Permit CITY OF TIGARD MASTER PERMIT
71 COMMUNITY DEVELOPMENT Permit#: MST2014-00119
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2014
T f C;x112 n 9 Parcel: 1S135AA00803
Jurisdiction: Tigard
Site address: 10151 SW JEFFERSON ST
Subdivision: METZGER,TOWN OF Lot: 3
Project: Livengood
Project Description: Solar photovoltaic system.
BUILDING
Floor Areas Required Setbacks Required
Stones: 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: $10,200.00 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 addl 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:
OTR SF VB R-3 0
Owner: Contractor:
LIVENGOOD,TONY W SOLARCITY CORPORATION Required Items and Reports(Conditions)
10151 SW JEFFERSON ST 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $356.19
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 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 Not'fii - . n nter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co the rules oralw It questions to OUNC by callin•• r\1�ri�•87• :00.33 344.
„ a
Issued By: v` - Permutes Signature: ��►�/
Call 50 . y 7:00 a.m.for the next available inspection(Iv -v
This permit card shall be kept in a conspicuous place on the Job site until comp),•• o• •act.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential I (Ht I((I I(I( I I "I ()NI 1
City of Tigard Date .7 riillii�llrR O Pum(No.: I . a ' _va • �:
13125 SW Hall Blvd.,Tigard.OR BCE1VED Pb.. .: :.
Phone: 503.718.2439 Fax: 503. at r i/1 OIMer��„:
i , Inspection Line: 503.639.4175 Due Ready 1 i gee 2 fir
Internet: www.tigard-or.gov JUL 2 3 2014 [ ,; lMethod. ` / i;jp 1, I,fs,�„
r T • \ aV�1v.a.�(�.,( . t∎ s-1
vI'r.r fp, f r
TYPE r-_ REQUIRED DATA:1-AND 2-FAMELT towsuan
0 New construction a .14tiw 1 .,. , • I Permit fees•are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®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: S 10200
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other Number of bathrooms:
Jos ant INFORMATION AND LOCATION Total number of floors:
Job site address: 10151 SW JEFFERSON ST New dwelling area: square feet
City/State/ZIP: TIGARD OR 97223 Garage/carport area: square feet
Suite/bldg.lapt.no.: Project name: L UrAJJ�(a/(tz?� Covered porch area: square feet
Cross streeUdirections 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.
PV ROOF MOUNT Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I 0 TENANT Number of stories:
Name: TONY W LIVENGOOD Type of construction:
Address: 10151 SW JEFFERSON ST Occupancy groups:
City/State Z1P: TIGARD OR 97223 _ Existing:
Phone:(503) 887 2878 Fax:( ) New:
® APPLICANT ® CONTACT MOON BUILDING PERMIT FEES'
Business name:SOLAR CITY Q'I�aritnArrttiJiratAai�
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
Address:6132 NE 112T"AVE FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:PORTLAND OR 97220
Phone:(503)894 6903 I Fax::(1866)445-7459 Amount received:
F.-mail:ABENTLEVQSOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
Address:6132 NE 112T"AVE and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review 5180.00
and administrative fees):
Phone:(503)894-6903 I Fax:(1866)4457459 State surcharge(12%of permit fee): $21.60
CCB lic.:180498
Total fee due upon application: $201.60
Authorized signature:,) t II , ' This permit application expires Ira permit is not obtained
within 180 days after it has been accepted as complete.
Print name:A. MELISSA 0 TLE% Date: 7/17/14 J *Fee methoice dology set by Tri-County Building Industry
Sery Board.
l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
.-- w
Electrical Permit Application I o k t I I I I t I 1 .1 t 1\I ,
RI
City of Tigard Permit Na.:
- Q
1 3125 SW Hall Blvd.,Tigard,OR 97223 p�Rem
Phone: 503.718/439 ire:gard Fax: 503.5 1110EIVED Date/B. Permit No.:Permit:
Inspedit3n Line: 503.639.4175 Date RaeyBy B See Page 2 for
Internet: www.tigard-or.gov Notfied Method:
Supplemental l.fsrrnado.
i
TYPE OF 1 2 3 2014 Please check all that PLAN REVIEW
❑New construction ®Addition/alterati acement apply(submit 2 sets of plans whims checked below):
❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
,TYQFTIGARD where the available fault current ❑Marinas and boatyards.
CATEGORY OF r , 'ii/V t exceeds 10,000 amps at ISO volts or ❑Floating buildings.
I •' i i I l/T less to grand,or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial i. i . ■ Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Foe PumP ❑Installation of 150 KVA or
JOE SITE IIYFORIitAT10N AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A""V.-1-2"-1-3
Job no.: 9722056 I Job site address: 10151 SW JEFFERSON ST 100HPormom. occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: TIGARD O R 97223 ❑Health-care facilities. ❑Supply vokage for more than
❑Hazardous locations. 600 volts nominal
Suitc/bldgJapt.no.: I Project name: ❑Service or feeder 600 amps or more.
