Permit CITY OF TIGARD MASTER PERMIT
Li • COMMUNITY DEVELOPMENT Permit #: MST2012 -00240
T L G AR O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/25/2012
Parcel: 2S 111 DA08800
Jurisdiction: Tigard
Site address: 9018 SW GRAVENSTEIN LN
Subdivision: APPLEWOOD PARK NO.3 Lot: 81
Project: Campagna
Project Description: Installation of solar photovoltaic system
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: $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
Fum <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: 0
Ea adds 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 +ampNolt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio 8 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:
ESTEGHLALIAN, LEILY & SOLARCITY CORPORATION Required Items and Reports (Conditions)
CAMPAGNA, PATRICK M 6132 NE 112TH AVE
9018 SW GRAVENSTEIN LN PORTLAND, OR 97220
TIGARD, OR 97224
PHONE: 503 - 968 -6401 PHONE: 503 - 964 -0489
FAX: 503- 926 -9101
Total Fees: $326.38
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
952- 001 -0010 through 0 R 52- 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Sk Permittee Signature: 04 f� e r/ f / Oa
Call 503.639.4175 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 Job she at the time of each Inspection.
Building Permit Application
Residential RECEI \ / ., a ) ) lOR orricl l S1: O\1.V
City of Tigard Receive
cC ^ . /8 4 �DI� -�� Q
Permit No.: �
• III 13125 SW Hall Blvd., Tigard, OI}E1F22 8 L 012 Plan Review
o../ ' Phone: 503.7182439 Fax: 503.598.1960 Date/By: Q�
Dat 9//9-- I Other Permit:
; - I L R I , Inspection line: 503.639.41 TY OFTIGARD Date Ready/By:
n Set Pagel lI nr
Internet: www.t;gara-0r.ggK ,ILDING DI VISION N d/Met '[1 h '
;/ S
Yb �J Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 24AMILY DWELLING
❑ New construction ❑ Demolition Permit fees' are based on the value of the work performed. ,
® Addition/alteration/replacement Olher Indicate 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 0 Commercialindustrial Valuation: g (
❑ 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: 93 i R sw Grave n sfe 1d1 L_),ne New dwelling area: square feet
City /State/ZIP: T1'9) r 1 , ()Q 'fl 22 Li Garage/carport area: square feet
Suite/bldg./apt. no.: Project name: CnYY1pr t ttle4 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. I
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all 1
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: Pty +t - i ck. L.GVY1 trreA Type of construction:
Address: Occupancy groups:
City/State/ZIP: Existing:
Phone: ( 93) 96%- 64o Fax: ( ) New:
O APPLICANT El CONTACT PERSON BUHDING'PERMII' FEES*
Business name: SolarClty Corporation - (PYan mrbkest8edhbr� I
Contact name: Caitlin Horsley
Structural plan review fee (or deposit):
Address: 6132 NE 112 Ave FLS plan review fee (if applicable):
City/State/ZIP: Portland Total fees due upon application: j� -
Phone: (503) 9560610 I Fax: : (503) 5366513 �O received: rhj• ioo
E -mail: chorsley®solarcity.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic Solar Panel System.
Business name: SolarCity Corporation Submit two (2) sets of roof plan with connection details
m and fire department access, along with the 2010 Oregon
Address: 6132 NE 112 Ave Solar Installation Specialty Code checklist.
City / State/ZIP: Portland, Oregon 97220 Permit Fee (includes plan review
and administrative fees): $180.00
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: 1 — / / This permit application expires if a permit Is not obtained
r within 180 days after it has been accepted as complete.
Print name: Caitlin Ho ey / I Date: 9/13/a * Fee methodology set by Tri- County Building Industry
Service Board.
•
1:\ Building 'Pennits\BUP- RESPennitApp.doc 02/24 /2011 440-4613T( I 1 /02/COM/WEB)
It ■ S , 1LOf1 V �D
Electrical Permit Applic : 1 1
+ ,C
City of Tigard S 1 Received 2012 Date/By: I is ' fa- Permit No.: MD I t d • g9XVI,
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2439 Fax: 5 9h D Re V /I a- 6 Other Permit:
Inspection Line: 503.639.4175 TIGARID Plan Review Date ReadyBy: hub: 0 See Page 2 for '
I:" Internet: www.tigard- or.govBUILDING DIVISION No /Method: 4 eV / f a• r4/�
Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 3 sets of plans w /items 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 150 volts or ❑ Floating buildings.
less to ground. or exceeds 14.000 ❑ Commercial -use agricultural
® 1- and 2- family dwelling ❑ Commercialindustrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Amergen o f new m larger separately separately derived system.
❑ Addition o new motor bad of ❑ "A" "E" "1 -2" "1.3"
I I OOHP or more. occupancy.
Job no.: 9740 U 4 Job site address: �� SW G e� 5yf t l/1 Lo 0 Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Mn -A t OR x12 21-I ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: ❑ service or feede 6 00 amps mps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Tow! I • I
New residential single- or multi - family dwelling unit.
includes attached garage.
