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Permit (50) v CITY OF TIGARD MASTER PERMIT I11. ' COMMUNITY DEVELOPMENT Permit#: MST2017-00159 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/30/2017 fit ' 9 Parcel: 2S111BD02100 Jurisdiction: Tigard Site address: 9755 SW PEMBROOK ST Subdivision: CLOUD CAP Lot: 3 Project: Thom Project Description: Install photovoltaic solar 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 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 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fu rn>=100 K: 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 0 Owner: Contractor: THOM,DANIEL EARTHLIGHT TECHNOLOGIES Required Items and Reports(Conditions) 9755 SW PEMBROOK ST 1037 COMMERCE CT TIGARD,OR 97224 SILVERTON,OR 97381 PHONE: PHONE: 503-874-4142 FAX: Total Fees: $357.69 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 .e are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo obta'I a copy of - . -s or direct questions to OUNC by calling 500232.1987 or 00.:32.234-. Il s Issued Bye -e-----. ..c: 51"---- Permi'e• -.;Mature: .639.4175 by 7:00 a.m.for the next available inspection dat This permit card shall be kept in a conspicuous place on the job site until completkin of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application RECEIVED Residential MAY 1 2017 IOR OFrIt 11 �1. ON l City of TigardReceived r 13125 SW Hall Blvd.,Tigard,OR 97222�'i� OF r Date/B : -,J / �ie4,,� t Notjl-S7C/?.�t /.,7'e I Phone: 503.7182439 Fax: 503.598.1/6(f A IARD Plan Revie T[c;n tt D Inspection Line: 503.639.4175 BUILDING�{'�+ Date/B : � '� i Other Permit: Internet: Line:www.tigard-or.gov U lLDI NG 1�IVIJ! Date ReadyBy: loris: See Page 2 for Notified/Method: Supplemental Information TYPE OF WORK ' REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 Demolition Permit fees*are based on the value of the work performed. ❑Addition/alteration/replacement {NI Other: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the CATEGf 1RY °I? CONSCRUCTION work indicated on this application. RI 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 9755 SW Pembrook St. New dwelling area: square feet City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name: Thom Covered porch area: square feet Cross street/directions to job site: SW Pembrook St/SW 97th Ave Deck area: square feet Just west of Twality Middle School Other structure area: square feet Subdivision: REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 D>i SC12Ii'T I©N OF WQItK equipment,materials,labor,overhead,and the profit for the work indicated on this application. Valuation: $ 5.04 kW photovoltaic solar installation on the south faced roof of home. This job falls under the prescriptive path category, and the neccesary Existing building area: square feet documents have been attached to this application. q New building area: square feet lit PROPERTY OWNER0 TENANT t Number of stories: Name: Daniel Thom Type of construction: Address: 9755 SW Pembrook St. City/State/ZIP: Tigard, OR 97224 Occupancy groups: Phone:( 503) 389-0844 Fax:( ) n/a Existing: New: }g[APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES Business name: Earthlight Technologies (Pltcetyertglersrls � Contact name: Shane KuenZl Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: 1037 Commerce Ct. City/State/ZIP: Silverton, OR 97381 Total fees due upon application: lil tL <tC. ,[_ Phone:( 503) 949-5070 I Fax::( ) n/a rJ Amount received: `- -. E-mail: c' Li'rd✓i e✓ a r//L/ t j— °VOLTAM SOLAR PANEL SYSTEM FEES' S`*''''' /Commercial and residential prescriptive installation of CONTRACTOR / Business name: , roof-top mounted PhotoVoltaic Solar Panel System. Earthlight Technologies ' Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 1037 Commerce Ct. Solar Installation Specialty Code checklist. City/State/ZIP: Silverton, OR 97381 Permit Fee(includes plan review Phone:( 503) 874-4142 I Fax:( ) n/a and administrative fees): $180.00 CCB lie.: 201-408 ////L 17 State surcharge(12%ofpermit fee): $21.60 ,�(_ Total fee due upon application: Authorized signature: $201.60 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: Shane Kuenzl I *.Fee methodology set by Tri-County Building Industry I Date: 4/26/17 Service Board. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613 T(11/02/COM!WEB) • D Electrical Permit Application IVB FOR OW( t i i)' City of Tigard MAY 1 2017 Received Date/Bv: Permit rt e n 13125 SW Hall Blvd.,Tigard,OR 97223 -S/��fJ�� J�S" 3 p Plan Review Phone: 503.718,2439 Fax: 503.598.1 )O 'TI(�A IlFI IN Date/13 Related Permit : Inspection Line: 503.639.4175 �a E� gg 91°�'1�hJtd Ready Date/By: turis: T IC i�RD. ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVJCIO TNotified/Method: Supplemental Information TYPE OF WORK t�° O l 7i PLAN REVIEW 0 New construction ►�1Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition 0 Other: where the available fault current CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Marinasinbuand boatyards. 0 Floating buildings. 2-family dwelling ❑Commercial/industrialless to ground,or exceeds 14,000 ❑Commercial-use agricultural i 0 Accessory building amps for all other installations, buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump 0 Installation of 150 KVA Of JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job 4:50 I)— i(3 b Job site address: `f S W C S4- ❑ IAddition moew'motor load of system. J ��� f U(�Y� 1001 IP or more. ❑••q..'.,E--,--I_?._,..1_�.., City/State/ZIP: I i 61 � -- s. 0 (A ��Ia 0 Six or more residential units. occupancy. ❑Health care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.4: Project name: I \No Vh 0 Hazardous locations. 0 Supply voltage for more than /� 0 Service or feeder 600 amps or more. 600 volts nominal. Cross c�street/directions4 to job site: lS'• ) 4k)t FEE SCHEDULE Q '74 OS C O' W w11"i`l Ail V$' V l t. SatOt l Description 1 Qty. Each 1 Total l ° -- New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel 4: — 1,000 sq.it or less 168.54 4 Ea.add'I 500 sqft.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 1 -`ti - Limited energy,multi-family residential(with above sq.ft.) 75.00 2 PROPERTY OWNER 0 TENANT Renewable Energy See Page 2 --�-� Services or feeders installation,alteration,and/or relocation Name: 1)t,(A C t,l, ‘ 200 amps or less 100.70 2 Address: to c-c s u pLmAwooa Ce�. . 201 amps to 400 amps 133.56 2 J 401 amps to 600 amps 200.34 2 City/State/ZIP: 'r't' ,(�) o i q?2 601 amps to 1,000 amps 301.04 2 Phone:( V)) '", it q..0.f It Li Fax:( ) 1 i Over 1.000 amps or volts _55a 26 2 i�l Temporary services or feeders installation,alteration,and/or Email: (.j ! q 1t 16 p relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59,36 intended for sale.leas ,rent.or exchan , rding to ORS 447.449.670.a 701. _201 amps to 400 amps 125.08 2 Owner signature: Date:_ 401 amps to 599 amps ' 168.54 2 APPLICANT I0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A Fee for branch circuits with Business name: KkA:I1(`f7 t\ unci 1( , above service or feeder fee, A t —1 \�t 1 [ I each branch circuit 7 42 2 Contact name: t. Kum?L B.Fee for branch circuits without Address: --e �,j L i C service or feeder fee,first �� ^`/� branch circuit 56.18 ( City/State/ZIP: A% As 0. Each add'I branch circuit 7.42 2 �»A Nliscellaneous(service or feeder not included) Phone: 1 ) C,1 Fax::(c0`�) ('],,--14 "t i1' 5I Each manufactured or modular I C) t dwelling,service and/or feeder 67.84 2 Email: ti+� K�n�eSe t"1Ct C ,Coin Reconnct only 2 t1.--\` r � , 1 _ 67.84 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:K\ �., \ 1 Sign or outline lighting 67.84 2 Address: V`;�n� m 90 \ 1 I pineal circuit(s)or limited-energy ►..7v`- panel,alteration,or extension. 0 See Page 2 2 Cit;JState/ZlP: ,�\L � cp ��?