Permit (166) CITY OF TIGARD MASTER PERMIT
Ili1 COMMUNITY DEVELOPMENT Permit#: MST2018-00222
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 08/22/2018
TrG,lizln g
Parcel: 2S111BA11900
Jurisdiction: Tigard
Site address: 9450 SW MOUNTAIN VIEW LN
Subdivision: 2003-048 PARTITION PLAT Lot: 3
Project: Linendoll
Project Description: Solar photovoltaic system.
BUILDING
Floor Areas Required Setbacks Required
Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces:
Height: Bathrooms: Second: sf Garage: sf Front: Smoke
Dwelling Units: Third: sf Right Detectors:
Total: sf Value: $12,956.32 Rear:
PLUMBING
Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals:
Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer
Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins:
Footing Drain: Ice Maker: Hose Bib: Backwater Value: Bckflw Prevntr:
Drywell-Trench Drain: Other Fixtures:
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers:
Heat Pump: N Hoods: Other Units:
Furn<100K: Vents: Woodstoves: Gas Outlets:
Furn>=100K:
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 addl 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 to PV system 6.38 kW N
p P Y Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3
Owner: Contractor:
LINENDOLL,HOLLY BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
SMITH,CHERICE 1220 S 630 EAST,STE 430
9450 SW MOUNTAIN VIEW LN AMERICAN FORK,UT 84003
TIGARD,OR 97224
PHONE PHONE 385-498-4408
FAX:
Total Fees: $359.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /4-
4CPermittee Signature: ��'c_
_, ii Ci
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
F-T
D
Building Permit Application K,v 1 ro
• Residential AUG 8 2018 FOR OFFICE CSF ONLI
eceived
City of Tigard orry ;.:1,,,!\FID ., _ ; : i 471 ' '11
/ Pe ST I F—Ce 2'Z2
111111 I 13125 SW Hall Blvd.,Tigard OR -97223 BU.LDi R.G f.l$Vi,x ',u,g,i Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 - �� " ��iii
Oth
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Ju s: See Page 2 for
Internet: www.tigard-or.gov tified/Method: �� Supplemental Information
'''''''''''''''-'a-"'"---------
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Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
0 1 1 \ \ 1 •1 ■ equipment,materials,labor,overhead,and the profit for the
t E 1 M 1 1 E �� # , .>t. .�: work indicated on this application.
9h. E..».x.<:� ` .:.. .»» 3:t.+C' RB= .xe.:.a�; 'F....».a: .:. .».... 3.�..®..._.� ._..:. 3x43»f�....._d.'.'3z..._ �.»�9
1 1 _ •
■ Commercial/industrialValuation: $ 12,956.32
■ \ building ■ Number of bedrooms:
■ 1 ■ - Number of bathrooms:
"E r fly ; '� 1}1 f _i: red ' ,�tt' tiyj 1 E its 3 Total number of floors:
Job site address:
Sou wesLLlounam view Lane, Iigar\,Oregon, New dwelling area: square feet
97294, United States
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt. 1 \ . .. Covered porch area: square feet
Cr
\ 1 \ \job Deck area: square feet
Other structure area: square feet
! 1 :f..:. moo? i1 a1u1 .C1 "°4�'' tX, 1.`4 �,;r
Subdivision: Pjermb'Vt•f7es:'*-Pare—ba-sed on the
1 \ 1 1 1 11 \
Tax map/parcel \
equipment, labor:overhead, 1 -profit1
� 1 � - .. .'"'"3 744 ` 113 B s dB $I IA°: ; Ei gi 1 .'1124-1011111111.11;d1:7.12.-!''x ' EE \ 1 1 \ .11 \
s ,,..< .._..0 mt r,x;t.,,... -,ili Ei',..,i,,8»,.Y"�, S`........_.s.,.....:'S..4 E.. .... _"'tY ,:z. .f,c5e..
Rooftopt solar PV '
.20% if—V) Existing building area: square feet
New building square
;A k�5 • o dac.Ett28` k� ec'S 61 E 1
3
i 1" \ stories:
-
3 xu( .i<x:,f . `•., :. :i:. kE...__.._l E: :. -..
Name: Holly Linendoll 1 \
Address: 94b0 Southwest Mountain View Lane, I igard,Oregon, Occupancygroups:
97224, United States
City/State/ZIP:
Phone:( ) Fax:( )
W$ .r . E E w a y -i' 'E•. E. C ® # E I 0 I : 1 0 it , ,y�"a.g�
Business name: Blue Raven Solar
Structural 1lan review fee(or deposit):
Tara Mount
Contact name:
FLS 1 applicable):
1/ 1 630 1
\ 11 Total1 1\ application:
AmountCity/State/ZIP: American
received:
Phone: 11•
E. 9 E. Ec. :.
�; , Commercial and residential prescriptive installation of
1•€ ; " ' 4 "� I � roof-to mounted Photovoltaic SolarPanel S stem.
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 lic.: #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.
Print name: Jeffery Lee Date: 08/02/2018 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440 4613T(11/02/COM/WEB)
'Electrical Permit Application FOR OFFICE 1'SE ONl.v
City of Tigard AUG 8 2018 Received Permit 4:
1101 'Nl. DateB :
13125 SW Hall Blvd.,Tigard,OR 97223 C.r€ Cr,- -,p Plan Review
' 2 Phone: 503.718.2439 Fax: 503.598.1960 i i ""`t"'' Date/B : Related Permit#:
BUILDING CIVR.,;
Inspection Line: 503.639.4175 'Ready Date/By: Jur s: 0 See Page 2 for
T I Cs A RI) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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.f.... _._�., ._, .,v_r.....„.,.,.u.. ::::.e.. ...,..:�. .:ra::n»...,�+•-a::»dEE»;»^»,»:�5:v::•»:r•a•^,y,.:--.....se...•„•;:a? .:..
