Permit CITY OF TIGARD MASTER PERMIT
11 COMMUNITY DEVELOPMENT Permit#: MST2015-00019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2015
Parcel: 25111 BB00300
Jurisdiction: Tigard
Site address: 14085 SW 100TH AVE
Subdivision: TIGARDVILLE HEIGHTS Lot: 11
Project: Petersen
Project Description: Add to existing 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 Tvoes 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
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'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O SvcFdr: 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:
ALT SF VB R-3 0
Owner: Contractor:
PETERSEN,DAVID DYNAMIC POWER INNOVATION LLC Required Items and Reports(Conditions)
14085 SW 100TH AVE 236 SE BAKER STREET
TIGARD,OR 97224 MCMINNVILLE,OR 97128
PHONE: 503-998-2105 PHONE: 503-857-0416
FAX:
Total Fees: $321.88
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 folk. le rules adopted by the Oregon Utility Notifica on Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You r- obtai . copy o'R1e.oles or direct questions to OUNC by ca 5 .23 . 987 or 1.800.332.2344.
Issued By: ,e-i�t1010- •e ittee Signature: i..(l-
41111.4 .3.639.4175 by 7:00 a.m.for the next available inspectio d
This permit card shall be kept in a conspicuous place on the job site until comp) t' n of the oject.
Approved plans are required on the job site at the time of each inspection.
Building Permit Applicatian
Residential FOR OFFICE USE ONLY
City of Tigard FEB 10 2015
Receive4-zAT Permit No.: iti 5- ,d •
41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie�'
lig
Phone: 503.718.2439 Fax: 503.411> l OF TIGARD DateB : inEgnI/, •her Permit
-
TIGARD
Inspection Line: 503.639.4175 BUILDING DIVISION Date Rea. :" ll Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method:t-/i21' l� _ Supplemental Information
1) i Ito{ vGN
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
®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: $
❑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:14085 SW 100"'Ave New dwelling area: square feet
City/State/ZIP:Tigard,Or 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Petersen Solar Covered porch area: square feet
Cross street/directions to job site:SW McDonald St/South on Hwy 99W,Left Deck area: square feet
on SW McDonald St..Right on SW 100'"Ave Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.:300 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S111 BB00300 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.
Install PV array on roof Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Dave Petersen Type of construction:
Address: 14085 SW 100a Ave Occupancy groups:
City/State/ZIP:Tigard,Or 97224 Existing:
Phone:(503)998-2105 Fax:( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Dyanmic Power Innovation (Please refer ln fee schedule)
Structural plan review fee(or deposit):
Contact name:Josh Kopczynski
Address:236 SE Baker St FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:McMinnville,Or 97128
Phone:(503)857-0416 Fax::( )
Amount received: ____.6)----'
E-mail:dee @dpisolar.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name:Dyanmic Power Innovation Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:236 SE Baker St Solar Installation Specialty Code checklist.
City/State/ZIP:McMinnville,Or 97128 Permit Fee(includes plan review
$180.00
and administrative fees):
Phone:(503)857-0416 Fax:( 1 State surcharge(12%of permit fee): $21.60
CCB lic.: 185494
Total fee due upon application: $201.60
This permit signature: ermit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Josh Kopczy s Date: 1-22-15 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
gs• - -4Electrica1 Permit Application I„I:r■1 1 1(7 i SI ()NI
City of Tigard EIVE® �' ` ♦ f ' Permit bra '9. (/e,•5 (XXj/
- 13125 SW Hail Blvd.Tiger Plan Review
• a Phone- 503 718.2439 Fur 503.595 1960 Oho Paint ,
I Ic_^I ■
Inspection Line: 503.6394!75 FEB 1 0 2015 - --- -- Ise t,,,,:�.
Iniema: wow Iigard-or a pparasnrsal Mbaameins
F❑ .--- _ l ' PLAN REVIEW
New construction ®A,Y6Ef QkG
und TI t GARD
Please ched all the apply twbmn 2 sets of plans aliens ehedced below) 1
0 Demolition Other:
0 Ssviree a feeder 400 amps or mots 0 lturldmr over three slate,
when the available faith current ❑Marinas and hnarcards
CATEGORY OF CONSTRUCTION exceeds 40,000 snits at I so vnhs a ❑I mating hurldrnrr
less to pound t exceeds 14,000 ❑('ummerctal-user KUllnrrl
I-and 2-family dwelling ❑Commercial/industrial 0 Accessory building r
❑Mtllt-family amps ro.all nrtrt muaNartgn txnldtngs
y __ 0 Master builder ❑Other: OFire pump ❑ImtaIlatu r of 1 so 1 vA a
JOS lif1E INFORMATION AND LOCATION O Emergency system big separately derived system
.. __ �_ 1:
OAddition of rrw moor load of ❑"A "t.."1-]' `I-]°.
fob no. I Job site address:14085 SW 100"Ave IoolfP«mere rrcrgtanty
—--^ O Six a more residential anal. ❑Recreational RN*parks
CitylStatc/ZIP:T i p r d,Or 9 7 2 2 4 O Heath-cart facilnres 0 simply whom ter aame nor
--_ O wsardan locabotn 600 volts nomad
Suite/bldg./am.no: 1 Project nurse:Peteraea Solar - - __ -~ 0 pumice or feeder 600 amps a more
PEE SCHEDULE
Cross street/direaiats to job site:Hwy 99W Saatl,go IsR is SW McDaaald St reddeadN ■_ �.1 r� ?wl 1 •
p rigid an SW 1006 Ave — - s11a taalMy jai
laelydes attached germs
Subdivision I Lot no.:300 1,000 aq R or less Ba i/ '4
Tex map/parcel no.:2S1118W0.i00 ------
Ea add'!sots ft or Paton 7392 t
Ude I9EStalwIiopi OF WORK (with energy,residential 2 1
Limited energy.multi-family
9990 2
Install Inverters,disconnect with conduit and wire required for pv array. resldantat(with above so ft)
_Services or feeders instaltatdor,ekeratlay aad/or relocation
® "Y OWNER -- 1 O TENANT ion amps or Ices loo 70 - 2
Name:Dave Petersen 201 amps to 400 an 133 56 2
401 amps to 600 amps 200.34 2
—
Address:14085 SW 1006 Ave 601 maps to I,000 amps _- 2Address:
- -
Over 1.000 amps a volts 55226 _ 2
City/State/Z1P:Tigard,Or 97224 - '
Temporary services or feedersinmillatsa,*Wraiths,asd/ar
Phone:(S03)998-2105 I Fa -( ) rdeadisa _-- 1
200 imps at less Sit 36 I
Owner iestallation:This installation is being made on property that 1 own which is not 201 amps to 400 maps 12508 2
intended for sale.lease.rent,or exchange.according to ORS 447.449,670.and 701. ioI snips to 599 a> 16831 2
Owner
signature- _ Dale: - - -
_� -- Broach circuits-any,ageraMaa.or er�easleusler lard
® APl1.ICAN 0 CONTACT PERRON ' A Fee for branch circuits with
1 above service or feeder fee. 742 2
Business lame:Dynastic Power laaovatioa each branch armpit
A Fee for branch circuits withow 'Contact name:Jtti Kopezyuski service or feeder fee,first
— barldl Uralic I S6 IS 2
_+ —
Address:237 SE Baker St Each add't branch circuit 742 2 1
CitylStateRlP:MtM inRVi■e,Or 97121 — lllisedlaaeossjaervice or reeler sot indrdcd)
Fsch trwaufidmod or modular I 6784 2
t Phone:(503)857-0416 Fmt::( ) �dwetling saes=Whir feeder
Reconnect Italy I 67 E4 _ 2
E-mail:dee(dpisolar.eeru Primp or irrigation circle 6764 _ 2
CONTRACTOR Siam err aiding lighting 6784 2
Business name:Fitzpatrick Electric Signal earwigs)a liniled<nergy See
i pearl alteration.or mansion _ .. Pale 2 2
--I- r I hr MO i 662S/hr Address:PO Rex 83129 _- tl"PK' war a8aaraMe at the ar
' Cit /StatciZ1P:Portioned,Or 97283 lamm anion ti he Hint - 6625/hr f
Phone:(SO)209-4191 Fax:( ) i tadentrW plant 41 hr mad n Illhr - -
- -- • Inspections for which no fee is
CCB Lic.: 173339 Electrical drier: C235 1 Suprv.Lie.: 5216$ I specifically hired I tr min) 90 hr_
ELECTRICAL 'war MS '
Suprv.Electrician signature,required: �� /-r rr/I4 r�(Cr' 1 I Subtotal:
Print name: Todd Fitzpatrick
Datc:,2- r- / 5 1, ! ____ Plan rtetriesr 125%trf pensit ra): -,
-L-- (12%arm*foe):
Authorized simonise -42,j l 7setCr TOTAL PERMIT FEE: S _
-- ""repo f-4 1.•Ett,!'TetCer Dale: Y ilfs4aarrtY dogsi waa�I Ira ospssd scomga mA.whr.oar
Prise nlhale: � ' Dave: � �j,,,r_ dogs artist ass Ira�a w�er-
t -- • honk.of slams algal per poem
11raldrwVten..WEU_t4rn+AM EAR[EREIrs Rea IWOWOOS weatsiiIISi O/r'f!
1
.i
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 100.70 2
5.01 to 15 kva 1 133.56 2
❑ 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 301.04 2
n Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
OAR 918-309-0040)
n H• eating, Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
® Each additional inspection over allowable in any of the above:
Other: PV Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr
Inspections for which no fee is 90.00/hr
specifically listed('h hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
nAudio and Stereo Systems days after it has been accepted as complete.
Number of inspections allowed per permit.
n Boiler Controls
❑ Clock Systems
n D• ata Telecommunication Installation
n Fire Alarm Installation
❑ H• VAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 05/21/2013
1 ' RECEIVEP
!AI • City of Tigard FEB 10 2015
Building Division
CITY OFTIGAitll
• 13125 SW Hall Blvd,Tigard,OR 97223 BUILDING DIVISION
Phone: 503.718.2439 Fax: 503.598.1960
TI G A R 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: 14085 SW 100th Ave
City: Tigard, Or Zip: 97224
Owner's Name: Dave Petersen Date: 1-22-15
Contractor's Name: Dynamic Power Innovation CCB #: 185494
Design Parameters of the Property/Structure
If"Yes",does not
Flood Hazard Is the installation o Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? ® 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 ® 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?
111 If"Yes",qualifies for
• structures other than
Yes the prescriptive path.
above
❑ No
1
I:Building/Forms/PhotoVoltaic-Checklist.docx
Is the construction
CE material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction El No the prescriptive path.
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?
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
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.
® of composition
shingle.
Is the roof mounted ® Yes
Connections of solar assembly If"Yes", qualifies for
the solar assembly connected to roof No
framing or blockin ❑ the prescriptive path.
to the roof g g
directly?
2
I:Building/Forms/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 anels If the width of the panel
P Width of roofing is less than 18 inches,
panels? 18 inches or less
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.
I 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 If"Yes", qualifies for
solar modules module to the roof ® Yes the prescriptive path.
surface. El No
3
(: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: Solar World
Model Number: SW270
Listing Agency: UL
4
1:Bui ld ing/Forms/PhotoVoltaic-Checkl ist.docx