11-November (2) 1
Electrical Permit Applicatili E C E I V E D FOR OFFICE USE ONLY
Received Permit#' MS1'1,0ti3.60S1-1
i1 _ City o./'Tigard NOV 0 2 2023 Received
• 13125 SW Hall Blvd., OR 972
Tigard, 2 Pfau Review Related Permit#:
Phone: 503.718.2439 Fax: 503.598,],qGq, Date/By:
l�I I T OF TIGARD Ready Date/By: Lena I ® See Page 2 for
Interne: w'w. 503.or.go 75 BUILDING DIVISION Notified/Method: Supplemental Information
TIGARD Interact: wwtietigard-0cgov
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/al[eiatiONreplacement
Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or mom 0 Building over three stories.
El Demolition ®Other: Solar Installation where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
® I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
❑Multi-family ❑
Master builder 0 Other: 0 Fire pump. 0 installation of 150 KVA or
0 Emergency system larger separately derived
d06 SITE INFORMATION AND LOCATION ❑Addition of new motor load of system
❑"A""E" "I-2""1-3"
Job#: Job site address:11401 SW Gabriel St 100NP or more.
occupancy.
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP:Tigard, OR 97224 ❑Health-care facilities.
❑Hazardous locations ❑Supply voltage for more than
SuitePoldg./apt.#: I Project name:Schmitt Solar Project ❑Service nr feeder 600 amps or more. 600 volts nominal.
FEE SCHEDULE
Cross street/directions to job site: Description I Qn'. I Each I ram I '
New residential single-or multi-family dwelling unit.
Lot#: includes attached garage.
Subdivision: 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 75.00 2
(with above sq.ft.)
Hookup and installation of 5.6 kW roof mounted solar system Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER I 0 TENANT Services or feeders installation,alteration,and/or relocation
200 amps or less 100.70 2
Name:Diana Schmitt 201 amps to 400 amps 133.56 2
Address:11401 SW Gabriel St 401 amps to 600 amps 200.34 2
301.04 2
City/State/ZIP:Tigard, OR 97224 601 amps to 1,000 amps
Phone:( )503-799-8600 Fax: 552.26 2
Over 1,000 amps or volts
( ) Temporary services or feeders installation,alteration,and/or
Email:ldiana.schmitt@gmail.com relocation
59.36 1
Owner installation:This installation is being made on property that I own which is not 200 amps or less 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401201 amps to 400 amps to 400 amps 125.08 2
Owner signature: Date:
Branch cto 5 9s—pew,alteration,or extension,per panel
0 APPLICANT I 2 CONTACT 1'ERSODI A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Business name:Green Ridge Solar each branch circuit
B.Fcc for branch circuits without
Contact name:Amanda Owen service or feeder fee,first 56.1 R 2
Address:19450 SW Mohave Ct branch circuit
Each add'1 branch circuit 7.42 2
City/State/ZIP:Tualatin, OR 97062 Miscellaneous(service or feeder not included)
Phone:
( 503)395-1943 I Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
67.84 2
Email:permitting@greenridgesolar.com Reconnect only2
CONTRACTOR Pump or irrigation circle 67.84
Sign or outline lighting 67.84 2
Business name:Green Ridge Solar Signal circuit(s)or limited-energy 0 See Page 2 2
Address:19450 SW Mohave Ct panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/71P:Tualatin, OR 97062 Additional inspection(1 hr min) 66.25/hr
Phone:( 503)395-1943 I Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:permitting@greenridgesolar.eom Inspections for which no fee is 90.00/hr
Suprv.Lie.:6478S _s�'ecifically listed('/s hr min)
cut Lic.:210450 I Electrical Lie.:C 1490 I P ELECTRICAL PERMIT FEES
Subtotal:
Suprv.Electrician signature,required:e"uru ezzeti
Print name: Brian Butterfield I Date:11/1/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature: �/`-- This permit application expires if a permit is not obtained within 180
Date:11/1/2023 days after It has been accepted as complete.
Print name:Amanda OwenNnmber of inspections allowed per permit
hlauiWinglPematsUiLC_PermitApp_L'LR_kiRL.doc Rev 06/17/2015
440-461511 lro5/COM/W A
• ,
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 Pry. I Each i moral I *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva t 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(fcc 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:
Each additional inspection is 66.25/hr 1
❑ Other: _ charged at an hourly(1 hr min)
_ Inspections for which no fee is 90.00/hr
specifically listed(51 hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1):
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
❑ 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
I:UBuilding\Permits\LLC_Pcrm6App_ELR_ERE.don Rev06/172015
RECEIVED
Ph - City of Tigard NOV (12 2023
'' Building Division CITY OF ilia
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: 11401 SW Gabrieal St
City: Tigard, OR Zip: 97224
Owner's Name: Diana Schmitt Date: 11/1/2023
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
Located in a flood prescriptive path, follow
Area 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 ❑ Yes the prescriptive path.
above ❑
No
1
1:Building/Fonns/PhotoVoltaic-Chccklist02-01-11.docx
Is the construction
Type of material wood and does ® Yes If"Yes", qualifies for
the construction qualify ❑ No the prescriptive path.
Construction as"conventional light
frame" construction?
Is the spacing 24 inches
or less?
® Yes If"Yes", qualifies for
Pre-engineered trusses. the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
If"Yes",qualifies for
Nominal lumber. ❑ Yes the prescriptive path.
❑ No
Is the combined weight V 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
Roofmg 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?
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1:Building/Forms/PhotoVoltaic-Chccklist02-01-11.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 If"Yes", qualifies for
fastener? ❑ Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. t "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:BuildingJForms/PhotoVoltaic-Chccklist02-01-11.docx
a
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: u L
4
I:Building/Fo ms/PhotoVoltaic-Checklist02-0 I-I I.docx