Permit (99) CITY OF TIGARD MASTER PERMIT
` ' ! . '' COMMUNITY DEVELOPMENT Permit#: MST2017-00365
Date Issued: 10/09/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S106DC11900
Jurisdiction: Tigard
Site address: 17286 SW JEAN LOUISE RD
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 119
Project: ALVARADO
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: $10,270.28 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 adds 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:
ALVARADO,KATHERINE L&ROBERT GBLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
17286 SW JEAN LOUISE RD 1220 S 630 EAST,STE 430
SHERWOOD,OR 97140 AMERICAN FORK,UT 84003
PHONE: PHONE: 385-498-4408
FAX:
Total Fees: $324.38
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable la . All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if w. m
iss a for ore the 180
yv
days. ATTENTION: Oregon law requires ou to follow the rules adopted by the Oregon Utility Notification Center f;,,'hose+^ru, are-''et • r in OAR
952-001-0010 through OA 952-001 090. Si may obtain copy of a rules or direct questions to OUNC by calling 503.23 or 1,,800 332'2
Issued By: •tre' 1 Permittee Signature: err
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
x
CIt of Tigard -4 ft Received �5 // ] �' ./� p�
Yg 3t .r t :$� Date/By: I /342 / Permit No.�1 L.STOV//-7' 042 Jt®�
111 e 13125 SW Hall Blvd.,Tigard,OR 97224.'''.' ' Plan Review ��
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ) 0— 3 Other Permit:
TIGARD Inspection Line: 503.639.4175 qy Date Ready/By: 1 ® See Page 2 for
Internet: www.tigard-or.gov SEP fd Noti d/Method: w jq(t? J Supplemental Information
,3. <. ! TYPE , ' ;life. j lhern EiAT"A,I-.'-m..-: ,,...--°;-- ---7-,-iLLXN+ .
❑New construction
btiii,c it#an'�`' a . ' > ' Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ElAddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
\ °
to t ® ` , 1 �t\; work indicated on this application.
�� .�-� r, =:r ���yvvwwvvva\w\how.v � ,, xs � ,�, .�� ��,a '.,-,AV
I;
$$10,270.28
01-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
Total number of floors:
Job site address:17286 SW Jean Louise Rd New dwelling area: square feet
City/State/ZIP:Sherwood, OR 97140 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Alvarado 4.85kw Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
v 1,IRED D' ' U RCIAL-VSE ,.
is ,iia,,;,,>:,; . .- -�-� .: ,
Subdivision:CPO4b bull mtn Lot no.:R2196007 Permit fees*are based on the value of the work performed. }
Tax map/parcel no.:2S106DC11900 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
‘
vv 1
work indicated on this application.
Rooftop solar PV 4.85kw Valuation: $
Existing building area: square feet
New building area: square feet
` PROP r o<,- Vii't ,N4-;-*,O TENAN'x a �v� -,- =' Number of stories:
Name:Robert Alvarado Type of construction:
Address:17286 SW Jean Louise Rd Occupancy groups:
City/State/ZIP:Sherwood, OR 97140 Existing:
Phone:( )503-307-3723 Fax:( )
New:
PPLICANT . ,,N,'� ' v CONTACT PERSON ,' BUILDING PERMIT FEES*v
Business name: Blue Raven Solar (Pleaserefertofeeschedule)
Structural plan review fee(or deposit):
Contact name: Zach Schofield
Address:
1220 S 630 E STE 430 FLS plan review fee(if applicable):
City/State/ZIP: American Fork,UT 84003 Total fees due upon application:
Phone:(385) 482-0045 Fax: :( ) Amount received:
E-mail: permittin de blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES**
g• Partment c�
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Blue Raven Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1220 S 630 E So/ar Installation Specialty Code checklist.
City/State/ZIP: American Fork,UT,84003 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): S2I.60
CCB lie.: #210112
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
�/ within 180 dad s after it has been accepted as complete.
*
Print name Jeffery Lee Date-09/26/2017 Fee methodology set by Tri-County Building Industry
Sere ice Board.
I: Building Permits BUP-RESPenwitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard
Cl k Date/By: Permit#:
q 13125 SW Hall Blvd.,Tigard OR 91F23 s
g 1 Plan Review
lig 111 Phone: 503.718.2439 Fax: 503.59$.1960 Date/By: Related Permit#:
Inspection Line: 503.63 9.4175
rra Ready
eady D
ate/Baay: Jris: I ® See
Pagrie 2
forTIGAR } Internet: www.tigard-or.gov l:,1P2 8 ?0 17 Notified/Method: Supplemental Information ormation
cl >tICie /WkYPU /w_ : ../=iint. a „ ; %% tite � \atkplo » ,, ws/ iti
El New construction ❑■ Addition/alte”.t r /3e i °Eethei x in 0 Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition , � rl f a i > ❑wSehrevriecethoer afveaedilearbl4e0f0aualmt pcurrentore ❑❑Marinas
g aonvderboatyards.i., AW-s.,.,.- d-0 � � eWoN � fr
exceeds 10,000 amps at 150 volts or ❑Floating buildings.
■ 1-and 2-familydwellingless to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ ❑Commercial/industrial ❑Accessory building
amps for all other installations. buildings.
El Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
�� C"J (4 0J t; ! i& I ice/ iir Emergency system. larger separately derived
❑❑Addition of new motor load of system.
Job#: Job site address:17286 SW Jean Louise Rd 100HP or more. ❑"A","E","1-2","1-3",
❑Six or more residential units. occupancy.
