Permit (239) 1114CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2016-00591
Tr, .Akt D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/29/2016
Parcel: 2S111DA06500
Jurisdiction: Tigard
Site address: 8690 SW BELLFLOWER ST
Subdivision: APPLEWOOD PARK NO.2 Lot: 60
Project: PERALTA
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: 24 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 1 Third: 0 sf Right: 0 Detectors:
No
Total: 0 sf Value: $5,040.00 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
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
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: 0 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 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: Roof top PV system 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:
PERALTA,MARIO A&TINA L DYNAMIC POWER INNOVATION LLC Required Items and Reports(Conditions)
8690 SW BELLFLOWER ST 20345 SW PACIFIC HWY STE 103
TIGARD,OR 97224 SHERWOOD,OR 97140
PHONE: PHONE: 503-857-0412
FAX:
Total Fees: $361.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done i - • .-nce with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
da . ATTENTION: • exon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
• 2-001-0010 through OAR952- -00 0. You may obtain a
copy of the rules or direct questions to OUNC by calling 503. 32. 987 or 1.800.332.2344.
Issued By: )/\t, _E ��/i& --til--4 Permittee Signature:9 (lc fiv)41,idt/N.:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion o he project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
Cl of Tigard �. ""fC) Received
City g � y y_ Permit No..
It13125 SW Hall Blvd.,Tigard,OR 9722 , tf Plan Review
■ Phone: 503.718.2439 Fax: 503.598.19 0 Date/By: j a.��$ ') �e Other Permit:
T[ci t\it 1) Inspection Line: 503.639.4175 �j 1' 2 72.01ki Date Ready/By: s ��^ n_ Juris: H See Page 2 for
Internet: www.tigard-or.gov
OEC Notified Method: /�7 9/ ` J�J I Supplemental Information
• •
iii;
,tai- r
❑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 0 Other: equipment,materials,labor,overhead,and the profit for the
ay work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
OB SIFT_ 1 'sa T i ia11 Total number of floors:
Job site address: 1r6 go .. ._/ff f e- New dwelling area: square feet
City/State/ZIP: 7,` � , ` 41 7,. Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: .l ,__4/_j. . Covered porch area: square feet
Cross street/directions to job site:From 99W go West on SW McDonald,R on SW Deck area: square feet
Hall Blvd,R on SW Sattler St,L on SW Applewood Ave Other structure area: square feet
"
Subdivision:Heritage#2 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:02S111DA 06500 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
tt F, ' work indicated on this application.
Install PV array on roof Valuation: $
Existing building area: square feet
New building area: square feet
-,',1'k:711. G Number of stories:
Name:Mario Peralta Tof construction:
ype
Address:8690 SW Bellflower St Occupancy
City/State/ZIP:Tigard,Or 97223
Phone:(503)913-9568 Fax:( )
III 1d _ u 47F- 11
1=-1.ao �I
Business name:Dyanmic Power Innovation
Structural plan review fee(or deposit):
Contact name:Josh Kopczynski
FLS plan review fee(if applicable):
Address:20345 SW Pacific Hwy Ste 103
Total fees due upon application:
City/State/ZIP:Sherwood,Or 97140
Phone:(503)857-0416 Fax::(503)822-5641 Amount received:
E-mail:info@dpisolar.com r �
p �z r . 3 Commercial and residential prescriptive installation of
roof-top mounted Photovoltaic 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:20345 SW Pacific Hwy Ste 103 Solar Installation Specialty Code checklist.
City/State/Z1P:Sherwood,Or 97140 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)857-0416 Fax:(503)822-5641 State surcharge(12%of permit fee): $21.60
CCB lic.:185494
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
ditt •.. within 180 days after it has been accepted as complete.
Print name:Josh Kopczyns i Date:12-27-2016 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
. City of Tigard Received
Date/By: Permit No.: ;..M :1 t1
I Z III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
�"
Phone: 503.718.2439 Fax: 503.SECE6 Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet www.tigard-or.gov rI 1b Notified/Method: Supplemental Information
� r
� .a i l'--:":"::;—'
rs u � .. '_ Oil i ��"_ e—: a'1 r nQ i
m„- . i =,I , i - 4,, Ia, '''., G fili _��,,i� -' 1:5157' ;: t i! E ' r,
❑New construction ®Addition/alt�dti'(fhf rO rc-` ic! q,t Please check all that apply(submit 2 sets of plans w/items checked below):
i✓3 t e� P l t Y ,. t 9�a�-
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: •\9 S'`' _ where the available fault current 0 Marinas and boatyards.
p p ; r exceeds 10,000 amps at 150 volts or 0 Floating buildings.
��,,, ,,�� sa less to ground,or exceeds 14,000 0 Commercial-use agricultural
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
'Wa = ;1 t r ❑Emergency system. larger separately derived system.
'----1W,..; I d -,. 0::' It a' _ ['Addition of new motor load of 0"A","E","1-2","1-3„
Job no.: Job site address:8690 Bellflower St 100HP or more. occupancy.
❑Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP:Tigard,Or 97223 0 Health-care facilities. 0 Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:Peralta Solar 0 Service or feeder 600 amps or more.
0"
Cross street/directions to job site:From 99Wgo West on SW McDonald,R on SW I op
� ,
� Description IQty. � Fee. � Total
New residential single-or multi-family dwelling unit.
Hall Blvd,R on SW Sattler St,L on SW Applewood Ave Includes attached garage.
Subdivision:Heritage No 2 Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
Tax map/parcel no.:02S11DA 06500 Limited energy,residential
�1 9 E 1 1t is G 1�� ' Gi i (with above sq.ft.) 75.00 2
,5 ; ` -- lk Limited ener
gy,multi-family 75.00 2
Install Inverters,disconnect with conduit and wire required for pv array. residential(with above sq.ft.)
Renewable Energy 0 See Page 2
. 0 ..g.' ,1.,11,--11 `1',--,
Services or feeders installation,alteration,and/or
relocation
2a200 amps or less� �1 a ► s100.70
' � . ; ', i , '
201 amps to 400 amps 133.56 2
Name:Mario Peralta
401 amps to 600 amps 200.34 2
Address:8690 Bellflower St 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP:Tigard,Or 97233 Temporary services or feeders installation,alteration,and/or
Phone:(503)913-9568 I 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,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
® a a� � � ��� ? i A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name:Dyna c Power Innovation each branch circuit
B.Fee for branch circuits without
Contact name:Josh Kopczynski service or feeder fee,first 56.18 2
branch circuit
Address:20345 SW Pacific Hwy Ste 103 Each add'l branch circuit 7.42 2
City/State/ZIP:Sherwood,Or 97140 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)857-0416 I Fax: :(503)822-5641 dwelling,service and/or feeder
Reconnect only 67.84
E-mail:info@dpisolar.com
n a ,1 �Q Pump or irrigation 1circle 67.84 2
- n�iu� .- � ,i .. : ,§i „-, n : . 14 i Sign or outline lighting 67.84 2
Business name:Dynamic Power Innovation i.-e., Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:20345 SW Pacific Hwy Ste 103 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
City/State/ZIP:Sherwood,Or 97140 Investigation(1 hr min) 66.25/hr
Phone:(503)857-0412 ������ Fax:(503)822-5641 Industrial plant(1 hr min) 78.18/hr
4C. Ott' Suprv.Lic.: CLR34
Inspections for which no fee is
CCB Lie.: 16 Electrical Lie.: 22895J l0specifically listed(%hr min) 90.00/hr
- -m ;
Suprv.Electrician signature,required: ----; Subtotal:
Print name: Josh Kopczynski ‘' Date: 12-27-2016 Plan review(25%of permit fee):
(4...„...... — State surcharge(12%of permit fee):
Authorized signature: ik
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Josh Kopczynski Date: 12-27-2016 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
3y l{ "ea ®a® •r� i a m,�i iiMa t mFq� —� °r' B 1. ,v
Fee for all residential systems combined ... $75.00 Description Qty. I Fee I Total
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 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
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040)
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: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically %2
(listed hr mM)
Fee for each commercial system $75.00 Subtotal: 133.56
(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
❑ Audio and Stereo Systems days after it has been accepted as complete.
* Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ 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.doc Rev 05/21/2013
City of Tigard
RECEIVED
Building Division
13125 SW Hall Blvd, Tigard, OR 97223 DEC 2 7 2016
Phone: 503.718.2439 Fax: 503.598.1960
OF CITY
TI G A R D Inspection Line: 503.639.4175
www.tigard-or.gov
BUILDING ENVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 8690 SW Bellflower St
City: Tigard Zip: 97223
Owner's Name: Mario Peralta Date: 12-27-2016
Contractor's Name: Dynamic Power Innovation CCB #: 185494
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation El Yes qualify for the
Located in a flood prescriptive path, follow
Area 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. ❑ 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-Checklist.docx
Is the construction
El material wood and does Yes
Type of the construction qualify If"Yes", qualifies for
Construction as "conventional light n No the prescriptive path.
frame" construction?
Is the spacing 24 inches
or less?
If"Yes", qualifies for
Pre-engineered trusses. ® Yes 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
El
layout in accordance Yes
If"Yes", qualifies for
with Section 305.4(3) of
the 2010 Oregon Solar ElNo 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
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/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.
n No
Attachment of
roof mounted If the spacing falls
solar systems Spacing of clamps? Minimum 24 inches within 24 inches and 60
directlyto inches inches, qualifies for the
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
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: Canadian Solar
Model Number: CS6K-280M
Listing Agency: UL
4
I:Building/Forms/PhotoVoltaic-Checklist.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
8690 SW BELLFLOWER ST, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2016-00591
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
8690 SW BELLFLOWER ST, TIGARD, OR, 97224
Record Type:
Residential - Master Permit
Inspection Type:
199 Electrical final
Result:
PASS
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
MST2016-00591
Inspector:
Jeff Grove
Contractor