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12-December (2) ill CITY OF TIGARD MASTER PERMIT I ' COMMUNITY DEVELOPMENT Permit#: MST2019-00429 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/02/2019 T[G l H.C7 9 Parcel: 2S104DC01900 Jurisdiction: Tigard Site address: 13485 SW BENCHVIEW TER Subdivision: BENCHVIEW ESTATES Lot: 19 Project: Ives 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: $14,162.00 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 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'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: N Other Description: Roof top PV system 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: IVES ORSAY FAMILY TRUST BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) BY IVES,VIRGINIA A TRS 1220 S 630 EAST,STE 430 13485 SW BENCHVIEW TER AMERICAN FORK,UT 84003 TIGARD,OR 97223 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 or more the 180 days. ATTENTION: Oregon la -quires ou folio the rules adopted by the Oregon Utility Noti .t n C-• -r. Th••e ules -`'se forth in OAR 952-001-0010 through OAR 952 i i -0090. -uifr4 :j,c i'of the rules or direct questions to OUNC by cal g 5 . 8a r. Issued By: /or Permittee Signature: /� ��.,dl /. ., w Call 503.639.4175 by 7:00 a.m.for the next available inspec ion dat . _ This permit card shall be kept in a conspicuous place on the job site until completi•i •f the pr.ect. Approved plans are required on the job site at the time of each inspection. Building Permit Application y _ Residential ' i FOR OFFICE USE ONLY Q1SCt Received / /G City of Tigard NOV iJ Date/By: /L ( /,0t ' it� ULS'UO 4/40?,III13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review q I ii Phone: 503.718.2439 Fax: 503.598.1961 't , '+R''•O Date/By: I (ii ( Other Permit: TIGARD Inspection Line: 503.639.4175 B1J I„'`'. ))\i!Slo ,J DateReady/By: / J�� i�- HSee Page 2for Internet: www.tigard-or.gov otified/Meth •l A, 49 , Supplemental Information f TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. 1-_] 1-and 2-family dwelling Valuation: $ 14,162 b ❑Commercial/industrial El Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13485 SW Benchview Terr, Tigard,Oregon, 97223 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Virginia Ives 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: I 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. Rooftop Solar PV Valuation: $ 6.c CI) I \ � Existing building area: square feet 1) `VNew building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: Virginia Ives Type of construction: Address:13485 SW Benchview Terr,Tigard,Oregon,97223 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT ®CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Blue Raven Solar Structural plan review fee(or deposit): Contact name: Hannah Webb Address: 1403 N Research Way FLS plan review fee(if applicable): City/State/ZIP: Orem, UT 84097 Total fees due upon application: Phone:(385482-0045 Fax: :( ) Amount received: F-mail: P 9� P ermittin de arment blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR 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 Solar Installation Specialty Code checklist. City/State/ZIP: Orem, UT 84097 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(385482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.:210112 Total fee due upon application: $201.60 Authorized signature: !Jit__ This permit application expires if a permit is not obtained ', within 180 days after it has been accepted as complete. Print name: JeffreyLee Date: 11/21/2019 *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) Ejectrical Permit Application H Er „` FOR OFFICE USE ONLY Received City of Tigard NOV219 Date/By: Permit#: 13125 SW Hall Blvd.,Tigard,OR 97223 Iti U 9 v .- Plan Review Phone: 503.718.2439 Fax: 503.598.1960Date/By: Related Permit#: Inspection Line: 503.639.4175 1 Ready Date/By: Juris: See Page 2 for TIGARD Internet: www.tigard-or.gov I r'', :"1')!,! Notified Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction ©Addition/alteration/replacement Please check all that apply(submit 2,et,of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ©1-and 2-family dwelling ❑Commercial/industrial IIIAccessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. El Multi-family El Master builder El Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 13485 SW Benchview Terr, Tiard, Or ❑Addition ofnew motor load of system. Job#: Job site address: g 100HP or more. ❑`A",`E","1-2°°,"I-3", ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Virginia Ives 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: FEE SCHEDULE Description i Qtv. 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#: Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK 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.) Renewable Energy 0 See Page 2 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Virginia Ives 200 amps or less 100.70 2 Address: 13485 SW Benchview Terr, Tigard,Oregon,97223 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 I 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 ®APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Blue Raven Solar above service or feeder fee, 7.42 2 each branch circuit Contact name: Hannah Webb B.Fee for branch circuits without service Address: 1403 N Research Way b ranch orUeder fee,first 56.18 2 circit City/State/ZIP: Orem, UT 84097 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 385)182-0045 Fax: :( ) Each manufactured or modular 67.84 Email: permitting.department@blueravensolar.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Blue Raven Solar Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 1403 N Research Way panel,alteration,or extension. City/State/ZIP: Orem, UT 84097 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:c385 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 90.00/hr CCB Lic.: 210112 Electrical Lic.: C1214 Suprv.Lic.: 6097S specifically listed(/hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Sam Collier Date: 11/21/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: .ii TOTAL PERMIT FEE: f This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 11/21/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. I:ABuildingU'ermitsiELC—PermitApp_ELR_ERE.doe Res 06/17/2015 440-4615T(II/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: 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 50.01 to 100 kva 552.26 2 Ti Garage Door Opener* • >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) nHeating, 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('Vz hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Su Fee for each commercial system: $75.00 allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls Ti Clock Systems Ti Data Telecommunication Installation Ti Fire Alarm Installation n HVAC Ti Instrumentation Ti Intercom and Paging Systems Ti Landscape Irrigation Control* Ti Medical Ti Nurse Calls • Outdoor Landscape Lighting* Ti Protective Signaling Ti Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations t.\Building\Permits\ELC PermitApp_ELR_ERE.doe Rev 06/17/2015 City of Tigard Nov 2 0 d €9 '' Building Division •• i , 13125 SW Hall Blvd,Tigard, OR 97223 BULL,"� ' '` ` d Phone: 503.718.2439 Fax: 503.598.1960 T I G A R D Inspection Line: 503.639.4175 www.tigard-or.gov 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 13485 SW Benchview Terr, Tigard, Oregon, 97223 City: Zip: Owner's Name: Virginia Ives Date: 11/21/2019 Contractor's Name: Blue Raven Solar CCB #: 210112 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation n Yes qualify for the Located in a flood prescriptive path, follow Area plain/flood way? In No OSSC or ORSC for design requirements. LSI 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 In 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 MI Yes the prescriptive path. above ❑ No 1 I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx Is the construction ENI 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. p Yes If"Yes", qualifies for the prescriptive path. ❑ No Roof framing members Is the spacing 24 inches or less? If"Yes", qualifies for Nominal lumber. 0 Yes the prescriptive path. ❑ No Is the combined weight IN 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 El layout in accordance Yes « with Section 305.4(3) of If Yes , qualifies for the 2010 Oregon Solar ElNo 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 If"Yes", qualifies for the solar assembly connected to roofNo to the roof framing or blocking n the prescriptive path. directly? 2 I:/B uilding/Forms/Photo V oltaic-Checkli st02-01-11.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 n 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. 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 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. %2"thickness, n 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 0 Yes the prescriptive path. surface. ❑ No 3 I:/B uilding/Forms/PhotoVoltaic-Checklist02-01-1 1.doc x 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: J i n KO Model Number: JKM 315M-60L Listing Agency: CSA 4 I:/Building/Forms/Photo Voltaic-Checklist02-01-1 l.docx