Permit IN q CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2014-00169
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/07/2014
T(�'A R L} g Parcel: 1 S134CB15500
Jurisdiction: Tigard
Site address: 12313 SW ANTON DR
Subdivision: ANTON PARK NO.2 Lot: 82
Project: BRENTANO
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: $3,315.00 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
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temo Srvc/Feeders 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:
OTR SF VB R-3 0
Owner: Contractor:
BRENTANO,ARCHIE J&MANDY E SOLARCITY CORPORATION Required Items and Reports(Conditions)
12313 SW ANTON DR 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: PHONE' 503-894-6903
FAX: 866-445-7459
Total Fees: $321.88
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 r -s are set •rth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a - or direct questions to OUNC by calling 503.232. •=7• :00. �
Issued By: i` Permittee Signature: �_ VI
1 I_
r
C. •• .. 9.4175 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• of jp
Approved plans are required on the job site at the time of each inspection.
Sr ■
Buildine Permit Application
Residential ��� i , ,. , , ,, 1 , , ,.,, ,
III City of Tigard �� Received I MEM Permit No.: —� 6 9
13125 SW Hall Blvd..Tigard,2. pya Review -
Phone: 503.718.2439 Fax: • .•1960 p_ .. v) p. g : .,,'• �'g� Other Permit:
i Inspection Line: 503.639.4175 s V 1� tL Dais Ready/By 0 See Page 2 for
Internet: www.tigard-or.gov O(J\ c�`�b\. W' NotilisNMeibd: Sgpleate.t t 1■for7wad.0
TYPE or O�`G � 1 . DATA:1-AND 2-FAMILY DWELLING
ING
t ❑New construction ❑ t., ' `T Permit fees*are based on the value of the work performed.
t;, - Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY work indicated on this application.
OF CONSTRUCHOPI
® I-and 2-family dwelling ❑CommereiaVindustrial
Valuation: S 3,315
El 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: 12313 SW Anton Dr, New dwelling area: square feet
City/State/ZIP: Tigard OR 97223 Garage/carpon area: square feet
Suite/bldgJapt.no.: I Project name: Brentano Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: CHECKLIST
Subdivision: I Lot no.: Permit fees'arc 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.
PV ROOF MOUNT Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories:
Name: Brentano,Archie Type of construction:
Address: 12313 SW Anton Dr, Occupancy groups:
City/State/ZIP:Tigard OR 97223 Existing:
Phone:( 503) 383 9818 Fax:( ) New:
® APPLICANT ® CON TACIT' PERSON BUILDING PERMIT FEES*
Business name:SOLAR CITY Qlrrru+rArrIraehaiii0
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
FLS plan review fee(if applicable):
Address:6132 NE 112TH AVE
Total fees due upon application:
City/State/ZIP:PORTLAND OR 97220
Phone:(503)894 6903 _I Fax::(1866)445-7459 Amount received:
E-mail:ABENTLEYQSOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
COPTrRACTOE roof-top mounted Photo Voltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6132 NE 112TH AVE Solar Insrallaiion Specialty Code checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)894-6903 Fax:(1866)445-7459
State surcharge(12%of permit fee): $21.60
CCB Pic.: 180498 {{ Total fee due upon application: $201.60
Authorized signature:11 I 11 0 I This permit application expires if a permit is mot obtained
within 180 days after It has been accepted as complete.
I Print name:A. MELISSA TLE` I Date: 10/01/14 "Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46131(1 I/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
�ur/[ny: Penis No.:
111111 • 13125 SW 1 hill Blvd.,Tigard,OR 97223 Associaledpenmis:
Phone: 503.718.2439 Fax: 503.5981960
24-flour Inspection Line: 503.639.4175 ❑ Ekctrical 0 Plumbing LI Mechanical
I I t.,�l.l)
Internet: www.tigard-or.gov ❑ other:
THE FOLLOWING ITEMS ARE RLQ( MREI) I OIZ I'LAN REVIEW ,es n„ N,S
I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. ❑ ❑ •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. _ (] ❑ 0
3 Verification of approved plat/tot. ❑_ ❑ ❑
4 Fire district approval required. Name of district: . ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ b
6 Sewer permit. 0 0
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. [ ❑ _
9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc_
10 3 Complete sets of legible plans. Must he drawn to scale,showing conformance to applicable local and state ❑ ❑ 0
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
I 1 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if ❑ ❑ ❑
there is more than a 4-Il.elevation differential,plan must show contour lines at 2-fl.intervals);location of casements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations:direction
indicator:lot area building coverage urea;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size, location of smoke detectors.water heater, ❑ 0 ❑
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing.roof slope,ceiling height,siding material.footings
and foundation,stairs,fireplace construction,thermal insulation.etc.
15 Elevation views. Provide elevations for new construction;minimum ol'two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addcndums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations: for non- ' 0 ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing.spacing,and bearing ❑ ❑ 0
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems,see item 22."Engineer's calculations."
19 Beans calculations, Provide two sets of calculations using current code design values for all beaus and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carry g a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑
2 I Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑
for four or more appliances.
22 Engineer's calculations, When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be a limbic to the ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ [
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ El
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑-
Street Tree List,
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 0 ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to Septemher 9. 1995.
1:\I3uilding1Pcnniis\B11P-RESPennitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEt3)
Electrical Permit Application Y ■ .I,, , ,I I I■ , ,...•1 ,
RICity of Tigard y rLp\(
13125 SW Hall Blvd.,Tigard,OR 9 s .f`_ V ��
Phone: 503.718.2439 Fax: 503.598.1960 �Q►' �: elk«Permit:
Inspection Line: 503.639.4175 ).\.,.\ S� ■Sea =for
Internet: www.tigard-or.gov �O� t$' �� Sappinmewat Iufanmatfo■
TYPE OF t W�,�A7`- fl RiEJnw
❑New construction ®Addition/alteratiorJlY 1� NCt1t P check all that apply(submit j sets of plum whims checked below):
❑Demolition ❑other 99� ❑ or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTINICTIOPI exceeds 10.000 amps at ISO volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial 0 Accesso building Impsooraflot other exceedtons ❑cearnercial-saesgricultaal
rY g amps for all dace installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of I 50 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E", 1-2""1-3
Job no.: 9722207 I Job site address: 12313 SW Anton Dr, IOOHP or more. occupancy.
['Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: Tigard OR 97223 0 Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal
Suite/bldg./apt.no.: Project name: Brentano,Archie ❑Service«feeder 600 amps or mom.
FEE SCHEDULE
Cross street/directions to job site: Denoted= I Qty. I Par. I Tool I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: ono 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.R.)
75.00 2
Limited energy,multi-family
PV ROOF MOUNT residential(with above sq ft.) 75.00 2
Renewable Energy glee Pe 2 _
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I ❑ TENANT 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Brentano,Archie 401 amps to 600 amps 200.34 2
Address: . 12313 SW Anton Dr, 601 amps to 1,000 amps 301 04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Tigard OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:( ) 503 383 9818 Fax:( ) relocation
200 amps or less 59.36 I
Owner installation:This installation is being made on property that I own which is not 201 an to 400 amps 125.08 2
intended for salt,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
0 Arnica T I MI CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee. 7.42 2
Business name:SOLAR CITY each branch circuit
B.Fee for branch circuits without
Contact name:MELISSA BENTLEY service or feeder fee.first 56.19 2
branch circuit
Address:6132 NE I I2Tn AVE Each add'!branch circuit 7.42 2
City/State/ZIP:PORTLAND OR 97220 Miscellaneous(service or feeder not included)
, Each manufactured or modular 67.84 2
Phone:(503)894-6903 Fax::(I866)445-7459 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:ABENTLEY@SOLARCITY.COM Pump or irrigation circk 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:SOLAR CITY Signal circuit(s)or limited-energy See
panel,alteration,or extension. Page 2 2
Address:6132 NE 112"AVE Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
City/State/ZIP:PORTLAND OR 97220 Investigation(1 hr min) 66.25/hr
Phone:(503)8946903 I Fax:(188)445-7459 Industrial plant(I hr min) 78.18/Fr
Inspections for which no fee is
CCB Lic.: 180498 I Electrical Lic.: C562 Suprv.Lie.: 52015 specifically listed 90.00/hr
(S5 hr min) -
Suprv.Electrician signature,requited: ELECTRICAL PERMIT MS
Subtotal:
G� J+
Print name: DEREK CROPP Date: lan review(25%of' 10/01/14 permit fee):
_ State surcharge(12%of permit fee):
Authorized signature: 1 i ' TOTAL PERMIT FEE:■1 This permit application expires if a permit Is net obtained within 180
Print name: A. MELI 'A : y T (y Date: 10/01/14 days after It has been accepted as complete.
