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Permit 111 CITY OF TIGARD MASTER PERMIT Ii ' COMMUNITY DEVELOPMENT Permit#: MST2014-00145 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/17/2014 Parcel: 2S103CA02800 Jurisdiction: Tigard Site address: 11855 SW JAMES CT Subdivision: TRAVPORT PARK Lot: 8 Project: KILLINGSWORTH Project Description: 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 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: KILLINGSWORTH,SCOTT G&NANCY AELEMENTAL ENERGY LLC Required Items and Reports(Conditions) 322 E JESSIE ST 14500 SW 92ND AVE MOUNT SHASTA,CA 96067 TIGARD,OR 97224 PHONE: PHONE: 503-967-5786 FAX: Total Fees: $314.38 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and .II other a••lica•e 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 (wok is spend-d for more the 180 days. ATT • a - Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C' ,r T ose les ar= set forth in OAR 952-00 $010 through••.R 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 • •r 1.:00.3 .2 . Issu d By: ■ f= . I %f Permittee Signature: iv _ Illik Call 503.639.4175 by 7:00 a.m.for the next available inspection da : / This permit card shall be kept in a conspicuous place on the job site until comp/: '•ni f the project. Approved plans are required on the job site at the time of each inspect.n. Building Permit Application +F+eSldentlal RECEIVED FOR OFFICE USE ONLY Received - City of Tigard DatcB : Permit No.: .'r_r _ �)` 13125 SW Hall Blvd.,Tigard,OR 97223 8 Plan Review f Phone: 503.718.2439 Fax: 503.598.1960SEP 8 2014 DateB : ,/AV ,r : Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready/By: ® See Paee?for Internet: www.tigard-or.gov CInOFT Notified/Method: ��� Supplemental Information TYPE OF y% OW ORI sIO f't"vy,,Lc d REQUIRED DATA: I-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 ®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling Valuation: $ ❑Commerci al/industrial El Accessory building 111 Multi-family Number of bedrooms: ❑Master builder ❑Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 1 1855 SW James Ct New dwelling area: square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: /. 1 I( t1`'9 5,....,„114. Covered porch area: square feet Cross street/directions to job site: VV Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit tees*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. 3.64 kW Prescriptive Roof Mounted Solar In.Installation Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Serge& Nancy Killingsssorth Type of construction: Address: 11855 SW James Ct Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: Phone:(530)9254201 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Elemental Energy Structural plan review fee(or deposit): Contact name:John Grieser FLS plan review fee(if applicable): Address: 14500 SW 92"d Ave City/State/ZIP:Tigard,OR 97224 Total fees due upon application: Phone:(503)9675786 Fax::( ) Amount received: E-mail:john@tlemcntalenergy.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: Elemental Energy Submit two(2)sets of roof plan with connection details and tire department access,along with the 2010 Oregon Address: 14500 SW 92"d Ave Solar Installation Specialty Code checklist. City/State/ZIP:Tigard,OR 97224 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)9675786 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 195141 Total fee due upon application: $201.60 Authorized signature: '.. ! , t 1 /_ This permit application expires ifa permit is not obtained 0 4t. vr'f e S e-✓ within 180 days after it has been accepted as complete. Print name: 6r'ciy) (.t H c ate:9/4/2014 *Fee methodology set by Tri County Building Industry Service Board. 1:\Building\Permits\BUP-RESPennitApp.do /20 440-4613T(II/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard C�i� JI: ed s aw6 : Taiifi rmffv. EMIL s • 13125 SW Hall Blvd.,Tigard,OR 972 Plan Review �1 Phone: 503.718.2439 Fax: 503.598.1960 SEp 8 2014 Date/B : Other Permit: 1'l GA R ll Inspection Line: 503.639.4175 Date Ready/By: tar ® See Page 2 for Internet: www.tigard-or.gov Gayo f 16ARD Notified/Method: f-i—(� Supplemental Information TYPE OF W (�/Ati I l� Iwo PLAN REVIEW ❑New construction E 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. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural E 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑Addition of new motor load of ❑"A","E","1-2","1-3", Job no.: Job site address: 11855 SW James Ct toollPormore. occupancy. ❑Six or more residential units. ❑Recreational vehicle parks. City/State/ZIP:Tigard,OR 97223 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: Project name: r 1 i11111 14-t t. ❑Service or feeder 600 amps or more. 4,,11_ < SC11 I 4 S `Cross street/directions to job site: Description Fee. Total. I • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'1500 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 3.64 kW Prescriptive Roof-Mounted Solar PV System residential(with above sq.ft.) Renewable Energy 0 See Page 2 Services or feeders installation,alte ation,and/or relocation ® PROPERTY OWNER El TENANT 200 snips or less / 100.70 / 70 2 201 amps to 400 amps 133.56 2 Name:Serge&Nancy Killingsworth 401 amps to 600 amps 200.34 2 Address: 11855 SW James Ct 601 amps to 1,000 amps 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:(530)925-4201 Fax:( ) relocation 200 amps or less 59.36 1 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,1 as t,or exc ange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature.,oft ewortr. ,,a/2 14j Date:Sep 7, 2014 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:Elemental Energy each branch circuit B.Fee for branch circuits without Contact name:John Grieser service or feeder fee,first 56.18 2 branch circuit Address: 14500 SW 92nd Ave. Each add'1 branch circuit 7.42 2 City/State/ZIP:Tigard,OR 97223 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:(503)967-5786 Fax: : ( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail:john@elementalenergy.net Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: Wire Nutz Electrical Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address: 13023 NE Hwy 99 Ste 7 PMB#264 Each additional inspection over allowable in any of the above City/State/ZIP:Vancouver,WA 98686 Additional inspection(I hr min) , 66.25/hr Investigation(1 hr min) 66.25/hr Phone:(360)609-2714 Fax:(360)727-3955 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 189913 Electrical Lie.: C677 Suprv.Lie.: 4S specifically listed(%hr min) l��,�� � q ELECTRICAL PERMIT FEES Suprv.Electrician signature,required:fr' 1_f d_�e�+ Subtotal: Print name: Robert Turpin Date: 9/7/14 Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: `t// TOTAL PERMIT FEE: �L This permit application expires if a permit is not obtained within 180 Print name: Alisha Lasch Date: 9/7/14 days after it has been accepted as complete. Number of inspections allowed per permit. I:\Building\Permits\ELC_PernutApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(I1/05/COM/WEB City of Tigard III q Building Division ' - , 13125 SW Hall Blvd, Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 • T I GARD 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: I I $ 5-5— suj 34 m es c-4 City: 1—; a rA_ pit. Zip: 93 - 1 Owner's Name: se,,--.3.e_ s ■('cortci k('1 l t' svrewi-k Date: 9 / -/i Contractor's Name: , -, r-cn CCB #: I `9 r (L4 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? 0— No OSSC or ORSC for design requirements. Is the wind exposure `®' Yes If"Yes", qualifies for Wind Exposure "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 E- 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 If"Yes", qualifies for • Yes the prescriptive path. above ❑ No 1 I:Building/Forms/PhotoVoltaic-Checkl ist.docx Is the construction ' material wood and does ®— Yes Type of the construction qualify If"Yes", qualifies for No Construction as"conventional light ❑ the prescriptive path. frame"construction? Is the spacing 24 inches or less? Pre-engineered trusses. IS Yes If"Yes", qualifies for the prescriptive path. ❑ 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 [C 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 the 2010 Oregon Solar ❑ No the prescriptive path. Code? ❑ Metal Single layer If roofing material is Roofing Check the type of [W* 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 If"Yes", qualifies for the solar assembly connected to roof ❑ No the prescriptive path. to the roof framing or blocking directly? 2 I:Building/Forms/PhotoVoltai c-Checkl ist.docx I 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 1 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 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. ''/Z"thickness, El 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: 5 b\a i Uk ov `4 Model Number: SNI 2c� Listing Agency: U L L4- 4 I:Bui lding/Forms/PhotoVoltaic-Checklist.docx