Permit CITY OF TIGARD MASTER PERMIT
IS • COMMUNITY DEVELOPMENT Permit #: MST2012 -00211
Ti G A.R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/09/2012
Parcel: 2S104BA10600
Jurisdiction: Tigard
Site address: 13665 SW LIDEN DR
Subdivision: CASTLE HILL NO.3 Lot: 136
Project: Luu
Project Description: Installation of solar photovoltaic system.
BUILDING
Floor Areas Required Setbacks Req uired
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: $0.00 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 Storm Sewer: 0
Drains: 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
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: 1 0 -200 amp: 0 W/ Svc or Fdr: 1
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
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R - 3 0
Owner: Contractor:
LUU, MARK & SOLARCITY CORPORATION Required Items and Reports (Conditions)
CHAU, TU 6132 NE 112TH AVE
13665 SW LIDEN DR PORTLAND, OR 97220
PORTLAND, OR 97223
PHONE: 503 -590 -0372 PHONE: 503- 964 -0489
FAX: 503 - 926 -9101
Total Fees: $327.19
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 a in accordan . ith 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
ays. ATTENTION: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ar= set forth 'n OAR
952- 001 -0010 t rough OAR 9 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234
Issued By: , Permittee Signature: _ .
Call 503.639.4175 by 7:00 a.m. for the next available Inspe on 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.
•
Building Permit Applic
Residential '
FQR °uric!: l Sl: n\'1 V t
City of Tigard AUG 0 8 2012
DatriBReeelvcd: : ; =% /.e . ¢0A 1
IIII
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ��
R ' Phone: 503.7182439 Fax: 503 ''� -,'•a, h() D ; / Other Pamir.
r 1,, ,; r n Inspection Line: 503.639.4175
ne: - , ; '' r � . , F �"
. y ,�,` p'•, ° No te Rnd -... & % �e� ®See Pale: ter
Internet: Line: t� s. e: � J err �� l Notified/M - ... • p 1
- / t Supplemelrmllaforma6oa
_mss . i
TYPE OF WORK REQUIRED DATA: 11 AND 2 DWELLING
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed.
® Addition/alteration/replacement ❑ Other equipment, the value (rounded to the nearest dollar) of all
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: s3561-‘0,00
CI Accessory building ❑ Multi- family Number of bedrooms:
■
❑ Master builder ❑ Other Number of bathrooms:
• JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: 1 S In(5 Sol i \M -+ L; ere n Drive New dwelling area square feet
City/State/ZIP: - 'T', I n c - / OR 9 Garage/carport area: square feet
Suite/bldg. /apt. no.: " Project name: Lut 1 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: I 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. .
Roof Mount PV System Valuation $
Existing building area: square feet
New building area: square feet
❑ / �PROPERTY OWNER I ❑ TENANT Number of stories:
Name: 1 n I► c rk L Ul l Type of construction:
Address:
�, Occupancy groups:
N.
City/State/ZIP: Existing:
I Phone: ( 503) S90- 0312 Fax: ( ) New:
Oo is APPLICANT ® CONTACT PERSON ' , BUILDING'PERM[T FEES*
V Business name: SolarCity Corporation
Structural plan review f ee (o refer r depos ached")
t): �r)
■ Contact name: Caitlin Horsley v fr deposit):
FLS plan review fee (if applicable):
I\ Address: 6132 NE 112 Ave
City/State/ZIP: Portland Total fees due upon application: ey
Phone: (503) 9560610 1 Fax; : (503) 5366513
Amount received: ifjg 7 / l
E -mail: cloraley@aolarcity.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
CONTRACTOR • Commercial and residential prescriptive installation of
4 roof -top mounted PhotoVoltaic Solar Panel System.
Business name: SolarCity Corporation Submit two (2) sets of roof plan with connection details
Address: 6132 NE 112 Ave and fire department access, along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City /Stete21P: Portland, Oregon 97220 Permit Fee (includes plan review S180.00
and administrative fees):
Phone: (503) 9560610 Fax: (503) 4366513
State surcharge (12% of permit fee): $21.60
CCB lic.: 180498
Total fee due upon application: $201.60
Authorized signature: r ' i / This permit application expires if a permit Is not obtained
/ 'r , within 180 days after it has been accepted as complete.
I Print name: Caitlin Ho y / I Date: % /7412 `Fee methodology set by Tri -County Building lndustrD, / ft,
Service Board. ak 7 5/
l: \BuildutglPermitslBUP- RESPermitApp.doc 02/242011 440 -0613T(11 /02/COM/WEB)
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Electrical Permit App1i'•i q,; w _A 'Y FOR ()Fr, 1: t SE O\l.\
. i •
City SW H B a OR ® 8 2012 .! Ali Plan Review
• Phone: 503.7182439 Fax: 503 . �; aa pa Other Permit:
Inspection Line: 503.639.4175 C� ''i °. I , i. 4�J Date Ready/By: s: 0 See Page 2 for
r
itG11 ;1 ,
Internet: www.tigard- or.gov : t t , r ) �� Notified/Method: Supplemental Information
Of mg • ; 9 p,, , �- o , .r � 1�: 9
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit a sets of plans w /iteats checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10.000 amps at ISO volts or ❑ Floating buildings.
less to ground. or exceeds 14,000 ❑ Commercial -use agricultural
® 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other 0 Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION D Emergency sy larger separately derived system.
