Permit (185) CITY OF TIGARD MASTER PERMIT
: ■ COMMUNITY DEVELOPMENT Permit#: MST2018-00255
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2018
I GIz.« g Parcel: 2S109DA10900
Jurisdiction: Tigard
Site address: 12920 SW PINE VIEW ST
Subdivision: SUMMIT RIDGE NO.2 Lot: 98
Project: Detwiler
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: $20,033.72 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
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
Drywell-Trench Drain: 0 Other Fixtures: 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: Solar PV 11.02 kW roof mount system 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:
DETWILER,JESSICA M BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
12920 SW PINE VIEW ST 1220 S 630 EAST,STE 430
TIGARD,OR 97224 AMERICAN FORK,UT 84003
PHONE: PHONE: 385-498-4408
FAX:
Total Fees: $358.69
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other a..' e law
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if wor pence--� 180
days. ATTENTION: Oregon law requires y• to follow the rules adopted by the Oregon Utility Notification Cent- . =u�= - forth in OAR
952-001-0010 through OAR 952-001-0090. Yo y obtain a cop of the rules or direct questions to OUNC by calling 503.2 . '. �
Issued By: .- �i� L /lt-at X49,' Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe• on•ate. _...5""
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application i il,
Residential r� FOR OFFICE USE ONLY
Cl of Tigard f �J 1 Received ` , C4P 0253
g Dateive I� /(,7 „, Permit N .. ^> j
111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Reviewq
11111 _ 3 a-' l I , Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 � r�yv l.r�� g ��s �'t ,�ate/By: �
T 1 G A t+.p Inspection Line: 503.639.4175 [+1 Y�$ Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov B i a:.DPit; !'';c,,,,, :, fied/Method: A l ( �� Supplemental Information
--'i9f174.1 til
t ❑Dt w t 6' t 5
❑New construction emolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑✓ Addition/alteration/replacementsh„ ❑Other: equipment,materials,labor,overhead,and the profit for the
t o t t T. work indicated on this application.
✓ 1-and 2-familydwellingValuation: $ 20,033.72
❑ ❑Commercial/industrial
❑Accessory building EI Multi-family Number of bedrooms:
El Master builder 1=I Other:
Number of bathrooms:
t i t t t t t Total number of floors:
Job site address: nreOnrl 97?2�US , • " '‘`‘'''*.1/4.:4'4‘.
, New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Jessica Detwiler Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
e a • t 1 rV
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
i 1 t ` ' work indicated on this application. _
Rooftop solar PV Valuation: $
1 ` ! 62 .t-w Existing building area: square feet
New building area: square feet
t t ° Number of stories:
Name: Jessica Detwiler Type of construction:
Address: 12920 SOU I HWES I PINE VIEW S I HEE I, PON!LAND,
OreOorl 97224, US Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
• t
t �fi
Business name: Blue Raven Solar
Contact name: Tara Mount
Structural plan review fee(or deposit):
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:
Phone:(385) 482-0045 I Fax::( ) Amount received:
E-mail: Permitting.department@blueravensolar.com t ! b
Commercial and residential prescriptive installation of
tt 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 630E Solar Installation Specialty Code checklist.
City/State/ZIP: American Fork,UT,84003 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(385-182-0045 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
trk
within 180 days after it has been accepted as complete.
Print name: Jeffery Lee Date: 09/07/2018 *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)
Itlectrical Permit Applicationrvt: , 4 li .� FOR OFFICE USE()NIA'
Cl of Tl and Received
`J g Date/B : rEEFEMISIEM
1111 41 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 'KM', Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 J Date/B : Related Permit#:
Inspection Line: 503.639.4175 r ady Date/By: Juris: H See Page 2 for
1 I t,A l' I) Internet: www.tigard-or.gov C 6i t � : J'I A i' tified/Method: Supplemental Information
=Z=' rt '
5
❑New construction ❑■ Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
',OrrinalearentrnZaaittiaZOSZIA11,011,1111Mexceeds 10,000 amps at 150 volts or ❑Floating buildings.