��� Each additional inspection over allowable in any of the above �t t Additional inspection(1 hr min) 66.25/hr Phone:i5,1Z6 1.251 —L4 (-Nie Fax:(5t," )2 (311.4 _14 aim 1 Investigation(1 hr min) 90.00/hr Email: f�, 'v., )t'1! `7iee\ec—k 6c\v'\c, con 1 Industrialspeoplantr whichhr 78.18/hr `",� �.NT \ IC.,I j l..-1 1 1 � � Inspections for no fee is CCB Lie.:15 SC S' Electrical Lic.: 1 Suprv.l,ic.: 9j specitically listed(/2 hr min) 90.00/hr t: &' �3q //1 ELECTRICAL PERMIT FEES Suprv. Electrician signat wired: l� / 5re et 2. Subtotal: 13 • J•� Print name: � Date: 0 Plan Revit*Required(25%of permit fee): State surcharge(12%of permit fee): I Est 0`3 Authorized signature: / 7 ���,�^'�,,� TOTAL PERMIT FEE: 1t.��l � This permit application expires if a permit is not obtained within 180 Print name: t.t,,)1) 1`` „a Date: i-1-1„(.,--1') days after it has been accepted as complete. (� ' Number of inspections allowed per permit. I Buildln4 Permits F.LC PermitAppELR_ERE.doc Reti 06117'2015 44r54s15T(I I.'5 CO51 WEB , 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 Den Ory. Eaeh Total . Reenn ewwaable electrical energy systems: Check Type of Work Involved: 5 kva or less l 00.70 2 5 01 to 15 kva 133.56 33,5C0 2 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: Burglar Alarm 25 01 to so kva 301.04 2 pi 50.01 to 100 Eva 552.26 2 Garage Door Opener* 100 Eva(fee in accordance with OAR 918-309-0040) 552.26 2 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional Eva over 25 7.42 3 I I Vacuum Systems* >100 Eva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: Other: Each additional inspection is 66 25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(5 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Entero„Page I): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: Audio and Stereo Systems Boiler Controls Clock Systems Data Telecommunication Installation Fire Alarm Installation HVAC I I Instrumentation n Intercom and Paging Systems n 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_PermitAppELR ERE.doe Rev 06/17/2015 r ! City of Tigard RECEIVED '' Building Division MAY 1 2017 13125 SW Hall Blvd,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 MY OF TIGA TI G A R D Inspection Line: 503.639.4175 BUILDING DIVISION 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: 9755 SW Pembrook St. City: Tigard Zip: 97224 Owner's Name: Daniel Thom Date: 4/25/17 Contractor's Name: Earthlight Technologies CCB #: 201-408 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. 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. 0 No Snow Load Is the Ground Snow Installations on all Load 50 psf or less? structures other than If"Yes", qualifies for above ❑ Yes the prescriptive path. ❑ No 1 I:Building/Forms/Photovoltaic-Checklist.docx Is the construction material wood and does Yes Type of If"Yes", Yes , qualifies for the construction qualify Constructionas"conventional light ❑ No the prescriptive path. 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. ❑ Yes If"Yes", qualifies for the prescriptive path. ❑ No Is the combined weight ® Yes of the PV modules and If"Yes", qualifies for racking less than or 0 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 ❑ No the prescriptive path. Code? 0 Metal Single layer If roofing material is Roofing Check the type of 0 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 assemblyconnected to roof If"Yes", qualifies for ❑ 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? El 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 El Yes the prescriptive path. ❑ No Attachment of roof mountedMinimum 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. Y2"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 Shoocw the location of the PVrequiredfor systemPrescriptive in relation to buildings, structurInstallationses, 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: SunPower Model Number: SPR-X22-360-C-AC Listing Agency: SunPower 4 I:Building/Forms/Photovoltaic-checkhst.docx