❑ Addition of new w motor otor bad of ❑ "A ", "E ", "1- 2 ", "I -3 ",
Job no.:912 b I Job site address: S VitCsi L1 100: �- ❑ Six HP or more upancy
or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: T i 1 r 6 / OQ C x 223
0 Health-care facilities. ❑Supply voltage for more than
❑ Hazardous locations. 600 volts nominal
Suite /bldg. /apt. no.: I Project name: Luo ❑ service or feeder 600 amps or more. •
FEE SCHEDULE
Cross street/directions to job site: Description 10n. I Fee. I Toad I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. it or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 I
Tax map/parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi- family
75.00 2
Roof Mount PV System residential (with above sq. ft.)
Services or feeders Installation, alteration, and/or relocation
200 amps or less I 100.70 (00.76 2
® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
Name: mar k LOU 601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City/ State/ZIP: relocation
Phone: (503) 590 - 0S Fax: ( ) 200 amps or less 59.36 I
Owner installation: This installation is being made on property that I own which is not 201 crepe to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits- new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
above service or fader fee,
APPLICANT 131 CONTACT PERSON I 7.42 7. 2
each branch circuit
Business name: SolarCity Corporation B. Fee for branch circuits wirhou:
service or feeder fee, fast 56.18 2 I
Contact name: Caitlin Horsley branch circuit
Each add'I branch circuit 7.42 2
Address: 6132 NE 112 Ave Miscellaneous (service or feeder not included)
City/State/ZIP: Portland, Oregon 97220
Each manufactured s rvice and/or d/ r modular
Ci
ry d, e8 dwelling, service endlor feeder 67.84 2 .
Phone: (503) 9560610 I Fax: : (503) 5366513 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: chorsley@solarclty.com Sign or outline lighting 67.84 2
CONTRACTOR Signal circuit(s) or limited-energy
Business name: SolarCity Corporaton panel, alteration, or extension. Pape 2 2
Each additional inspection over allowable in any of the above
Address: 6132 NE 112th Ave Additional inspection (I hr min) 66.25/ hr
City/State/ZIP: Portland, Oregon 9722 Investigation (1 hr min) 66.25/hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 9560610 I Fax: (503) 5366513 Inspections for which no fee is 90.00 / hr
specifically listed (A hr mm)
CCB Lic.: 180498 I Electrical Lic.: C562 i Suprv. Lic.: 5201S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: /C) S • t 7'
IMP _ / _ /� / Plan review (25% of permit fee):
Print name: Derek Cropp Date: 4$`12 State surcharge ( 12% of lem it fee): /A• 7
TOTAL PERMIT FEE: / a / , O ?
Authorized signature: This permit application expires if a permit is not obtained within 180
Print name: Caitlin Horst y D i e days after it has been accepted as complete.
Y $ O I • Number of inspections allowed per permit
i9uildingPermitr Et.C- PamitApp.doc 07 0110 440.4615T(I1/05/COM/WEB
City of Tigard A ,.
° Building Division \ . ' v i�
I 2 13125 SW Hall Blvd, Tigard, OR 97223 , -° ,
Phone: 503.718.2439 Fax: 503.598.1960 p�G $ 2012
T I G A R D Inspection Line: 503.639.4175 -. :'.:11,V)
www.tigard-or.gov �;i °'�"
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2010 Oregon Solar Installation Specialty Code
I
Check List for Prescriptive Installation of Roof - Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 13 665 Li den Drive .
City: T gar-a • Zip: 9 22 -
Owner's Name: Luu, Mark Date: S f 8112
Contractor's Name: SolarCity Corporation CCB #: 180498
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Design Parameters of the Property /Structure
If "Yes", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Area plain/flood in a flood prescriptive path, follow
plain/flood way? ® N OSSC or ORSC for
• design requirements.
Is the wind
Wind Exposure exposure
® Yes
ex sure If "Yes ", qualifies for
"C" or less? ❑ N 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?
structures other than ❑ Yes If "Yes ", qualifies for j
above the prescriptive path.
❑ No
l
k/ Building / For s/PhotoVoltaic- Checklist.docx
m
Is the construction
material wood and does ® Yes •
Type of If "Yes", qualifies for
the construction qualify
Construction
as conventional light ID 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 ' I
Roof framing •
members Is the spacing 24 inches
or less?
Yes "Yes ", qualifies for
Nominal lumber.
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
El
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.
® of composition
shingle.
Is the roof mounted Yes
Connections of solar assembly
the solar assembly connected to roof If "Yes ", qualifies for
to the roof framing or blocking ❑ No the prescriptive path:
directly?
•
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IJBuilding/ Forms /PhotoVoltaic- Checklist.docx 2
REc
AUG 0 8 2012
CP l.Cr arty•
❑ Yes ��;�? �� �„
Is the gauge 26 or less? If "Yes ", qualifies'
❑ 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
Spacing of clamps? Minimum 24 inches
Solar systems P g P 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 ❑ 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
P If "Yes ", qualifies for
solar modules module to the roof ® Yes the prescriptive path.
surface. ❑ No
3
1:/ Building / Forms /Photovoltaic- Chxklisidocx '
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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:
•
Model Number: ? L25P
Listing Agency: UL1703
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IiBuildmg/ Forms /PhotoVoltaic- Checklistdocx