• Number of inspections allowed per permit.
11BuildIrig PermirlELC_PerrlApp_ELg_ERE doe Rey 0501)2013 440.461 ST(1 Iro3/COM/wEB
l
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
*004.0'.
Fee Fee for all residential systems combined........ $75.00 ihudpl�w i'01v. t Fee I Teal I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 2
5 01 to 15 kva 133.56 2
❑ Audio and Stereo Systems*
1 5.01 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva: _
25.01 to 50 kva 301 04 2
Garage Door Opener* 50.01 to 100 kva 552.26 2
7,100 kva(fee in accordance with
OAR 918-309-0040) 552.36 2
❑ Heating, Ventilation and Air Conditioning
System* Solar generation systems In excess of 25 kva:
Each additional kva over 25 7.42 3
El Vacuum Systems* >10o kva no additional charge 0.0 II
3
❑ Each additional inspection over allowable in any of the above:_
Other: Each additional inspection is 66 251 hr f I
clanged at an hourty 11 hr min)
inspections for which no fee is 90 tie hr
specifically listed l )hi min)
C
PERMIT'FEES
Fee for each commercial system $75.00 Subtotal.
(SEE OAR 918-309-0000) Plan review.if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
nAudio and Stereo Systems days after it hat been accepted as complete.
• tJurllter of inspections allowed per permit.
n Boiler Controls
❑ Clock Systems
F Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
T1 Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I luwkling ltnr i ELC_t'emee App_12La_t2Rhi doe Re 55/21/2513
City of Tigard RECEIVED
'' Building Division
' - •. 13125 SW Hall Blvd,Tigard, OR 97223 OCT 2 2014
Phone: 503.718.2439 Fax: 503.598.1960 CITYOFTIGARD
T I GARD Inspection Line: 503.639.4175 BUILDING UILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 12313 SW Anton Dr
City: Tigard Zip: 97223
Owner's Name: Archie Brentano Date: 10/01/2014
Contractor's Name: SOLAR CITY CCB #: 180498
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? ® No OSSC or ORSC for
design requirements.
Is the wind exposure ® Yes
o If"Yes",Exposure p� , 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
Installations on all Load 50 psf or less?
structures other than If"Yes", qualifies for
® Yes the prescriptive path.
above
❑ No
1
1:/B u i Iding/Forms/PhotoVoltaic-Checklist.docx
Is the construction
material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction ❑ No the prescriptive path.
as"conventional light
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
® 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
El
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 ® Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
framing or blockin ❑ No the prescriptive path.
to the roof g g
directly?
2
l:/Buil ding/Forms/PhotoVoltaic-Checklist.docx
Is the gauge 26 or less? Yes If"Yes", qualifies for
I I No the prescriptive path.
115 lbs for 60 inch
spacing or less?
ElYes "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 If the spacing falls
Spacing of clamps? Minimum 24 inches within 24 inches and 60
solar systems p g p
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? El Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. '/z"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
I:Building/Forms/Photo Voltaic-Checklist.docx