ID 1-and 2-family dwelling D Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
Q ; l t;a.. t,4�
Is 4; t ❑Emergency system. larger separately derived
J, ' � ` A' ❑Addition of new motor load of system.
Job#: Job site address: STREET, PORTLAND,Oregon, 97224, 10OHP or more. ❑"A","E","l-2","t-3",
City/State/ZIP: US ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Jessica Detwiler ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: \.."'WZFIZZIMIT2E 3.1M1110
Description Qty. Each Total .
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sqft.or portion 33.92 1
c
, tii ` I`TXZkirlatfati .N...31,XiM Limitedenergy,residential
75.00 2
(with above sq.ft.)
Rooftop solar PV
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
s ' ? t Services or feeders installation,alteration,and/or relocation
Name: Jessica Detwiler 200 amps or less 100.70 2
Address: 12920 SOU IHWES f PINE VIEW S I REE I, POR I LAND, 201 amps to 400 amps 133.56 2
Oregon, 9722d,US 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
t f B1:71:1;:-
anch circuits—new,alteration,or extension, er 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 or Jessica Jin 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 I Fax: :( ) Each manufactured or modular
67.84 2
Email: Permitting.department@blueravensolar.com
dwelling,service and/or feeder
Reconnect only 67.84 2
t 6 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 circuits)or limited-energy CI 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 90.00/hr
CCB Lic.: 210112 Electrical Lie.: C 1214 Suprv.Lie.: 6097S s.ecificall listed(/z hr min)
MitiAgrailiniMIZMILEalmits
�Suprv.Electrician signature,required: c---.:,_&(,,,--- Subtotal:
Print name: Sam Collier I Date:09/07/2018 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 'z''' .\--...„.„.., TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Ben Wade Date:09/07/2018 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 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Fee for all residential systems combined: $75.00 DescriptioQty. Each 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:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
ri 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:
n 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(Y2 hr min)
e s lay,."
"� AIMZEZEIIWILMAITIMAtin
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
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
U Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELCPermitAppELR_ERE.doc Rev 06/17/2015
City of TigardRECEIVE')
Building Division
SEP 2018
13125 SW Hall Blvd,Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 CI TY OF
TIGARD 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
Property Information
Installation Address: 12920 SOUTHWEST PINE VIEW STREET,
PORTLAND. Oregon. 97224. US
City: Zip:
Owner's Name: Jessica Detwiler Date: 09/07/2018
Contractor's Name: Blue Raven Solar CCB #: 210112
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation El Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? ❑■ No OSSC or ORSC for
design requirements.
El
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
0 Yes the prescriptive path.
above
n No
1
I:/Building/Forms/Photo Voltaic-Checklist.docx
Is the construction n
material wood and does Yes
Type of the construction qualify If"Yes", qualifies for
Construction as "conventional light n No the prescriptive path.
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. n Yes If"Yes", qualifies for
the prescriptive path.
n No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. If"Yes", qualifies for
n Yes the prescriptive path.
❑ No
Is the combined weight • Yes
of the PV modules and If"Yes", qualifies for
racking less than or n 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
n
the 2010 Oregon Solar No the prescriptive path.
Code?
n Metal
Single layer If roofing material is
Roofing Check the type of n of wood 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 ❑■ Yes
Connections of solar assembly If"Yes", qualifies for
the solar assembly connected to roof ❑ No
to the roof framing or blocking the prescriptive path.
directly?
2
1:/Building/Forms/Photovoltaic-Checkl i st.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 Minimum 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
standing seam prescriptive path.
metal panelsWidth 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. '/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/Photo V oltaic-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: SW 290M Black
Listing Agency:CSA
4
1:/Building/Forms/Photo V oltaic-Checklist.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12920 SW PINE VIEW ST, TIGARD, OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00255
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor