Permit (87) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2018 00065
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/13/2018
Parcel: 25111 DCO2700
Jurisdiction: Tigard
Site address: 15715 SW ALDERBROOK CIR
Subdivision: SUMMERFIELD NO.8 Lot: 474
Project: BRONDER
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: $16,876.00 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
Bckflw Prevntr: 0 Catch Basins: 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.'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:
BRONDER KING LIVING TRUST ELEMENTAL ENERGY LLC Required Items and Reports(Conditions)
15715 SW ALDERBROOK CIR 3123 SE BELMONT ST
TIGARD,OR 97224 PORTLAND,OR 97214
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 if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce ter. Those rules are se rth in OAR
952-001-0010 through OAR 952-001-0090. You may obt a copy• e rules or direct questions to OUNC by calling 503.232 987 or 1.800.332.2344.
•r- 7
Issued By: _ Permittee Signature: t /"
all 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 ,., k.
Residential FOR OFFICE USE ONLY
City of Tigard Received �J / /s�� PermtNo..
g 7 �1�,'� nate/Bv: w / / 6 fl'ISrat)i'D [rt65
_ . 13125 SW Hall Blvd.,Tigard,OR 97223 F , Plan Review ,
Phone: 503.718.2439 Fax: 503.598.1960 pate/By Other Permit:
1'I CARD Inspection Line: 503.639.4175 t 3 s 'Notified,to Ready/By: / huns: S See Page 2 for
Internet: www.tigant-or.gov - Mlethod:2 (31°Tje Supplemental Information
air . ,) ikeee.--"Ge„ / IV
TYPE OF WORK REQUIRED DATA:1-AND 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.
►� 1-and 2-family dwelling Valuation: $
❑Commercial-industrial
❑Accessory building ElMulti-familyNumber of bedrooms:
❑Master builder i ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15715 SW Alderbrook Circle New dwelling area: square feet
City/State ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite bldg.;apt.no.: Project name:Bronder Residence Covered porch area: square feet
Cross street/directions to job site: p Deck area: square feet
u
Need,( � -L(_ 5.,75-S.clj ��?zPOther structure area: square feet
eft /i 7" f-e41:Y.. J . REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: ai�/o I 97` Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
3.440 kw AC PV solar installation,prescriptive Valuation: $ 16 876.00
Existing building area: square feet
New building area: square feet
►Zf PROPERTY OWNER I 0 TENANT Number of stories:
Name:Clare Bronder Type of construction:
Address: 15715 SW Alderbrook Circle Occupancy groups:
City/State/ZIP:Tigard,OR 97224 Existing:
Phone:(503)998 9800 Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Elemental Energy
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
' Amount received:
Phone:(503)967-5786 Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
F.-mail:permits(aelementalenergy.net
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Elemental Energy Submit two(2)sets of roof plan with connection details
and tire 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 8180.00 1
and administrative fees):
Phone:(503)967-5786 Fax:( ) State surcharge(12%of permit fee): 521.60
CCB lie.:195141
��� Total fee due upon application: 8201.60
Authorized signature: �� y+�i"�,� , __,i_-'� This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
y n „ . Fee methodology set by Tri-County Building Industry
Print name: G I aJ 01 1 it.e) Date 2/ 7 f l y Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM'WEB)
Electrical Permit Application RECEIVE
Received
City Of Tigard FEB � q DateB ��-1( � Permit#; /y, �/ �-
II r 13125 SW Hall.Blvd.,Tigard,OR 97223 !�' 1 3 2011) Plan Review 13 ` `;Air`o - �S
: al - Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: _ _
T f G A IL D Inspection Line: 503.639.4175 CITY '�IGARD Ready Date/By: Jnris: r ® See Page'2 for 1
Internet: www.tigard-or.got BUILDING
Iii DING DIVJSlO tifiedMethod: y Supplemental information
TYPE OF WORldK14 {411114 1 PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitems checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
E 1-and 2-family dwelling ❑Commercial industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB`SITE INFORMATION:AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 15715 SW Alderbrook Circle I00HP or more. ❑"a', E°, `l l-3
City/State/ZIP: Tigard OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Bronder Residence 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total I *
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'!500 sq.ft.or portion 33.92 1