:•# r: s.€ .as....a: r::::,::::::.�.0.... ::n f::: 6 , i t ;••:::: ::::_. v.... .€ :--w; . r z
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❑New construction ❑■ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Demolition ❑Other: 0 Service or feeder 400 amps or more 0 Building over three stories.
* where the available fault current 0 Marinas and boatyards.
,,:. . A i CrtNUsay ..F e'' 1 WI l=,..!L W'~M:t`:mit . 1 r a t exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 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
A riTrist41[0,5::,,,,,i, s i t I 1 ? soli t a 7,- , JI i i' .4 r u 0 Emergency system. larger separately derived
Job#: Job site addres'; 8456 outfiwest ountain View Lane, 0 Addition of new motor load of system.
Tigard,Oregon,97224, United States 100HP or more. ❑"A","E","1-2","I-3",
0 Six or more residential units. occupancy.
City/State/ZIP: 0 Recreational vehicle parks.
❑Health-care facilities.
Suite/bldg./apt.#: Project name: Holly Linendoll 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: ,113111,011W:;71E461:2111171111111R111111
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#:
I€r s _t € ( Ea.add'1 500 sq.ft.or portion 33.92 1
1.. ;.l' : 1 _.....1• 11 �. al~•-.F..-;"_M._ .._;1 !, f;'F ... 'I�,'tl....._. . '-�,
u Limited energy,residential
:a 75.00 2
Rooftop solar PV (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
i r -,' 1,.. �� E u sa e ' 4z4is �.pip Renewable Energy 0 See Page 2
,a
' "'". -ttr„ 5..:' t , . :�. _, 1< 1al,= � ml►, tt !- I_ET
Services or feeders installation,alteration,and/or relocation
Name: Holly Linendoll 200 amps or less 100.70 2
Address: 9450 Southwest Mountain View Lane,Tigard,Oregon,97224, 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:( ) I 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
c • , , x€i I €.r s ,_ • _if ,.n 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: Ashleigh Egbert B.Fee for branch circuits without
Address: 1220 S 630 E STE 430 service or feeder fee,first
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 I Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder Permitting.department@blueravensolar.com
Reconnect only 67.84 2
a:� r J s € r tt M 8 @ :::•'I( r' a Ir
v;
to «._.._. 1_ �::•: :r?:♦ ,...... <:. ... .:I xl , *Y> I. ' 11�.: 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:( ) tob iii Investigation(1 hr min) 90.00/hr
Email: permitting.department@blueravensolar.com (l Industrial plant(1 hr min) 78.18/hr
SSG 5 s Inspections for which no fee is 90.00/hr
CCB Lic.: 210112 Electrical Lie.: C1214 Suprv.Lie.: .4n47e s.ecificall listed 'A hr min
-2,,, 0:-.711',7a1:61:1177:717:;1_.. e B a€6._
Suprv.Electrician signature,required: ,P _. Subtotal:
Print name: Sam Collier I Date:08/02/2018 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: s TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Ben Wade Date:08/02/2018 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
:.,
. _ ? .......... .. . ._....'.:». .,,€ . .r__,._:
tiiE :ir {r, ; , .;.<:.$. ® E�� �� Y`r.a..d;.:.iy:;•'a§i4tS:ssrd;.;�a;'}'-:x:€[ _••p Q..... ;:. iE - r'
IKih_.a.
Description Qty. Each r 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
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>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(%,hr mm)
t eta E r" a ° 1a 11"]t ._€ ,,. t..t.. ,1 al 't ,'tom"'"=mn
..... _,::: T.... .._.,. ....._...LE ! �. L e � � � Wi•.,.: ._ �t 1, � ... ..�' .€�:i 3 _ ...._..:€t.
_. � .__ .r1 ._s_t ., ,_.: 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
❑ 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
4 *' Building Division
' I 13125 SW Hall Blvd,Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960
TI G A R D Inspection Line: 503.639.4175
www.tigard-or.gov
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Prerty Information
Installation Address: 9450 Southwest MountainopViewnforLane, Tigardat ,
Oregon. 97224, United States
City: Zip:
Owner's Name: Holly Linendoll Date: 08/02/2018
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
Wind Exposure p 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?
structures other than If"Yes", qualifies for
above 0 Yes the prescriptive path.
❑ No
L•Building/Forms/Photovoltaic-Checklist.docx 1
Is the construction
Type of material wood and does Yes
the construction qualify ❑ No If"Yes", qualifies for
Construction as "conventional light 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 0 Yes
with Section 305.4(3) of If"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
Yp 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
EI
Connections of solar assembly Yes
the solar assembly connected to roof If"Yes", qualifies for
Li No the prescriptive path.
to the roof framing or blocking
directly?
2
L•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
0 Yes the prescriptive path.
❑ No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes", qualifies for
:••••••.•i•m•mm•.m••.mmmmmmmmm......________'
0 Yes the prescriptive path.
❑ No
Attachment of
roof mounted If the spacing falls
solar systems Spacing of clamps? Minimum 24 inches
within 24 inches and 60
directly to inches inches, qualifies for the
Maximum 60 inches
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,
inches qualifies for the
prescriptive path.
Minimum#10 at 24
inches o/c?
Size and spacing of Yes If"Yes", qualifies for
fastener? ❑
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 0 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:
Listing Agency:CSA
4
I:Building/Forms/Photovoltaic-Checklist.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9450 SW MOUNTAIN VIEW LN, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00222
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:
9450 SW MOUNTAIN VIEW LN, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00222
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor