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Permit (51) CITY OF TIGARD MASTER PERMIT IN-.-- ' '' COMMUNITY DEVELOPMENT Permit#: MST2019-00086 Date Issued: 03/21/2019 T1 GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DB06300 Jurisdiction: Tigard Site address: 13260 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 11 Project: SELLMAN Project Description: SolarY hotovoltaic system P 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: $5,167.00 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 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 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 add9 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 9.1 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: SELLMAN,ROBERT K&ATHINA E DYNAMIC POWER INNOVATION LLC Required Items and Reports(Conditions) 13260 SW HAZELCREST WAY 20345 SW PACIFIC HWY STE 103 TIGARD,OR 97224 SHERWOOD,OR 97140 PHONE: 503-962-9238 PHONE: 503-857-0412 FAX: Total Fees: $355.19 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. ose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Y• ..- •. '- : .. • he rules or direct questions to OUNC by calling 503.232.198 or .80 .332.2344. Issued By:(/ ,,`_ J`-- - Permittee Signature: 03.639.4175 by 7:00 a.m.for the next available inspection dat=, 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 Residential j` FOR OFFICE USE ONLY City of Tigard ; - o, Received r k U Date/By: S /5 �C ' t Ql cr��"�QV ® 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ✓J ' Other Permit _ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I/_ T[GA R D Inspection Line: 503.639.4175 '' Date ReadReady/By- Juris: 0 See Page 2 for Internet: www.tigard-or.gov "'° ,-': -� ` i ? Notified/Method: y� /1 i /-37rSupplemental Information i'' ':OF ' O I1 = i I 1° / 1 I I LUNG = „r—� �� �,. ' , pini iliii Ji .., iia .rTE5l,lll1)I`�• a ilil'^lh ®,m,,,;�MI GN01 `i" inn,M ❑New construction El 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 0 Other: equipment,materials,labor,overhead,and the profit for the ali r l „' work indicated on this application. ,,�llil[�.�. - A, i r r 1Z CO1�T T'IU,i iiNbl:R s.. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $5167 CIAccessory building 0 Multi-family Number of bedrooms: ❑Master builder 111Other: Number of bathrooms: iii., r , O T ��gr I irf, o iii Total number of floors: ::,,,,i6,--8%.,..2-_,,-:- -0:' ')I hi l . 1H +1.2,1 TAND Ii ,.f1 ,:',11,,,,,,,, — Job site address:13260 SW Hazelcrest Way New dwelling area: square feet City/State/ZIP:Tigard OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Sellman Solar Covered porch area: square feet Cross street/directions to job site:between 133rd and 132nd Deck area: square feet Other structure area: square feet t, IE e �� I*I I4L-t E CK�e1ST 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 c IO .f 7i' work indicated on this application.. r Valuation: $ 9.1 kW Prescriptive Solar Installation Existing building area: square feet New building area: square feet u Izalog, � _ii Y sr y1I� i Number of stories: Name:Athina Sellman Type of construction: Address: 13260 SW Hazelcrest Way Occupancy groups: City/State/ZIP:Tigard OR 97224 Existing: Phone:(503)962-9238 Fax ( ) New: ;,:! Pl C ` �MMl>B 4* i), � - 1 DINGPERMIT :=7. ,,,--M',, liplilli [ aui ii mai', ,�,r ii C 'Ii*� Iusereferto�esha a - Business name:Dynamic Power Innovation Structural plan review fee(or deposit): Contact name:DaveVoyton o ton FLS plan review fee(if applicable): Address:20345 SW Pacific HWY Suite 103 Total fees due upon application: City/State/ZIP:Sherwood OR 97140 Amount received: Phone:(503)341-5178 Fax::( ) 1 iFPttTOvO i 14 I °? . E-mail:permits@dpisolar.com _ ,71 kit Q , 0 n, i *WI Commercial and residential prescriptive installation of 4i, 1 ' i�r-- !,' ,,s roof-top mounted PhotoVoltaic Solar Panel System. Business name:Dynamic Power Innovation,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:20345 SW Pacific HWY Suite 103 Solar Installation Specialty Code checklist. City/State/ZIP:11111111M- i40 S yaps\ C ,(:,-1 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)341-5178 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.:185494 Total fee due upon application: $201.60 Authorized signature: '4•00' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Dave Voy n Date:3/19/19 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application - FOR OFFICE USE ONLY City of Tigard Received -!pi d 13125 SW Hall Blvd.,Tigard,OR 97223 'r, t+* DaPlana : ,� Phone: 503.718.2439 Fax: 503.598.1960 l'f''i' F Dae Beview Related Permit#: T I GARD Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified Method: Supplemental Information G !W RI�� L.G x ,r ;"''''*-1,, I'' PLAN � 1 ❑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. 0 Demolition ❑Other where the available fault current Iii �I" A ' IF )Et �' `j¢ exceeds 10,000 amps at150volts or 0 Floating buld ngyards. _ g�4 -, ® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family El Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or '° ,1 P 1 . . Il Iaa ,! ,i D' t,"A.rI11‘.1,3- 1,r'��',I� kEyl 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 13260 SW Hazelcrest Way 100HP or more. 0 "A","E","t-z","1-3", City/State/ZIP:Tigard OR 97224 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:Sellman Solar El Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site:between 133rd and 132nd '-'-'''',7'"•. (i#4 0 g '` lick, Description Qty. Each 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#: W = �9 S , �) mli Ea.add 1500 sq.ft.orportion 33.92 1 a�`ilati� _- _ 1 � ES, Ii 8 1 +11 WO K ,.:,,,,,,,A0 ,. li Limited energy,residential 9.1 kW Prescriptive Solar Installation (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) -_,,14440:,",,, � See Pagee 2 Energy ---:',,,:704:74.67..,,..11, -4,=,':- Ryri � 1fqp�' b INT 1,111irir— r Services or feeders installation,alteration,and/or relocation Name:Athina Sellman 200 amps or less 100.70 2 Address: 13260 SW Hazelcrest Way 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard OR 97224 601 amps to 1,000 amps 301.04 2 Phone:(503)962-9238 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 ��� �� ��� 1�� �, Branch circuits—new,alteration,or extension,per panel Ina' ' t„4� `L „( r 1 r, ►. oN1T`A � i A.Fee for branch circuits with Business name:Dynamic Power Innovation,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Dave Voyton B.Fee for branch circuits without Address:20345 SW Pacific HWY Suite 103 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Sherwood OR 97140 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)341-5178 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email:permits@dpisolar.com Reconnect only67.84 2 {' - '11011;111::1-1:: :-:11':-V- 8 L'„°r O J ,:,J. sill E,P,i Iii Pump or irrigation circle 67.84 2 Business name:Dynamic Power Innovation,LLC Sign or outline lighting 67.84 2 Address:20345 SW Pacific HWY Suite 103 Signal circuit(s)orlimited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP:Sherwood OR 97140 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)341-5178 Fax:( ) Investigation(1 hr min) 90.00/hr Email:permits@dpisolar.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 185494 Electrical Lic: CLR34 Suprv.Lic.: 22895J specifically listed(%1 hr mm) ,=� � � », ��, ,,tetAliif Suprv.Electrician signature,required: Subtotal: 133.56 Print name: Josh Kopczynski Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 16.03 Authorized signature: / TOTAL PERMIT FEE: 149.59 This permit application expires if a permit is not obtained within 180 Print name: Dave syyton Date: 3/19/19 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Erectrieal Permit Application—City of Tigard Ptge 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: I ' I1INTIAL € Ili { NL a w 'I iii„" 114r� p tl!�t l II I, ii iii Fee for all residential systems combined: $75.00 Description Qty. Each Total y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 1 133.56 133.56 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 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 El 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 specificallj listed(%2 hr min) 1'',ERCIAL a p�i' til ,,r , � '���!F " __ CTRICAL e t _ kj 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 n Fire Alarm Installation ❑ MVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls n 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 Oregon Solar Installation Specialty Code , `i.47.