Subdivision: Lot no.: 1,000 sq. fl. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 I
Tax map/parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. fl.)
Limited energy, multi- family
75.00 2
Roof Mount PV System residential (with above sq. fl.)
Services or feeders Installation and/or relocation
200 amps or less I 100.70 2
® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2 '
_ 401 amps to 600 amps 200.34 2
Name: Pc +r i ck ca lm parr a 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: (605) 96Q _ / L1 O} 200 a mps or less 59.36 I
0 td.4 Fax: ( )
Owner installation: This installation is being made on property that I own which is not 201 amps 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 ex tension, per panel _
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT
I ® above service or feeder fee, 7.42 2
each branch circuit
Business name: SolarCity Corporation B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Caitlin Horsley branch circuit
Each addi branch circuit 7.42 _ _ 2
Address: 6132 NE 112 Ave Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: Portland, Oregon 97220 dwelling, service and/or feeder 67.84 2
Phone: (503) 9560610 Fax: : (503) 5366513 Reconnect only 67.84 2
Pump or imgation circle 67.84 2
E - mail: chorsley®solarcity.com
Sign or outline lighting 67.84 2
GONTRA€TOR Signal circuit(s) or limited-clergy
Business name: SolarCity Corporation panel, alteration, or extension. Page 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 Fax: (503) 5366513 Inspections for which no fee is 90.00 / hr
specifically listed (tI hr min) -
CCB Lic.: 180498 Electrical Lic.: C562 Suprv. Lic.: 5201S ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
IMP _ — / _ /� /U Plan review (25% of permit fee):
Print name: Derek Cropp Date: i i S 1 19. State surcharge (12% of permit fee):
�� TOTAL PERMIT FEE:
Authorized signature: , l� #e This perm!, application expires If a permit Is not obtained within 180
/ days after It has been accepted as complete.
Print name: Caitlin Horst y l Date: 9/1 i 12 • Number of inspections allowed per permit.
I:'Buildurg'Pennilh ELC.PermilApp.doc 0' 01 040,4615T(1IFOSICOM/WEB
City of Tigard .
III
a Building Division ` '
C ' 13125 SW Hall Blvd, Tigard, OR 97223 S E P 1
202
Phone: 503.718.2439 Fax: 503.598.1960
TI G A R D Inspection Line: 503.639.4175 - CITYOFTIGARD
www.tigard - or.gov BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof - Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 901 sw C - ov ei t 5 - y" 1-C one
City: T'q c�
Ci a� Zip: 9722y
Owner's Name: Date:
Pcxk-c �onpagna 9/13112
Contractor's Name: SolarCity Corporation CCB #: 180498
•
Design Parameters of the Property /Structure
, If "Yes ", does not
Flood Hazard Is the installatio o 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 exposure ® Yes If "Yes", qualifies for
Wind Exposure "C" or less?
❑ No the prescriptive path.
i
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
I: Building/ Fors/PhotoVohaic- Checklist.docx .
•
Is the construction y
Type of mate wood and does ® Yes If "Yes ", qualifies for
the construction qualify ID No the prescriptive path.
Construction as "conventional light
frame" construction?
Is the spacing 24 inches
or less?
If "Yes ", qualifies for
Pre - engineered trusses. ® Yes the prescriptive path.
❑ No
Roof framing •
members Is the spacing 24 inches
or less?
If "Yes ", qualifies for
Nominal lumber. p 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.
equal to 4.5 psf?
Solar
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.
1K 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 JBuilding /Forms/PhotoVoltaic- Checkl ist.docz
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 If the spacing falls
solar systems Spacing S acin of clamp s? Minimum 24 inches within 24 inches and 60
directly to inche 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. 'A" 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 ® Yes If "Yes ", qualifies for
solar modules module to the roof the prescriptive path.
surface. ❑ No
3
I: Building / Forms lPhotoVollaic- Checklist.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: t i
Model Number: \((_ 4O P
Listing Agency: UL1703
4
IiBuild ng/ For ms/PhotoVoltaic- ChecklisLdocx
To Pogo 1 of 2 20'12 -09 -24 X6:'18:59 POT 16668637269 F Ao ron Bon los
REC EIVE,
SEP 2 4 2012 -1
FAX COVER SHEET gFT!GARo
TO
COMPANY
FAX NUMBER 15035981960
FROM Aaron Banks
DATE 2012-09 -24 15:19:44 PDT
RE 9018 SW Gravenstein Lane
COVER MESSAGE
Attached is the payment for the roof mounted solar permit on 9018 SW Gravenstein
Lane, thanks!
Aaron Banks I SolarCity I Phone: 971.678.7417 I Fax 866.863.7258
abanks@ solarcity. com<mailto:abanks@solarcity.com> I
www. solarcity.com<http: //www.solarcity.comh
65 (x- D
mo-c-vc-443
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7 5.04 s
WWW.EFAX.COM