Permit (171) CITY OF TIGARD MASTER PERMIT
Na Permit it: M ST2018 00220
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2018
4t' Parcel: 2S103CC09400
Jurisdiction: Tigard
Site address: 12225 SW KELLY LN
Subdivision: WHISTLER'S WALK Lot: 41
Project: MEYERS
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: $24,780.00 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 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!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 N
Other: Y Other Description: Roof top PV system 8.1 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
MEYERS,JOEL&KRISTEN PREMIER SOLAR NW Required Items and Reports(Conditions)
12225 SW KELLY LN 12399 NW WAKER DR
TIGARD,OR 97223 PORTLAND,OR 97229
PHONE: 503-347-6276 PHONE: 503-799-9042
FAX:
Total Fees: $359.19
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 952-001-000 You may obtai he rules or direct questions to OUNC by calling 503.232.198 or 1.800.332.2344.
Issued By: _Permittee Signature: ,,�'�( 6'/�' '�&
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
FOR(/1 11( CSF()Nil
City of Tl and Received �j�
g AUG ?Q1 Date/B : A G1 / � Pe �J . i� /D 014t,- -
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1111 I Phone: 503-718-2439 Fax: 503 59 if i Date/B : �� �C� Related Permit:
T I G A}Z D Inspection Line: 503-639-4175 „ ''z' e z i ° • } Date Ready/By: ``! G 0 See Page 2 for
Internet: www.tigard-or.gov 7)1,...'11_1,3;,,'4--'•.
',a; ,`s': :r , Notified/Method: (`/J /Q I,aliarA Supplemental Information
577'9,I-- 6E12-1----
TYPE
F72-7'_TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
gl Valuation:1-and 2-family dwelling ❑Commercial/industrial $ Lf 70� 0 /
12Accessory building ElMulti-familyNumber of bedrooms:
ElMaster builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: t 2.22r $GJ FGtLLLY LA-) New dwelling area: square feet
City/State/ZIP: 714,447 e R q7 223 Garage/carport area: square feet
Suite/bldg./apt.4: Project name: /7 /bAS 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#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 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.
Avl-7/R-0 6.1 w J Reel:-1vop $ ?/ 4, p/ - -s Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name: j221, el 6-V, J Type of construction:
Address: /72-25' 5-1,(1 Ae-2.4-y' i.i1/ Occupancy groups:
City/State/ZIP: 774/14,0-4,)( q 7 123 Existing:
Phone:(, 3 ,3Aj/7--e4`tom/ Fax:( )
New:
0 APPLICANT
-y� ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: piCC iG/.-S:9/.."(04.h) (Please refer to.*schedule)
Structural plan review fee(or deposit):
Contact name: 79 ,44 15
Address: /2.37 f/tlG''r¢/�(f� FLS plan review fee(if applicable):
City/State/ZIP: /Pear �- Z�
Total fees due upon application:
Phone:(5"v,5--? �f S'z/v Fax::( )
Amount received:
E-mail: ►'r/a411 e_/ /:;9/ iZ,/y/(.(,le.e( PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
I Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: rte , 72_Sub./7z n/) Submit two(2)sets of roof plan with connection details
lZ � �� and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: 7/502%L . 99 zz, Permit fee(includes plan review $180.00
Phone:ea3 - and administrative fees):
q Fax:( )
State surcharge(12%of permit fee): $21.60
CCB Lic.: 2/e,4‘30 . //2 V20 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.
Print name: At;:pC4 r/"4 2),.gclvuo Date: 8��-4g * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Petmits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
4
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■ Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
Eacc 7 J /4 ?z" , /170/0L/C L7747/vO
C Tc)/=^ 776/}74.
'wiveocy Re' ' able Electrical E gy DEPARTMENT USE ONLY
3 <Perm' _ a plication " "A Project No. / i / ,' "'. ,,.*.i:,,
Department of d :• and Transportation "'‘° Permit No:�9 _ _ _
0REGO� AUGBuildingServices ' ion �, 1�Ib_,
t By: Date: �ll�
155 N. 1 Av- e, Suite I MS 12 LOC L GOVERNMENT APPROVAL
Hillsboro 40R 97124 Zoning approval verified? ❑Yes 0 No
(503 6-3470, Fax: (503)846-
.co.washington.or.us
.co.washington.or.us
This permit is issued under OAR 918-309-0410.Permits are non-transferable.Permits expire if work is not started within
180 days of issuance or if work is suspended for 180 days.
