Permit CITY OF TIGARD MASTER PERMIT
B , COMMUNITY DEVELOPMENT Permit #: MST2013 00104
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439
Date Issued: 05/09/2013
Parcel: 2S103BB12300
Jurisdiction: Tigard
Site address: 12165 SW ANN PL
Subdivision: YE -OLDE WINDMILL Lot: 42
Project: Brown
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
Tubs /Showers 0 Garbage Disp 0 Water Heaters 0 Water Lines: 0 Drains 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 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
Other N Other Descnption 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:
BROWN, HARRY E & SALLY M SOLARCITY CORPORATION Required Items and Reports (Conditions)
PO BOX 230906 6132 NE 112TH AVE
TIGARD, OR 97281 PORTLAND, OR 97220
PHONE 503 - 590 -1759 PHONE 971- 279 -9655
FAX 866- 810 -7656
Total Fees: $324.88
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 t R 952 - 001 -0090 You may obtain a copy of the rules or direct questions to OUNC by calling 232 1987 or 1.800 332 2344
Issued By: /2 .1,2,-1 "� " y" Permittee Signature:
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 site at the time of each inspection.
Building Permit Applicatio I i Residential FIVE MB MUM Mg =LW
q City of and 13125 SW Hall Blvd., Tigard, OR 97223
Tigard 2 3 2013 �/
g Da �itYl�S Permit No' /l
Plan Review
® Phone: 503.718 2439 Fax: 503.598.1 • ��I� OF TIGARD Date/By: 1 C..-.5. other Pennrt
Inspection Line: 503.639.4175 BUILDING DIVISION Dale Read; 'By lure la See Page 2 for
Internet: www.tigard-or.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
0 Addition/alteration /replacement ❑ Other, equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application ^ I
01- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 5 i L a •01,5 '
❑ Accessory building ❑ Multi- family Number of bedrooms: ('
❑ Master builder ❑ Other: Number of bathrooms: ')..
JOB SITE INFORMATION AND LOCATION Total number of floors: ��
Job site address: i r>L t New dwelling area: square feet a t
City/State/ZIP: " 1 Aril e ei 1vD Garage/carport area: square feet
Suite/bldg. /apt. no.: J Project name: ` S* 1 1 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.
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.
Roof Mount PV System
Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: ' " ` t S `1 Type of construction:
Address: 1 r 1 420 Occupancy groups:
)
City/State/ZIP: �� c-0 W141_ A q -7 a 3 Existing: ,
Phone: (j.)3 7 e rJ Fax: ( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: SolarCity Corporation (Please refer so fee schedule)
Structural plan review fee (or deposit):
Contact name: /1/01 I pc- KCe if
,n FLS plan review fee (if applicable):
Address: 6132 NE 112 Ave
City/State/ZIP: Portland, OR 97220 ,
Total fees due upon application:
Phone: (971) / 0 5)' 0 Fax: : (866)5 q 6i Amount received:
E - mail: f�`�solarcity.com C" PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*'
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted Photo Voltaic Solar Panel System. '
Business name: SolarCity Corporation Submit two (2) sets of roof plan with connection details
to and fire department access, along with the 2010 Oregon
Address: 6132 NE 112 Ave Solar Installation Specialty Code checklist.
City/ State/ZIP: Portland, OR 97220 Permit Fee (includes plan revie
and administrative fees): $180.00 •
Phone: (971) 96i _5 Er Fax: (866) I 5 l,9- --c2,91--/9 State surcharge (12% of permit fee): S21.60
CCB lic.: 180498
Total fee due upon application: $201.60
Authorized signature: / / _ f i _ This permit application expires if a permit is not obtained
'I ii 180 days after it has been accepted as complete.
Print name: y� v lf�l / Date: /.//90 / * Fee methodology set by Tri- County Building Industry
f I 0 Service Board
1: Building \Pennits1BUP- RESPennitApp.doc 02/24/201 I 440 -4613T(I 1 /02 /COM /WEB)
Electrical r• � 1 r FI V FD E lal Permit App s FU 01= 1'I(L USE O \,L1
City of Tigard Rece'vea ,f�� '�m . ,
1 3125 SW HaII Blvd., Tigard, OR' 4'7213 2 3 2013 °a
' Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Review Date.B Other Permit:
1 , t ; iill Inspection Line: 503.639.417CITY OF TIGARD Date Read) By: Avis El See Page 2 for
Internet: www.tigardor.go Notified/Method: Supplemental Information
_ F3UII RING DIVISION
— — — TiCP – E E WORK PECAN litia *
❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 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.
CAT EGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings
—" — v 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 El Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KvA or
i - ❑ Emergency system larger separately derived system.