PEE S®UL E
Cross street/directions to job site: Desert.u.. I 01). I P.a, 1 Taw I •'
New residential single-or multi-holly dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential 75.00 2
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy,multi-family 75.00 2
PV ROOF MOUNT residential(with above sq ft)
Renewable Energy See Pate 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
Name: 201 amps to 400 amps _ 133.56 2
TONY W LIVENGOOD 401 amps to 600 amps 200.34 2
Address: .10151 SW JEFFERSON ST 601 amps to I,000amps 301.04 2
Over 1.000 amps or volts 552.26 2
City/State/ZIP: TIGARD OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:(503) 887 2878 Fax:( ) relocation -
200 amps or less 59.36 1
Owner installation:This installation is being made on property that 1 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
Owner signature: Date: Branch circuits-new,alteration,or extension,per panel
® APPLICANT I ® CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee, 7.42 2
Business name:SOLAR CITY each branch circuit ,
B.Fee for branch circuits without
Contact name:MELISSA BENTLEY service or feeder fee,first
branch circuit 56.18 2
Address:6132 NE 112TH AVE Each add'I branch circuit 7,42 _ 2
City/Slate/ZIP:PORTLAND OR 97220 Miscellaneous(service or feeder not included)
Each manufactured or modular 67-84 2
Phone:(503)894-6903 Fax::(1866)445-7459 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:ABENTLEY@SOLARCITY.COM Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:SOLAR CITY Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:6132 NE 112TH AVE Each additional inspection over allowable in any of the above
City/State/ZIP:PORTLAND OR 97220 Additional inspection(I hr min) 66.25/hr
Investigation(1 hr min) 66.25/hr
Phone:(503)894-6903 Fax:(188)445-7459 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 180498 I Electrical Lic.: C562 Suprv.Lie.: 5201S specifically 90 OO/hr
listed(I4 hr mm) i -
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: -- Subtotal:
Print name: DEREK CROPP Date: 7/17/14 Plan review(25%of permit fee):
i _ State surcharge(12%of permit fee):
Authorized signature: I TOTAL PERMIT FEE:
This permit app icatio.expires if a permit Is not obtained within 180
Print name: A. MELI 'A : T t Date: 7/17/14 days after It rte been accepted as complete.
• Number of inspections allowed per permit.
1-tauildinidPemiutELC Per.Upp_ELR_E Edoe RoyOS/21/2013 440-4615T(1I/OS/COM/WEB
I �
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDEN'TIAIGI O ONL: :: _ .:.
i►hedtnt.,r. .. ..,. 1 Qty. C t+�e . .
Fee for all residential systems combined $75.00 f�� rw (.•
Renewable electrical energy systems:
Check Type of Work Involved: s kva or less 100.70 2
5 01 to 15 kva 1 133.56 $133.56 2
n Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 30104 2
f Garage Door Opener* 50.01 to 100 kva 55126 2
'.100 kva(fee in accordance with
111 Heating, Ventilation and Air Conditioning
OAR 918-309-0(140) 552.26 2
System* Solar generation systems In excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* ).100 kva no additional cllarue 0.0 3
Each additional inspection over allowable in any of the above:
I 1 Other: Each additional inspection is 66.25f hr
charged at an hourly(1 hr min)
Inspections for which no fee is
90.00/hr
Specifically listed(i5 hr min)
tOMMERCIAL WORK ONLY. . c,t lcA�,l'ERIVtn°.FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 91 8-309-0000) Plan review,if required(25%of permit fcc):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
Tleiv permit application expires if a permit is not obtained within 180
nA• udio and Stereo Systems d:q's after it has been iiccepted as complete.
Nui'rber or inspee lions allowed per penile
n B• oiler Controls
❑ Clock Systems
n Data Telecommunication Installation
❑ Fire Alarm installation
n FIVAC
❑ Instrumentation
n Intercom and Paging Systems
❑ Landscape Irrigation Control*
El Medical
n N• urse Calls
n Outdoor Landscape Lighting*
n P• rotective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
11Huekfingi'ci. its ELC_PaniiApp_L•LK_I-RIt hoc Rte n5/2112013
•
City of Tigard
Building Division RECE1 VED
13125 SW Hall Blvd,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 JUL 2 3 2014
TIGARD Inspection Line: 503.639.4175 C1TYOF r
www.tigard-or.gov
atillDWG OftnSfop
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 10151 SW JEFFERSON ST
City: TIGARD Zip: 97223
Owner's Name: TONY W LIVENGOOD Date: 7/17/14
Contractor's Name: SOLAR CITY 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? ® No OSSC or ORSC for
design requirements.
Wind Exposure Is the wind exposure ® Yes If"Yes", qualifies for
"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. El 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
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I:Building/Fortes/PhotoVoltaic-Checklist.docx
Is the construction
Type of material wood and does ® Yes If"Yes", qualifies for
the construction qualify 111 No the prescriptive path.
Construction as"conventional light
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?
If"Yes",qualifies for
Nominal lumber. ® 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 If"Yes",qualifies for
with Section 305.4(3) of
the 2010 Oregon Solar n 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
framing or blockin El No the prescriptive path.
to the roof g g
directly?
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I:Building/Fonns/PhotoVoltaic-Checklist.docx
❑ Yes If"Yes", qualifies for
Is the gauge 26 or less?
❑ 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
is less than 18 inches,
panels? 18 inches or less qualifies for the
inches
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
I:Building/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
Manufacturer: TRINA SOLAR
Model Number: TSM-250PA05.18
Listing Agency: UL1073
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I:/Building/Forms/PhotoVoltaic-Checklist.docx