Permit r CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2012 -00214
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/22/2012
-,. TIGARD . Parcel: 1S125DA04800
Jurisdiction: Tigard
Site address: 6645 SW ALFRED ST
Subdivision: KINGS VIEW Lot: 33
Project: Briggs
Project Description: Solar PV Installation
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: $2,000.00 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
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 <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: 1
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 VB R -3 0
Owner: Contractor:
BRIGGS, CHARLES R & MARY L PRO STAT SERVICES LLC Required Items and Reports (Conditions)
6645 SW ALFRED ST 8122 NE 92ST STREET
TIGARD, OR 97223 VANCOUVER, WA 98662
PHONE: 503- 246 -5218 PHONE: 503- 539 -7772
FAX: 360 - 859 -3749
Total Fees: $258.42
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 • ' 1 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - Permittee Signature: eN moioe._/e41-7
Call 603.639.4176 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 ��+�r�+�g
Residential RECEIVED FOR OFFICE I,SE ONLY
Permit No.:
City of Tigard AU i 1 Received
, � Date/B : - 6 J'(5 01191 d - DD a-
° 13125 SW Hall Blvd., Tigard, OR 97223 ' — Plan Review 1 , i �j�
' ..- _ . Phone: 503.639.4171 Fax: 503.598.196 Date/B : � F/I G4 / Other Permit:
Inspection Line: 503.639.4175 OF TIGARD Date Ready : :' JOS: 121 See Page 2 for
T i �' A IZ D r. n Notified/Method: Supplemental Information
Internet: www.tigard- or.gov BUIT L'F:3 ISiON
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.
Valuation: $2,000.00
® 1- and 2- family dwelling ❑ Commercial/industrial
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job sitc address: 6645 SW ALFRED STREET New dwelling area: square fed
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg. /apt. no.: I Project name: BRIGGS 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.
SOLAR PV INSTALLATION Valuation: S
14 Panels Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: BRIGGS Type of construction:
Address: 6645 SW ALFRED STREET . Occupancy groups:
City/State/ZIP: Tigard, OR 97223 Existing:
Phone: (503)246 -5218 Fax: ( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: PROSTAT SERVICES All contractors and subcontractors are required to be
Contact name: DALE KRUEGER licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 8122 NE 91 Street jurisdiction in which work is being performed. If the
City/ State/ZIP: Vancouver, WA 98662 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 539 -7772 I Fax: : (360) 260 -7064
E -mail: dale.krueger®comcastnet
CONTRACTOR
Business name: PROSTAT SERVICES BUILDING PERMIT FEES*
Address: 8122 NE 91 Street (Please refer to fee schedule)
City/ State/ZIP: Vancouver, WA 98662 Structural plan review fee (or deposit):
Phone: (503) 539 -7772 I Fax: (360) 260 -7064 FLS plan review fee (if applicable):
CCB tic.: 189902 3( \l%k Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Dale Krueger I Date: 8/14/12 • Fee methodology set by Tri -County Building Industry
Service Board.
1:1Building\Permits\BUP -RES PermitApp.doc 10/01/09 440.4613T(1 I /02 /COM/WEB)
Electrical Permit Application RECEIVE VE J. FOR OFFICE USE ONLY
City of Tigard A U G Received
g I Z si Permit No.: A.4 5 ,gyp 1 A— 0.0.11 t,
il
1 3125 SW Hall B lvd., Tigard, OR 97223 2012 Plan Review
C Phone: 503.639.4171 Fax: 503.598.196 DateB . Other Permit:
TIGARD
Inspection Line: 503.639.4175 BUILDING OF TIGARD Date Ready/By: RI See Page 2 for
Intone: www.tigard- or.gov BUILDING DIVISIO -- obfred/Method: Supplemental Information
. • TYPE OF WORK. . ' . . PLAN REVIEW
•
❑ New construction ® Addition/alteration/replacement 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 CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other. ❑ Fire pump. ❑ Installation of 75 KVA or
JOB ❑ Addition new "A", "E", "1 derived system.
OB SITE INFORMATION AND LOCATION
❑ Addition of new motor load of ❑ "A", "E", "1 - 2 °, "I - 3 ",
lob no.: Job site address: 6645 SW ALFRED STREET 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: TIGARD, OR 97223 • ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hanudous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: BRIGGS ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Oiv. I Fee. 1 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'l 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 67.84 2
DESCRIPTION OF WORK - . (with above sq. ft.)
Limited energy, multi - family 67.84 2
Roof top Solar PV installation residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
14 modules 200 amps or less 100.70 2
® PROPERTY OWNER .4 : ❑ TENANT 201 amps to 400 amps 133.56 2
•
Name: BRIGGS 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 6645 SW ALFRED STREET Over 1,000 amps or volts 552.26 2
Ci / State/ZIP: TIGARD, OR 97223 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)246 -5218 Fax: ( ) 200 amps or less 59.36 I
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits— new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
®' APPLICANT ' I (3 CONTACT PERSON • above service or feeder fee, 7 42 2
each branch circuit
Business name: PROSTAT SERVICES B. Fee for branch circuits without
service or feeder fee, first I 56.18 56.18 2
Contact name: Dale Krueger branch circuit
Each add'I branch circuit 7.42 _ 2
Address: 8122 NE 91" Street Miscellaneous (service or feeder not included)
Ci / State/ZIP: Vancouver, WA 98662 Each manufactured or modular 67.84 2
tY dwelling, service and/or feeder
Phone: (503) 539 - 7772 Fax: : (360) 260 - 7064 Reconnect only . 67.84 2
Pump or irrigation circle 67.84 2
E - mail: dale.krueger @comcast.net Signor outline lighting 67.84 2 •
• CONTRACTOR Signal circuit(s) or limited-energy
• Business name: PROSTAT SERVICES , panel, alteration, or extension. - Page 2 2
Each additional inspection over allowable in any of the above
Address: 8122 NE 91" Street Additional inspection (I hr min) 66.25/ hr
City/State/ZIP: Vancouver, WA 98661 Investigation (1 hr min) 66.25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 539 - 7772 Fax: (360) 260 - 7064 Inspections for which no fee is 90,00 / hr
specifically listed (i4 hr min)
CCB Lie.: 189902 Electrical Lie.: C597 Suprv. Lie.: 5044S ELECTRICAL PERMIT FEES .
,/ /0//42 Subtotal: 56.18
Suprv. Electrician signature, required:,, // Plan review (25% of permit fee):
• Print name: Bob Gray Date: 8/14/12 State surcharge (12% of permit fee): 6.74
TOTAL PERMIT FEE: 62.92
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
, Print name: Dale Krueger Date: 8/14/12 • Number of inspections allowed l� per permit.
1: 1Building1PamitstELC- PermitApp.doc 10/01/09 440-0615T(I I/OSICOM/WEB
Aug 22 12 01:13p PROSTAT ELECTRIC 360- 260 -7064 p.1
TELEPHONE 360521 -5742 503-539 -7772 PROSTAT SERVICES
EMAIL prostatbrandon@cimail.com
dale.krueger@comcast.net
i- ; - t i
*VON 04
Fa)( PA % 12
410
To: CITY OF TIGARD From DALE KRUEGER
CITY OF TIGARD Pages: 2 (includes cover)
Fa=c 1- 503 - 598 -1960 Date: August 22, 2012
Phone: 1-503-718-2448 Re: BRIGGS SOLAR PERMIT
❑ Urgent ❑ For Review ❑ Please Comment X Please Reply ❑ Please Recycle
-
• Comments:
Attached is credit card authorization to pay fees $258.42 f r the Briggs Solar
permit Site address is: 6645 SW Alfred Street Portland, OR 7223
PLEASE MAIL PERMIT TO ADDRESS BELOW.
Thanks for your help.
Dale Kruege
Prostat Electric
8122 NE 91 Street
Vancouver, WA 98662
TRANSMISSION VERIFICATION REPORT
TIME : 08/22/2012 16:15
NAME : CITY OF TIGARD
FAX : 5035981960
TEL : 5037182449
SER.# : BROH7J690762
DATE,TIME 08/22 16:14
FAX NO. /NAME 13608593749
DURATION 00:00:26
PAGE(S) 01
RESULT OK
MODE STANDARD
ECM
IN ,I CITY OF TIGARD MASTER PERMIT
3 COMMUNITY DEVELOPMENT Permit #: MST2012 -00214
Date Issuod: 08/22/2012
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.243S Parcel: 15125DA04800
Jurisdiction: Tigard
Site address: 6645 SW ALFRED ST
Subdivision: KINGS VIEW Lot: 33
Project: Briggs
Project Description: Solar PV Installation
BUILDING
Floor Areas 8l9S111'9 Setback% RegyjLSd
Stories: 0 Bedrooms: 0 First 0 st Basement: 0 st Loft: 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 of value: $2,000.00 Rear 0
PLUMBING
Sinks; a Water Closets: 15 - washing Mach: 0 Laundry '1 rays: 0 ain Drain o noels: 0
Lavatories: 0 Dishwashers: 0 Floor Drains; 0 Sewer Lines: 0 SF Raln 0 Storm Sewer 0
Tubs/Showers: 0 Garbage Olsp: 0 Water Heaters: 0 Water Lines: 0 Drains; Catch Basins: 0
Bdrflw Prevntr: 0
Footing Drain: 0 Ica Maker. 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0
Orywetl- Trench Drain: 0 Other Fixture Units:
MECHANICAL ,
Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Meat Pump; N Hoods: 0 Other Units: 0
Fume' 00K: 0 Vents: 0 Woodstoves: o Gas Outlets: 0
Fum > =100K: 0
ELECTRICAL
Rraalggepal Unit _grvtco Feeder Tamp Srvc/Felt9lo Branch Circuits
1000 sr or less; 0 0-200 amp: 0 0.200 amp: 0 W/ Svc or Fdr; 0
• Es add'I 500 at 0 201 -400 amp: 0 201-400 amp; 0 W/O Svo/Fdr. 1
MFd Home/Feeder /Svc: 0 401.600 amp; 0 401.600 amp: 0
901.1000 amp: 0 601 +amp- 1000v; 0
1000 +amp /volt: a
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Ecompaaing: N
a
q l-, ;; *<72 ' ;'.. - 37;. , mo t - k!' ;: o
. % ; °... RECEIVED
:., : .; CITY OF TIGARD
,.'J
?i ,� AUG 1 4 2012 Budding Division
-i ® 131 25 SW Hall Blvd.
'' . ®, # - CITYOFTIGARD Tigard, OR 97223
i r^ ?"Ot��.: ''..5;N,'-' r;t ` '� 503.639.4171
,,1 " -'> . - www.tigard- or.gov
4 k; , e-,,frA B
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof - Mounted
PhotoVoltaic Solar Panel System
� ° 0 lA : °ia �g " rill
Installation address: • • . SV/ ' eIr
�.'� Zip • 7 Zvi 3 •
Owners name: . . w. pArect s .
Contractors name: .�, o . S et CisS
Contractors CCB number: i • Q R Gs._ •
it f3fC7ST. / �3:'s Y ,�, y r a ,. Syr.
I ii } ri WW �, ? it
•
• If "Yes ", does not
•
• Flood Hazard Area Is the installation o Yes qualify for the
located in a flood prescriptive path,
plain/ flood way No follow OSSC or
ORSC for design
requirements.
Wind Exposure • Is the wind /Yes . If "Yes ", qualifies for
• exposure "C" or less o No the prescriptive
• . path.
Installations on Is the Ground Snow If "Yes '', qualifies for
detached single/ Load 70 psf or less. the prescriptive
two - family dwelling/ Hof Yes path.
Ground Snow single/ two - family F
Load townhomes and /or o No
their accessory
structures.
Installations on all Is the Ground Snow If "Yes ", qualifies for
structures other Load 50 psf or less. the prescriptive
than above Yes path.
pi, o No
,
•
ti
Is the construction
material wood and
W
does the es If "Yes ", qualifies for
Type of constructions qualify a No the prescriptive
Construction as "conventional path.
light frame"
construction?
Is the spacing 24 If "Yes ",•qualifies for
Pre - engineered inches or less. the prescriptive
trusses. it Yes path.
Roof framing ❑ No
members • Is the spacing 24 If "Yes ", qualifies for
Nominal lumber inches or less. the prescriptive
• ❑ Yes path.
a No
Is the combined i Yes If "Yes ", qualifies for
weight of the PV the prescriptive
modules and ❑ No
path.
• racking less than or •
Solar installation equal to 4.5 psf..
. Is -the solar
installation layout in 'Yes If "Yes ", qualifies for
• accordance with the prescriptive
Section 305.4(3) of o No
the 2010 Oregon path.
Solar Code.
•
o Metal
•
Check the type of a Single layer of If roofing material is
roofing material. wood shingle/ shake one of the three
rryyMMax. Two layers types checked,
• Roofing material ' of composition qualifies for the
shingle. prescriptive path.
• • Is the roof mounted 'Yes • If "Yes", qualifies for
Connections of the solar assembl ❑ No • the prescriptive
solar assembly to connected to roof path.
the roof • framing or blocking
directly.
Attachment of roof Is the gauge 26 or ❑ Yes If "Yes ", qualifies for
mounted solar less? ❑ No the prescriptive
systems directly to . � path.
� standing seam A
metal panels �.
A �t�
Page 2 of 4
115 lbs for 60 inch If "Yes ", qualifies for
Minimum Uplift spacing or less the prescriptive
•
rating of Clamps: 'o Yes path.
o No
75 lbs for 48 inches If "Yes ", qualifies for
ti A spacing or less the prescriptive
•
o Yes path.
o No •
If the spacing falls
Spacing of clamps? Minimum 24 inches • within 24 inches and
60•inches, qualifies
t4 Pr i A A • Ma ximum 60 inches for the prescriptive
path.
• If the width of the
• Width of r ofing 18 inches or less panel is less than
Q.� panels�` 18 inches, qualifies
!! for the prescriptive
�`� n path.
oYes
Size and spacing of Minimum #10 at 24 o No
fastener? inches o/c If "Yes ", qualifies for
• the prescriptive
•
path.
Is the roof decking o Yes If "Yes ", qualifies for
of WSP min. '/" o No the prescriptive
• thickness, decking path.
connected to
framing members wl .
min. 8d nails @
6 "112" o /c.
Maximum 18 inches Is the height less • . If "Yes ", qualifies for
•
Height of the solar from the top of the than or equal to 18 the prescriptive
modules module to the roof inches path.
surface jYes
o No
Page 3 of 4
•
. • _
---w
tqlifffeatiatfiratMOIN
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 8.5x11.inches.
Attach a simple structural plan showing the roof framing (rafter size, type,
and spacing) and PV module system racking attachment.
Structural System must be shown in sufficient detail and clarity to assess whether it
Plan meets the prescriptive construction requirements as listed earlier above in
• the matrix.
Minimum size of the plan is 8.5x11 inches.
•
* Manufacturer: N 6.51.
* Model Number: X35 P
Listing Agency: %At ,, 0 3
•
•
Page 4 of 4