Permit r, CITY OF TIGARD MASTER PERMIT
111 ' ' COMMUNITY DEVELOPMENT Permit#: MST2015-00037
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2015
Parcel: 1 S134CD02500
Jurisdiction: Tigard
Site address: 11925 SW 118TH AVE
Subdivision: LERON HEIGHTS NO.3 Lot: 52
Project: Harlan
Project Description: Installation of 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: $5,200.00 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: 0
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:
HARLAN,ROBIN SOLARCITY CORPORATION Required Items and Reports(Conditions)
11925 SW 118TH AVE 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: 503-521-8757 PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $368.69
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 .copy of the • - or direct questions to OUNC by calling 50`23 1987 or�332.2 44.
Issued By: Ii �_ ittee Signature: II,
Ca• -ri75►..4175 by 7:00 a.m.for the next available inspection •, • -
This permit card shall be kept in a conspicuous place on the job site until comple .. o'.roj
Approved plans are required on the job site at the time of each inspection.
Buildin;` Permit Application
Residential IZECEIVEP 1 ult ()Hi( I 1'1/44' ()NI 1
City of Tigard De/B
�`�I Permit No.: �►s, �lS��
11111
13125 SW Hall Blvd.,Tigard,OR 97223 P Rcv c
Phone: 503.718.2439 Fax: 543.598.1960 1 0 2015 Dlan ateJB , m um Other Permit.
1 1 t,a I,1, Inspection Line: 503.639.4175 / Date Ready-: : M See Pap2 for
Internet: www.tigard-or.gov CITY OF 1 i(iAiu Notified/Method: ifirnliZiiii Suppteme.l Information
TvpainitinntiVISIM REQUIRL L DATA:I-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.
® 1-and 2-family dwelling ❑Commercial/industrial Valuation: S 5200
❑Accessory building ❑Multi-Gamily Number of bedrooms:
❑ Master builder ❑Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11925 SW 118th Ave New dwelling area: square feet
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Harlan Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
__.__ Other structure arca: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit tees*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
5 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Robin Harlan Type of construction:
Address: 11925 SW 118th Ave Occupancy groups:
City/State/ZIP: Tigard OR 97223 Existing:
Phone:(503 ) 521-8757 Fax:( ) New:
•c APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
eat refit,toffee sthed441
Business name:SOLAR CITY {
Contact name:MELISSA BENTLEY Structural plan review fee(or deposit):
Ty FLS plan review fee(if applicable):
Address:6132 NE 112 AVE —
Total fees due upon application:
City/State/ZIP:PORTLAND OR 97220
Amount received:�-
Phone:(503)894 6903 Fax::(1866)445-7459 l
PHOTOVOLTAIC SOLAR PANEL SYSTEM M FEES*
F-mail:ABENTLEY @SOLARCITY.COM _
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
and fireril,ep. . cess,along with the 2010 Oregon
Address:6132 NE 112r"AVE Solar Installation Specia . . ..e checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan r•"• .
S180.00
Phone:(503)894-6903 I Fax:(1866)445-7459 and administrative fees):
State surcharge(12%of permit fee): 1.60
CCB lie.: 180498 _
Total fee due upon application: S201.6t
'�Authorized signature: i f This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:A. MELISSA it 7" TLE ilk Date:3/5/15 *Fee methodology scat by Tri-County Building Industry
Service Board.
I:\Building 1 Permits 1BUP-R FS Perm itApp.doc 02/24/2011 440.4613T(I l/02/COM/WEB)
R 1 CE!VE1)
Electrical Permit Application 11W t 0l I( 11 ,I (1\1 1
City of Tigard MAR 1 0 2015 ,
13125 SW Hall Blvd.,Tigard,OR 97223 plan Review
Phone: $03.718.2439 Fax: 5 3� 1 ` T I u D elB : Other Pamir:
Inspection Line: 503.639.4175 I vi I I V I�i�I� Date ReadyBy: /eds. B See Page 2 for
ethod:Internet: www.tig�d-or. U L ING DNISION Ift � Supplemental information
❑New construction ®Additionlalteration/replacanent Pie all that apply(submit l,eu of plans w/items ohedced below):
El Demolition ❑Other ❑Service or feeder 400 amps or more ❑Building over three stories.
where the available fault current ❑Marinas and boatyards.
piegisg.,a ►got ll lu+� y exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑CommerciaVindustrial ❑Accessory building amps for eat installations ons Oeatlrngciai u�asr;oulnaal
artnps for all other inslalhaioas. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
❑Emergency m. larger separately derived system.11 , ❑Additio n of new motor bad of ❑N 1
Job no.:9722445 I Job site address: 11925 SW 118th Ave 100HP at more. occupancy.
❑Six or more residential units. ❑Recreational vehicle perks.
City/State/ZIP: Tigard OR 97223 ❑Health-sue facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name: HARLAN ❑Service or feeder 600 amps or more.
P
Cross street/directions to job site: Daerlaw. 1 otr. l roe. I Total I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1.000 sq.R.or less 168.54 4
Ea.add'I 500 sq.R.or portion 33.92 1
Tax map/parcel no.: Limited energy,residential
75.00 2
DESC*IP O !J (with above ail-ft.)
Limited energy,multi-family 75.00 2
PV ROOF MOUNT residential(with above sq.ft.)
Renewable Energy _ IR See Page 2
Services or feeders inatailation,alteration,and/or relocation
MAMMY IS !I• 200 amps or less 100.70 2
201 amps to 400 nnrrlps 133.56 2
Name: Robin Harlan 401 amps to 600 amps 200.34 2
Address: 11925 SW 118th Ave 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)521-8757 I Fax:( ) relocation
200 amps or leas 59.36 1 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 1 I 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, er panel
A.Fee for branch circuits w h,
: C*IIT 1 Ili? ' "iC above service er feeder fee,
7.42 2
Business name:SOLAR CITY CORD each branch circuit
B.Fee for branch circuits wi honr
Contact name:A. MELISSA BENTLEY service or feeder fee,first 56.18 2
branch circuit
Address:6132 NE 112111 AVE Each add'/branch circuit 7.42 2
City/State/ZIP:PORTLAND OR 97220 Miscellaneous(service or feeder not included)
Each manufactured or modular 6784 2
Phone:(503)894 6903 Fax::(1866)445 7459 dwelling,service and/or feeder
Reconnect only 67.84 2
E-mail:ABENTLEYC3a SOLARCITY.COM Pump or irrigation circle 67.84 2
C i*A .`0 , Sign or outline lighting 67.84 2
Business name:SOLAR CITY CORP. Signal circuits)or limited energy See
panel,alteration,or extension. Page 2 2
Address:6132 NE 112TH AVE Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25i hr
City/State/ZIP:PORTLAND OR 97220 Investigation(I hr min) 66.25/hr
Phone:(503)894 6903 I Fax:(1866)445 7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 180498 I Electrical Lie.: C562 I Suprv.Lie.: 5873S 90.00/hr
specifically hated l4 hr min
"r " t
Suprv.Electrician signature,required: Subtotal:
Print name: NICHOLAS ARMSTRONG Date: 3/5/15 Plan review(25%of permit fee):
- State surdarge(12%e of permit fee):
Authorized signature: TOTAL PERMIT FEE:
Print name: A. MELISSA BENTLEY Date:
3/5/15 This permit application expires If a permit Is not obtained within 188
days after it has been accepted as coarpkte.
I l6uildisa4'amiinELC-PvmitApp_6IR ERE dot Rev 05121/2013 ww615(11ros,Caetrwea
* Number of inspections allowed per permit.
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL' ! ONLY: =i::: 1w E sCHED[1LE
Fee for all residential systems combined ... $75.00 Description I Qtr. I tree 1 'T«at 1 r
•
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva c r less 100.70 2
3.01 to 15 five 1 133.56 133.56 2
❑ Audio and Stereo Systems* ;5.01 to 25 kva 200.34 2
Wind generation syslcws in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
❑ G• arage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 553.26
OAR 918-309.0040)
❑ Heating,Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
Vacuum Systems* >100 kva• no additional charge 0.0 3
Each additional inspection over allowable in any or the above:
❑ Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is 90 00/hr
specifically listed(Y,hr min)
cow ::EmoAL WORK ONLY :tt1 EGTRICAL PERMIT
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%ol'permit fee):
Check Type of Work Involved: TOTAL PERMIT PEE:
This permit application expires if a permit is not obtained within 150
❑ Audio and Stereo Systems days shier it has been accepted as complete.
• Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ D• ata Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n O• utdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I ituildiaall'emii.a'•ELC PermitApp ELRBRE.doe Rent 05/Z1/2013
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City of Tigard RECEIVED
Building Division
P El 13125 SW Hall Blvd, Tigard, OR 97223 MAR 10 2015 ri
Phone: 503.718.2439 Fax: 503.598.1960
TI G A R D Inspection Line: 503.639.4175 CITY OFTIGARD
www.tigard-or.gov BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 11925 SW 118th Ave
City: Tigard Zip: 97223
Owner's Name: Robin Harlan Date: 3/5/15
Contractor's Name: SOLAR CITY CCB #: 180498
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation 111 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
"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
11Building/Forms/PhotoVoltai c-Checkl ist.docx
Is the construction
material wood and does Yes
Type of the construction qualify If"Yes",qualifies for
Construction as"conventional light 111 No the prescriptive path.
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 I 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 171 No the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
Roofing Check the type of ❑ of wood one of the three types
r 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"Yes",qualifies for
❑ o the prescriptive path.
to the roof framing or blocking
directly?
2
11Building/Forms/PhotoVoltaic-Checkl ist.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 i 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? CI Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. '/2"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/Fonns/PhotoVoltaic-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: REC
Model Number: REC 260PEZ
Listing Agency:
•
4
I:Building/Forms/Photo V oltaic-Checkl ist.docx