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Permit CITY OF TIGARD MASTER PERMIT l: - COMMUNITY DEVELOPMENT Permit #: MST2013 -00139 Date Issued: 07/01/2013 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S111DB13800 Jurisdiction: Tigard Site address: 15085 SW DAWN CT Subdivision: LAUNALYNDA PARK Lot: 3 Project: Kribs 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 0 Storm Sewer: 0 Tubs/Showers:_ 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw Prevntr : - 0 - Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 • Drywell- 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 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum > =100K: 0 ELECTRICAL Reside Unit . Service Feeder . Temp SrvclFeeders . Branch Circuits . 1000 sf or less: 0 0 -200 amp: 1 0 -200 amp: 0 W/ Svc or Fdr: 0 Ea add l 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 N Other: N Other Description: Ecompasing: • BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R -3 0 Owner: Contractor: KRIBS, GORDON J & LINDA J SOLARCITY CORPORATION Required Items and Reports (Conditions) 15085 SW DAWN CT 6132 NE 112TH AVE TIGARD, OR 97224 PORTLAND, OR 97220 PHONE: PHONE: 971 - 279 -9655 FAX: 866 -810 -7656 Total Fees: $322.38 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 throu 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 Permittee Signature: IA/ /9 - e/ 3 6./ e er -77O /C/ Call 503.639.4176 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. - ; 3r i 1 _ Building Permit Application Residential y FoR 6)I?1 l� list' OVI l` 1 y City of Tigard RECEIVED ED Received iire11 Date/B : Y ` 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review o C Phone: 503.718.2439 Fax: 503.598.19 N l 7 2 013 Date/By: 4 _ v , r3 . Other Permit: T l 4\ C r I) Inspecti Line: 503.639.4175 Date Ready By: �}/ Jura: ® See Page 2 for Internet www.tigard -0r.gov CiTYOFTIGARn Notified/Melhod:ld /3 4�J• Supplemental Information TYPE #NGD 1.1j j j+ I I�IUN "VII eLL N 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 (81 Addition /alteration/replacement ❑ Other equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® I - and 2- family dwelling ❑ Commercial /industrial Valuation: $ 5 ' G (� , L Q ❑ Accessory building ❑ Multi- family Number of bedrooms: ( I �O ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: • Job site address: Q 5 - SW 0 4i) x) C ! . - New dwelling area: square feet -- - ' .- City / State/ZIP:- 1 \I C:3 Z Cl 7 a 1 Garage/carport area: square feet ..1 Suite/bldg. /apt. no.: � + Project name: ii- \2:1 Z 5 r vl p>� C j') Covered porch area: square feet Cross street/directions to job site: , Deck area: square feet `o A Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST S ubdivision: 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 ❑ TENANT Number of stories: N ame: 2 '` Name: 2�� ��� � �� Type of construction: ° Address: I, 5 C) S W .b 0 C r Occupancy groups: q. City/ State/ZIP: T( At D 0 • 74f Existing: I P • hone: ( ) J Fax: ( ) New: ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* 411, Business name: SolarCity Corporation (Please refer so _fee schedule) n Structural plan review fee (or deposit): r k Contact name: Joel Peterson p 112th FLS plan review fee (if applicable): p Address: 6132 NE 112 Ave 1 t Total fees due upon application: O City/State/ZIP: Portland, OR 97220 q ) .76% 5 a7 ' ( gada(ic� Amount received: v Phone: (971) Fax: 866) 5 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* tr E -mait U ( 6 kit_ — Comm ial and residential prescriptive installation of ■ CONTRA OR roof -top unted PhotoVoltaic Solar Panel S a . ` Bus name: SolerCity Corporation Submit two sets of roof plan with co . - ction details in and fire departm access, along . • the 2010 Oregon Address: 6132 NE 112 Ave Solar Installation Spe ' C• -e checklist. City/State/ZIP: Portland, OR 97220 Permit Fee (inclu. , .. n review $ 180.00 n and • , inistrati - ees): Phone: (971' �! 5,9:7 Fax: (86 State sure : e (12% of permit fe • $21.60 CCB lic.: 180498 v Total fee due upon application: $201.60 Authorized signature: �' :/� Y� " T his permit eppl ca on expires a perm t is not o a n ) within 180 days after it has been accepted as complete. ■ M Pri name: Date: / _ * Fee methodology set by Tri- County Building Industry l �� /t � a I /' '� 1.3 Service Board. ao 1: \Building \Permits \BUP- RESPennitApp.doe 02/24/2011 4404613T( 1 1/02 /COM/WEB) RECEIVED ED Electrical Permit Application JUN 1 7 2 013 k , FOR OFFICE USE ONLY City of Tigard Received y III D210: : /� d Permit No. ? �` —�` ° 13125 SW Hall Blvd., Tigard, OR 97CITY OFTIGARD Plan Review ® Phone: 503.718.2439 Fax: 503.5 13IMLDING DIVISION Dutch : Other Permit: - I . I c; A I` I i Inspection Line: 503.639.4175 Date-Ready/By: Ants: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information — — - - T EJ ° - �p>gii.iviEw - — - ❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more 1:1 Building over three stories. _ where the available fault current ❑ Marinas and boatyards. C TF�sOJ _UA ?