Permit IIIII f q CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit#: MST2015-00061
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2015
Parcel: 2S 114BA01300
Jurisdiction: Tigard
Site address: 16165 SW GRIMSON CT
Subdivision: PICK'S LANDING NO.2 Lot: 126
Project: BETTS
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: $4,000.00 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 Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 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&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 0
Owner: Contractor:
BETTS,LLOYD W&TERESE S SOLARCITY CORPORATION Required Items and Reports(Conditions)
PO BOX 230652 6132 NE 112TH AVE
TIGARD,OR 97281 PORTLAND,OR 97220
PHONE PHONE: 503-894-6903
FAX: 866-445-7459
Total Fees: $325.38
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 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: r Permittee Signature: `
�
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 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential 14ECEIVF „ FOR OFFICE USE ONLY
Received
III City of Tigard Date/By: 7{ �j I' / jr PermitNo.:/''75T�Di�ado
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review /
Phone: 503.718.2439 Fax: 503.598.19 Other Permit:
TIGARD Inspection Line: 503.639.4175 6R 'R 2 9 2015 Date
Date/By: luris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: �7�IS`4 We. Supplemental Information
CITY 1 v - ',,S.
TYPE t kD 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: $
® 1-and 2-family dwelling 1=I Commercial/industrial t Op V 0 V
❑Accessory building ❑Multi-family Number of bedrooms:
El Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 G I 0 G. cw GiZiNfIGOV Cj) • New dwelling area: square feet
City/State/ZIP: TiTAAroi 012 °I-1224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:en--1--s TS 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: 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.
Valuation: $
PV ROOF MOUNT Existing building area: square feet
pR.c 7V-■ p-r-,y-� New building area: square feet
►� PROPERTY OWNER ❑ TENANT Number of stories:
Name:Q TTS J L-1-0\(0k Type of construction:
Address: 1Q 1 G C sw Sp-i M a;11\( G1 •. Occupancy groups:
City/State/ZIP:Ti��Ard " `�Z 4 Existing:
Phone:( log. 71G-7p Fax ( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(
Business name: Solar City Corp Pleawrefertofeesckeda
C tee
Structural plan review fee(or deposit):
Contact name: Melissa Farias
FLS plan review fee(if applicable):
Address: 6132 NE 112th Ave.
Total fees due upon application:
City/State/ZIP: Portland OR 97220
Amount received:
Phone:(503)894-6903 Fax::(1868 445-7459
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: Melissa.Farias @SolarCity.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
1 Business name:SolarClty Corp. 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 Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
Portland OR 97220 and administrative fees): $180.00
Phone:( 503) 894-6903 Fax:(186 445-7459 State surcharge(12%ofpermit fee): $21.60
ccB lie.: 180498
Total fee due upon application: $201.60
•
Authorized signature: •.. 01 / This permit application expires if a permit is not obtained
V i within 180 days after it has been accepted as complete.
l I *Fee methodology set by Tri-County Building Industry
Print name: Melissa Farl. Date: Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 4404613T(11/02/COM/WEB)
1
r ..i
Electrical Permit Application FOR OFFICE USE ONLY
KyeElvt„
Rece ived City of Tigard Date/By:y: I� t r (47-5 Permit No.: ms7-076 0)r\Col
I 13125 SW Hall Blvd.,Tigard,OR Plan Review J 1 O*1rl4
. II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 APR 2.9 2015 Date Ready/By: hats: ® Sec Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
' ma O PLAN REVIEW
❑New construction E Addition/NM:M 1/11 Please check all that apply(submit 2 sets of plans w/items checked below):
�J ❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: D 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
® I-and 2-family dwelling ❑Commercial/industrial ❑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.
//�� (�p ❑Addition of new motor load of ❑"A","E "l-2","I-3",
Job n°.112.2.123 Job site address:I 0 I&S S‘At pi\+L14s 0 5( CT I Six or more residential occupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: I 16 a( 0P- al-1 224 ❑Health-care facilities. ❑Supply voltage for more than
❑Hazardous locations. 600 volts nominal.
Suite/bldg./apt.no.: Project name:erT TC ❑Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qt, I Fee. I tout
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: 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
(with above ft.)
75.00 2
DESCRIPTION OF WORK ( sq.
Limited energy,multi-family
75.00 2
PV ROOF MOUNT residential(with above sq.ft.)
Pp Renewable Energy ® See Page 2
R-es� p-h�.- Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER i ❑ TENANT 200 amps or less 100.70 2
p ,( 201 amps to 400 amps 133.56 2
Name: VT T S , LLD Y n- r /^� 401 amps to 600 amps 200.34 2
Address: I Co `Co S Sv � 61-i M c C 1' ✓ {_• 601 amps to 1,000 amps 301.04 2
T T tr GI 12,^ , Over 1,000 amps or volts 552.26
alteration, 2
City/State/ZIP: 1 r�V t oI2 /_LJI Temporary services or feeders installation,alteration,and/or
Phone:(9)3) 10 S cCp c1 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 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
® APPLICANT ® CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee,
7.42 2
Business name: SolarCity Corp. each branch circuit
B.Fee for branch circuits without
Contact name: Melissa Farias service or feeder fee,first 56.18 2
branch circuit
Address: 6132 NE 112th Ave Each add'I branch circuit 7.42 2
City/State/ZIP: Miscellaneous(service or feeder not included)
Portland, OR 97220 Each manufactured or modular 67.84 2
Phone:( Fax::( dwelling,service and/or feeder
503 ) 894-6903 1866) 445-7459 Reconnect only 67.84 2
E-mail: Melissa.Farias @SolarCity.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: SolarCity Corp. Signal circuit(s)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) 66.25/hr
City/State/ZIP: Portland OR 97220 Investigation(1 hr min) 66.25/hr
Phone:(503) 894-6903 Fax:(1866) 445-7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
90.00/hr
CCB Lic.: 180498 Electrical Lie.: C562 Suprv.Lie.: 58735 specifically listed(v hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Nicholas Armstrong Date: / � � Plan review(25%of permit fee):
L-1- I / 1
State surcharge(12%of permit fee):
Authorized signature: G TOTAL PERMIT FEE:
I This permit application expires if a permit is not obtained within 180
Date:Print name: Melissa Far D days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\Building\Permits\ELC_PemdtApp_ELR_ERE.doc Rev 05/21/2013 440.46151(1 I/05/COM/WEB
a
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined ... $75.00 Description I Qty. I Fee I Total I
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 100.1.0 2
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems*
15.01 to 25 kva 200.34 2
n Burglar Alarm
Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
n Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
❑ Heating, Ventilation and Air Conditioning OAR 918-3094)040)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
n Vacuum Systems* >100 kva—no additional charge 0.0 3
IIIOther: additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 hr mm) 6625/hr 1
Inspections for which no fee is 90,00/hr
specifically listed(A hr min)
COMMERCIAL WORK ONLY ELECTRICAL 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 ISO
nAudio and Stereo Systems days after it has been accepted as complete.
* Number of inspections allowed per permit.
n Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
n Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\Buildmg\Permits\ELC_PermitApp_ELR_ERE.doc Rev 05/21/2013
r .
7City of Tigard
'' Building Division RECEIVE!
- 13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 APR 2 9 2015
TIGARD Inspection Line: 503.639.4175
www.tigard-or.gov
CITY Y UN I IVAkll
BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 16165 SW GRIMSON CT
City: TIGARD Zip: 97224
Owner's Name: BETTS, LLOYD Date: 04/28/15
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.
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
L•Build ing/Forms/PhotoVoltaic-Checklist.docx
Is the construction
El material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction as"conventional light ❑ 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.
n 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
with Section 305.4(3)of If"Yes", qualifies for
the 2010 Oregon Solar El 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.
I s the roof mounted ® Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
1=I to the roof framing or blocking No the prescriptive path.
directly?
2
11Bui Iding/Fonns/PhotoV oltaic-Checkl ist.docx
I J Yes If"Yes", qualifies for
Is the gauge 26 or less? U 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 inches, qualifies for the
y Maximum 60 inches prescriptive path.
standing seam
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.
n 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
I:Bui lding/Forms/PhotoVoltaic-Checklist.docx
4
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: 11'1■10 St) Ld./✓
Model Number: Tr-
Listing Agency: UL1703
4
I:Building/Fonns/PhotoVoltaic-Checklist.docx