
T Related Permit#:
Inspection Line: 503.639.4175 liI l OF TIGARD Ready Date/By: tuns: HI See Page 2 for
TI GARU_ Internet: www.tigazd-oegov BUILDING DIVISION Notified/Method:
Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction E Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
El Demolition 0 OtheI: 0 Service or feeder 400 amps or more ElBuilding over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
l ❑1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural
0Accessory buildingt ri
amps for all other installations, buildings.
❑Multi-family ❑Master builder ❑Other:
ID Fire pump. El Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Job#: R23-1226 Job site address: 14275 Southwest 125th Avenue ❑Addition100HPofnewmotorloadof system.
or snore. ❑"A" "E" ••1-2" "l-3"
❑Six or more residential units. Occupancy.
City/State/ZIP: Portland, OR 97224 ❑Recreational vehicle pa
rks.
facilities. p rks.
Suite/bldg./apt.#: I Project name: Gerhard PV 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
Dercriplian I Qty. I Each I Total
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'I 500 sq.ft.or q portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
10.08 KWAC roof mounted grid interactive photovoltaic (with abovesq.ft.) 75.00 2
Limited energy,multi-family
solar, prescriptive, 2xsolar battery backup residential(with above sq.ft.) 75.00 2
Renewable Energy $1 See Page 2
n PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:John Gerhard 200 amps or less 1 100.70 2
Address: 201 amps to 400 amps 133.56 2
14975 Sniithwest 175th Avenue 401 ampsto600amps 200.34 2
)
City/State/ZIP:
Portland, OR 97224 601 amps to l,000 amps 301.04 2
Phone:(+131233(19721 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: jcgerhard a(�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
APPLICANT El CONTACT PERSON Branch circuits—new,alteration,or extension, .er panel
A.Fee for branch circuits with
Business name: Elemental Energy LLC above service or feeder fee,each branch circuit 2 7.42 2
Contact name:
Tom Marshall B.Fee for branch circuits without
Address: 6800 NE 59TH PL brarannch ice cit feet o
fee,first 56.18 2
bt
City/State/ZIP:PORTLAND OR 97218 Each add/I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(5039675786 Fax: :( ) Each manufactured or modular 67.84 2
Email: permits@elementalenergy.net dwelling,service and/or feeder
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Elemental Energy LLC Sign or outline lighting 67.84 2
Address: 6800 NE 59TH PL Signal, ti )or limited-energy
❑ See Page2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: PORTLAND OR 97218
Additional inspection(1 hr min) 66.25/hr
Phone:( )50396757R6 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
P.rmitS elerentalanerg y net
c Inspections for which no fee is
CCB Lie.: 1 Q5141 Electrical Lie.: 1228 Suprv.Lic.: 4894S specifically listed(14 hr min) 90.00,hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:j1 .� Subtotal:
Print name: David Ge kE �`��`�� Date: 10/27/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature' TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Tel, 7Yla.,,,,4„ke,lt Dale: 10/27/2023 days after it has bees accepted as complete.
* Number of inspections allowed per permit.
1:t Building\PermitslELC_PerntitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I I/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 I Qty. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved: 1 133.56 2
5.01 to 15 kva
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n 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)
7 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 lcva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page I);
Fee for each commercial system: $75.00 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
n 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
1:1Building\Permits\ELC PennitApp_ELR_ERE.doc Rev 06/17/2015
`' RECEIVED
City of Tigard OCT 3 0 2023
Building Division
13125 SW Hall Blvd,Tigard,OR 97223 CITY
TIGARD
Phone: 503.718.2439 Fax: 503.598.1960 BUILDINNGG 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: 1-1 a 75
City: Zip: 171.2 y
Owner's Name: J 9� ( �, ,( Date: /0/-3/;2-3
Contractor's Name: /,� ��/ �, ,o�r 2,1 C- CCB #: /`5/
Design Parameters of the Property/Structure
If"Yes",does not
Flood Hazard Is the installation LI Yes qualify for the
Located in a flood prescriptive path, follow
Area plain/flood way? [, No OSSC or ORSC for
design requirements.
Wind Exposure Is the wind expsure 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 IA 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:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
Is the construction
material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction No the prescriptive path.
as"conventional light ❑
frame"construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. R_Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. El Yes
"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 lasYes
with Section 305.4(3)of If"Yes", qualifies for
the 2010 Oregon Solar n 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 b( Yes
Connections of solar assembly 7�
the solar assembly connected to roof If"Yes", qualifies for
❑
framingblockingNO the prescriptive path.
to the roof or
directly?
2
L•JBuildineForms/PhotoVoltaic-Checklist02-01-11.docx
t
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
0 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
prescriptive path.
standing seam
metal panels Width of roofing If the width of the panel
is less than 18 inches,
/Jo, panels? 18 inches or less qualifies for the
inches prescriptive path.
Minimum#10 at 24
inches o/c?
Size and spacing of If"Yes",qualifies for
fastener? 0 Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. %s" 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
L•/Building/Forms/PhotoV oltaic-Cheoklist02-01-11.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: So
Model Number: /�� t, ,� � ,
Listing Agency: Ut 0 73c�
•
4
1JBuildmg/Forms/PhotoVoltaic-Checklist02-01-1 l.docx