Permit (136) CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT
Permit#: MST2018-00317
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/06/2018
T f ;t I<.C 9 Parcel: 2S104AC04500
Jurisdiction: Tigard
Site address: 12761 SW 133RD AVE
Subdivision: MORNING HILL NO.8 Lot: 189
Project: PAULY
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: $5,757.15 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
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 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: Y Other Description: 3.54 KW Solar PV 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:
PAULY,NATHAN BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
13421 SW DEERGROVE LN 1220 S 630 EAST,STE 430
TIGARD,OR 97224 AMERICAN FORK,UT 84003
PHONE: PHONE: 385-498-4408
FAX:
Total Fees: $321.38
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 95 001-0090. You m obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
( ad'
7 ,'2. `
Issued By: /r Permittee Signature:
Call 503.639.4176 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 proje .
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
,,; Received /
City of Tigard i"'7 5, t Date/By: i i/i/ #4,7.-- Permit No.in /ir_ao 7
III 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review l/ Q
II Phone: 503.718.2439 Fax: 503.598.196N 09 Date/By: (I rile 65 AA- Other Permit:
T i G AR D Inspection Line: 503.639.4175 Date Ready/By: , Juris: ® See Page 2 for
Internet: www.tigard-or.govt'„ y otified/Met,.d: , /l/" j Cv Supplemental Information
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❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
jAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
a*3 �'t "»..� �..M � `9i..,,�..� I 5si _ i �' .lax -ai J.. _ i=•
work indicated on this application.
lication.rx. -.:> 4. -a � p 3: . a _i,a. d :k � i .£. »M» a : Wt€n` ggki
Valuation: $ 5,757.15
❑✓ 1-and 2-family dwelling 1:1Commercial/industrial
IDAccessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
r' ' ' E t__ Total number of floors:l P ts i Vis° 0l �0 i, '
Job site address: 12761 SW 133rd Ave,Tigard,Oregon,97233,United States New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Nathan Pauly Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
s $3ti t i i, r iti IS 3i ' l n xtt.in
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
H ...., .. ., is __ �.:. equipment,materials,labor,overhead,and the profit for the
_. ,1 - ` i a� I E N i . i ` 1, " a work indicated on this application.
lifitisMinglinimmikimal
Rooftop solar PV Valuation: $
3.91 ///,> Existing building area: square feet
'�-^w New building area: square feet
20 t = ate°�fE � t.r 7 4 r i o"ibaE ",gi. :: 1 n3. Number of stories:
mr k+m.]«.... ...t n n .tt,......»... .,...r vx..»..,.,»..:..•:tt{r.n. ]I0i74' t.-,..L
Name: Nathan Pauly Type of construction:
Address: 12761 SW 133rd Ave,Tigard,Oregon,97233,United States Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
•.::.... „,=.M..w'3' . ;9t >>5 "3 ' . •v;;•n:t:»o,:j 'a :; .1'1 0115 ': .-' :r::::s::•.-W.,._..,;_:.....:: .._
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-,i41,11
Business name:
Blue Raven Solar
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:
Phone:(385) 482-0045 Fax::( ) Amount received
with ,- , m.
E-mail: Permitting.department@blueravensolar.com 6a !• i ! ,4 r` LTA
• �.,�,• .;arm•=:.. .. ses... e,,. arm.,., e�tr .,.,,,.,�::%�
Ii x m �,-�_S :�A -- 11 1-2.l„3 x
� s � �?`� mTs��w ���-o@x;•�"=�r�
Commercial and residential prescriptivetive installation
of
;,N, .re > l.mm.fry u`.tt�. :"•,,,gd�.� ik. gr :•:i; a ,� W:�i "ge ' nl_ adi 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
and administrative fees):
Phone:( 385V2-0045 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: 11/16/2018 *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 ONLY
City of Tigard ‘)Y Received
'', { •k.: Date/B :
M 13125 SW Hall Blvd.,Tigard,OR 937 ? Plan Review
Phone: 503.718.2439 Fax: 503.598.19g Date/B : Related Permit#:
Inspection Line: 503.639.4175 1 %` '7('1 9 Ready Date/By: Anis: ® See Page 2 for
I t G A R D Internet: www.tigard-or.gov �'`'` ` Supplemental d/Method: Su Iemental Information
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❑New construction Q Addition/alt" telateft
Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition El Other:
where the available fault current ❑Marinas and boatyards.
;ps s:4pEE.:s•a "�z7. Iw:rr:iEE,i6�si!z:rz:,; c. .. x::.-:a•::::::W::rz€:vsr,.•'•�'•,as::::km::.::pt:�
� 'ps 0 � 1#1 :. �;;;<`s€;";€";w,'s€"='s�w:~:�����=r'��3„ exceeds 10,000 amps at 150 volts or El Floating buildings.
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0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: ❑Fire pump. ID Installation of 150 KVA or
21r 3 1r 01=IFS t1 1 'I I I X : f1 •�"• klI3 ❑Emerncy system. larger separately derived
« ����•• ❑Additgeion of new motor load of system.
Job#: Job site address: 12761 SW 133rd Ave,Tigard,Oregon, 100HP or more. ❑"A","E","1-z",`°1-3",
City/State/ZIP: 97233,United States 0 Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Nathan Pauly El Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
.::::::.:::;rz:rz:x::::: : ::.>rs�yx::'i€E<t.::. °.;^:,;:•,..,;::;.,.:.,;:q::: : w. : E:,:: :::mra:v. :: tnE=:E333:�"•'•'•'
Cross street/directions to job site: �- ligli;EEn_y: Ei-n: tl 1 I I E 71
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 sq.ft.or portion 33.92 1
R"
3
I If
n »t::::::: :::: ::::.^•:::-rz••::::::W �a3 t. R_........_....3i°W:r: .,a: ::a::::»: f x Limited energy,residential
(with above sq.ft.) 75.00 2
Rooftop solar PV Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
- 3 Renewable Energy ❑ See Page 2
E= 5• 3 a" �. ° s v 4EE°33t r •;s �€ 3 E �•
•- - . _,• „, ,.,, •_ ,•.,._::. �•-::•-- - Services or feeders installation,alteration,and/or relocation
Name: Nathan Pauly 200 amps or less 100.70 2
Address: 12761 SW 133rd Ave,Tigard,Oregon,97233,United States 201 amps to 400 amps 133.56 2
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
€9be�€ l` €Elfi l l� r ®, a �ttA Branch circuits-new,alteration,or extension,per panel
» __..w rz,. 3.3•,i{. , ..... .... .._.__..� 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 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
: u
Reconnect only 67.84 2
rtm.cm. xl •s'1sr4:_0- N» mm=» wn»1-� W� : Pumporlm ation 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 ❑ 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(I hr min) 78.18/hr
Inspections for which no fee is
90.00/hr
CCB Lic.: 210112 Electrical Lic.: C1214 Suprv.Lic.: 6097S _specificallylisted.0 hr min
. -
PliaWr .
Suprv.Electrician signature,required: ,� _ Subtotal:
Print name: Sam Collier Date: 11/16/2018 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: 11/16/2018 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\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:
t».a.......--„�..-r.x,............................:...._..^......:.:,,.�,.a.s•.,_..L..x..._..s.:,....:v_.,,_:.m_...+;...,.,:3:,.....:...,..;e„,x..t;...xr._s.,.....:.-......a�»v...:..r:»>$».:..:....,.....::.'.,,.:ue..,...x.x....e:.....,_:..,:..^_..»,�.�»^..'.....,..:a_^......»..-_._..:.».._....r..»�..:.:^.o_.._m:..n.....;.,..a,..:x:.;...x_..,•.,....t..:..�'.a:^»..:....._:..E._`•.•....r.....•...:..a_...3a.>.............._..._..,_......:a.._...._.».::......_..,,.:.,..1.,.,......'t.:,.__:..;».._.._..._..___.^_.....a....x....x._..�...x..•.:Ft:.e.. 11
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Description _ Qty.: _ Each I Total :a ,
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
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/2 hr min)
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.:-. » .. ::....»_ ....:..»;.,._ .."�•yh;........ x_. i. .....t..;t.^;_..,....._..........._......t ....L:.::e
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..,. :.:: � � '::• �: ...:: .....,..Hf:x::va::•�:.F.E:•::;::::::e:::::::;:r.:r.::v-:S:e::m:r:e:::=: r......:...............__ ..» ...�'•...+. .., ..,-,,,.....»,...._.. _....,....».,, .. .•eF�ssi?!e's�r ae
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- ,•,•• :::izi:;:;rz:::;:v;:�:.::iri%ilii�rz
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o
Fee for each commercial system: $75.00 •
Subtotal allowedper perm t. Page 1):
y Number of inspections 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
Building Division
13125 SW Hall Blvd, Tigard, OR 97223 "' ` ' a 1
Phone: 503.718.2439 Fax: 503.598.1960
TI G A R D Inspection Line: 503.639.4175 N O`w 1 9 a a i e
www.tigard-or.gov
x1ta
„1R
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 12761 SW 133rd Ave,Tigard, Oregon, 97233, United
City: States Zip:
p:
Owner's Name: Nathan Pauly Date: 11/16/2018
Contractor's Name: Blue Raven Solar CCB #: 210112
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation 111 Yes
qualify for the
Located in a floodrescri tive path, follow
Area p p
plain/flood way? • No OSSC or ORSC for
design requirements.
Wind Exposure Is the wind exposure 0 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 ❑■ Yes the prescriptive path.
above
❑ No
1
I:Building/Forms/PhotoVoltaic-Checklist.docx
Is the construction
material wood and does ❑� Yes
Type of If"Yes", qualifies for
the construction qualify
Constructionas "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.
❑ 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 Li 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 n Yes
with Section 305.4(3) of If"Yes", qualifies for
EIthe 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.
❑■ of composition
shingle.
Is the roof mounted
• Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
to the roof framing or blocking
n No the prescriptive path.
directly?
2
I:Building/Forms/PhotoVoltaic-Checklist.docx
❑ Yes „
Is the gauge 26 or less? If Yes , qualifies for
❑ No the prescriptive path.
115 lbs for 60 inch
spacing or less?
111 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 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. 'A"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 E 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: Sunmodule SWA 290
Listing Agency:CSA
4
L•Building/Forms/PhotoV oltaic-Checklist.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12761 SW 133RD AVE, TIGARD, OR, 97223 December 10, 2018 at
10:43:05 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00317
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
SV ok per approved plans.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12761 SW 133RD AVE, TIGARD, OR, 97223 December 10, 2018 at
10:40:57 AM
Record Type: Record ID:
Residential - Master Permit MST2018-00317
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
SV ok per approved plans.
Violation Summary:
Inspector Contractor