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Permit q CITY OF TIGARD MASTER PERMIT °"1 l '.- COMMUNITY DEVELOPMENT Permit#: MST2013-00209 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/25/2013 Parcel: 2S103CB07500 Jurisdiction: Tigard Site address: 12310 SW HOLLOW LN Subdivision: QUAIL HOLLOW-EAST Lot: 24 Project: TIDRICK 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 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 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr: 0 Ea add.'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 VB R-3 0 Owner: Contractor: TIDRICK,ROBERT C&LORETTA V SOLARCITY CORPORATION Required Items and Reports(Conditions) 12310 SW HOLLOW LN 6132 NE 112TH AVE TIGARD,OR 97224 PORTLAND.OR 97220 PHONE: PHONE: 971-201-5278 FAX: 866-592-2249 Total Fees: $326.88 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 you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 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. I Issued By: '_-- _....—............m.___.....- Permittee Signature: 4111■, - ./44L�4 „_ Call 50 • -' 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 [I ., 9 ECEIVP1„�< Received ' 't OIII( I; I ,I.()N1.1 City of Tigard Da : R ( WAS PennttNa.: /h y io( — '` • 13125 SW Hall Blvd.,Tigard,OR 97223 P 1 7 2013 P ' • •' :1°. A Other Permit: • _ Phone: 503.7182439 Fax: 503.598.1960)1-1 Dstel9: i, r i ,: r.r) Inspection ww.ti 503.639.4175 Use BY a 5 /. AFT/M uppl Pagel for CITY OF TIGARD NotificNMelhod:9 S emeatal Information TYPE OFWMIC DIVISION REQUIRED DATA:l-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/alterationheplacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation S ? 07,�5.vim ®1-and 2-family dwelling ❑Commerciai/industrial a . ❑-Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE `INFORMATION AND LOCATION Total number of floors: Job site address: 1•z,. I Q 5 L t) � Ant-.) New dwelling area: square feet —-City/State/ZIP: --n 07 a 70?� Garagelcarpon area: square feet Suite/bldgJapt.no.: I Project name: -'I Oq i LI, 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. Roof Mount PV System ,r ,J` 70.)( 11 1.. � t-0/.., Valuation: S ` '� Existing building area square feet New building area: square feet ® PROPERTY OWNER I ❑ TENANT Number of stories: Name: i Y�2,^ (•y, , 1 Type of construction: Address 1 31 t) St.3 `^1cx L)) Occupancy groups: City/State/ZIP: I�- q-7gaz Existing: Phone:( `1 ) 3 - Fax:( ) New: ® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES` (Please refer re fee schedufr) Business name:SolarClty Corporation 1/ l Structural plan review fee(or deposit): Contact name_∎ 'AAolkte_ Kra l� - FLS plan review fee(if applicable): Address:6132 NE 112°Ave Total fees due upon application: City/State/ZIP:Portland,OR 97220 Phone t 7J)` 56-7 <( I Fax:: 6 Lt-54091.4 1 Amount received: E-mail: r �!(� \ t, t� \ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* (�/� r e it uu 0 ( C 1 I Commercial and residential prescriptive installation of ` CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:SolatCity Corporation Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon {f Address:6132 NE 112°Ave Solar installation Specially Code checklist. City/State/ZIP:Portland,OR 97220 Permit Fee and administrative review Phone:(q 1 / O 5V Fa 9-0(0 5 90gaL(A State surcharge(12%of permit fee): 521.60 CCB lie.:180498 Total fee due upon application: $201.60 Authorized signature: ©��� Ed/ This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. I Print name_ 0 /i e gr,e t( •Fee methodology set by Tri-County Building industry Date: (1 ZOr3 Service Board. 1:9 uilding\Pernits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Applicatio y.r • ' FOR 011:1(:1; L S I::ONLY i, 'L Received City of Tigard DaeB . rr / ,t, Perms No.: 0 .,s. 6/ _. • .• • 13125 SW Hall Blvd.,Tigard,OR 97223 S EP 1 7 2013 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: i :�i.1 Inspection Line: 503.639.4175 C�� TIGARD /By hair RI�Page 2for Internet: www.ligard-or.gov Noti6ed/Method: /2-'t. Supplementallnformation TYPE OF w ,DING D1UISI0. PLAN REVIEW ❑New construction El Addition/alteration/replacement Please check all that apply(submit a sets of plans wfitems checked below): El Demolition ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. Jo 1-and 2-family dwelling ❑Commercial/industrial less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑Accessory building amps for all other installations, buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. 