JOB SITE INFORMATION AND LOCATION FEE SCHEDULE
Job site address: 12225 SW Kelly Ln. Number of inspections per item( )
Renewable energy installation per No.of
City/State/ZIP: Tigard OR 97223 system total items Cost ea. Sum
Tax Map&Lot No: 5 kva or less(2) $87.00 $
Project name: Meyers 5.01 to 15 kva(2) ` 1//' $116.00 $
Directions to job site: 15.01 to 25 kva(2) $175.00 $
Miscellaneous fees,hourly rate $90.00 $
Each additional inspection (1)
Subdivision: Lot no.: (OAR 918-309-0070) $90.00 $
DESCRIPTION OF WORK
Adding 8.1 kW Roof Top Solar PV System APPLICANT USE
Job no.: (A)Enter total of above fees $
PROPERTY OWNER INSTALLATION (B)Enter 12%surcharge $
Name: NOGG /1 fy. ?S (C)Plan review,if required(25%of A) $
Address: /?2.2...0 SA/. TOTAL fees and surcharges: $
City/State/ZIP: i&A,2> 972 Z 3
Contact phone:tsD3)3 G27 mail: Make checks or money orders
payable to Washington County.
This installation is being made on residential or farm property owned
by me or a member of my immediate family.This property is not Credit card payments are
intended for sale,exchange,lease,or rent.[ORS 479.540(1)and accepted in person or by
479.560(1)] submitting our"Credit Card
Sign here: Authorization"form along with
this application (located under
CONTRACTOR INSTALLATION "Payments&Fees,Payment
Options"on our website).
Business name: LIGHTING ELECTRIC LLC
Address: PO BOX 890
City/State/ZIP:WOODBURN OR 97071
Contact phone:( 971 ) 338-8989 Fax:( 503) 410-1078
E-mail:Iight.electric.lic@gmail.com
CCB lic.: 198682 BCD lic.no.: C904
Signature: ,.4,44;> / F'
Name of signing supervisor: A. LOBASYUK Lic.no.:60195
Revision 12/2/09
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
q Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning ❑ applicant name El phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the"Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans,details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
City of Tigard ' x . w pL
1 Building Division AUG $ 2018
13125 SW Hall Blvd,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 C,0 w �...
T I G A R D Inspection Line: 503.639.4175 = � aR� 't;
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: /2 22,5'— S '1/6.2- - AA/-
City: ?";? 4 p Zip: 9 7 2 2-3
Owner's Name: ,7pjL r4 E5-6)25 Date:
Contractor's Name: CG/,',Q 41) 0.40.4127/ CCB #: 21882
Design Parameters of the Property/Structure
If"Yes", does not
Is the installation qualify for the
Flood Hazard Yes
Located in a flood ❑ prescriptive path, follow
Area plain/flood way? J;e1 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?
If"Yes", qualifies for
structures other than le Yes the prescriptive path.
above
❑ No
1
I.•/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
Is the construction
ki material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction No the prescriptive path.
as "conventional light
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. V- 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
If"Yes", qualifies for
with Section 305.4(3) of
the 2010 Oregon Solar ❑ No the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
Roofing Check the type of i%' f wood one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
J- of composition
shingle.
Is the roof mounted j j Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes",prescriptiveqpp for
n No the path.
to the roof framing or blocking
directly?
2
1:/Building/Forms/Photo V oltaic-Checklist02-01-11.docx
04-
Is the gauge 26 or less? Yes If"Yes", qualifies for
❑ 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
ter 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 Grt inches Maximum 60 inches inches, qualifies for the
standing seam prescriptive path.
metalanels If the width of the panel
P Width of roofing is less than 18 inches,
panels? 18 inches or less qualifies for the
/OP inches 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, 41- 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
1:/Building/Forms/Photo V oltaic-Checklist02-01-11.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: a., pCrxtK
Model Number: 6-4", / 92
Listing Agency: �L
4
I:/Building/Fonns/PhotoVoltaic-Checklist02-01-11.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12225 SW KELLY LN, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00220
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12225 SW KELLY LN, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2018-00220
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor