Permit (29) CITY OF TIGARD MASTER PERMIT
1111 a
COMMUNITY DEVELOPMENT Permit#: MST2017-00425
EC;A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/06/2017
Parcel: 2S110CB13600
Jurisdiction: Tigard
Site address: 12028 SW AUTUMNVIEW ST
Subdivision: SOUTH VIEW HEIGHTS Lot: 24
Project: LEVALLEY
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: $5,000.00 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:
LEVALLEY,RANDALL J&DEBRA L SUNBRIDGE SOLAR LLC Required Items and Reports(Conditions)
12028 SW AUTUMNVIEW ST 706 W 17TH ST
TIGARD,OR 97224 VANCOUVER,WA 98660
PHONE: PHONE: 503-407-6820
FAX:
Total Fees: $323.38
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 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 rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. Yo ;may obtain a cop of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4 F /... Permittee Signature: �c_,"" GG �l� �l.2
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 t H . FOR OFFICE USE ONLI
City of Tigard Received
III7 d DateB , Permit No.:• � 7 � V � 1 _�ill"Il13125 SW Hall Blvd.,Tigard,OR 97223 0 G I 31 2017 Plan Review
= Phone: 503.718.2439 Fax: 503.598.1960 Date/B : ,�- ' Other Permit:
GARD Inspection Line: 503.639.4175 Ci Y f- 6
1 ` AHD Date Ready/By: 66 See Page 2 for
Internet: www.tigard-or.gov Nit.:. r�l\tij`^3I'Ni. Notified/Method: _g Supplemental Information
gmE3
❑New construction 0 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
work indicated on this application.
® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $5000
ElAccessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
OB Sifi:; iINFORMATION' WTI'S Total number of floors:
Job site address:12028 SW Autumnview St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:LeValley Residence Covered porch area: square feet
Cross street/directions to job site:SW Harvery View Rd off of SW Beef Bend Deck area: square feet
Rd turns into SW Autumnview St Other structure area: square feet
REQ/ 1 6 DAT n 4,4, a 1'; l •t "
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
CRI[ ON work indicated on this application.
4.8 KW rooftop solar PV.Prescriptive path.(16)LG 300 W modules,(16)Enphase Valuation: $
IQ6 inverters.Ironridge Racking Existing building area: square feet
New building area: square feet
ki, } k® ' . O! } d11Number of stories:
Name:Randy LeValley Type of construction:
Address:12028 SW Autumnview St Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(425)754-9596 Fax:( ) New:
� ,lir
inifidow
Business name:Sunbridge Solar f
Structural plan review fee(or deposit):
Contact name:Garret Little
FLS plan review fee(if applicable):
Address:706 W 17thSt
Total fees due upon application:
City/State/ZIP:Vancouver, WA 98660
Phone:(503)750-0481 Fax::( )
Amount received:
i
E-mail:garret@sunbridgesolar.com � _• t - °{ , t.,,,
Commercial and residential prescriptive installation of
• _. _'F
i roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Sunbridge Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:706 W 17th St Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver, WA 98660 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)750-0481 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.:189787
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
Ziffwithin 180 days after it has been accepted as complete.
Print name:Garret ttle Date: 10/27/17 *Fee methodology set by Tri-County Building Industry
Service Board.
i
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1 I►
Electrical Permit Application FOR OFFICE ESE O\L\
City of TigardF11
Date/B : EMIEDIMA -
1 - .4 13125 SW Hall Blvd.,Tigard,OR 972 a t Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date B Related Permit#:
Inspection Line: 503.639.4175 OC 1 3 = 2 01� Ready Date/By: Sufis. ® See Page 2 for
T l G A R D Internet www.tigard-or.gov Notified/Method. Supple mental Information
y■ (�-{ c
"F Y t 1 1:4Ra}t f�YR _ ' i d ,tE t.;•
-i3
Please check all that apply(submit 2 sets of plans w/items checked)
0 New construction ®AddltlOtl/altCr3I1 0�13Cemellt ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
c 'EEGQR .Q )c •` °• exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations, buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
j�, t TIQ11I .� ❑Emergency system. larger separately derived
' s stem.
- ❑Addition of new motor load of Y
Job#: Job site address: 12028 SW Autumnview St 100HP or more. 0"A","E","1-2","1-3",
❑Six or more residential units.
occupancy.
City/State/ZIP:Tigard,OR 97224 ❑Health-care facilities. ❑Recreational vehicle parks.
❑Hazardous locations. ❑Supply voltage for more than
Suite/bldg./apt.#: Project name:LeValley Residence ❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:SW Harvery View Rd off of SW Beef BendDWr
Description ��Qty. � Each � Total
Rd turns into SW Autumnview St New residential single-or multi-family dwelling unit.
Subdivision:
Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1
MISMLimited energy,residential
2
, , °: 1;l���I)€" I117r1SI *�' _ d°' ) 75.00
(with above sq.ft.
4.8 KW rooftop solar PV.Prescriptive path.(16)LG 300 W modules,(16)Enphase Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
IQ6 inverters.Ironrtdge Racking Renewable Energy 0 See Page 2
®,' Pl T N1 4-- Services or feeders installation,alteration,and/or relocation
Name:Randy LeValley 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 12028 SW Autumnview St 401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97224 601 amps to 1,000 amps 301.04 2
Phone:(425)754-9596 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: 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
Branch circuits—new,alteration,or extension,Qer panel
} At 0Ap 1 *• illniA.Fee for branch circuits with
Business name:Sunbridge Solar above service or feeder fee,
7.42 2
each branch circuit
Contact name:Garret Little B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address:706 W 17th St branch circuit
City/State/ZIP:Vancouver, WA 98660 Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)750-0481 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:garret@sunbridgesolar.com Reconnect only 67.84 2
Q, I "'c , i° Pump or irrigation circle 67.84 2
Business name:Sunbridge Solar Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy 0 See Page 2 2
Address:706 W 17th St panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Vancouver, WA 98660 Additional inspection(1 hr min) 66.25/hr
Phone:(503)504-5233 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:jordan@sunbridgesolar.com Inspections for which no fee is
CCB Lic.: 189787 IIMEM= Suprv.Lic.: 3947S
specifically listed(V2 hr mm) 90.00/hr
Suprv.Electrician signature,required: _ " � Subtotal:
Print name: Dennis Patrick Date: 10/27/17 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
jiw
a�r TOTAL PERMIT FEE:
Authorized signature:
This permit application expires if a permit is not obtained within 180
Print name: Garret LittleAllii Date: 10/27/17 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I\Building\Permits'ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
A
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
SIDENTIAL WORK ONLY:. F,SDS
Description Qty. Each 1 Total 1
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: s kva or less 1 100.70 2
5.01 to 15 kva 133.56 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 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(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 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:
1=1 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 listed(%z hr min)
C13 I I L'U l ', f 1 TL s
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* 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
❑ 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\ELCPermitAppELR_ERE.doc Rev 06/17/2015
• City of Tigard
Building Division ; 2017
1111 13125 SW Hall Blvd,Tigard, OR 97223 U C , 3
Phone: 503.718.2439 Fax: 503.598.1960
TI G A R D Inspection Line: 503.639.4175
www.tigard-or.gov I ' N a l\hSl N
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 12028 SW Autumnview St
City: Tigard Zip: 97224
Owner's Name: Randy LeValley Date: 10/27/17
Contractor's Name: Sunbridge Solar CCB #: 189787
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.
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
Type of material wood and does ® Yes If"Yes", qualifies for
the construction qualify
Constructionas "conventional light 111No 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. ❑ 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
with Section 305.4(3) of If"Yes", qualifies for
the 2010 Oregon Solar 111No 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/Photo Voltaic-Checklist.docx
4
❑ Yes If"Yes", qualifies for
Is the gauge 26 or less?
❑ No the prescriptive path.
115 lbs for 60 inch
spacing or less?
El Yes
"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 If the spacing falls
Spacing of clamps? Minimum 24 inches
solar systems p g p within 24 inches and 60
directly to inches Maximum 60 inches inches, qualifies for the
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/Photo V oltaic-Checklist.docx
4
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: LG
Model Number: 300S1C-A5
Listing Agency: UL
4
I:Building/Forms/Photo V oltaic-Checklist.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12028 SW AUTUMNVIEW ST, TIGARD, November 21 , 2017 at
OR, 97224 10:10:43 AM
Record Type: Record ID:
Residential - Master Permit MST2017-00425
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor