Permit R • p CITY OF TIGARD MASTER PERMIT
' '• a ; COMMUNITY DEVELOPMENT Permit #: MST2012 -00271
T EGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/05/2012
Parcel: 2S110AB05600
Jurisdiction: Tigard
Site address: 11450 SW JACKIE CT
Subdivision: HAWK MEADOWS Lot: 9
Project: Shilliam
Project Description: Roof mount PV 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: $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
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: 1 0 -200 amp: 0 W/ Svc or Fdr: 1
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 8 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:
SHILLIAM, RICHARD W 8 KAY F SOLARCITY CORPORATION Required Items and Reports (Conditions)
11450 SW JACKIE CT 6132 NE 112TH AVE
TIGARD, OR 97224 PORTLAND, OR 97220
PHONE: 503 - 748 -4625 PHONE: 503 - 956 -0610
FAX. 503 - 926 -9101
Total Fees: $319.38
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 3iL4_ X 952-001-0090. You may ob copy of the rules or direct questions to OUNC by calling 503.232.1987 9887 or 1.800.332.2344 i'
Issued By: , J �' ''e's.�( na Permittee Signature: VA 1 t Pp , el ki
f c' Call 503.639.4175 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.
Building Permit Application RECEIV ,
Residential OCT 2 3 201 Received FoR orrIci: t Sly O\I.V
City of Tigard may: so / y I, - SS Permit No�,( S T J O/ .„,, /
:� , • 13125 S W Hall Blvd., Tigard, OR 97223 ( li ly /1C T .. clan Review (o � °
Phone: 503.7182439 Fax: 503.598.1960 � Vi 1 i V
T I n r h inspection Line: 503.639.4175 oLlL UIJ 4 � ` Ready/By: Ls: Permit:
0 See Page 2 for
Internet: www.tigard-or.gov otified/Method: t � k h (�
r. �`� 11 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.
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.
00
® I- and 2- family dwelling ❑ CommerciaVindustria] Valuation: S 62./-40.
❑ Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: 1 1 L Go SV') :Tackie Cd New dwelling area: square feet
City /State/ZIP: Ti �. 1 nR C)-122,1-1 Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Sh;1\ join 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.
Roof Mount PV System Valuation: S
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER I ❑ TENANT Number of stories:
Name: R 1 drior8 Sh 11110W\ Type of construction:
Address:
Occupancy groups:
City/State/DP: Existing:
Phone: (' 63) 714$- u g 26 Fax: ( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: SolarCity Corporation ' rOIQCaehri "�� refer
Structural plan review fee (or deposit):
Contact name: Caitlin Horsley
Address: 6132 NE 112 Ave FLS plan review fee (if applicable):
City / State/ZIP: Portland Total fees due upon application:
Phone: (503) 9560610 Fax: : (503) 5366513
Amount received:
E -mail: chorsley(a3solarclty.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
CONTRACTOR Commercial and residential prescriptive installation of
roof -top mounted Photo Voltaic 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.
1 City /State/ZIP: Portland, Oregon 97220 Permit Fee (includes plan review 518000
and administrative fees):
Phone: (503) 9560610 Fax: (503) 4366513 State surcharge (12% of permit fee): $21.60
CCB lie.: 180498
1 Total fee due upon application: $201.60
Authorized signature: r ° / / This permit application expires if a permit Is not obtained
i j within 180 days after it has been accepted as complete.
Print name: Caitlin Ho ey Date: �Qi 19I �� * Fee methodology set by Tri -County Building Industry
Servic0 Board.
I:\ Building \Permits\BUP- RESPennitApp.doc 02/24/2011 440.4613T(11 /02/COM/WEB)
Electrical Permit Application R EC FIVF I
FOR OFFICE I SE O\i.V
City of Tigard OCT 2 3 201 Received /DJsy. ill Permit No.:pS7JD /J — 0037 1
1111 0 13125 SW Hall Blvd., Tigard, OR 9 Plan Review
anrI xT I► Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 o-dwBy:
1 It �: I Inspection Line: 503.639.4175 to ReadyBy: ® See Page 2 for
Internet: www.tigard- or.gov �� tified/Method: 1 t / Po 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
® 1- 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
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E" "1 2 ", "I - 3"
I Job site address: [� I OOHP or more. occupancy.
Job no.:
1 R rt� S�1' 1101V1/x ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: ( IUD SW fir c . i P l o . r-- ❑Healthcare facilities. 0 Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
SuiteJbldg. /apt. no.: I Project name: 94 t'I 0,n/1 ❑ Service or feeder 600 amps or more.
�� FEE SCHEDULE
_
Cross street/directions to job site: Description I Qty. I Fee. I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I 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
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 I 100.70 2
® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 133.56 2
1 ,� + 401 amps to 600 amps 200.34 2
Name: R‘ ca SY 11611 �1/� 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: (, `]L} g- Ug25 I Fax: ( ) 200 amps or less 5936 1
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 ® CONTACT PERSON above service or feeder fee, 7.42 2
each branch circuit
Business name: SolarCity Corporation B. Fee for branch circuits without
service or feeder fee, first 56.18 2
Contact name: Caitlin Horsley branch circuit
Each add'/ branch circuit 7.42 _ 2
Address: 6132 NE 112 Ave Miscellaneous (service or feeder not included)
Each City/State/ZIP: Portland, Oregon 97220 dwelling, s or and/or modular
Ci
ty d eg dwelling, service and/or feeder 67.84 2
Phone: (503) 9560610 I Fax: : (503) 5366513 Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E - mail: ehorsley@solareity.com Sign or outline lighting 67.84 2
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 112th Ave Additional inspection (I hr min) 66.25/ hr
City/ State/ZIP: Portland, Oregon 9722 Investigation (1 hr min) 6625 / hr
Industrial plant (I hr min) 78.18/ hr
Phone: (503) 9560610 I Fax: (503) 5366513 Inspections for which no fee is 90.00 / hr
specifically listed 04 hr min)
CCB Lic.: 180498 I Electrical Lic.: C562 I Suprv. Lic.: 5201S ELECTRICAL PERMIT FEES
Subtotal:
Suprv. Electrician signature, required: — . � ' ✓�� Plan review (25% of permit fee):
it
Print name: Derek Cropp Date: 101 Z State surcharge ( 12% of p`"" fee):
TOTAL PERMIT FEE:
Authorized signature: This permit application expires if a permit Is not obtained within 180
Print name: Caitlin Hors' f� days after it has been accepted as complete.
Y I Date: 1 O ( 7I tz • Number of inspections allowed per permit.
1:t Building \Permits ELC- PermitApp.dac 07 01/10 440- 4615T(I I /O5 /COM/WEB
RECEIVED
City of Tigard OCT 2 3 2012
® Building Divisi
13125 SW Hall Blvd, Tigard, OR 97223 aN T IGARD
Phone: 503.718.2439 Fax: 503.598.1960 BUILDING DIVISION
T 1 G AR 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: s J
l 1 y 50 vV ocki e Cap r+
City: Tisof,, Zip: 2y
Owner's Name:' Q i 6 S�11l Q on Date: 10119112
Contractor's Name: SolarCity Corporation CCB #: 180498
Design Parameters of the Property /Structure
If "Yes ", does not
Is the installation qualify for the
Flood Hazard ❑ Yes
�� Located in a flood prescriptive path, follow
plain/flood way? ® N OSSC or ORSC for
design requirements.
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 ® Yes the prescriptive path.
and/or their accessory
Ground structures. ❑ No
Snow Load Is the Ground Snow
Load 50 psf or less?
Installations on all If "Yes ", qualifies for
structures other than ❑ Yes the prescriptive path. i
above
❑ No
1
(:Building/ Forms /PhotoVoltaic -Ch ecklist.docx
Is the construction
Type of m wood and does ® Yes If "Yes ", qualifies for
. the construction qualify ❑ No the prescriptive path.
Construction as "conventional light
frame" construction? •
Is the spacing 24 inches
or less?
If "Yes ", qualifies for
Pre - engineered trusses. ❑ Yes the prescriptive path.
❑ No
Roof framing •
members Is the spacing 24 inches
or less?
Nominal If "Yes ", qualifies for
ominal lumber.
Yes 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.
equal to 4.5 psf?
Solar
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 If "Yes ", qualifies for
the solar assembly connected to roof ❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
l:Building/ Forms /PhotoVoltaic- Checklist.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 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.
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 If "Yes ", qualifies for
fastener? ❑ Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. Y2" 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
l: Building/ Fonns /PhotoVollaic- 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: \ i
Model Number: \( L2LOp
Listing Agency: UL1703
4
I JBuilding/Forms/PhotoVoltai c- Checklist.docx