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Permit (77) r-- CITY OF TIGARD MASTER PERMIT ' • ' COMMUNITY DEVELOPMENT Permit#: MST2019-00195 T I A R 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/30/2019 i Parcel: 2S109DB09500 Jurisdiction: Tigard Site address: 13140 SW BLACK WALNUT ST Subdivision: SUMMIT RIDGE NO.5 Lot: 163 Project: SAM 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: $15,317.88 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<10OK: 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'I 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 8.06 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: LITERSKI,NICHOLAS S BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) SAM,CHRISTOPHER A 1220 S 630 EAST,STE 430 13140 SW BLACK WALNUT ST AMERICAN FORK,UT 84003 TIGARD,OR 97224 PHONE: PHONE: 385-498-4408 FAX: Total Fees: $358.19 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 r les adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 -00 0090. -•may ob�f a copy the rules or dire questions to OUNC by calling 5,223i1987�� ,��oorr 1.800.332.2344. Issued By: ,,,/J� Permittee Signature: �- '� 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. • .Building Permit Application Residential FOR OFFICE USE ONLY City of Tigard • ., &,�.. ,_Date/By /1/ i� P0(.4,-C‘...4/7.5---- Plan (. /C 7� 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review S Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 �, Date/ Z Q Inspection Line: 503.639.4175 V!�i� 20 - Date Ready/By: Juris: 0 See Page 2 for TIGARD Not' d/Method �� / '' Supplemental Information Internet:www.tigard-or.gov CITY Of- I1GA6 -0A 11,1,11',, �i iil�l 4 4, ._.TYPE OF W '` i ill'ii s , M i II e i�*I riF ' i T 1 1 1 I N��� .,u �.Y DWELLING,:''.,M1,11 ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the `PI W I."r oA ,a. (t14JP,CONSTRUC O m, i� 0-114-1---.- �i'I I yWi work indicated on this application. Valuation: $ 15,317.88 ❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: 9 ilt1 JQSTII O `�SONAND IGAT-( 1 ° 1i ,1*--,,::: Total number of floors: diiiii Dltleal - t .i �i -- me -, -w .iiiiiur0i Job site address: 13140 Southwest Black Walnut Street,Tigard, Oregon, 97224, United New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Christopher(Chris) Sam Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet IiiiR nv� uIR7D_D1)ATJ O IiAns L"dll7I-U.,. i :_�+:C ILIST -- 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 ,�I( vs ��W( i '�.= � 3 �.� 1 l�[]i (G r� �i1 li „ r IpTlp - rpR p( p - ,l ,g, work indicated on this application. 6 m_ �r,� "s ,q�.11y�4'@,�IIG y4tia .. .. ...6�1 d�f6,-_- dl'9.,is' 't :it a gr'.. Rooftop Solar PV Valuation: $ Existing building area: square feet New building area: square feet �riliii4 ii :::,,,,i ,911,--„s...-„,_ STI ` �` J t4 #Ty O r J t _, L+F 1t T`^ ❑m^ t} T Number of stories: Name: Christopher(Chris)Sam Type of construction: Address:13140 Southwest Black Walnut Street,Tigard,Oregon,97224,United States Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: I�, ,14 "�4 "iii� p � 6TA I�l ,RS()N nd1 e� ' �Til e� � _� Qa. �I : „�i�(i�W., y� 7. -,„;„,,Ir,--. 0 i ; l . IDIN �a�� : l„- 11 ( a e ' sckeyn - Business name:Blue Raven Solar Structural plan review fee(or deposit): Contact name: Lesly Bee FLS plan review fee(if applicable): Address: 1403 N Research Way Bld J City/State/ZIP: Orem UT, 84097 Total fees due upon application: Phone:(385)482-0045 Fax: :( ) Amount received: = '1tl PRO OLTA1° .LAR P 1 L SYST '; >�S*; E-mail: permitting.deparment@blueravensolar.com . � ... .� � a.. :, .-- . ,- l�I1l9 ,..=:',0','” ,;!iii �Alg : w ltd lam:- Commercial and residential prescriptive installation of �rl,: II 4.>_W -'`,,SIII( 71 RA..a�i( grA,,,;-14- 4ibill1 t.,x 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: 1403 N Research Way Bld J Solar Installation Specialty Code checklist. Permit Fee(includes plan review City/State/ZIP: American Fork UT, 84003 and administrative fees): $180.00 Phone:(385482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB He.:210112 Total fee due upon application: $201.60 Authorized signature: JettyLee This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: 05/16/2019 *Fee methodology set by Tri-County Building Industry Jeffrey Lee Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application _ FOR OFFICE USE ONLY City of Tigard y" p eceived Permit#: Date/ " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 0 Phone: 503.718.2439 Fax: 503.598.1960 mu 2 1 X119 Date/B : Related Permit#: TIGARD Inspection Line: 503.639.4175 Ready Date/By: 7uris: la See Page 2 for Internet: www.tigard-or.gov g Notified Ivlethod: Supplemental Information 33} '' LH-- T 1 GAR 0 pP h' .a �dii 9� '�i(i�`�r ii�ltnnab .. . _ '. 5 - pa 'J,�, �" tTy° '?t ie. lUl��r.- �nl»I,1111»it�wr �typ'. 1 ,,1 ,I ft {)I#,W j TINGDI S _.,.... mit—IiiiiR'�i yn lia kO 4104: ;il..lE _ ❑New construction ©Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑ 0 DemolitionOther: ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. a G grr b t QF coNBTRUC''Ios - exceeds 10,000 amps at 150 volts or 0 Floating buildings. ©1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building fess to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. 0 Multi-family ❑Master builder 0 Other: p p 0 Fire pump. 0 Installation of 150 KVA or Poi _. _ OB +I7- i 0:AYVl ��lll P' T ����INIL (Il��ii�Lii���"„'INI VIa ❑Emergency system. larger separately derived 13140 Southwest Black Walnut Street 0 Adnew motor load of system. Job#: Job site address: l0OHditionP orof mare. ❑"A","E","1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.4: Project name: Christopher(Chris) Sam 0 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: 1911151MEREEZEIMI ' 4 r ;' Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Lot 4: Includes attached garage. 1, 0 Tax map/parcel 4: Ea.0 dd41 500 sq ft portion or port n 33 92 1 GR I IP-' *170111F i f m ,f"_t',w. Limited energy,residential 75.00 2 Rooftop Solar PV (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) i4 mmiJ OlOWNER 11 i , ❑ TE y gVtTtiRrvweasbloer feeders installation,al❑terS ,aagnd 2/ or relocation Name: Christopher(Chris) Sam 200 amps or less 100.70 2 Address: 13140 Southwest Black Walnut Street, Tigard, Oregon, 97224, Unit( 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 Flu q� � r =-� Branch circuits-new,alteration,or extension,per panel (( h I A' PLICANT 1 r ( [CONTACT l E t o �� . ("�( ^ ") A.Fee for branch circuits with Business name: Blue Raven Solar above service or feeder fee, each branch circuit 7.42 2 Contact name: Lesly Bee B.Fee for branch circuits without Address: 1220 S 630 E branch c iceeder fee,first 56.18 2 City/State/ZIP: Orem UT, 84097 Each add'[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 Reconnect only 67.84 2 gki ; iag . r:5M,0R - a Pump or irrigation circle 67.84 2 Business name: Blue Raven Solar Sign or outline lighting 67.84 2 Address: 1220 S 630E Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. UT 84003 Each additional inspection over allowable in any of the above city/state/ZIP: American Fork, Additional inspection(1 hr min) 66.25/hr Phone:(385482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr q Industrial plant(1 hr min) 78.18/hr Email: permitting.department@blueravensolar.com sic0 .S lc LA_ -11- Inspections for which no fee is 90.00/hr CCB Lic.: 210112 Electrical Lic.: C1214 Suprv.Lic.: -68 .T' specifically listed(%z hr min) S � jllllll8hj L c`i 6 ``1-1 :.r -i!allilli lC " Suprv.Electrician signature,required: Subtotal: Print name: Sam CollierDate: 05/16/2019 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: Jeff Lee Date: 05/16/2019 days after it has been accepted as complete. —_ ' * Number of inspections allowed per perm . 