Permit (124) CITY OF TIGARD MASTER PERMIT
's COMMUNITY DEVELOPMENT Permitter MST2018-00083
Date Issued: 03/20/2018
T I c;A I<.T) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB00100
Jurisdiction: Tigard
Site address: 13515 SW CALABASH TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 1
Project: BOLLIG
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 Det Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
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
Drains:
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 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
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
Ecompasing: N
Other: N Other Description: Roof top PV system
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF
VB R-3 0
Owner: Contractor:
Required Items and Reports(Conditions)
BOLLIG,SCOTT A ELEMENTAL ENERGY LLC
LEE,ANGELA C 6819 SE FOSTER RD
13515 SW CALABASH TER PORTLAND,OR 97206
SHERWOOD,OR 97140
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 •u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through O;y 952-001-0090. Y. ay obtain copy of the les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/ �►�ic
Issued By: L/i a. /AGA.1i/i/Mr Permittee Signature: — �
r 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 compl of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application ,
Residential t um �7 "' FOR OFFICE USE ONLY '
.o. �' Received ! f �JGIr3�
City of Tigard �� %� Other etTn .
Date/By:"� 13125 SW Hall Blvd.,Tigard,OR 97223
{� '�`i e l Ian Re:1,,,,,,,
i u'
4 Other Permit
Phone: 5Oa -14 24�9 1 ax 503.598.1960 Date B} %S.-4j `j C1 —
hrs ection Line 503 639 4175 ate Read)By. ��, ta,,,: Ed See Page 2 for
f I CsA 1t D p 11 1 ;��� Supplemental Information
Internet: www.ngard-ot.gov 1 3, lt w<S outied Method: / t.�'L r'
TYPE OF \'V` i,.,,` '' ArREQL RED DATA:1-AND 2-FAMILY DWELLING
❑Demolition Permit fees*are based on the value of the work performed.
❑New construction 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.
CATEGORY OF CONSTRUCTION
Valuation: $ 4,000
® 1-and 2-family dwelling ❑Commercial industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
❑Other: Number of bathrooms:
[-.1 Master builder —_ — -- - — —
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13515 SW Calabash Terrace New dwelling area: square feet
City/StatelZIP:Sherwood OR,97140 Garage/carport area: square feet
Suite/bldg..apt.no.: Project,name:Bollig Residence 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.
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.
Valuation: $
ligKitfAC PV solar installation,prescriptive _ —---
Fxisting building area: square feet
New building area: square feet
�1;PROPERTY OWNER 1 " ❑ TENANT Number of stories:
Name:Scott Bollig Type of construction:
Address: 13515 SW Calabash Terrace Occupant}groups:
City/State ZIP:Sherwood OR,97140 Existing:
Phone:503-893-5775 Fax:( ) New:
❑ APPLICANT I 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business nam503e: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::( )
-- — - - FITO"COVOLTAIC SOLAR PANEL,SYSTEM FEES*
E-mail:permits@elementalenergy.net
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Submit two(2)sets of roof plan with connection details
Business name:Elemental Energy
and fire department access,along with the 2010 Oregon
Address:6819 SE Foster Rd Solar Installation Specialty Code checklist.
Permit Fee(includes plan review SI 80.00
City'State/ZIP:Portland,OR 97206 _ and administrative lees): 1
Phone:(503)967-5786 Fax:( ) State surcharge(12%of permit fee): 521.60
CCB lie.: 195141 Total fee due upon application: x201.60
Authorized signature: ! - This permit application expires if a permit is not obtained
/�„� ~J within 180 days after it has been accepted as complete.
��-'� I, Date:-
(/
ate X18 Fee methodology set by Tri-County Building Industry
Print came:JiPitt Or►tser �/ C' /.r ..,„44---,,” '� Service Board.
2[?//(Z
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 -140-4613T(11/02/COM WEB)
AdIIIIMIIMIMIMIMIMIIMMIM
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
III13125 SW Hall Blvd.,Tigard,OR 97223
Date: Permit No.:
' ■ Phone: 503.718.2439 Fax: 503.598.1960 Associated permits:
24-Hour Inspection Line: 503.639.4175
0 Electrical 0 Plumbing
TIGARD S 0 Mechanical
Internet: www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW 1 Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ i ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 1 ❑
3 Verification of approved plat/lot. ❑ ❑ : ❑
1 4 Fire district approval required. Name of district: ❑ ❑ 1 ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ 1 ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 E ❑
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft. intervals);location of easements
and driveway;footprint of structure(including decks):location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ I ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ E
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non-
❑ ❑ E
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ I ❑
locations. Show attic ventilation.
I
18 Basement and retaining walls. Provide cross sections and details showing placement of rehar. For engineered ❑ ❑ ❑
systems,see item 22,"Engineer's calculations." i
�
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ E C ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
I 20 Manufactured floor/roof truss design details. ❑ ❑ 1 ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required E ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore*on and shall be shown to be a.) licable to the nro:ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item II above. Site plans must be 8-1/2"x 11"or II"x 17". ❑ ❑ ; ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. E ❑ 1 ❑
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑
I 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ i ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, E ❑ i ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
i 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
I:ABuilding\Permits\BUP-RF_.SPermitApp.doc 02/24/2011 440-4613T(11,02/COM/WEB)
Electrical Permit Applicationpp / l O 12 OFFICE. 1 SE ON
1.'
-'E 0 ) '6`i Received Permit#:
City of Tigard Date/B
INill 13125 SW Hall Blvd.,Tigard,OR 972?3 V 1 x e ' § ; Plan Review Related Permit#:
I Phone: 503.718.2439 a ` x 1''" Date/B : t
Email: TigardBuildingPermits@Tig o1 d 't N, l'1,/" tis'' Ready Date/By: Juts: ® See Page 2 for
1 /(-'A R I) Notified/Method: Supplemental Information
Inspection Line: 503 639 4175 h1 ePfi�t a tt�garti or goi' 1
❑New construction ❑Addition/alterarion/replacellient
Please check all that apply(submit a sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
O Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
3 a exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building amps for all other installations. buildings.
❑Multi family 0 Master builder 0 Other: ['Fire pump. 0 Installation of 150 KVA or
. t. =� r rS� ❑Emergency system. larger separately derived
RAC :: .. s:. '5:0 1 ' : ' -' '" r` '°` . 1 -1 .,,.moi "`` ❑Addition of new motor load of system.
Job#: Job site address: t 3 515 5 [,.,(a his h't e trauz__ 100HP or more. ❑<.A" «E `<1-2",°°1-3",
❑Six or more residential units.
occupancy.
City/State/ZIP: 5 h.er W OOA 0 , 9,-1 I 40 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Co t 0 Hazardous locations. 0 Supply voltage for more than
V.45 tts� 600 volts nominal
0 Service or feeder 600 amps or more
;�t �`�' fit;N` �a«1 �.,*��_
Cross street/directions to job site: _�. * V . 'i '`� `1
Description Qty. Each Total I *
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'1500 sq.ft.or portion 33.92 1
*- . - . sv ` � i y s , I.t1 s 3 � _�. � „ Limited energy,residential
75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
_ Renewable Energy ❑ See Page 2
n F ' IP ' 1 N,V e.# t .,- ' . ,= Services le feeders installation,alteration,and/or relocation
Name: S cp% ` ,o\I. 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address: 135 t S 51A) L.1 at.L_5 `rt.(ruLC- 401 amps to 600 amps 200.34 2
City/State/ZIP: 5y„.et 1,000A () k. i C`j 19 0 601 amps to 1,000 amps 301.04 2
Phone:( 503 p 3--5115 Over 1,000 amps or volts 552.26 2
(7 Temporary services or feeders installation,alteration,and/or
Email: j ico Q,o Le.,Wen4.0 a v e,i L( .Y•12-i- relocation
c
Owner installation:This installation is BEng made on property that I own which is not 200 amps or less 59.36 1159.36 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps
Date: 401 amps to 599 amps 168.54 2
Owner signature Branch circuits-c new,alteration,or extension,p r panel
tom.:i tri. t r `r' +-`1.7,``304,�, _. a .�_vim -. .fi: . 4
� .y �,��� ��;�� r r=� �,� �� �, � � ,?ate A.Fee for branch circuits with
Business name: above service or feeder fee, 7A2 2
k t/'i`Q w I r�'�2l u J LA each branch circuit
Contact name: 0h>. &r 1 CS-(/- B.Fee for branch circuits without
service or feeder fee,first 56.18 2
Address: 65 i SE F0(\ 1Z,X branch circuit
Each add'l branch circuit 7.42 2
City/State/ZIP: nrAl ZQ 6Miscellaneous(service or feeder not included)
Phone:(5o7 ) y 67- 706 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: kQr ,1-5 ) 26_►^^Q,04-Gtl 2W-( ' N-4 Reconnect only 67.84 2
='a ;. .
'' . t ,, ,- Pump or irrigation circle67.84 2
Sign or outline lighting 67.84 2
Business name: E i_e,,,e,,,}-ti,( -CuLt t l
C y (� J Signal circuits)or limited-energy 0 See Page 2 2
Address: 6e, S L I D 5 (� panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Pori 0(2._ G 7 6j Additional inspection(1 hr min) 66.25/hr
Investigation(1 hr min) 90.00/hr
Phone:(S��j) `7— 5-70 b Industrial plant(1 hr min) 78.18/hr
Email: Inspections for which no fee is 90.00/hr
Suprv.Lic.: specifically listed('/2 hr min)
CCB Lic.: Iq 5 Electrical Lic.: G Z 2� p y
Suprv.Electrician signature,required: Subtotal:
Date: / ❑Plan Review Required(25%of permit fee):
Print name: G S ��2vt r l.� I 3//g Q v - State surcharge(12%of permit fee):
TOTAL PERMIT FEE:
Authorized signature: This permit application expires if a permit is not obtained within 180
`_ Date: days after it has been accepted as complete.
Print name: J A r`n GT G5 2� �/( * Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(i1/05/COM/WEB
Electrical Permit Application FoR°NACU, Csl:o"l.'
City of Tigard - ved
, 'I 13125 SW Hall Blvd.,Tigard,OR 97223 11 I:,
°:-i a '' ".R
Review
illh
Phone: 503.718.2439 Date/B : Related Permit#:
1 I G A R p Email: TigardBuildingPermits@Tigard-or.gov n Ready Date/By: Juris: la See Page 2 for
Inspection Line: 503.639.4175 Internet: www.�p-oor.g& r,01 Notified/Method: Supplemental Information
TYPE OF WORK ern((i fa 'Ile
Ap 0PLAN REVIEW
0 New construction ❑Addition/alteration/r agement Please check all that apply(submit 2 sets of plans w/items checked):
tit. I 1 J ` ))0 s` $' LI,. 0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: ') a �s * ` m Ij where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
-y
0 Addition of new motor load of system.
Job#: Job site address:
i %5 l 5 -S v.) CG.(u' ,r`+11 1 e+(C:lL.r__ 100HP or more. ❑«A» «E» «1 2» «1 3„
City/State/ZIP: !- �� n ; ❑Six or more residential units. occupancy.
a r`.e-• trv(}GGA, 0i� `, , t 1 1(� 0 Recreational vehicle
0 Health-care facilities. parks.
Suite/bldg./apt.#: Project name: ❑Hazardous locations. 0 Supply voltage for more than
Q i'- (� Ill`5 � t'vC 600 volts nominal.
0 Service or feeder 600 amps or more.
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.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
Ea.add'1500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
0 PROPERTY OWNER 0 TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name: Stl,..0-
i{j 0'it-t.. 200 amps or less 100.70 2
Address: 1 5 5 W ) I c ) -S k T�f i--0:“...t:—
201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: ' c WLjca () \ 'I 'q Li 601 amps to 1,000 amps 301.04 2
Phone:( j( '-.3':11-j _ s 1'7`l Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
Jt c, ��tkiive n-k\e,,p,,p..,1 ci- L ,is -i- relocation
Owner installation:This installation is Bing 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
Ea
APPLICANT 0 CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: k w"2 vk.ice' 6,t e a 1 7 above service or feeder fee,
tri r '
each branch circuit
Contact name: 7A2 2
Uh 1/l ( G`�'�*' B.Fee for branch circuits without
Address: 1 , ` ^ service or feeder fee,first
G- S 1` T r 1(`ck branch circuit 56.18 2
City/State/ZIP: i->(),A-1,,,46 ("'t 1 Z6 Each add'I branch circuit 7.42 2
t , Miscellaneous(service or feeder not included)
Phone:(,j c.; ) ' t, 7 - , 7 (; Each manufactured or modular
67.84 2
dwelling,Email: t
Uv � - c service and/or feeder
i Reconnect only 67.84 2
CONTRACTOR` Pump or irrigation circle 67.84 2
Business name: r5 t-.tt,,.t,v.1-4( �,LA 2 Sign or outline lighting 67.84 2
Address: 5 y Signal circuit(s)or limited-energy ❑ See Pa e 1 b' l't ? U� panel,alteration,or extension. g 2
City/State/ZIP: 1 Each additional inspection over allowable in anyof the above
ty .i)or x Q>( , c Zo
Additional inspection(1 hr min) 66.25/hr
Phone:(Stj 5) 6:1K-7- 5 7 i:5 6 Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
.0,/)// 7i, Inspections for which no fee is
CCB Lic.: IC(514 1 Electrical Lic.: Z 4.; Suprv.Lic.:4/ S specifically listed(1z hr min) 90.00/hr
(,
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: C ket k J it•€4 r Date: -;/ 1 1 e, 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