�C�iUNSTRUC - � exceeds 10.000 amps at 1S0 volts or ❑ Floating buildings. ® I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building less to ground. a exceeds ons. ❑ Cotnnercial•useagrierlttual ry g amps for a8 other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump, ❑ Installation of 75 KVA or — r Emergency system. larger separately derived system. 6 NTS) [IN.Y03011 ,A'1 a [.00 11:11 �!1� _ _ —._ � .. Addition of new motor Mad of ❑ "A ", "E" "1.2" "1 - Job no.: Job site address: 150 100HP or more. b 5 U v �•� W i ❑Six or more occupancy. residential units. ❑ Recreational vehicle parks. City/ State/ZIP- n 6e. Q /a s 4 ❑ Health -care facilities. ❑ Supply voltage for more than ' ' D v , / ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt no.: v '' Project name: oz.kg S Cl U 9,0 v ❑ Service or feeder 600 amps or more. Cross street/directions to job site: ( I�I D ;FEE, Sf CIiEDQI 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'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: . r) em _ Limited residential 75.00 2 — CDESRI _ CPT U Qp ' YOR_K_? _ __ - - _`_ _ (with above sq. H.) 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 MO O 2 L _ - PRUPERTeY�tOWPIEk _ fEN I 201 amps to 400 amps 133.56 2 1 401 amps to 600 amps 200.34 2 Name: (9j d� I�,( c .' (� ^ _ ^ » - ` � 601 amps to 1,000 amps 301.04 2 Address: 1 50 S ` 5 5 J C)f C Over 1,000 amps or volts 552.26 2 City/ State/ZIP: 1'r)1 (1 , 09 q — 104 el �l o services or feeders installation, alteration, and/or Phone: (503 Lau � C 4 ) 1 Fa ( ) 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 - ®i .APPLICAIVT? AL ®, GOTITAj% ; PERSONI _ above service or feeder fee, each branch circuit 7.42 2 Business name: SolarCity Corporation B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name branch circuit Each add'1 branch circuit 7.42 2 Address: 6132 NE 112 Ave Miscellaneous (service or feeder not included) City/ State/ZIP: Portland, OR 97220 Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone: (971 54e7t ( Fax: : (866, 5q2 7g4q Reconnect only 67.84 2 K rP �\ Pump or irrigation circle 67.84 2 E -ma Ivy _ t — Sign or outline lighting 67.84 2 _.r- _ - � C O N � T R g A - A f t , _ — - - - _ _ -_ - k 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 (I hr min) 6625 / hr Industrial plant (1 hr min) 78.18/ hr Phone: (97 Fax: (866) i Inspections for which no fee is 90,00 / hr specifically listed ('k hr min) CCB Lic.: 180498 Electrical Li • C562 Suuprv Li 5201S r , „ 10 ETRICA FEES; � 1 /j /- �C� Subtotal: Plan Suprv. Electrician signature, required: l p review (25% of permit fee): Print name: Derek Cropp ` b ' D State surcharge (12% of permit fee): Authorized signature: '( ' ,/ � r TOTAL PERMIT FEE: This permit application expires If a permit Is not obtained within 180 Print name: [rz `It red Date: �,� days after It has been accepted as complete. Lt • N umber o f inspections allowed per permit. I: Building , Permits , ELC- PermitAppp.doc 07 0110 440- 4615T(11'05,COM,WEB / TZ ©►3-- 0 °13`1 RE CEIVED City of Tigard JUN 1 7 2013 ® Building Division C ITYOFTIGARD 13125 SW Hall Blvd, Tigard, OR 97223 BUILDINGDNISI Phone: 503.718.2439 Fax: 503.598.1960 TI G : A 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: no 9)5 Ski\1 Ci City: T ( no D 0 Zip: q 7 �a Owner's Name: vZtE Gerd°) Date: totiaio Contractor's Name: SolarCity Corporation CCB #: 180498 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. 1 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 above the prescriptive path. ❑ No • 1 1:/ Building / Forms /PhotoVoltaic.hecklisl.docx II 1 , I Is the construction material wood and does ® Yes • Type of If "Yes", , qualifies for Construction the construction qualify p p p as "conventional light ❑ No the cri five ath. frame" construction? Is the spacing 24 inches or less? Pre - engineered trusses. ❑ Yes If "Yes ", qualifies for the prescriptive path. ❑ No Roof framing • members Is the spacing 24 inches or less? Nominal lumber. Xr 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 • layout in accordance Yes „ with Section 305.4(3) of If Yes , qualifies for I=1 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. of composition shingle. Is the roof mounted El Connections of solar assembly Yes the solar assembly connected to roof If "Yes ", qualifies for framing blocking . ❑ N0 the prescriptive path. to the roof g or g directly? • 2 i I:Building/ Forms /PhotoVoltaic Checklist.docz 1 1 Is the gauge 26 or less? );(1 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 directl to ' - i nches inches, qualifies for the Y Maximum 60 inches prescriptive path. standing seam • metal panels Width of roofing If the width of the panel Y � panels? 18 inches or less is less than 18 inches, I a . inches qualifies for the • `I prescriptive path. N‘ Minimum #10 at 24 inches o /c? Size and spacing of If "Yes ", qualifies for / 6 fastener? _// Yes the prescriptive path. At ❑ 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 @ i 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 Z Yes the prescriptive path. surface. El No 1 :/ Building / Foams /Photovoltaic- Checktist.docx 3 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: � , j Uj Model Number: VL.235 R Listing Agency: UL1703 • • • i 4 1:/Bu ilding / For ms /Photo Voltaic- Checklistdacx