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Permit (2)
CITY OF TIGARD MASTER PERMIT .- COMMUNITY DEVELOPMENT 1111 Permit#: MST2019-00421 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/25/2019 � � Parcel: 1 S 133D B05000 Jurisdiction: Tigard Site address: 13123 SW WINTERLAKE CT Subdivision: BRITTANY SQUARE NO.4 Lot: 78 Project: Fink Project Description: Solar photovoltaic system. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Total: sf Value: $0.00 Rear: PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: Furn>=100K: 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 Solar Array 4.95 kW Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 Owner: Contractor: BREITBARTH LIVING TRUST ELEMENTAL ENERGY LLC Required Items and Reports(Conditions) 13123 SW WINTERLAKE CT 1339 SE 8TH AVE#B TIGARD,OR 97223 PORTLAND,OR 97214 PHONE: PHONE: 503-967-5786 FAX: Total Fees: $317.88 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 952-001-0090. You may obtain a copy. •- utes-er.direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ✓ r.' 'ermittee Signature: `r e r'`7 4i 4''' ,_;.2.I '3.639.4175 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. Approved plans are required on the job site at the time of each inspection. R Building Permit Application Residential FOR OFFICE USE ONLY ,..4 r- City of Tigard °• DaeBY /1 /-i/„ . Permit No ,t`T'"I�1 y `lh It • 13125 SW Hall Blvd.,Tigard,OR 97223 1 PlanReview `'� U Phone: 503.718.2439 Fax: 503.598.1960 NOV(�'V 1 t i 2019 Date/By: li itl 1 l'J Other Permit: /Iry1 ((( A,� T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juns: H See Page 2 for Internet: www.tigard-or.goV N tified/Met od: -f, , '?� Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. 1. Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the It CATEGORY OF CONSTRUCTION work indicated on this application. 01-and 2-family dwelling ❑Commercial/industrial Valuation: $5,000 0 Accessory building El Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13123 SW Winter Lake Ct New dwelling area: square feet ,..4. ,i City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet ,i Suite/bldg./apt.no.: Project name: Michael Fink Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST 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 DESCRIPTION OF WORK work indicated on this application. ‘,.N...,. 4.95kW AC prescriptive rooftop solar array Valuation: $ W Existing building area: square feet New building area: square feet v ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Michael Fink Type of construction: Address: 13123 SW Winter Lake Ct Occupancy groups: City/State/ZIP:Tigard,OR 97223 Existing: v Phone:(425 ) 213-6599 Fax:( ) New: Q APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name:Elemental Energy (Please refer to fee schedule) Contact name:Lucas Miller Structural plan review fee(or deposit): Address: 1339 SE 8th Avenue Suite B FLS plan review fee(if applicable): City/State/ZIP:Portland,OR 97214 Total fees due upon application: Phone:(715 )321-2814 Fax: :( ) Amount received: S E-mail:permits@elementalenergy.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photovoltaic Solar Panel System. Business name: Elemental Energy Submit two(2)sets of roof plan with connection details and fire depai intent access,along with the 2010 Oregon Address: 1339 SE 8th Avenue Suite B Solar Installation Specialty Code checklist. City/State/ZIP:Portland,OR 97214 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503 ) 967-5786 State surcharge(12%of permit fee): $21.60 CCB lie.:195141 Fax:( ) Total fee due upon application: $201.60 Authorized signature: /4 This permit application expires if a permit is not obtained 1 Cr 4.---( within 180 days after it has been accepted as complete. Print name:Lucas Miller Date:11/11/19 *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) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Received City of Tigard Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 111Phone: 503.718.2439 Fax: 503.598.1960 Associated permits: 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical T I G A R D Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 0 3 Verification of approved plat/lot. ❑ 0 0 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ 0 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 ❑ ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or 0 ❑ ❑ architect licensed in Ore•on and shall be shown to be a..licable to the .ro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) l I- S : Electrical Permit Application `� 7 FoR orrice: rsi:ONI.1 City of Tigard t\Q V 1 2 Z O 1 9 Received � 13125 SW Hall Blvd.,Tigard,OR 97223 ; • DateB : ii " AraMiffill ' Phone: 503.718.2439 Fax: 503.598 1960 ��' I'i`` -,f-i',, 1¢"1114 Plan Review U4 �� Related Permit#: til.- „%0 i, C rr 1aDateB �] i/o 1 . T t C A RD Inspection Line: 503.639.4175 e L., Ready Date/By: l0 See Page 2 for a; Internet: www.tigard-or.gov Notified/Method: MINIII Supplemental Information TYPE OF WORK PLAN REVIEW 0 New construction Q TYPE 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 El Other: where the available fault current El Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ID Floating buildings. © 1-and 2-family dwelling ❑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: 0 Fireum . p p 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 13123 S W_}� S/ftErake Ct El Addition of new motor load of system. W GrlC1W4 100HP or more. ❑"A” "E" '1-2" `l-3» City/State/ZIP: Tigard,OR 97223 ` 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Fink Residence ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. 1 Each I Total 1 " New residential single-or multi-family dwelling unit. w Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 I IQ DESCRIPTION OF WORK Limited energy,residential (with above sq.ft.) 75.00 2 t4.95kW AC prescriptive rooftop solar array Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 v © PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation \'e.Name: Michael Fink 200 amps or less 100.70 2 Address:13123 SW Winter Lake Ct 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard,OR 97223 601 amps to 1,000 amps 301.04 2 Phone:(425 )213-6599 Fax:( ) Over 1,000 amps or volts 552.26 2 Email:mfink151@gmail.com Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 O, 4wner signature: Date: 401 amps to 599 amps 168.54 2 ® APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Elemental Energy above service or feeder fee, 7.42 2 each branch circuit Contact name:Lucas Miller B.Fee for branch circuits without 1 Address: 1339 SE 8th Avenue Suite B service or feeder fee,first 56.18 2 branch circuit . City/State/ZIP: Portland,OR 97214 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(715 ) 321-2814 Fax::( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email:permits@elementalenergy.net Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Elemental Energy Address: 1339 SE 8th Avenue Suite B Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Portland,OR 97214 Each additional inspection over allowable in any of the above Q-3. Additional inspection(1 hr min) 66.25/hr Phone:(503 )967-5786 Fax:( ) Investigation(1 hr min) 90.00/hr Email:Permits@elementalenergy.net Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.:195141 Electrical Lie.: C 1228 Suprv.Lie.: 5925S specifically listed('/�hr min) 90.00/hr Suprv.Electrician signature,required: , ELECTRICAL PERMIT FEES /� /-, --/%/ Subtotal: Print name:Nathan Miller Date:11/11/19 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: ,^ r /` TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name:Lucas Miller Date: 11/11/19 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: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 1 100.70 s100.70 2 Check Type of Work Involved: 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n B• urglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n G• arage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 n Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n 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 specifically listed(1/4 hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal Enteron Page 1): Fee for each commercial system: $75.00 y * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: n A• udio and Stereo Systems n Boiler Controls n Clock Systems n Data Telecommunication Installation n F• ire Alarm Installation • HVAC Instrumentation LI Intercom and Paging Systems n Landscape Irrigation Control* n Medical n Nurse Calls n Outdoor Landscape Lighting* Fl P• rotective Signaling n 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 •1111 • 13125 SW Hall Blvd,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 10/ 201 9 TIGARD Inspection Line: 503.639.4175 www.tigard-or.gov i, l ; 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 13123 SW Winter Lake Ct City:Tigard Zip: 97223 Owner's Name: Michael Fink Date: 11/11/19 Contractor's Name: Elemental Energy CCB #: 195141 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation II] Yes qualify for the Area Located in a flood prescriptive path, follow plain/flood way? x No OSSC or ORSC for design requirements. x Yes Wind Exposure Is the wind exposure If"Yes", qualifies for "C" or less? fl 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 LJ Yes the prescriptive path. and/or their accessory Ground structures. C 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 fl No 1 1:/Building/Forms/Photovoltaic-Checkl ist02-01-11.docx J Is the construction material wood and does n 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. 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. FI No Is the combined weight n 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 x Yes If"Yes", qualifies for with Section 305.4(3) of the 2010 Oregon Solar n No the prescriptive path. Code? n 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. I I of composition shingle. Is the roof mounted x Yes Connections of solar assembly — the solar assembly connected to roof ri If"Yes", qualifies for No the prescriptive path. to the roof framing or blocking directly? 2 I:/Buil ding/Forms/PhotoVoltaic-Checkl ist02-01-11.docx t Is the gauge 26 or less? Yes If"Yes", qualifies for (l No the prescriptive path. 115 lbs for 60 inch spacing or less? If"Yes", qualifies for Yes the prescriptive path. n No Minimum Uplift rating of Clamps? 75 lbs for 48 inches spacing or less? If"Yes", qualifies for Yes the prescriptive path. n 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 prescriptive path. standing seam 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? fl Yes the prescriptive path. 1- No Is the roof decking of WSP min. '/2"thickness, (l Yes decking connected to If"Yes", qualifies for framing members n 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 x Yes the prescriptive path. surface. No 3 UBuilding/Forms/PhotoVoltaic-Checkl ist02-01-11.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: Hyundai Model Number: HiS-S29ORG Listing Agency: UL 1703 4 I:/Building/Forms/PhotoVoltaic-Checkl ist02-0 1-1 1.docx