Permit (60) CITY OF TIGARD MASTER PERMIT
111,11,2 .
COMMUNITY DEVELOPMENT Permit#: MST2018-00211
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2018
T I c,A R.�� g Parcel: 2S104CA06200
Jurisdiction: Tigard
Site address: 13228 SW HILLSHIRE DR
Subdivision: HILLSHIRE Lot: 62
Project: Groat
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: $11,733.52 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: 0
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
Other: Y Other Description: Roof top PV system 5.8 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:
GROAT,OLGA&ERIC T BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
13228 SW HILLSHIRE DR 1220 S 630 EAST,STE 430
TIGARD,OR 97224 AMERICAN FORK,UT 84003
PHONE: PHONE: 385-498-4408
FAX:
Total Fees: $358.69
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other •.ica.le L.. I�I . , 1
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if wo sp-• f. r%Othe 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. , e/ - forth in OAR
952-001-0010 through OAR 952-001-0090. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.2 yolo.00,,,T•
Issued By: Z Zar"-- 'Permittee Signature: 'd
Call 503.639.4175 by 7:00 a.m.for the next available inspe n .,..‹-
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
c:sResidential 8.. 4 I" ;.
FOR OFFICE USE ONLY
City of Tigard J U L 24 ;0;8 Received
L.iJ li Date/B / Permit f 1 /,
III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review T [/! �/
S Phone: 503.718.2439 Fax: 503.598.1 i DateB 2 �� Other Permit:
Inspection Line: 503.639.4175 y
T I G A R D P i ' e . Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov s r_t-)0\:4 otified Method: /�G r Supplemental Information
TYPE OF WORK REQUIRED DATA:I-AND 2-FAMILY DWELLING
El 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
p✓ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El1-and 2-family dwelling 111Commercial/industrial Valuation: $ $11,733.52
❑Accessory building El Multi-family Number of bedrooms:
0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
13228 Southwest Nulshire Drive, rgar8, Oregon,9i223,
Job site address: United States New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Eric Groat 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.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Rooftop solar PV Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Eric Groat Type of construction:
Address: 13228 southwest Hillshire Drive, I igard,Oregon,91223,
UnitPd States Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
❑ APPLICANT No CONTACT PERSON BUILDING PERMIT FEES*
Business name: Blue Raven Solar (Please refer mfee sehedule)
Structural plan review fee(or deposit):
Contact name: Tara Mount
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:
Amount received:
Phone:(385) 482-0045 Fax: :( )
E-mail: P g• P
ermittin de artment@ blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic 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
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: irckThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jeffery Lee Date: 07/24/2018 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Electrical Permit Applicati ` r pp T F 11 FOR OFFICE USE ONLY
C1Received
Ty of Tigard �y Date/B : Permit#:
.1P1q 13125 SW Hall Blvd.,Tigard,OR 97223 .l u 1 �+ 4 2.018
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
T 1 G A R D Inspection Line: 503.639.4175 CI Ci- s o.„7,-‘7 Ready Date/By: Jens: H See Page 2 for
Internet: www.tigard-or.gov l d I k(' s \I l r i.a Notified/Method: Supplemental Information
r3.1 ITYPE OF WORK PLAN REVIEW
❑New construction ■❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: 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 ❑Master builder 0 Other: 0 Fireum .
p p El Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 13228 Southwest Hillshire Drive,Tigard, 0 Addition of new motor load of system.
Oregon,97223, United States 100HP or more. ❑o",`upani
City/State/ZIP:
El Six or more residential units. Recreational vehicle parks.
0 Health-care facilities. ❑
Suite/bldg./apt.#: Project name: Eric Groat 0 Hazardous locations. 0 Supply voltage for more than
❑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
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 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Rooftop solar PV
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Eric Groat 200 amps or less 100.70 2
Address: 13228 Southwest Hillshire Drive,Tigard,Oregon,97223, 201 amps to 400 amps 133.56 2
United States 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
0 APPLICANT CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
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
Address: 1220 S 630 E STE 430 service or feeder fee,first 56.18 2
branch circuit
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: permitting.department@blueravensolar.com dwelling,service and or feeder
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 630E STE 430 Signal circuit(s)or limited-energy 0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP: American Fork,UT.84003 Each additional inspection over allowable in any of the above
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 90.00/hr
CCB Lic.: 210112 Electrical Lic.: C1214 Suprv.Lie.: 6097S specifically listed(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: "y -, Subtotal:
Print name: Sam Collier Date:07/24/2018 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: Ben Wade Date:07/24/2018 days after it has been accepted as complete.
* Number of inspections allowed per permit.
E.\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Pane 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00
Description
eSC ewa I Qty. I Each I Total
y 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:
n 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:
❑ Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is
specifically listed('/:hr min) 90.00/hr
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
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:
n Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
C\Building\Permits\ELC_PermitAppELR ERE.doc Rev 06/17/2015
City of Tigard
q Building Division x .
1,1
- 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 J U l_ 2 ' 21718
T I G A R D Inspection Line: 503.639.4175
do1.-
y
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: 13228 Southwest Hillshire Drive, Tigard, Oregon,
97223. United States
City: Zip:
Owner's Name: Eric Groat Date: 07/24/2018
Contractor's Name: Blue Raven Solar CCB #: 210112
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation 11] Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? • No OSSC or ORSC for
design requirements.
El
Is the wind exposure 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
L/Building/Forms/PhotoVoltaic-Checklist.docx
Is the construction
material wood and does ❑■ Yes
Type of the construction qualify If"Yes", qualifies for
ConstructionEJas "conventional light No 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
111the 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.
❑I of composition
shingle.
Is the roof mounted ❑U 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/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?
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
Minimum 24 inches
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? 111 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
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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
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