City/State/ZIP:Sherwood, OR 97140
❑Health-care facilities. ❑Recreational vehicle parks.
❑Hazardous locations. ❑Supply voltage for more than
Suite/bldg./apt.#: Project name:Alvarado 4.85kw 600 volts nominal.
❑Service or feeder 600 amps or more.
Cross street/directions to job site: 9 ��s l
!IVO-
Description Qty. I Each I Total *
New residential single-or multi-family dwelling unit.
Subdivision:CPO4b bull mtn Lot#: R2196007 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:2S106DC11900
, .' ! ' . ` %- 1 N„..%.. Limited energy,residenti0 sq.ft.or al 33.92 1
„ �,.T d� 75.00 2
Rooftop solar PV 4.85kw (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
m oRenew2
✓moi ��,<.�.� �� �„� % ., V17, --y-';SIX-3,":3 �� Servicesable Ener or feeders installation,alteration,SeePa ande /or relocation
Name:Robert Alvarado 200 amps or less 100.70 2
Address:17286 SW Jean Louise Rd 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Sherwood, OR 97140 601 amps to 1,000 amps 301.04 2
Phone:(503-)307-3723 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:rgalvarado58@gmail.com relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
W W Branch circuits-new,alteration,or extension,Per
panel
D AP's ICANTES€ 0\; . P
A.Fee for branch circuits with
Business name: Blue Raven Solar above service or feeder fee, 7.42 2
each branch circuit
Contact name: Brittany Gardner B.Fee for branch circuits without
1220 S 630 E STE 430 service or feeder fee,first
Address: branch circuit 56.18 2
City/State/ZIP: American Fork,UT,84003 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(385 ) 482-0045 Fax: : ( ) Each manufactured or modular
ermittin de artment r blueravensolar.com dwelling,service and/or feeder 67.84 2
Email: P g P Reconnect only 67.84 2
CONTRACTOR ',
Pump or irrigation circle 67.84 2
Business name: Blue Raven Solar Sign or outline lighting 67.84 2
Address: 1220 S 630 E STE 430 Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: American Fork, UT.84003
Additional inspection(I hr min) 66.25/hr
Phone:( 385)482-0045 Fax: ( ) /te //, Investigation(I hr min) 90.00/hr
Email: permitting.department a.blueravensolar.com � Industrial plant(I hr min) 78.18/hr
Inspections for which no tee is 90.00/hr
CCB Lic.: 210112 Electrical Lie.: C1214 Suprv.Lic.: 0976-° specifically listed(/z hr min)
ELECTRICAL PERMIT FEES
T Suprv. Electrician signature,required: Subtotal:
I Print name: Sam Collier 00,_/;l‘_ Date: ❑Plan Review Required(250 of permit fee):
State surcharge(12%,of permit fee):
Authorized signature. TOTAL PERMIT FEE:
"phis permit application expires if a permit is not obtained within 180
r ��
Print name: Ben Wade Date:09/26/2017 dais after it has been accepted as complete.
* Ntunho of inspections alloised per permit.
I:'BuildinoPeroin H C_Pennit.App_-1 5 EREdoe Ree 06 1-?III° 4411-46 1511 1 1 11°(O1l lIIEB
City of Tigard
'I Building Division
13125 SW Hall Blvd, Tigard, OR 97223
¢ { 28
Phone: 503.718.2439 Fax: 503.598.1960
T I GARD Inspection Line: 503.639.4175 rF ` t
www.tigard-or.gov 11 E r
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 17286 SW Jean Louise Rd
City: Sherwood Zip: 97140
Owner's Name: Robert Alvarado Date: 09/26/2017
Contractor's Name: Blue Raven Solar CCB #: 210112
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.
Wind Exposure Is the wind exposure n 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. n No
Snow Load Is the Ground Snow
Installations on all Load 50 psf or less?
If"Yes", qualifies for
structures other than
10 Yes the prescriptive path.
above
No
i Building,Forms/PhotoVoltaic-Chccklist.docx
Is the construction
material wood and does I] Yes
Type of If"Yes", qualifies for
the construction qualify
Constructionas "conventional light n No the prescriptive path.
frame"construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. n Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. n If"Yes", qualifies for
Yes the prescriptive path.
n No
Is the combined weight n Yes
of the PV modules and If"Yes", qualifies for
racking less than or E No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation n
Yes
layout in accordance If"Yes", qualifies for
with Section 305.4(3) of
the 2010 Oregon Solar n No the prescriptive path.
Code?
Metal
Single layer If roofing material is
Roofing Check the type of n 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 assembly connected to roof If"Yes", qualifies for
No the prescriptive path.
to the roof framing or blocking
directly?
2
I:iBuilding Forms/PhotoVoltaic-Chccklist.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 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? n Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. 'A"thickness, ❑ Yes
decking connected to If"Yes", qualifies for
framing members ( I 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
III
solar modules module to the roof Yes the prescriptive path.
surface. I I No
3
l:/Building/Fonns/PhotoVoltaic-Checklist.docx
a
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:Trina Solar
Model Number:285 TSM-DDO5A.05(II)
Listing Agency: CUS
4
I:/Building/Forms'PhotoVoltaic-Chccklist.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17286 SW JEAN LOUISE RD, SHERWOOD, OR,
97140
Record Type: Record ID:
Residential - Master Permit MST2017-00365
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17286 SW JEAN LOUISE RD, SHERWOOD, OR,
97140
Record Type: Record ID:
Residential - Master Permit MST2017-00365
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor