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Permit (16) INCITY OF TIGARD MASTER PERMIT . . COMMUNITY DEVELOPMENT Permit#: MST2016 00391 T[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/06/2016 G Parcel: 2S112BC11000 Jurisdiction: Tigard Site address: 8247 SW MATTHEW PARK ST Subdivision: MATTHEW PARK Lot: 7 Project: Griebel 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: No 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 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 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'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: P V roof top system 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: GRIEBEL,RICHARD J ELEMENTAL ENERGY LLC Required Items and Reports(Conditions) BROWN,MARJORIE V 3123 SE BELMONT ST 8247 SW MATTHEW PARK ST PORTLAND,OR 97214 TIGARD,OR 97224 PHONE: 503-998-5206 PHONE: 503- FAX: 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 bed Iii 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 Ks. ATTENTION: O -eon law requires you to follow the rules adopted by the Oregon Utility Notification enter. hose rules are set forth in OAR 952-001-0010 through OAR•5 :: -0 , You may obtain a copy of the rules or direct questions to OUNC by calling 503.2...1987•r .800.332.2344.; Issued By: 4 // Permittee Signature: X Call 603.639.4175 by 7:00 a.m.for the next available inspectiofi dotI 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 Applicat _' Viti il Residential FOR OFFICE USE ONLY Received - City of Tigard () T 7(�, t o 3 /� / Permit No Ml�j�j/6,_oo 3q/ Date/By. 13125 SW Hall Blvd. Tigard,OR 97223 Plan Review.. Phone: 503.718.2439 Fax: 50 8;1y60!1,—i1." ,,,'g ,, e-i Date/By. :C)-- 3 - 1 C t Other Permit: TIGARD Inspection Line: 503 639.4175 Date Ready/By: Tuns- Cd See Paget for Internet: www.tigard-or.gov EJ!L 1 T rF Crc °r Notified/Method: 61 4 , Supplemental lemental Information a.,q v s.2.;;.k 3 ..a ;.f I Wtr I.1.4. lai'yv. TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 New construction 0 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 0 Other: equipment.materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. – Q✓ I-and 2-family dwelling El Commercial/industrial Valuation: S ❑Accessory building 10 Multi-family Number of bedrooms: E Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 8247 SW Matthew Park St New dwelling area: square feet City/State/ZIP: Tigard, OR Garage/carport area: square feet Suite/bldg./apt.no.: Project name: 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. 4.750 kW Prescriptive Roof-Mounted Solar PV Installation Valuation: S Existing building area: square feet New building area: square feet 0 PROPERTY OWNER 0 TENANT Number of stories: Name: Richard Griebel Type of construction: Address: 8247 SW Matthew Park St Occupancy groups: City/State/ZIP: Tigard, OR Existing: Phone:(503-4998-5206 Fax:( ) New: E✓ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: Elemental Energy Structural plan review fee(or deposit): Contact name: John Grieser -- FLS plan review fee(if applicable): Address: 3123 SE Belmont St .— Total fees due upon application: City/State/ZIP: Portland,OR 97214 Phone:( 503 )967-5786 Fax: :( ) Amount received: —. — PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: john@elementalenergy.net Commercial and residential prescriptive installation of CONTRACTOR root-top mounted Photo Voltaic Solar Panel System. Business name: Elemental Energy, LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 3123 SE Belmont St Solar Installation Specialty Code checklist. City/State/ZIP: Portland,OR 97214 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503 )967-5786 Fax:( ) State surcharge(12%of permit tee): $21.60 CCB lie.: 195141 Total fee due upon application: $201.60 Authorized signature: :////i This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: John Grieser Date: 09/09/1 6 x Fee methodology set by Tri-County Building Industry Service Board. I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY Cityof Tigard OCT 3 2016 Received 3 /OF (� /i500/lo-�Q03`l t g Date/By: Permit No. 13125 SW Hall Blvd.,Tigard,OR 97223 �� g Plan Review ` Phone: 503.718.2439 Fax 0 cv..4'.i r' L��.� D Date/By: Other Permit. - — --- i1(jARt] Inspection Line: 503.639.417.:)1 rAx ti , riTDateReady/By: turfs- 1 WI See Page 2 for Internet: www.ttgard-or.go t i Lt;q ; 1,7 I,, 31!S.IIl` Notified/Method. Supplemental Information . — — TYPE OF WORK PLAN REVIEW El New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agricultural 1:11-and 2-family dwelling D Commercial/industrial ❑Accessory building amps for all other installations. buildings ❑Multi-family ❑Master builder El Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived system. 0 Addition of new motor load of ❑`'A","E',`I-2","1-3", Job no.: Job site address: 8247 SW Matthew Park St i00HPormore. occupancy. 0 Six or more residential units. 0 Recreational vehicle parks. City/State/ZIP:Tigard, OR 0 Health-care facilities. 0 Supply voltage for more than ❑Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name: 0 Service or feeder 600 amps or more. — -- — FEE SCHEDULE Cross street/directions to job site: Description I Qty. i Fee. Total i 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'1500 sq-ft.or portion 33.92 1 Tax map/parcel no.: Limited energy,residential above sq.ft.) 75.00 2 DESCRIPTION OF WORK (with _ Limited energy,multi-family 75.00 2 4.750 kW Prescriptive Roof-Mounted Solar PV Installation residential(with above sq.ft.) Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation © PROPERTY OWNER 0 TENANT 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Name: Richard Griebel 401 amps to 600 amps 200.34 2 Address:8247 SW Matthew Park St 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts 552.26 2 City/State/ZIP: Tigard, OR Temporary services or feeders installation,alteration,and/or Phone:(503)998-5206 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 0 APPLICANT 0 CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, 7 42 2 Business name: Elemental Energy each branch circuit B.Fee for branch circuits without Contact name:John Grieser service or feeder fee,first 56.18 2 branch circuit Address: 3123 SE Belmont St Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) City/State/ZIP: Portland,OR 97214 Each manufactured or modular 67.84 2 Phone:(503 )967-5786 Fax: :( ) dwelling,service and/or feeder Reconnect only 67.84 2 E-mail: John@elemetalenergy.net Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name: Elemental Energy , Signal circuit(s)or limited-energy' See panel,alteration,or extension. Page 2 2 Address: 3123 SE Belmont St Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Portland, OR 97214 --_ _ Investigation(1 hr min) 66.25/hr Phone:(503)967 5786 Fax:( ) Industrial plant(I hr min) 78.18/hr l Inspections for which no fee is 90.00/hr CCB Lie.: 195141 1 Electrical Lie.: C1228 Suprv. L,ic.: 4786s specifically listed(A hr min) i ELECTRICAL PERMIT FEES Suprv. Electrician signature.required: Subtotal: Print name: Charles Harry Date: 09/09/16 Plan review(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: (-__.. Z TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. l:ABuilding\Permits\ELC_PermitApp ELR ERE.doe Rev 05/21/2013 440-46]sr111/05/COM/WEB 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 Desertition '_--- Qty. Fee Total 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* 15.01 to 25 kva 200.34 2 Burglar Alarm generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 Garage Door Opener* 5001 to 100 kva 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 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 of the above: X Other: Solar PV Each additional inspection is _charged at an hourly(I hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed('/z 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 180 I ( Audio and Stereo Systems days after it has been accepted as complete. * Number of inspections allowed per permit. Boiler Controls Clock Systems Data Telecommunication Installation I I Fire Alarm Installation HVAC — Instrumentation I I Intercom and Paging Systems Landscape Irrigation Control* I Medical - Nurse Calls I I Outdoor Landscape Lighting* Protective Signaling - Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:ABuilding\Permits\ELCPermitApp ELR_ERE.doc Res 05/21/2013 City of Tigard E 1' III 44 Building Division uC.r_ 3 2 o'1 6 • 13125 SW Hall Blvd, Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 " ` ` 1I TI GA RD Inspection Line: 503.639.4175 ;NG DI VLSI() 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: 8247 SW Matthew Park St City: Tigard, OR Zip: 97224 Owner's Name: Richard Griebel Date: 09/09/16 Contractor's Name: Elemental Energy CCB #: 195141 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? 0✓ 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? If"Yes", qualifies for structures other than El Yes the prescriptive path. above ❑ No 1 l:/Building/Forms/PhotoVoltaic-Checklist.docx Is the construction material wood and does 0 Yes Type of the construction qualify If"Yes", qualifies for ConstructionElNo 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? ❑ If"Yes", qualifies for Nominal lumber. Yes the prescriptive path. El 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 0 Yes If"Yes", qualifies for with Section 305.4(3) of ❑ No the prescriptive path. the 2010 Oregon Solar 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 If"Yes", qualifies for the solar assembly connected to roof [] No to the roof framing or blocking the prescriptive path. directly? 2 1:/Building/Forms/Photo V oltaic-Checklist.docx itr Yes If"Yes", qualifies for Is the gauge 26 or less? ►� 0 No the prescriptive path. 115 lbs for 60 inch spacing or less? If"Yes", qualifies for Yes the prescriptive path. N IN ❑ No Minimum Uplift rating of Clamps? 75 lbs for 48 inches spacing or less? If"Yes", qualifies for 'a Yes the prescriptive path. ❑ No Attachment of roof mountedMinimum 24 inches If the spacing falls solar systems Spacing of clamps? within 24 inches and 60 directly to olif inches Maximum 60 inches inches, qualifies for the prescriptive path. standing seam metal panelsWidth of roofing 1.A 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? 1� i Yes the prescriptive path. ❑ No Is the roof decking of WSP min. '/2" thickness, -0 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 1:/Building/Forms/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: SolarWorld Model Number:SW300 Listing Agency: UL 4 1:/Building/Forms/Photo V oltaic-Checkli st.docx