-41. Checklist for Prescriptive Photovoltaic Installations in j accordance with Section 3111.5.3 Department of Consumer and Business Services Building Codes Division t,,;-) cs .: 1535 Edgewater NW, Salem,Oregon ,'"` �� Mailing address:P.O.Box 14470,Salem,OR 97309-0404 Phone: 503-378-4133 •Fax:503-378-2322 .._ Web:bcd.oregon.gov PROPERTY OWNER INFORMATION Property owner name:Athina Sellman Installation address:13260 SW Hazelcrest Way City: Tigard State: OR ZIP: 97224 Structure on which modules are to be installed:House Day phone: ( )503-962-9238 Evening phone: ( ) Email address:athina132@gmail.com Contractor:Dynamic Power Innovation, LLC CCB#:185494 Day phone: ( )503-341-5178 Evening phone: ( ) Email address:permits@dpisolar.com SITE PLAN • Attach a simple site plan showing the location of the PV system in relation to buildings, structures,property lines, and,as applicable, flood hazard areas. • System must be shown in sufficient detail to assess whether the requirements of Section 3111.4.8 Y q or one of the exceptions have been met. • The site plan must be on 8.5-inch x 11-inch or larger paper. STRUCTURAL INFORMATION All structures: • Is this conventional light framed wood construction? Yes ❑� No ❑ (check one) • Does the structure have pre-engineered trusses? Yes ❑ No ❑ (check one) OR • Does structure have roof framing members spaced at 24 inches on center maximum? Yes ❑ No ❑ (check one) • Is the weight of the PV modules and racking less than 4.5 pounds per square foot? Yes ❑ No ❑ (check one) • Is the roofing material metal, single layer wood shingle, or not more than two layers of composition shingle? Yes ❑ No ❑ (check one) r'l DEPARTMENT(F C,�O��NSUMEIg( -4-, y IXSERVICES 440-4910(9/15/COM) STRUCTURAL INFORMATION (continued) Standing seam metal roofs: • Is the metal gauge 26 or heavier? Yes ❑ No ❑ (check one) • Clamp design:Are clamps designed to withstand uplift of at least 115 pounds for clamps spaced at 60 inches on center or less or at least 75 pounds for clamps spaced at 48 inches on center or less? Yes ❑ No ❑ (check one) • Is the spacing of the clamps as measured along the seam less than or equal to 24 inches on center? Yes ❑ No ❑ (check one) • Is the roofing panel width 18 inches or less? Yes ❑ No ❑ (check one) • Will the roofing panel attachments be at least#10 screws at 24 inches on center? Yes ❑ No n (check one) • Will the roofing panels be installed over minimum 'A-inch nominal wood structural panels attached to framing with 8d nails at six inches on center at panel edges and 12 inches on center field nailing? Yes n No n (check one) If no, on any of these requirements, the project may not be submitted using the prescriptive path. ROOF DESIGN AND ATTACHMENT • Attach a simple structural plan showing the roof framing(rafter size,type, and spacing)and PV system racking attachment. • System must be shown in sufficient detail to assess whether the requirements of Section 3111.5.3 have been met. • The structural plan must be on 8.5-inch x 11-inch or larger paper. WIND DESIGN... • Does the project site exceed 95 mph in exposure C or 105 mph in exposures A or B? Yes ❑ No ❑ (check one) If yes, the project may not be submitted using the prescriptive path. • Is the module height less than 18 inches above the roof in accordance with section 3111.5.3? Yes ❑ No ❑ (check one) PV MODULES Manufacturer: H a nwh a Model number: DUO G5 325Watt Listing agency: Dave Voyton 3/18/19 Applicant name(please print) pplicant signature Date 440-4910(9/15/COM) City of Tigard Tel: 503.718.2439 Location: Inspection Date: 13260 SW HAZELCREST WAY, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00086 Inspection Type: Inspector: 299 Final inspection David Young Result: PASS - NoCofO Comments: Installation where visible appears ok per approved plans. No access for panel to rooftop connection. Violation Summary: Inspector Contractor