Permit (171) CITY OF TIGARD MASTER PERMIT
' ' COMMUNITY DEVELOPMENT Permit#: MST2019-00154
r i( r1 R r) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/02/2019
Parcel: 2S103CB06200
Jurisdiction: Tigard
Site address: 12263 SW HOLLOW LN
Subdivision: QUAIL HOLLOW-EAST Lot: 11
Project: Mast-Morris
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: $8,240.41 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
Drains: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 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: Roof Top Solar PV 3.41 kW Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
MAST-MORRIS,JEFFERSON&AMY BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
12263 SW HOLLOW LN 1220 S 630 EAST,STE 430
TIGARD,OR 97223 AMERICAN FORK,UT 84003
PHONE: 385-482-0045 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: Oreg.• -w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through O-r0�,: Yo ay obtain a cop f the rules irect questions to OUNC by callin .232.1987 or 1.800. .2.2344.
Issued By: c-�/l// Permittee Signature: ( � /'---'--
This
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 • the projf
Approved plans are required on the Job site at the time of each inspection.
1
Building Permit Application
Residential
City of Tigard
III
ceived
liMM=1.11.1.1"--
`1.71AateBy: , { � Permit No. 1`"S , t_ jk7�413125 SW Hall B1vd.,Tigard,OR 97223 REVFIVE c
L_ Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 APR 152019Date/By: Zli i 1 Other Permit:
Inspection 503.639.4175TIGAtD Date wis: El See Page 2 for
Internet: www.tigard-or.gov Non ethod.
CITY OF TIGARCM i l Supplemental Information
a 8 ,. •�
E o) D DATA:: A 1,2- AMIL "D" LLING..,..,
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
e
equipmentematerialstladedr
toverheadazeanstd dtholazp oofif talf
1o
r theAddition/alteration/replacement 0 Other
work incated on this application.
pplication CATEGORtY7 OFCO UCTIO
1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 8240.41
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Ii SITE INFORMATION Al .00A ION Total number of floors:
Job site address: 12263 Southwest Hollow Lane,Tigard,Oregon,97223,United S New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Jefferson Mast-Morris Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA +COMM RGIAL- Ci!1S
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
D TI OF work indicated on this application.
Rooftop solar PV Valuation: $
3. 4 I 14.YJ Existing building area: square feet
New building area: square feet
P O ,.:. T Number of stories:
Name: Jefferson Mast-Morris Type of construction:
Address: 12263 Southwest Hollow Lane,Tigard,Oregon,97223,United E. Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT
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:
E-mail: Permitting.department@blueravensolar.com1 rTOVOLT ;SOLARP L SYS
CONT> A. of
Commercial and residential prescriptive installation
t: , , . ..... .. . .... :....... 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:(385-4132-0045 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: #210112
Total fee due upon application: $201.60
Authorized signature: 440 V This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jeffery LeeDate: 04/12/2019 *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 INF ()NI.)
ill'' • City of Tigard RI...-. Plan
11.:Z71
� eceived
s ateB CEMINAMM
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1 111Phone: 503.718.2439 Fax: 503.598.1960DateB : Related Permit#:
- Inspection Line: 503.639.4175 APR 15 2019 Ready Date/By: Suns: H See Page 2 for
T I('A R I) Internet: www.tigard-or.gov
Notified/Method:
ified/Method
Supplemental
Informahon
rI- V OF 11GARg
OO V1911 : ;
I
❑New construction ■❑Addition/alteration/rTScement 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.
❑Demolition 0 Other:
wheretha available fault current Marinasand boatyards.ds
. .. : CATEGORY';O °COTR U Oexceeds 10,000 amps at 150
volts or 0 Floating buildings.
01-and 2-family dwelling ❑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
JOB Suitt INFORMATION �hND LOCATION ('. ' 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 12263 Southwest Hollow Lane,Tigard,Oregc 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Jefferson Mast-Morris 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: :ik .6iCHI►IILE
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#
n
:D1 SCIUPT'ION OF WOR 33.92 1
Ea.addl 500 sq. or portio
,ii
Limited energy,residential75.00 2
Rooftop solar PV (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
' PROPERT!Y'OWNER alteration,
Renewable Energy ❑ See Page 2
` �` `• Services or feeders installation, and/or relocation
Name: Jefferson Mast-Morris 200 amps or less 100.70 2
Address: 12263 Southwest Hollow Lane,Tigard,Oregon,97223,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:( ) 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
,APPLIC i —newalt
,� . PPO nc circuits eration,or extension,per panel
A.raFee for branch circuits,with
Business name: Blue Raven Solar above service or feeder fee, 7.42 2
each branch circuit
Contact name: Lesly Bee 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'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(385 ) 482-0045 Fax: :( ) Each manufactured or modular
Email: permitting.department@blueravensolar.com
dwelling,service and/or feeder 67.84 2
CONT ACTO
Reconnect m e
e t only 67.84 2
Pump or irrigation ccl 67.84 2
Business name: Blue Raven Solar Sign or outline lighting 67.84 2
Address: 1220 S 630 E STE 430 Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
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(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 210112 Electrical Lic.: C1214 Suprv.Lic.: 6097S specifically listed(%hr min) 90.00/hr
Suprv.Electrician signature,required: „/, _ Subtotal:
Print name: Sam Collier Date:04/12/2019 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: 04/12/2019 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
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
E ID.... O.. ' ,
Description I Qty. I Each I 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 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:
0 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
specificall listed('/z hr min)
COMMERCIAL; O�K ONL3
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
O Audio and Stereo Systems
O Boiler Controls
0 Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
O HVAC
O Instrumentation
O Intercom and Paging Systems
O Landscape Irrigation Control*
O Medical
O Nurse Calls
O Outdoor Landscape Lighting*
❑ Protective Signaling
0 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 RECEIVED
13125 SW Hall Blvd,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 APR 15 2019
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD
www.tigard-or.gov BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 12263 Southwest Hollow Lane,Tigard, Oregon, 97223, Uni
City: Zip:
Owner's Name: Jefferson Mast-Morris Date: 04/12/2019
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? ❑■ No OSSC or ORSC for
design requirements.
Is the wind exposure ❑� Yes If"Yes", qualifies for
Wind Exposure "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",
Yes , qualifies for
the construction qualify El No the prescriptive path.
Construction as"conventional light
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 ❑� Yes «
with Section 305.4(3) of If Yes , qualifies for
the 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.
0 of composition
shingle.
Is the roof mounted ❑■ Yes
Connections of solar assembly
the solar assembly connected to roof No If"Yes",pqrescriptive
p for
framingor blockin ❑ the prescriptive path.
to the roof g
directly?
2
I:Building/Forms/PhotoVoltaic-Checklist.docx
❑ Yes If"Yes", qualifies for
Is the gauge 26 or less? D 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
❑ 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 If the width of the panel
Width of roofing is less than 18 inches,
panels? 18 inches or less
inches qualifies for the
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, ❑ Yes
decking connected to If"Yes", qualifies for
framing members 0 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. 0 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: 11
Listing Agency:CSA
4
I:/Building/Forms/PhotoVoltaic-Checklist.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12263 SW HOLLOW LN, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00154
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12263 SW HOLLOW LN, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00154
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
System appears ok per approved plans.
Violation Summary:
Inspector Contractor