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 —Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RES t W___QRK ONLY; 71i t a P:,__.",_ �° "'t�Q """�'"' """""' Description ty. 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 1 133.56 2 n 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 V• acuum Systems* >100 kva—no additional charge 0.0 3 PV Solar System Each additional inspection over allowable in any of the above: p Other: y 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 '/2 hr min COMMERCIAL WORK ONLY: ara � ., .". - n _ ��P �" �� . ,, � �i=r >tr�uar-1{"s INS 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 n B• oiler Controls ❑ Clock Systems n Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n O• ther: 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 r Cit of Ti and Y g Building Division ' 13125 SW Hall Blvd, Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 TIGARD Inspection Line: 503.639.4175 RECEIVED www.tigard-or.gov MAY 21 2019 2010 Oregon Solar Installation Specialty Code CITY OF TIGARD BUILDING DIVISION Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 13140 Southwest Black Walnut Street, Tigard, Oregon, 9722 City: Zip: Owner's Name: Christopher (Chris) Sam Date: 05/16/2019 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? p No OSSC or ORSC for design requirements. 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 0 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 Yes the prescriptive path. above ❑ No } I:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx Is the construction material wood and does Yes Type of If"Yes", qualifies for the construction qualify Construction No the prescriptive path. as "conventional light frame" construction? Is the spacing 24 inches or less? Pre-engineered trusses. Yes If"Yes", qualifies for the prescriptive path. n No Roof framing members Is the spacing 24 inches or less? If"Yes", qualifies for Nominal lumber. Yes the prescriptive path. n No Is the combined weight p 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 0 Yes with Section 305.4(3) of If"Yes", qualifies for the 2010 Oregon Solar n 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 p Yes Connections of solar assembly If"Yes", qualifies for the solar assembly connected to roof No the prescriptive path. to the roof framing or blocking directly? 2 I:/Bui Iding/Forms/PhotoVoltaic-Checklist02-0 1-1 1.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 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. metalanels If the width of the panel p 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. 1/2"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/PhotoVoltaic-Checklist02-01-11.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: JinKO Solar Eagle Model Number: JKM 310M-60L Listing Agency: CSA 4 I:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT i 111 11 Transmitt l Letter etter I ;G n u n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: /d( EO� DATE RECEIVED: '''' DEPT: BUILDING DIVISION I IVSD MAY 2 8 2019 FROM: i U bee, LA I y�OF flGARD �tt 7 AMONG DIVISION COMPANY: I ,, �tGV'� p PHONE: �J veto118Z - ( 4 By: er,.. RE: \9)1 Lf© SW & blit, 'c .. Al 0 ---/ ( .S Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Z.. Revisions: RQ>,. 'SPi Pk +t-S Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Routed to Permit Technician: %ate: ''g" 1 11 Initials: -if-- Fees Due: ❑ Yes `:No Fee Descriptio Amount Due: 6 ss 5*/ $ Special Instructions: Reprint Permit(per PE): Yes No ❑ Done Applicant Notified: Date: _,;-- (2 j Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc City of Tigard Tel: 503.718.2439 Location: Inspection Date: 13140 SW BLACK WALNUT ST, TIGARD, June 10, 2019 at 11 :02:09 AM OR, 97224 Record Type: Record ID: Residential - Master Permit MST2019-00195 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor