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Permit CITY OF TIGARD MASTER PERMIT '. I COMMUNITY DEVELOPMENT Permit#: MST2018-00156 Date Issued: 06/13/2018 T E G a R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 BA10700 Jurisdiction: Tigard Site address: 9675 SW ELROSE ST Subdivision: LAUTT'S TERRACE Lot: 1 Project: Sinclair 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: $13,101.84 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 RainStorm 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: Y Other Description: Roof top PV system 6.67 kw 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: PLATT,STEVEN W BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) SINCLAIR,KATHLEEN 1220 S 630 EAST,STE 430 9675 SW ELROSE ST AMERICAN FORK,UT 84003 TIGARD,OR 97224 PHONE PHONE: 385-498-4408 FAX: Total Fees: $479.13 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicabl- -w. 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 s •-a+ed f• • - the 180 days. ATTENTION: Oregon law requires you to follow the r =••pted by the Oregon Utility Notification Cenj 74, - forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of or direct questions to OUNC by calling 503.23 + . .r'' �/� Issued By: /%%_—� �.. - Permittee Signature: _ C." ' 39.4175 by 7:00 a.m.for the next available inspection•ate. 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. mow , Buildin Permit A lica EV Residential A Cl of Tigard Received �/ / r`y/// Permit No s�Q/ j�s 1111 ill 13125 SW Hall Blvd.,Tigard,OR 9�`�AY - -( 18 PlanDate ! Q //�/ Plan Review '2 �n yl Other Permit: Phone: 503.718.2439 Fax: 50 Date/By: iJ Ail, OF p G Ry Date Ready/By: { �iuris: ® See Page 2 for TIGARI� Inspection Line: 503.639.4175 �l��x�Jt� Ott• Supplemental Information Internet: www.tigard-or.gov �lILiG DIVISION ,,Notified/Method: ;,�� :::::::.: : :iiiii:ria;€iii@iiiiis "ifi=s=€ss ::..a..i?"?a;_<¢:-<t s:si€ii_8is@E; ...._ ..i@<ci=;±: :::€ . . :.:....:........:'�, 'sS' ; 'fi='i??iE€=€€�€istii=jiP;r=i;i;€€= Ii@.i7?i�::r•:=�;s;g:.[:a::=v==.tr::.::::::::::-:.:;:ti:;:::::::rirai9;tti<:::<ss-r;diiiiis:.:¢::: .......... . . .......... ....._..... .._.. ......... .. � ...... ..... .. ...... ... Permit fees*are based on the value of the work performed. 0 New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all p✓ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the .:: work indicated on thishL ap pi cation IIIINEMERHOIREMERNIVATEGOR $ t 13,1. 01.84Valuation: El1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: mileitiggiimigiRiiiimillnimiirliiiiiSOB IT ,1 1 ® ;,O TI Total number of floors: Job site address: g6/53outhwest Eirose Street, I igard,Oregon,9/224, New dwelling area: square feet UrntPd States — City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Kathleen Sinclair Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet i. i i DATA. R "et ; ,r. i, 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 e 1,T1 work indicated on this application. Rooftop solar PV Valuation: $ Existing building area: square feet New building area: square feet I.BtsoauoEooPERT O ._ Number of stories: Name: Kathleen Sinclair Type of construction: Address: 9615 Southwest Elrose Street, I!gam,Oregon,9(224, United States Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: : JSIMM b,a O€i€ilii.€isw;::;:;::s:::; ::: #iii=€€=iii.€iPtiiis€ ii€i€ Business name: Blue Raven Solar Structural plan review fee(or deposit): Contact name: Tara Mount FLS plan review fee(if applicable): Address: 1220 S 630 E STE 430 Total fees due upon application: City/State/ZIP: American Fork,UT 84003 Amount received: Phone:(385) 482-0045 Fax: :( ) E-mail: permitting.department@blueravensolar.com ......limiii,l... ..._u ' ...._ 11" of �..- _........ ....._...:.....................::......................::.:-.........:._..;. :_,..__-::::: :: . ::: ::::. Commercial and residential prescriptive installation of.. us:, ..::„ „- :- _:. _. . , .. .. C . : :. :,=i ii'ii i ii; mmiir€'iisi:':i € r'_ ii' s.nmi : __.. _::: :- .. . ....... . .... ...:::: ::.. .. :irir....... . :.:::... ..ii. i::::.;.. ..s 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 Solar Installation Specialty Code checklist. City/State/ZIP: American Fork,UT,84003 Permit Fee(includes plan review $180.00 h and administrative fees): Phone:(385-482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: #210112 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained- within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Jeffery Lee Date: 05/24/2018 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electr,;ca1 Permit ApplicatiRFCEIVEP FOR OFFICE FSE ONLY Received City of Tigard DateB : Permit#: a 13125 SW Hall Blvd.,Tigard,OR 97223 , PlanReview Phone: 503.718.2439 Fax: 503.598.19g*�y��/ 3 i 20th Date/B Related Permit#: Ins ection Line: 503.639.4175 ' l TI G A R D P Ready Date/By: Jur s: IZI see Page 2 for Internet: www tigard orgov . + ,et yD Notified/Method: Supplemental Information .... KU .:�4.' st:::::ss3ttsts;<t: :v;=.::s< ::.:::::�•:��::;;:;:....�....:......::::::..„...,..::::� : :�::::.:: ::::........::::�::�:::: :. ;� :•...: '. ..;:: ... ... .............. ......... ,::: .. :.:::;r.vii;i::::;::�::::::ar.:aF'i'Eieiiii:::::;::�::': i' is 0: 1 nt Please check all that apply(submit 2 sets of plans w/items checked): ❑New construction 0 Addition/l 0 Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over three stones. :::, :::::::.0Ot: where the available fault current 0 Marinas and boatyards. �f- CS ,, " .. ..:..::::::::::::::::::t: C� exceeds 10,000 amps 150 volts or ........ .: .......... P 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 : :•:: :: : . . 3: 4 ��. : . �}�:rs: s : iss?,:`..................: 0Emergency system. lar err se aratel denved g P Y Job#: Job site address: 967 outhiwest Elrose Street,Tigard, 0 Addition of new motor load of system. Oregon,97224, United States IOOHP or more. ❑°A",°`E", `1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP: ❑Recreational vehicle arks. ❑Health-care facilities. P Suite/bldg./apt.#: Project name: Kathleen Sinclair ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions .....:::::: ::::: :::: :::::::::................:::::::::::::......... to�ob site: € �)€i€s fii'€1`6�ii'l€==€i€€€s(i. . .:m :.. 111a ........................... Description l Qty. I Each r Total 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'1500 s .ft.or ortion 33.92 ir€aa ;::: :i : = :t : s :........Vi::-s:O: P; �: R ;t;:ffiiis ;s:::__t¢s::::¢:::::!sa;s:.::s:;..tsss::= Limited energy,residential 75.00 2 Rooftop solar pV (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) UnilegB ITfaf - - , - SRnveicweasboer Eneedrginstallation,al❑terSeonP,aned2/ or relocation Name: Kathleen Sinclair 200 amps or less 100.70 2 Address: 9675 Southwest Elrose Street,Tigard, Oregon,97224, United 201 amps to 400 amps 133.56 2 Sta1c s 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) 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 ................:::: .................................::::::::::.::::.t::::::_Sts::::; s<tst:>:ss:::::.:rassstsaz:;s:r::::::::::; :;:::...,............:::::::::::::-:•::::s:::::..:•:::::::::::::::.:..:...........:::::m Br. n ::;-....,.. .:. ...:::::::�::::::::....... a ch circuit — r€R€i€€i€;i SSSS"SSsS€w;€€:t;is _::: :1 t-„ s new alteration r .......:::::::::::.:.................:::::::::..... .. _. ' :�;:>��:r:::assssct:: ::::��s: :�:: :sssi:tss:rar::: :.: .... , �o extension,perpanel .:::�...::::::::�:::::::�:::::::::....::�::.......:...: £.,....:..::...-:::�:::�::::::�:a::n...::::::::::::::::::::::::......::::....:::�• ' _:k�S 'i:: : s ..€'siis::ss<=.ssiiS&:R:vt::.= P ::...............:..::-::::.... ..:::::: .::...,,....::::::;:::::_:.....:::-::-:::.:::::::;:;s::::::::::::::: A.Fee for branch circuits with Business name: Blue Raven Solar above service or feeder fee, 7.42 2 each branch circuit Contact name: Kati Singer B.Fee for branch circuits without 630 E STE 430 service or feeder fee,first Address: 1220 S 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 67.84 2 Email: p g• p @ ermittin de artment blueravensolar.com dwelling,service and/or feeder _ Reconnect only 67.84 2 :;saE::ss=.:ts::::a:;ttt:sssr:s::sttstssstat:>:ss: .:::::::::::::::::::.:::::•' Pum or irri ation cir l 67.84 2 Business name: Blue Raven Solar Sign or outline lighting 67.84 2 Address: 1220 S 630E STE 430 Signal circuit(s)or limited-energy ❑ 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(1 hr min) 66.25/hr Phone:( 385)482-0045 Fax: ( ) Investigation(1 hr min) 90.00/hr Email: permitting.department@blueravensolar.com �, Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: 210112 Electrical Lie.: C1214 Suprv.Lie.: .6097S-y specifically listed('/hr min) 90.00/hr _: "'"' " "iMI Su rv.Electrician signature,required: Subtotal: Print name: Sam Collier I Date:05/24/2018 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: s'2 .,....,„_., TOTAL PERMIT FEE: • This permit application expires if a permit is not obtained within 180 Print name: Ben Wade Date:05/24/2018 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 440-4615TQ1/OS/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: yy..���SS v:::::::::r..;::::, �� ..... ......... :. .. ........ ...... .......... ...........,... ......_z:.••i:i:iEE3zSEEiiz;:::::::::c���:::::;:::::f:i:..v±iiRx...., .., .. ............... ......... _.. ...... ....:::'.... 11 Description 1 Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 1 133.56 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: ❑ 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) :<::::::;�•:::_...:::..::::::::::::::::::::::: .. . _ .:.::::::::::::::..<;: ;:_:::::::;:_:::._; 1111111 E�G�f.r Ike COMyet ry�i ,y*�, ... .: ::.:::::::::::::::................_:::::::..................... .'�'�.�,�...........� ,....................................:::::::::::::...,... L 14 WORK F' # .... 1 1 .................................................... ......................E.. „ ,.. ,,,,. Fee for each commercial system: $75.00 Subtotalp per permit. Page 1): 3r • 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\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard .RECEIVED 1111 Building Division r .114 k��Y 3i 2018 •' 13125 SW Hall Blvd,Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARI TI G A R D 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: 9675 Southwest Elrose Street, Tigard, Oregon, 97224. United States City: Zip: Owner's Name: Kathleen Sinclair Date: 05/24/2018 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. Is the wind exposure 0 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 ❑■ Yes the prescriptive path. above ❑ No 1 I:/Building/Forms/PhotoVoltaic-Checklist.docx Is theconstruction material wood and does ❑� Yes « Type of the construction qualify hIf"Yes", qualifies for Construction ❑ No the prescriptive path. as"conventional ligt frame" construction? Is the spacing 24 inches or less? Pre-engineered trusses. 0 Yes If"Yes", qualifies for the prescriptive path. ❑ No Roof framing members Is the spacing 24 inches or less? Nominal lumber. ❑■ Yes If"Yes", qualifies for 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", Yes , qualifies for Elthe 2010 Oregon Solar No 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. 0 of composition shingle. Is the roof mounted ❑■ Yes Connections of solar assembly the solar assemblyconnected to roof If"Yes", qualifies for ❑ No the prescriptive path. to the roof framing or blocking directly? 2 I:/Building/Forms/PhotoVoltaic-Checklist.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 mountedMinimum 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 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. 1/2"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/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:Solar World Model Number: 290 Listing Agency:CSA 4 I:/Building/Forms/PhotoV oltaic-Checklist.docx