3o3 ❑Addition of new motor load of ❑"A","E","1-2","1-3", Job no.: Job site address: /Z 31(7 3o3 I-I c i ID,...) t 1 Six or or more. Recreational❑Six or more residential emits. ❑Reeceetianel vehicle parks. City/State/ZIP: ti "\ q 70 ❑Health-care facilities. ❑Supply voltage for more than J ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt no.: Project name: 1 `o rtLk ❑Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description 1 Qtr I F.. I Tetra I • New residential single-or multi-family dwelling unit. Includes attached garage. sq., 1000 ft.or less 168.54 - 4 -Subdivision: Lot no.: Ea.add.'500 sq.ft.or portion 33.92 I Tax map/parcel no.: Limited energy,residential DESCRIPTION OF WORK (with above sq.ft.) 75.00 2 - Limited energy,multi-family R.4 • �7- JC" IA r rit - residential(with above sq.R) 75.00 2 Renewable Energy ❑ See Page 2 Services or feeders installation alteration,and/or relocation PROPERTY OWNER I ❑ TENANT 200 amps or less 1 100.70 /b(2'7C 2 201 amps to 400 amps 133.56 2 � Name: � i,(1 --r-rd rid, 401 amps to 600 amps 200.34 2 ` Address: I 2,- i (3 31,J HO .!Gt.) ( ) 601 turps to 1,000 amps 301.04 2 �� Over 1,000 amps or volts 552.26 2 City/State/ZIP: I � b C (-4 -)a A? Temporary services or feeders installation,alteration,and/or Phone:(5co q:? Oa_ Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits-new,alteration,or extension,per panel Oa APPLICANT I j CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, Business name: � � each branch circuit 7.42 2 �r�tGl C,i CQ�. � B.Fee for branch circuits without Contact name: Jo\\\Q _ t\\ service or feeder fee,lust 56.18 2 Address: It` 9 ltd `1L IV -4 branch circuit ` 09- let.... Each add'1 branch circuit 7.42 2 City/StatdZlP: 07_ C''l LL� Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:6 1i, ) (.o\ -)K I Fax::( 5 q2 �a(..�9 dwelling,service and/or feeder ` l� Reconnect only 67.84 2 (Y E-mail: \'�C 2�\ lti (\( Pump or irrigation circle 67.84 2 COCTOR Sign or outline lighting 67.84 2 Business name: itlik., /t"'i I Signal circuit(s)or limited-energy See l V panel,alteration,or extension. Page 2 2 Address: (11 c i- 17 Q J Or-Q Each additional inspection over allowable is any of the above City/State/ZIP: //��J^!�(� \ Additional inspection(1 hr min) 66.25/hr "1-law J Investigation(1 hr min) 66.25/br Phone:(er)() 'J 1g/a I Fax:(J(`) /g_g`4 1• Industrial plant(1 hr min) 78.18/hr ! Inspections for which no fee is 90.0W hr CCB Lic.: 1 CDb LC j 1 Electrical Lic.:y `S Suprv.Lic.. C5(n a specifically listed(K hr min) Suprv.Electrician signature,required: `yi ELECTRICAL PERMIT FEES —.: , �� Subtotal: ate: Plan review(25%of permit fee): Print name: -air c k '�� State surcharge(12%of permit fee): Authorized signatu „1„0/00e TOTAL PERMIT FEE: This permit application expires if a permit Is not obtained within 180 Print name: `1` Date: 111-1 a)/-? days after it has been accepted as complete. , t • Number of inspections allowed per permit. I:1Buildinglpennits1E C PermitApp E R_ERE,doe Rev 05/212013 440-4615T(1I/OS/COM/WEB RECEI1 City of Tigard SEPI72013 CITY OFTIGARD Building Division BUILDING DIVISION Ci 13125 SW Hall Blvd,Tigard,OR 97223 Phone:503.718.2439 Fax:503.598.1960 T 1 G A IZ 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 Informattion -Installation Address: IZ3 I O SJ City: ,0,012A0 GZ zip: q 7 Owner's lame: fl �. '�r� tc Date: ct �/izoi 3 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 Located in a flood prescriptive path,follow Area plain/flood way? ® No OSSC or ORSC for design requirements. Wind Exposure Is the wind exposure ® Yes If"Yes",qualifies for p "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 lBuilding/Forms/PhotoVoltaic.Checklist.docx 1i Is the construction Type of material wood and does Yes If"Yes",qualifies for Construction the construction qualify as conventional light ID N0 the prescriptive path. frame"construction? Is the spacing 24 inches or less? Pre-engineered trusses. 81 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 ® 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 the 2010 Oregon Solar ❑ No the prescriptive path. Code? ❑ Metal Single layer� Y 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 No If"Yess qualifies for to the roof framing or blocking ❑ the prescriptive path. directly? 2 l:/Building/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. J] No Minimum Uplift rating of Clamps? 75 lbs for 48 inches spacing or less? If"Yes",qualifies for ❑ Yes the prescriptive path. ,Q 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 prescriptive path. standing metal panels If the width of the panel P Width of roofing panels? 18 inches or less is less than 18 inches, inches qualifies for the • prescriptive path. Minimum#10 at 24 #3S inches o/c? Size and spacing of If"Yes", qualifies for fastener? ❑ Yes the prescriptive path. j2 No Is the roof decking of WSP min. %2"thickness, ❑ Yes decking connected to If"Yes",qualifies for framing members g 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 1:1Buil ding/Fom ts/PhotoVoltaic-Cbecklist.docz 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: — e,j4 q Sokv i2 Model Number: --RA_j% Listing Agency: UL1703 • • 4 1 i Building/Fonns/PhotoVoltaic-Cbecklisl.docx