Permit . MAST PERMIT
CITY OF TIGARD
1'�. COMMUNITY DEVELOPMENT Permit #: MST201 1 00211
Date Issued: 01/06/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S111BD02500
Jurisdiction: Tigard
Site address: 14635 SW 97TH AVE
Subdivision: CLOUD CAP Lot: 7
Project: Carlson
Project Description: Solar photovoltaic system. (Building & electrical)
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. $0.00 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
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<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 add9 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: Ecompasing N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF 0
Owner: Contractor:
MAPES, TODD SOLARCITY CORPORATION Required Items and Reports (Conditions)
CARLSON, NICHOLE 6132 NE 112TH AVE
14635 SW 97TH AVE PORTLAND. OR 97220
TIGARD, OR 97224
PHONE: PHONE: 503- 964 -0489 '
FAX: 503 - 926 -9101
Total Fees: $322.69
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 ar: set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0090. You may obt -' i - . . . . .r u l e s or direct questions to OUNC by calling 503.232.1987 or 1.800.33 •.2344.
Issued B . _.�1i_- _ Permittee Signature: . - ! - _ r
C. 03.• i.y 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 Applicat' t R esid ential CEV FOR OFFICE USE ONLY
City of Tigard DEC 2 0 2011 Received
Date/B : A AQ114 M Permit No.: `, % ,,,,,„, �Ai1� /
1111 • 13125 SW W Hall Blvd., Tigard, OR 97223 Plan Review !/v
= Phone: 503.718.2439 Fax: 503.59`1 OF 7IGA� iD DateB : 1' . Z-I Other Permit:
T I G A R D Inspection Line: 503.639 BUILDING DIVISION Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE O_F 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
. CA TEGORY OF - CONSTRUCTION work indicated on this application.
® 1- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 3 80
❑ 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: 144) 35 c �3 J th ` 497Th �,�,e , New dwelling area: square feet
City/State /ZIP: -Ti 30 ,1 t 0 Gt 1 " 7 a del- Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Cay1 J 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.
Roof Mount PV System Valuation: $
Existing building area: square feet
New building area: square feet
P ROPERTY OWNER - • 0 TENANT Number of stories:
Name: N; GhQ 1 r ar 1 U Type of construction:
Address: Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
❑ APPLICANT . . ® CONTACT PERSON , ' BUILDING PERMIT FEES* . . . •
Business name: SolarCity Corporation (Please .refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Caitlin Horsley
FLS plan review fee (if applicable):
Address: 6132 NE 112 Ave
City/State/ZIP: Portland Total fees due upon application:
Phone: (503) 9560610 Fax: : (503) 5366513 Amount received: f / .. t'&
E -mail: chorsley @solarcity.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
' CONTRACTOR " . roof -top mounted PhotoVoltaic Solar Panel System.
Business name: SolarCity Corporation Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: 6132 NE 112 Ave Solar Installation Specialty Code checklist.
City/State /ZIP: Portland, Oregon 97220 Permit Fee (includes plan revie $180.00
and administrative fees):
Phone: (503) 95606] 0 Fax: (503) 4366513 State surcharge (12% of permit fee): $21.60
• CCB lic.: 180498
Total fee due upon application: $201.60
Authorized signature:
id / / This permit application expires if a permit is not obtained
/ within 180 days after it has been accepted as complete.
/1? * Fee methodology set by Tri-County Building Industry
Print name: Caitlin Ho y / Date: 1 2 0 Service Board.
1:\ Building \Pennits \BUP- RESPennitApp.doc 02/24/2011 440-461 3T(I 1 /02 /COM/WEB)
Electrical Permit Application R E CEIV FOR OFFI CE USE O.NI.Y CI Of TI and ,ea /.2 %���T ` g Permit No
13125 SW Hall Blvd., Tigard, OR 97223 l, z g iwiteview r
g Phone: 503.718.2439 Fax: 503.598.1960 Date /By: I � 2I 11 17 ' Other Permit:
Inspection Line: 503.639.4175 DEC Date Read /B Juris:
Tic; .A K 17 rt 0 0 1 Ready /By: 1 See Page 2 for
Internet: www.tigard- or.gov Notified/Method: / / - �� Supplemental " Supplemental Information
CITY OF T IGA' D
� 'TYPE`OF'WORKon( D} (��,��+ PLAN' REVIEW - - -
❑ New construction ® Addition /alteration /repla�CtTi Y' DIVISION °• ISIO q Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
_CATEGORY` OF CONSTRUCT3ON . ' - exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® 1- and 2- family dwellin ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
- ,
• ;; . system.
.JO SITE. INFORMATION:.AND'.I:OCATION
Emergency system. larger separately derived
❑ Addition of new motor load of ❑ "A ", "E ", "1 2 ", "1 ",
Job no.:01 / zp ) G1- I Job site address: 1410 35 . SW 4 A �/e Six rm more occupancy.
1 C ❑Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: f 9�d 0 K „ ' 7 224- ❑ Health -care facilities. ❑ Supply voltage for more than
" 1 0 ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: C o t / (5( 0 ❑ Service or feeder 600 amps or more.
ay t) ' . .FEE SCH EDULE : •
Cross street/directions to job site: Description 1 Qty. I Fee. I Total I '
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
' • DESCRIPTION 'OF WORK . . ' (with above sq. ft.) 75.00 2
• Limited energy, multi- family 75.00 2
Roof Mount PV System residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less ( 100.70 I OD .\ Q 2
IS PROPERTY. OWNER • - ❑ TENANT 201 amps to 400 amps 133.56 2
NfCJofe C 6rtv) 1,000 am
601 amps to 600 200.34 2
Name: ` U
601 amps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and /or
City/State /ZIP: relocation
Phone: ( ) Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
N above service or feeder fee, '
7.42
- APPLICAT . ®, .CONT 'PE RSON ,. _ _ 1.14 z 2
each branch circuit
Business name: SolarCity Corporation B. Fee for branch circuits without
service . or feeder fee, first
Contact name: Caitlin Horsley branch circuit 56.18 2
Each add'I branch circuit 7.42 2
Address: 6132 NE 112 Ave Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State /ZIP: Portland, Oregon 97220 dwelling, service and/or feeder 67.84 2
Phone: (503) 9560610 Fax: : (503) 5366513 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: chorsley @solarcity.com -
Sign or outline 67.8 4 2
e lighting
CONTRACTOR, ' Signal circuit(s) or limited- energy
Business name: SolarCity Corporation panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: 6132 Ne 112 Ave Additional inspection (1 hr min) 66.25/ hr
City/State /ZIP: Portland, OR 97220 Investigation (1 hr min} — 66.25/ hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 956061' Fax: (503) 3566513 inspections for which no fee is
specifically listed (A hr min) 90.00 / hr •
CCB Lie.: 180498 Electrical Lie.: C562 Suprv. Lic.: 5201S . ELECTRICAL PERMIT FEES
Ce.iti2_,S-.., Subtotal:
Suprv. Electrician signature, required:
Plan review (25% of permit fee)):
Print name: Derek Cropp Date: 0420 ! 20 I i ( State surcharge (12% of permit fee):
. /
Authorized signature:
TOTAL PERMIT FEE:
r .„ : 6:1454. 1. Ai /�. This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Caitlin Horsley Date: 17. 20' I ( * Number of inspections allowed per permit.
1:\ Building \Permits \ELC -PermitApp.doe 07/01/10 440- 4615T(11105/COM /WEB
City of Tigard RECEIVED
Building Division
z !Al 111.. 13125 SW Hall Blvd, Tigard, OR 97223 DEC 2 0 2011
Phone: 503.718.2439 Fax: 503.598.1960
TI G A R D Inspection Line: 503.639.4175 CITY OF TIGARID
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: /4 &3 5 j q7 +h A
City: / i- Zip: g72Z 1
Owner's N me: /Jf ChA S Carlson Date: /z /7 /11
Contractor's Name: SolarCity Corporation CCB #: 180498
Design Parameters of the Property /Structure
If "Yes ", does not
Flood Hazard Is the installatio 111 Yes qualify for the
Located in a flood prescriptive path, follow
Area plain/flood way? ® N OSSC or ORSC for
design requirements.
Yes
Wind Exposure Is the wind exposure If "Yes ", qualifies for
"C" or less? ❑ N 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?
structures other than If "Yes ", qualifies for
❑ Yes the prescriptive path.
above
❑ No
. I
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1:/ Building/ Forms /Photovoltaic- Checklist.docx
Is the construction
Type of material wood and does ® Yes If "Yes ", qualifies for
Construction the construction qualify El No the prescriptive path.
as "conventional light
frame" construction?
Is the spacing 24 inches
or less?
Pre - engineered trusses. gi Yes
If "Yes ", qualifies for
• the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. El Yes If "Yes ", qualifies for
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 If "Yes ", qualifies for
with Section 305.4(3) of ❑ No the prescriptive path.
the 2010 Oregon Solar
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
c onnected to roof If "Yes ", qualifies for
the solar assembly ❑ No the prescriptive path.
to the roof framing or blocking
directly?
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1: /Buil ding / Forms /PhotoVoltaic - Checklist.docx
Is the gauge 26 or less? ❑ Yes If "Yes ", qualifies for
❑ 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 in ches inches, qualifies for the
y Maximum 60 inches prescriptive path.
standing seam
metal panels Width 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 ❑ Yes If "Yes ", qualifies for
fastener? 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
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1: /Building/ Forms /Photo V oltaic- 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:
Model Number: v Y i.23P5 P
Listing Agency: UL1703
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I: /Buil ding / Forms /Photovoltaic- Checklist.docx