Permit (77) CITY OF TIGARD11111 MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit#: MST2017-00340
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2017
�f '�'� Parcel: 2S109AB14300
Jurisdiction: Tigard
Site address: 13336 SW OUZEL LN
Subdivision: ALPINE VIEW Lot: 24
Project: Bunner
Project Description: Installation of 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
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
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
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:
BUNNER,STEPHANE ELEMENTAL ENERGY LLC Required Items and Reports(Conditions)
SWEET-BUNNER,AMANDA 3123 SE BELMONT ST
1336 SW OUZEL LN PORTLAND,OR 97214
TIGARD,OR 97224
PHONE: PHONE: 503-967-5786
FAX:
Total Fees: $316.38
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 ' work is suspen•ed for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notifi•.tio Center. Th.-- rules .r- set forth in OAR
952-001-0010 throe"952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling •03.'32.1•j:7• 1.;60.3:2.2344.
lei
Issued By ` f� IP — Permittee Signature: MA
Call 503.639.4175 by 7:00 a.m.for the next available inspec ion d. e.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RE(,'EWED
FOR OFFICE USE ONLY
�1
City of Tigard Received 9
Date/By: / 4 I / / Permit No.: H4 r /7-60 3 1O
111 a 13125 SW Hall Blvd.,Tigard,OR 97&EP 0 6 2017 Plan Reviem�y
Phone: 503.718.2439 Fax: 503.598.1960 DateBy: • Other Permit:
Inspection Line: 503.639.4175 /�ry c q {jy� Date Read/B Juris: ® See Pae 2 for
TIGARD p CITY i Vf 14Us"16-1h.,t" Ready/By: // s
Internet: www.tigard-or.gov �, Notified/Method: /7 "�� Supplemental Information
BUILDING DIVISION dN7
TYPE OF WORK REQUIRED DATA:I-AM)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.
Valuation:
❑✓ 1-and 2-family dwelling ❑Commercial/industrial
$
EtAccessory building EDMulti-familyNumber of bedrooms:
Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 3336 Ouzel Lane New dwelling area: square feet
City/State/ZIP: Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
4.68 kW Prescriptive Roof-Mounted Solar PV Installation Valuation: $
Existing building area: square feet
New building area: square feet
Q PROPERTY OWNER 0 TENANT Number of stories:
Name: Stephane Bunner Type of construction:
Address: 13336 Ouzel Lane Occupancy groups:
City/State/ZIP: Tigard, OR 97224 Existing:
Phone:(971 )371-9110 Fax:( ) New:
❑✓ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: Elemental Energy (Please refer tofee schedule)
Structural plan review fee(or deposit):
Contact name: John Grieser
FLS plan review fee(if applicable):
Address: 6819 SE Foster Rd.
Total fees due upon application:
City/State/ZIP: Portland,OR 97206
Phone:(503 )967-5786 Fax::( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: john@elementalenergy.net
Commercial and residential prescriptive installation of
CONTRACTOR
roof-top mounted Photovoltaic Solar Panel System.
Business name: Elemental Energy, LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 6819 SE Foster Rd. Solar Installation Specialty Code checklist.
City/State/ZIP: Portland,OR 97206 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503 )967-5786 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 195141 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: John Grieser Date: 9/5/1 7 *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 A tu,
a,-11 :ki.V 1J.
,,Erd Received LT�`si 2/A.^of Tigard Permit No.: 7 / CYa....74-C1-.)Date/By:
'sI .__' 13125 SW Hall Blvd.,Tigit' Rfp7r32 Plan Review
L. Phone: 503.718.2439 F•.. _03. 19 (411 i Date/By: Other Permit:
11 CARD inspection Line: 503,4;4149.105 1-j('�/� {� Date Ready/By. funs: 0 See Page 2 for
Internet: www.tigar o OF d iE7`1flt.� Notified/Method:
F� r Supplemental Information
PlUPLAN REVIEW
Please check all that apply(submit 2 sets of plans w/items checked below):
El New construction ❑✓ Addition/alteration/replacement
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14.000 D Commercial-use agricultural
❑✓ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
0 Multi-family ❑Master builder D Other: 0 Fire pump. 0 installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION
0 Emergency system. larger separately derived system.
... 0 Addition of new motor load of ❑"A","E" "1 2" "1-3",
Job no.: Job site address: 13336 Ouzel Lane 100HP or more. occupancy.
O Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP:Tigard, OR 97224 ❑Health-care facilities. 0 Supply voltage for more than
O Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: 0 Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description IQty. i Fee. Total
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'I 500 sq.ft.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
DESCRIPTION OF WORK (with above sq.ft.) I
75.00 2
Limited energy.multi-family 75.00 2
4.68 kW Prescriptive Roof-Mounted Solar PV Installation residential(with above sq.ft.)
Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
0 PROPERTY OWNER 0 TENANT 200 amps or less 100.70 2
201 amps to 400 amps 1 133.56 C 2
Name:Stephane Bunner 401 amps to 600 amps 200.34 2
Address: 13336 Ouzel Lane 601 amps to 1,000 amps 1 301.04 , 2
— Over 1,000 amps or volts 552.26 2
City/State/ZIP: Tigard, OR 97224 Temporary services or feeders installation,alteration,and/or
Phone: (971 )371-9110 Fax: ( ) - relocation
200 amps or less 1 59.36 1
Owner installation:This installation is being made on property that I own which is not
201 amps to 400 amps 1 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
401 amps to 599 amps 168.542
per
Owner signature: Date: Branch circuits-new,alteration,or extension, panel
0 APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with I
above service or feeder fee,
7.42 2
Business name: Elemental Energy each branch circuit
- r—
- - B.Fee,for branch circuits without
Contact name:John Grieser service or feeder fee,first 56.18 2
branch circuit
------------------ ----------------------
Address: 6819 SE Foster Rd. Each add'I branch circuit 7.42 2
City/State/ZIP: Portland,OR 97206 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503 )967-5786 ' Fax: :( ) dwelling,service and/or feeder
Pump or irrigation circle Reconnect only 67.84 2
E-mail: john@elemetalenergy.net67.84 2
CONTRACTOR Sign or outline lighting 67.84 1 2
Business name: Alameda Eletric Signal circuit(s)or limited-energy See
panel,alteration,or extension. j Page 2 i 2
Address: 3415 NE 44th Each additional inspection over allowable in any of the above
-- --------------------
Cit /State/ZIP: Additional inspection(i hr min) i 66.25/hr
City/State/ZIP:Portland,OR 97213 Investigation(1 hr min) 66.25/hr
Phone:(503 )319-2192 Fax:( ) Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: C923 Electrical Lie.: 199188 Suprv.Lie.: specifically listed(r/hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Ernest Singer l Date: 9/5/1 7 Plan review(25%of permit fee):
_ State surcharge(12%of permit fee):
Authorized signature:
-...i6.5"."".! .---- TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
* Number of inspections allowed per permit.
]:\Building\Permits\ELC_PermitApp_ELR_ERF.doc Rev 05/21/2013 440-4615T)It/55/COM/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 Description T(ty. Fee Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 2
5.01 to 15 kva 133.56 2
Pi Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
C Burglar Alarm
g 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
ri 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
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(12 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
n Audio and Stereo Systems days after it has been accepted as complete.
* Number of inspections allowed per permit.
—
Boiler Controls
n Clock Systems
Data Telecommunication Installation
— Fire Alarm Installation
Fl HVAC
n Instrumentation
- Intercom and Paging Systems
Landscape Irrigation Control*
n Medical
n 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
1:ABuildingV Permits\ELC_PermitApp_EI.R_ERE.dor Roy 05/21/2(113
•
City of Tigard RECEIVED
Building Division SEP 0 6 2017
13125 SW Hall Blvd,Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF 1 lWAF
TI GARD 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: 13336 Ouzel Lane
City: Tigard, OR 97224 Zip:
Owner's Name: Stephane Bunner Date: 9/5/17
Contractor's Name: Elemental Energy CCB #: 195141
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Located in a flood prescriptive path, follow
Area plain/flood way? El No OSSC or ORSC for
design requirements.
Wind Ex osure Is the wind exposure El Yes If"Yes", qualifies for
p "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
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Is the construction
material wood and does 0 Yes
Type of If"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?
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
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 El of wood one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
Q of composition
shingle.
Is the roof mounted p 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
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•
Q 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
ElYes 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.
metalanels 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.
❑ No
Is the roof decking of
WSP min. '/"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 ElYes the prescriptive path.
surface. ® No
3
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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-275
Listing Agency: UL
4
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