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Permit • CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2020-00166 Date Issued: 06/03/2020 f 1,. I'.i- 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112BD14000 Jurisdiction: Tigard Site address: 7643 SW CORNUTT ST Subdivision: ELDERBERRY RIDGE Lot: 36 Project: CHRISTMAN 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 Right: 0 Detectors: Dwelling Units: 0 Third: 0 sf Ri 9 Total: 0 sf Value: $4,800.00 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 0 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 Woes 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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 SvrlFdr: 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 4.8 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: CHRISTMAN,RYAN 8 LEDA ELEMENTAL ENERGY LLC Required Items and Reports(Conditions) 7643 SW CORNUTT ST 1339 SE 8TH AVE#B TIGARD,OR 97224 PORTLAND,OR 97214 PHONE: PHONE: 503-967-5788 FAX: Total Fees: $332.88 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 yr to folio rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 9 -001-0090. You/ y o c y of the rules or direct questions to OUNC by calling 503.232.198 or 1.800.332.2344. Issued By: l Permittee Signature: ,'/✓ Call 503.539.4175 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. Building Permit Application Residential ,.* ..§ N t4 . FOR OFFICE Ise ONLY r; i� 9 1 :P ii.a yr ea Permit No. �T a4 J City of Tigard Date/By: j" '?S ' ' /', _ 111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review p i thaOther Permit: Phone: 503.718.2439 Fax: 503.598.1960 MAY 1 8 2i DateBy: Zv �� Inspection Line: 503.639.4175 Date Ready/B : J kris ® See Page 2 for TIGARD Internets 1,�,z I Y ( f: i 6 ;-; Notified,,eth 3 '7� Supplemental Information www.tigard-or.gov 1 l r niv,. .,; Pt5 TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑Demolition Permit fees*are based on the value of the work performed. D New construction Indicate the value(rounded to the nearest dollar)of all ua Addition/alteration/replacement 0 Other equipment,materials,labor,overhead,and the profit for the A �CATEGORY OF CONSTRUCTION work indicated on this application. -1 `: Valuation: $ 4800 Ca 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: ❑Accessory building ❑Multi-family El Number of bathrooms: ❑Master builder JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 7643 S W CORNUTT ST New dwelling area: square feet City/State/ZIP: TIGARD, OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: CHRISTMAN SOLAR 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. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK" work indicated on this application. Valuation: $ 4.8 kW AC Solar Photovoltaic Prescriptive Roof mount Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: Ryan Christman Type of construction: Address: 7643 S W CORNUTT ST Occupancy groups: City/State/Z1PTIGARD, OR 97224 Existing: Phone:( ) (971) 255-3617 Fax:( ) New: I2 APPLICANT a CONTACT PERSON BUILDING PERMIT FEES* (Please refer so fee schedule) Business name: ELEMENTAL ENERGY Structural plan review fee(or deposit): Contact name: CHRISTINE STAMPER 503-522-9190 (CELL) FLS plan review fee(if applicable): Address: 1339 SE 8TH AVE STE B Total fees due upon application: City/State/ZIP: PORTLAND, OR 97214 Amount received: Phone:( ) 503-967-5786 Fax::( ) c E-mail: PERMITS@ELEMENTALENERGY.NET PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: ELEMENTAL ENERGY and fire department access,along with the 2010 Oregon Address: 1339 SE 8TH AVE STE B Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/state/ZIP: PORTLAND OR 97214 and administrative fees): Phone:( ) 503-967-5786 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB hc.: 195141 Total fee due upon application: $201.60 Authorized signature: G This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: CHRISTINE STAMPER Date: 05/17/2020 *Fee methodology set by Tri-County Building Industry Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR of Fic,•. I SE ONI.I Received Pemut#: . • City of Tigard Date/By: uvtloG� 13125 SW Hall Blvd.,Tigard,OR 97223 P n Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 i i a l '-, i e/dy: Inspection Line: 503.639.4175 Yteady Date/By: kris: ® See Page 2 for I I 1 \F I) Internet: www.tigard-or.gov ' Notificd/Method Supplemental Information IVI� - ,-ri i'PE OF WORK x as,e Y"x.'t•.sr. PLAN REVIEW ❑New construction 50 Addition/alteration/replacement S" i 1'��' Please check all that apply(submit 2 sets of plans w/items checked): 1 I s 1 0 Service or feeder 400 amps or more 0 Building over three stores. El Demolition 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. Iv less to ground,or exceeds 14,000 0 Commercial-use agricultural 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 7643 S W CORNUTT ST I00HP or more. ❑"A",`E","I-z","la ❑Six or more residential units. occupancy. City/State/ZIP: Tigard, OR 97224 ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Christman Solar El 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 ` lill Description I Qty. I Each I 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#: Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 4.8kW AC Solar Photovoltaic Prescriptive Roof Mount install (with above aq.ft.) 1) Limited energy,multi-family 75.00 2 plus Tesla Power wall, residential(with above sq.ft.) Renewable Energy 0 See Page 2 A® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 1 100.70 2 Ryan Christman 201 amps to 400 amps 133.56 2 Address: 7643 S W CORNUTT ST 401 amps to 600 amps 200.34 2 City/State/ZIP: Tigard, OR 97224 601 amps to 1,000 amps 301.04 2 Phone:( ) (971)255-3617 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: ryan@bluecouchmedla.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 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 �y i�CONTACT PERSON Branch circuits-new,alteration,or extension,per panel 111 APPLICANT yai A.Fee for branch circuits with Business name: FI,FMENTAL ENERGY above service or feeder fee, 2 7 42 2 each branch circuit Contact name: CHRISTINE STAMPER, 503-522-9190 (CELL) B.Fee for branch circuits without service or feeder fee,fust 56.18 2 Address: 1339 SF. 8TH AVF. STF. R branch circuit Each add'l branch circuit 7.42 2 City/State/ZIP: P RTLAND O 97214 Miscellaneous(service or feeder not included) Phone:(503)967-5756 Fax: :( ) Each manufactured or modular 67,84 2 dwelling,service and/or feeder Email: PERMITS(e ELEMENTALENERGY.NET Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: ELEMENTAL ENERGY Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 1339 SE 8TH AVE STE B panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: hr PORTLAND Ol� 97 Additional inspection(1 hr min) 66.25/ Phone:( 50Y 967-5786 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(I hr min) 78.18/hr Email: PE TS ,ELEMENTALENERGY.NET Inspections for which no fee is 90.00/hr CCB Lie.: l Y ' Electrical Lic.0 1228 Suprv.Liic.:5599225S specifically listed(1/2hrmin) 7 " ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: NA'I HAN MILLER Date: 05/17/2020 ❑Plan Review Required(25%of permit fee): ' State surcharge(12%of permit fee): le TOTAL PERMIT FEE: Authorized signature: /� This permit application expires if a permit is not obtained within lao Print name: CHRISTINE STAMPER Datex/5/17/2020 days after it has been accepted as complete. * Number of inspections allowed per permit. I9BuildingTern s/ELC_PermitApp_ELR_ERE.doc Rev 06/172015 440-4615T(11/05/COWWEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description [ 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 2 Check Type of Work Involved: 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 ❑ Garage Door Opener* >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: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(Y hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: 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 ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Bu0ding\Permits\ELC_PermitAPP ELR_ERE.doc Rev 06/17/2015 NNW City of Tigard 1111 Building Division ' 13125 SW Hall Blvd,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 MAY 18 2020 T I GARD Inspection Line: 503.639.4175 www.tigard-or.gov4 , 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 7643 S W CORNUTT ST City: TIGARD, OR 97224 Zip: Owner's Name: Ryan Christman Date: 05/17/2020 Contractor's Name: ELEMENTAL ENERGY CCB #: 195141 Design Parameters of the Property/Structure If"Yes", does not Is the installation ❑ Ycs qualify for the Flood Hazard Located in a flood prescriptive path, follow Area plain/flood way? jg] 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 1:/Building/Forms/PhotoVoltaic-Checklist02-01-1 l.docx Is the construction PC Type of material wood and does Yes the construction qualify If"Yes", qualifies for Construction as "conventional light ❑ No the prescriptive path. 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 X 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 ® 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. ® of composition shingle. Is the roof mounted Yes Connections of solar assembly the solar assembly connected to roof If"Yes", qualifies for ❑ NO the prescriptive path. to the roof framing or blocking directly? 2 1:Building/Fotms/PhotoVoltaic-Checklist02-0I-1 I.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 If the spacing falls Spacing of clamps? Minimum 24 inches within 24 inches and 60 solar systems inches inches, qualifies for the directly to Maximum 60 inches prescriptive path. standing seam metal panels Width of roofing If the width of the panel is less than 18 inches, panels? 18 inches or less qualifies for the inches 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. 'A"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 1 aBuilding/Forms/Photo V oltaic-ChecklistO2-01-11.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: HANWHA SOLAR Model Number: Q.PEAK DUO BLK-G5 320 Listing Agency: UL 1703 4 1:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx Branden Taggart From: #Building Permit Technicians Sent: Wednesday, May 20, 2020 2:14 PM To: 'Christine Stamper' Subject: RE:7643 S W CORNUTT ST Solar PV prescriptive roof installation permit applications Attachments: Branden Taggart2.vcf Importance: High Hello Christine, We did not receive "version 2 of the electrical permit application." Can you please resend it? Thank you, Branden Taggart City of Tigard i►TIC Senior Permit Technician 72c-„AµD Community Development 13125 SW Hall Blvd Tigard, OR 97223 {503)718-2449 brandent©tigard-or.gov I From: Christine Stamper<cstamper@elementalenergy.net> Sent:Sunday, May 17, 2020 12:30 PM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Re: 7643 S W CORNUTT ST Solar PV prescriptive roof installation permit applications Warning! This message was sent from outside your organization and we are unable to verify the sender. Please discard the first electrical permit app and use version 2 of the electrical permit application. I added items for a Tesla power wall to Version 2: 1 feeder, 2 branch circuits. Let me know if you have any questions. Thank you so much, Christine On Sun, May 17, 2020 at 12:24 PM Christine Stamper<cstamper@elementalenergy.net>wrote: Greetings. Attached please find application forms and plans for a 4.8kWAC prescriptive roof mount PV array at 7643 S W CORNUTT ST. Please let me know if you need anything else. 1 Thank you, Christine Christine Stamper ea Permit Manager office: (503) 967-5786 ELEMENTAL mobile: (503) 522-9190 ENERGY site: www.elementalenergv.net Selected as one of Solar Power World's'Top Solar Contractors"2013-2019. e9 Christine Stamper 101 Permit Manager office: (503) 967-5786 ELEMENTAL mobile: (503) 522-9190 ENERGY site: www.elementalenergv.net O Selected as one of Solar Power World's'Top Solar Contractors"2013-2019. 2