Permit y
. . , CITY OF TIGARD - MASTER PERMIT
1111 COMMUNITY DEVELOPMENT Permit #: MST2013 00109
TIGARD! 13125 SW Hall Blvd , Tigard OR 97223 503.718.2439 Date Issued: 05/09/2013
Parcel: 2S110CB07800
Jurisdiction: Tigard
Site address: 12483 SW AUTUMNVIEW ST _,
Subdivision: MOUNTAIN VIEW ESTATES Lot: 3
Project: Gessner
Project Description: Installation of residential 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: $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
Tubs /Showers: 0 Garbage Disp 0 Water Heaters. 0 Water Lines 0 Drains 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 SrvclFeeders Branch Circuits
1000 sf or less* 0 0 -200 amp' 0 0-200 amp: 0 W/ Svc or Fdr 0
Ea addi 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 +ampNolt. 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo N HVAC N Secunty Alarm: N Vaccuum System N Garage Opener. N All
Other N Other Descnption Ecompasing N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R -3 0 I
1
Owner: Contractor: l
GESSNER, JAMES R & MICHELLE M SOLARCITY CORPORATION Required Items and Reports (Conditions)
12483 SW AUTUMNVIEW ST 6132 NE 112TH AVE
TIGARD, OR 97224 PORTLAND, OR 97220 JI
1
PHONE 503- 989 -0237 PHONE 971- 279 -9655 f
FAX 866 - 810 -7656
Total Fees: $331.38 t
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 I,
days ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR ;I
952- 001 -001' • • , • OAR 952 - 001 -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. ' I, „ � / Permittee Signature: °' '" Ll.% /1,_ /• i
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.
1
To Naga 10 or 20 2013 -04 -30 19 58 33 GMT 18885022249 Porn Molllef Kroll
Building Permit Applicatio
DECEIVED
Residential FOR OFFICE t 5t: ONI.V
City of Tigard APR O 2013 Receive
13125 g Dave : ��� % PermitNa /��r� -00/09
• 1 31 25 SW W Hall Blvd., Ti OR 9 7223 Plan Review �i1
G Phone: 503.718 2439 Fax: 503.59 OF+ T I GARD Da n R . ,tM j Other Permit
Inspection Line: 503.639.4175 Date Read 'B kris: El See Page 2 for
TIGARD Internet: www.tigardor.gov BUILDING DIVISION Notlfie dAtcthod: 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.
Valuation: (�'t, ii t u 6
® 1- and 2- family dwelling ❑ Commercial /industrial 3i ` ��
CA
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors: 1
Job site address: \ J \ ' ,sN A1) ; ev3 C New dwelling area: square feet ,
City /State/ZIP: ;1 Garage/carport area: square feet ct,.....,:
Suite/bldg. /apt. no.: j Project name: ( - . S of i S c1 , 10(1.C.,, , Covered porch area: square feet
Cross street/directions to job site: - Deck area: square feet
Other structure area: square feet t ;
REQUIRED DATA: COMMERCiAL-USE CHECKLIST lI
Subdi vision: 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 reap /parcel tlu.:
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
I
New building area: square feet I
® PROPERTY OWNER I ❑ 'TENANT Number of stories: - I
Name:- (� . ,Q/ $ fv1 1 - 1 Type of construction:
Address: " , `� yM 1�t 9vr/Un fie �� C' Occu groups:
�1 V 1 °� l
City/State/ZIP: • ', .' roe— 677 O'Ag _ Existing: ,
Phone: (efj(4 3 9,'.4 -1) 9 7 Fax: ( ) New:
3 ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: SolarCity Corporation (Please refer rips schcdule l
Contact name: 6'1 0 (�j� Structural plan review fee (or deposit):
In FLS plan review fee (if applicable):
Address: 6132 NE 112 Ave
City/State/ZIP: Portland, OR 97220
Total fees due upon application:
C/ C Amount received:
Phone: (971y ,go‘ 7 b Fax: ( 866b i 3_ - ,9,94
ad }. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES
E -mail: in t i• 1 b r t4 _ _i ,
Commercial and residential prescriptive installation of
CONTRA( OR 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 Inslallalion Specially Code checklist.
City/State /ZIP: Portland, OR 97220 Permit Fee (includes plan review $180.00
and administrative fees):
Phone: (971) 2d\ 5.7 &' Fax: (866) !q -20,4 slate surcharge (12% of permit fee): $21.60
CCB lie.: 180498 i
Total fee due upon application: $201.60
Authorized signature: /G /,/ U This permit application expires if a permit is not obtained
w within 180 days after it has been accepted as complete.
Print name: it ( l L K I Date: ll I.f� r (y i i * Fee methodology se! by Tri- County Building Industry
` r
i Service Board.
t: Building \Permits1BUP- RESPennttApp.doc 02242011 440 -4613T(I I /02/COM/WEB)
To Peago 2 of 20 2013 -04 -30 19 56 33 .3 NIT 16665922249 F ror• MoIIie Kroll
RECEIVED ,
Electrical Permit Application FOR OFFICE CSC ONLY
City of Tigard ,PR 3 0 7 �eiv�ed 5 / _ , I /1 i o/3 c/6 ■
i Permit No.:
. / 3125 SW Hall Blvd.,Tigard OR 9 ]7,x„ _, Plan Review
I N
Phone; 503.7182439 Fax: 503.5 '1 e '�� Data :: Other Permit.
Inspection line: 503.639.4175 Date Read B Iwis.
1'4 i .? 12'R � > Y:
T Supplemental See Page for
l
Internet: Liac: ge 3.63 .41 Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction E Addition /alteration /replacement Please check all that apply (submit a 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 agncultuml I '
® 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 SITE INFORMATION AND LOCATION ❑ Emergency systeur. larger separately derived system. l
❑ Addition of new motor load of ❑ "A ", "E","1-2 "( -3 ,
Job no.: Job site address: al Il 7 V V 3 I1'i) c r l + ► tip 1OOHP or more,
❑ occdpancy.
no.: ( � Six or more residential units. ❑ Recreational vehicle parks
City.`State/ZIP: +Y{ if f ,.1 !4 0 ] 9 g • ^' ❑ Health - care facilities, ❑Supply voltage for more than
Li 1 ❑ Hazardous localism. 600 volts nominal
Suite/bldg. /apt. no.. ,J Project name: ( ct l r s i , ( j y y 1 p V ❑ Service or feeder 600 amps ormore.
FEE SCHEDULE
Cross strectldirections to job site: nereriplion I Qty. 1 Fee, I Tool I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. fl. or less 168.54 4 ,
Ea, add'/ 500 eq. ft or portion 33.92 1
Tax map/parcel no.: Limited energy, residential
75.00 2
DESCRIPTION OF WORK (with above sq. Cl,)
Limited energy, multi•famly
Roof Mount PV System residential (with above sq. Cl,) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less it 100.70 6 Oa 2eD
® PROPERTY OWNER " _ ❑ TENANT 201 amps to 400 amps 133.56 2
Over Name: 6 p'yi •e s e5s A) 401 amps 10 600 amps 200.34 2
601 amps to amps 301.04 2
Address: (--: Al Ci er 1,000 amiiips pa or volts 552.26 2"
Temporary services or feeders Installation, alteration, and /or
City /State/ZIP: relocation
C 200 amps or less 59.36 1
Phone: ( 3� q g 1 �j f� F ax: ( ) ._ ...._._..
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.
Brunch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
l APPLICANT ® CONPACC PERSON - above service or feeder fee, I 7 42 2
each branch circuit
Business name: SolarCity Corporation B. Fee for branch circuits without ■
service or feeder fee, first
Contact name,°. 11/1 Ot (1 Z K P branch ccircuit 56.1 B 2
fl Each add'/ branch circuit 7.42 2
Address: 6132 NE 112 Ave Miscellaneous (service or feeder not included)
Each manufoctured or modular
City /State/ZIP: Portland, OR 97220 dwelling, service and/or feeder 67.84 2
Phone: (971)9n I Fax: : (866) 90- D441 Reconnect only 67,84 2 .
n Pump or imgalion circle 67.84 2
E - mai ' n/l V.�' .t14. _ 5 C' ft-C t �t 1 L ( . Sign or outline lighting 67.84 2
_ COfRACTOR' i Signal circun(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 (t hr min) 66.25/ hr
City / State/ZIP: Portland, OR 97220 investigation (I hr min) 6625! hr
tndtstrial plant (1 hr min) 78.18/ hr
Phone: (971) t i C}9 '78 Fax; (866) q �_ Inspections for which no fee is 90.00 / to
specifically listed (i6: hr min)
CCB Lic.: 180498 I Electrical iL • C562 Suprv. Lie.: 52015 ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: ��� / ��//�� -
Subtotal:
s Plan review ( of permit fee): _
Print name: Derek Cropp Date: /J Statesurcharge(12% 12%ofpermit fee):
TOTAL PERMIT FEE:
Authorized signature: /� �, This permit application expires if a permit is eat obtained nRhin 180
days after it has been accepted as complete.
Print name: (y) ` Dale: 3Q 0 261-2 + Number of inspections allowed per permit.
I Building Permits PLC- PenanApp.doe 0' 01 10 450- 46157(11 05 COM WEB
To Peg® I of 20 20'13 -04 -30 '19 58 33 GMT 18555922249 From Nlollle Kroll
RECE
FAX COVER SHEET D
TO 4 PR u ? 013
COMPANY cl " OF
FAX NUMBER 15035981960 RU ILU 1Nu mv p
N
FROM Mollie Krell
DATE 2013 -04 -30 19:57:54 GMT +00:00
RE 12483 SW Autumn View St- James Gessner
COVER MESSAGE
Sincerely,
Mollie
Mollie Krell I Permit & Inspections Coordinator I SolarCity I T: 971 - 201 -5278
mkrell@ solarcity. com <mailto:mkrell @solarcity.com> I www.solarcity.com
WWW EFAX COM
TO Paga 7S of 20 2013 -04 -30 19 50 33 G 10005922249 From. Mollla Kfall
1? '
City � D
City of Tigard AP R 3 0 20(3
Building Division Cfrynr,
13125 SW Hall Blvd, Tigard, OR 97223 BUILoJN j G14RD
Phone: 503.718.2439 Fax:503.598.1960 'V IS ION
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: 121 � s E A v-- it \ V t i 3 S
City: 1\ K O (4-- Zip: G; 9 (�
Owner's Nae: Pt V 4`�5 PTV Date: Z U z
Contractor's Name: SolarCity Corporation CCB #: 180498
Design Parameters of the Property /Structure
If "Yes ", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Area plain/flood in a flood prescriptive path, follow
plain/flood way? 4 ® N OSSC or ORSC for
design requirements.
Wind Exposure Is the wind exposure ® Yes If "Yes ", qualifies for
p "C" or less? 0 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?
If "Yes ", qualifies for
structures other than
❑ Yes ' the prescriptive path. •
above �
❑ No
1
UBuilding/ Forms /PhotoVoltaic- Checklist.docx
To Pogo 16 of 20 2013 -04 -30 19 58 33 GMT 18665922249 Fe OT M.111. Kroll
Is the construction
Type of material wood a does ® Yes If "Yes ", qualifies for
the construction qualify
Construction "conventional light ❑ No the prescriptive path.
as 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 E
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.
Solar equal to 4 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 i i Yes
Connections of solar assembly
the solar assembly connected to roof No If "Yes", qualifies for
to the roof framing or blocking 0 the prescriptive path.
directly?
2
I:/ Building /Forms/PhotoVolteic- Checklist dacx
i
To Paga 17 of 20 20'13 -04 -3 19 58.33 G 18865922245 Flom Mollie. Kral!
❑ 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 anels If the width of the panel
P Width of is less than 18 inches, •
panels? 18 inches or less qualifies for the
inches prescriptive path. •
Minimum 1110 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. 1 /2" thickness, ❑ Yes
decking connected to If "Yes ", qualifies for
framing members ❑ No the prescriptive path.
w /min. 8d nails @ :
6 "112" o /c?
I
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
I./Suil ding / Farms /PhotoVOltaic- Checklist.dac:
To age '18 of 20 2013 -04 -30 19 58.33 GMT 18665922249 F corn Mollie Kroll
1 1
Submittal Documents required for Prescriptive Installations
Show the location of the PV system in relation to buildings, structures, I j
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 l 1 inches.
PV Modules
Manufacturer: W�`��
Model Number: ,i- 7-11 6 ? G 5
Listing Agency: UL1703
• 4
1:/Build ng /Formi/PbotoVoltaic-checklistdocx
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12483 SW AUTUMNVIEW ST, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
06/12/2013 00:00
MST2013-00109
PASS - No C of O
Violation Summary:
Inspector Contractor