■ JOB' SITE INEURMATIQII ANl). LOCATIO ID Addition of new motor load of ❑ "A "E ", "1.2 '. "l -3 ",
Job no.: Job site address: la 1 (4 ` ,,,: LA h+r I Six or or more. occupancy.
1 ❑ Six or more residential units. ❑ Recreational vehicle parks.
/ State/ZIP
Ci ❑ Health -care facilities. ❑ Supply voltage for more than
ty : 1 c�a(G� 6,z_ q 7 �a 3 ❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt. no.: j Project name: - E. 3 ,3r ` ( A.A\ i ❑ Service or feeder 600 amps or more.
ry SA .A\ SCHEDULE
Cross strect/directions to job site: Description I Qty. I Fee. I Total 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'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
ESCRIPTION OF 'WORK (with above sq. ft.) 75.00 2
'D
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 f 100.70 - I ()ty7C 2
ig) PROPERTY 'O•,WNER W TENANT 201 amps to 400 amps 133.56 2
Name:� 111 401 amps to 600 amps 200.34 2
n 7
l ^ " 601 amps to 1,000 amps 301.04 2
Address: C As�� Over 1,000 amps or volts 552.26 2
C s Temporary services or feeders installation, alteration, and/or
City/State/ZIP:
relocation
Phone: (503) 570_ I 57 Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that 1 own which is not
401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits – new, alteration, or ex tension, per panel _
Owner signature: Date: ' A. Fee for branch circuits with
®' APP,L iciANT' ; I ®GQNTAo PERSONI 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
Contact name• ii branch circuit 56.18 2
.
Each add'I branch circuit 7.42 2
Address: 6132 NE 112 Ave Miscellaneous (service or feeder not included)
Each manufactured or modular
City/ State/ZIP: Portland, OR 97220 dwelling, service and/or feeder
67 84 2
Phone: (971) got - e $ Fax: : (866) : 5 _ _ 7 ) 1 9 Reconnect only 67 84 2
Pump or irrigation circle 67.84 2
E mail: — g
solarcity.com Sign or outline lighting 67.84 2
�� - ,CONTR'ACTUR --
___ _ ____ —_ - Signal circuit(s) or limited- energy
Business name: SolarCity Corporation panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 6132 NE 112 Ave Additional inspection (1 hr min) 66.25/ hr
City/State/ZIP: Portland, OR 97220 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr mm) 78.18/ hr
Phone: (971) ' I nspections for which no fee is
I ..� 7 Fax: (866) 9 A 7 90.00 /hr
specifically listed ('/_ hr min)
CCB Lie.: 180498 Electrical Li • C562 Suprv. Lic.: 5201S ELECTRIC -it. PERMIT FEES
�`
Su
Suprv. Electrician signature, required: �., 2
i Plan review (25% of permit bto feeta)l I W 70 :
Print name: Derck Cropp - , Date: // 9a /90 3 State surcharge (12% of permit fee):
Authorized signature:
� _ TOTAL PERMIT FEE:
S7. -(({/I j1 This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
Print name: Joel P • son Date: L./ m��o, 3 e Number of inspections allowed per permit
/
1 , Building \Permits PermnApp doe 0 DI 10 440 I 1 WEB
City of Tigard
® Building Division
` ® . 13125 S W Hall Blvd, Tigard, OR 97223 APR 2 3 2013
Phone: 503.718.2439 Fax: 503.598.1960
T 1 GAS RD Inspection Line: 503.639.4175 CITY OF TIGARD
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 €
i
Installation Address: E
City:"Il Zip: 7,03
Owner's ame: 1 1 1 u, ,), Date: y Ira f 2, 7
Contractor's Name: olarCity Corporation CCB #: 180498
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? ® N OSSC or ORSC for
design requirements.
Wind Exposure Is the wind exposure ® Yes 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? I
structures other than If "Yes", qualifies for
above Yes the prescriptive path.
No
Building/ Forms /PhotoVoltaic- Checklist.docx l
■
Is the construction
Z Type of material wood and does Yes If "Yes ", qualifies for
Construction the construction qualify
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.
14 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
[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.
[0 of composition
shingle.
Is the roof mounted ® Yes
Connections of solar assembly
the solar assembly connected to roof ❑ N If "Yes ", qualifies for
framing or blocking
0 the prescriptive path.
to the roof g g
directly?
2
L/Building/ Forms /PhotoVoltaic- Checklist.docx
I — Yes ,�
Is the gauge 26 or less? 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
o f Cl amps ? 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
directl to in ches inches, qualifies for the
y Maximum 60 inches prescriptive path.
standing seam
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? El 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
1:/Buil ding / Forms /Photovoltaic- 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
Manufacture ;: — 1" -- i, (3j\ Sol
Model Number: 'Sm.. �rj � v5
Listing Agency: UL1703
4
1iBuildmg/ Forms /PhotoVoltaic- Checklist.docx