bESCRIPTION OF WORK Limited energy,residential 75.00 2
3.440 Kw AC Prescriptive Solar installation,Roof Mounted (with above sq.ft.)
Limited energy,multi-family 75 00
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
Eg PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Clare Broader 200 amps or less 1 100.70 t."' ,) 2
Address: 15715 SW Alderbrook Circle 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,OR 97224 601 amps to 1,000 amps 301.04 2
Phone:(503)998 9800 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: Clareb@comcast.net 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
401 amto 599
Owner signature: Date: amps amps 168.54 2
® APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Elemental Energy above service or feeder fee, ( 9 ] a- Y 7
each branch circuit 7'4" tl
Contact name:John Grieser B.Fee for branch circuits without
service or feeder fee,tirst
Address:6819 SE Foster Rd branch circuit 56.18 2
City/State/ZIP:Portland,OR 97206 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)967-5786 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email:permits@elementalenergy.net Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:Elemental Energy Sign or outline lighting 67.84 2
Address:6819 SE Foster Rd Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Portland,OR 97206 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)967-5786 Fax:( ) Investigation(1 hr min) 90.00./hr
Industrial plant(1 hr min) 78.18/hr
Email:permits@.elementalenergy.net inspections for which no tee is
1
CCB Lic.: 195141 Electrical Lic.: C 1228 Suprv.Lic.:
specifically listed('L hr min) 90.00/hr
ELECTRICAL PERMIT FEES e
Suprv.Electrician signature,required: J
C.../....,c4.4.,....e
t /� Subtotal ` , r,
Print name: Charles Henry Date: 9/22-Lio 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee): i
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obt fined within780
Print name: John Grieser Date: 9/22/17 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:1.Building\Permits\ELC_PermitApp_ELR_ERE.doc Rcv 06/172015 440-4615T)1105/COM/WEB
City of Tigard
III•
Building Division•
' E 13125 SW Hall Blvd,Tigard,OR 97223
Phone: 0 .71 .24
5 3 8 39 Fax:a . 503.598.1960
TI GARD inspection ection Line: 503.639.4175 F - -.
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: 15715 SW Alderbrook Circle
City: Tigard Zip: 97224
Owner's Name: Clare Bronder Date: 10/3/17
Contractor's Name: John Grieser CCB #: 195141
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 g 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. No
Snow Load Is the Ground Snow
Installations on all Load 50 psf or less?
If"Yes", qualifies for
structures other than j
n Yes the prescriptive path.
above
I No
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T:/Bui lding/Forms/Photo Voltaic-Checklist docx
Is the construction
material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction as "conventional light ri 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. If"Yes", qualifies for
® Yes the prescriptive path.
No
Is the combined weight E Yes
of the PV modules and If"Yes", qualifies for
racking less than or ! I I No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation
Fl
layout in accordance Yes
with Section 305.4(3) of If"Yes", qualifies for
I I
the 2010 Oregon Solar No the prescriptive path.
Code?
Metal
Single layer
Roofingof wood If roofing material is
Check the type of 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 I ® Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
framingblocking I I No the prescriptive path.
to the roof or
directly?
2
I:/Building/Forms/PhotoVoltaic-Checklist.docx
El Yes If"Yes", qualifies for
Is the gauge 26 or less?
n No I the prescriptive path.
115 lbs for 60 inch
spacing or less?
® If"Yes", qualifies for
Yes
the prescriptive path.
( I No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes", qualifies for
M 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
directly to 1f6 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,
(v 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. '/2"thickness, Z Yes
decking connected to If"Yes", qualifies for
framing members n No the prescriptive path.
w/min. 8d nails @
6"/12" o/c?
Is the height less than or
Maximum 18 inches I equal to 18 inches?
Height of the from the top of the If"Yes", qualifies for
solar modules module to the roof I Yes the prescriptive path.
surface. ( I 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 1 1 inches.
PV Modules
Manufacturer: Hyundai
Model Number: Hi-S29ORG
Listing Agency: UL1703
4
I:Building/Forms/PhotoVoltaic-Checklist.doca