�" -, " This permit application expires if a permit is not obtained within 180
Print name: (orf t n_ 6--T I e.) _2/15/t 1- Date: e days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDEN IAL`WORI(-01 LY: VEE SCHEDULE
Description I Qty. I Each I Total I *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less j 100.70 tJ, -kt 2
Check Type of Work Involved:
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
552.26 2
with OAR 918-309-0040)
❑ 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:
El
Each additional inspection is 66.25/hr 1
Other: charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/hr min)
�` 1
'� ��� (� Y _ _�: CSI. 1?ERMiT`FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
[II 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\ELC_PermitApp ELR_ERE.doc Rev 10/26/2017
City of Tigard
Building Division
- ; 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 MA 8 ?iird
TIGARD Inspection Line: 503.639.4175
www.tigard-or.gov ;
A RD
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 13515 SW Calabash Terrace
City: Sherwood Zip: 97140
Owner's Name: Scott Bollig Date: 2/28/18
Contractor's Name: John Grieser CCB #: 195141
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Ts the installation ( I Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? 7 No OSSC or ORSC for
design requirements.
Is71 the wind exposure Yes If"Yes",
Wind Exposurequalifies for
"C" or less? fT 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 N Yes the prescriptive path.
and/or their accessory
Ground structures. I I No
Snow Load
Is the Ground Snow
Installations on all Load 50 psf or less?
structures other than If`'Yes", qualifies for
above MYeS the prescriptive path.
I I No
C/Building/Forms%PhotoVoltaic-Checklist.docx
•
Is the construction
Type of material wood and does Yes If"Yes", qualifies for
the construction qualify the prescriptive path.
Construction as `conventional light
frame" construction? I
Is the spacing 24 inches
or less?
Yes If"Yes", qualifies for
Pre-engineered trusses. the prescriptive path.
I No
Roof framing
members Is the spacing 24 inches
or less?
If"Yes", qualifies for
Nominal lumber. 61 Yes the prescriptive path.
No
Is the combined weight Yes
of the PV modules and If"Yes", qualifies for
racking less than or I I No the prescriptive path.
equal to 4.5 psf?
Solar
installation Ts the solar installation g Yes
layout in accordance If"Yes", qualifies for
with Section 305.4(3) of I I No the prescriptive path.
the 2010 Oregon Solar
Code?
II
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.
I of composition
shingle.
Is the roof mounted 7 Yes
Connections of solar assembly 11 If"Yes", qualifies for
the solar assembly connected to roof No the prescriptive path.
to the roof framing or blocking
directly?
1:/Buildine:'Forms,Phototi oltaic-Checklist.docx
. -
Yes
If"Yes", qualifies for
Is the gauge 26 or less?
I I 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 If the spacing falls
Minimum 24 inches
solar systems Spaciug of clamps? within 24 inches and 60
, inches inches, qualifies for the
directly to Maximum 60 inches
prescriptive path.
standing seam
metal panels Width of roofing If the width of the panel
is less than 18 inches,
panels? 18 inches or less
qualifies for the
inches
prescriptive path.
Minimum #10 at 24
inches o/c?
Size and spacing of Yes Tf"Yes", qualifies for
fastener? the prescriptive path.
I No -
Is the roof decking of
WSP min. 1/2"thickness, Z1 Yes
decking connected to If"Yes", qualifies for
framing members No the prescriptive path.
w/min. 8d nails (i-fyi
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
1:113ttildingiFon-ns/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 11 inches.
PV Modules
Manufacturer: Sunpower
Model Number: X21-335-BLK-C-AC
Listing Agency: UL1703
4
L/Building:Forms,Photovoltaic-Checklist.doca
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13515 SW CALABASH TER, SHERWOOD,
OR, 97140
Record Type: Record ID:
Residential - Master Permit MST2018-00083
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13515 SW CALABASH TER, SHERWOOD,
OR, 97140
Record Type: Record ID:
Residential - Master Permit MST2018-00083
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor