Permit (130) ,114CITY OF TIGARD MASTER PERMIT
2.. ' COMMUNITY DEVELOPMENT Permit#: MST2017-00306
T t AR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/23/2017
Parcel: 2S109DA10100
Jurisdiction: Tigard
Site address: 15356 SW OAK VALLEY TER
Subdivision: SUMMIT RIDGE NO.2 Lot: 90
Project: Nguyen
Project Description: Installation of roof mounted 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
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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'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: Roof top PV 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:
NGUYEN,HUNG ELEMENTAL ENERGY LLC Required Items and Reports(Conditions)
DAO,HANH THI 3123 SE BELMONT ST
15356 SW OAK VALLEY TER PORTLAND,OR 97214
TIGARD,OR 97224
PHONE: PHONE: 503-967-5786
FAX:
Total Fees: $353.19
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 se 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.' 2.1987 or 1.800.332.2344.
Issued By: / ' Permittee Signature: ��t ��� �/f(�l
v . Call 503.639.4176 by 7:00 a.m.for the next available inspection .:Te.
This permit card shall be kept in a conspicuous place on the job site until corn.letion of the project.
Approved plans are required on the job site at the time of each inspection.
%
fr
Building Permit Applicat 1 C
Residential '"�'"
City of Tigard a� Received
" 13125 S W Hall Blvd.,Tigard,OR 97 A3 AUGG J 2017
Date/By: a-/// i{1Permit No.7� j/ —/r/1 geb
Phone: 503.718.2439 Fax: 503. g Paan Review Cl G� V[J
�d"0 ,'� t.J,@ Date Re $ •-• Other Permit:
T 1 G A RD Inspection Line: 503.639.4175 q J L' lyl Date Ready/By: , II1 7 Ods: I p See Page 2 for
Internet: www.tigard-or.gov (77 pt NotifiediMethod ! Supplemental Information
BIJ$L I1 CD1$' SIO t
TYPE OF WORK - REQUIRED DATA. I-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.
1p 1-and 2-family dwelling El Commercial/industrial Valuation: $
ElAccessory 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: 15356 Sw Oak Valley Terrace New dwelling area:
y b square feet
—
City/State/ZIP: Tigard, OR 97224 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-ESE CHECKL ST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/tercel 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.
5.590 kW Prescriptive Roof-Mounted Solar PV Installation Valuation: $
Existing building area: square feet
New building area: square feet
Q PROPERTY OWNER 0 TENANT Number of stories:
Name: Hung Nguyen
Type of construction:
Address: 15356 Sw Oak Valley Terrace Occupancy p y groups:
City/State/ZIP: Tigard, OR 97224
Existing:
Phone:(504) 905-8488 Fax:( )
New:
0 APPLICANT 0 CONTACT PERSON
BUILDING PERMIT-FEES*— ,
Business name: Elemental Energy IPlease referto feeschedulej
Contact name: John Grieser Structural plan review fee(or deposit):
Address:6819 SE Foster Rd. FLS plan review fee(if applicable):
City/State/ZIP: Portland,OR 97206 Total fees due upon application:
Phone:(503 )967-5786 Fax::( ) Amount received:
E-mail: john@elementalenergy.net PHOTOVOLTAIC SOLAR PANEL SYSTEM *
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: Elemental Energy, LLC Submit two(2)sets of roof plan with connection details
Address:6819 SE Foster Rd. and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Portland,OR 97206 Permit Fee(includes plan review
Phone:(503 )967-5786 Fax:( )
and administrative fees): $180.00
CCB lie.: 195141 State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
i within 180 days after it has been accepted as complete.
Print name: John Grieser Date: 7/13/2017 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Pennits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(l 1/02/COM/WEB)
r
Electrical Permit Appli i ) FOR OFFICE USE ONLY
City of Tigard Received
eDat/By: Permit No/ff /7_)0?e(,,ceive
114 ■ 13125 SW Hall Blvd.,Tigard,OR 9.72 2,3
9 017 Plan ReviewJJOther Permit:
' Phone: 503.718.2439 Fax: 503.5 0 Date/B
Inspection Line: 503.639.4175 Date Ready/By: ions. Ed See Page 2 for
1'I G A RLI
Internet: www.tigard-or.gov a "TIGf� Notified/Method: Supplemental Information
��f^("1 OV
ISI' 4 4}M ' �CIIO 1~Lt1N i2EX
17 Please check all that apply(submit 2 sets of plans w/items checked below):
New construction �✓ Ad(11 t�a ration/replacement ❑Service or feeder 400 amps or more ❑Building over three stories.
0 Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
ON exceeds 10,000 amps at 150 volts or 0 Floating buildings.
COF ATEGORY to ground,or exceeds 14,000 0 Commercial-use agricultural
LJ 1-and 2-family dwelling Commercial/industrial❑ Accessory building amps for all other installations. buildings.
❑Multi-family 1:::Master builder Other:
0 Fire pump. 0 Installation of 150 KVA or
❑Emergency system. larger separately derived system.
JOB SITE INFORMATION .AND LOCATION 0 Addition of new motor load of 0"A","E","1-2","1-3",
100HP or more. occupancy.
Job no.: Job site address: 15356 Sw Oak Valley Terrace IDSix or more residential units, 0 Recreational vehicle parks.
❑Health-care facilities. 0 Supply voltage for more than
City/State/ZIP:Tigard, OR 97224 ❑Hazardous locations. 600 volts nominal.
Project name: 0 Service of feeder 600 amps or more.
Suite/bldg./apt.no.: FEE SCIIEDI1LE
Cross street/directions to job site: Description I Qty. I Fee. I Total
New residential single-or multi-family dwelling unit.
Includes attached garage.
Lot no.: 1,000 sq.ft.or less 168.54 4
Ea.add'1 500 sq.ft.or portion
Subdivision: 33.92 1
Tax map/parcel no.: Limited energy,residential 75.00
DESCRIPTION OF WORK (with above sq.ft.)
Limited energy.multi-family 75.00 2
5.590 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
0 PROPERTY OWNER, ,0 TENANT
200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Name: Hung Nguyen 401 amps to 600 amps 200.34 2
Address: 15356 Sw Oak Valley Terrace 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/State/ZIP: Tigard, OR 97224 Temporary services or feeders installation,alteration,and/or
relocation
Phone:Q504) 905-8488 Fax:( )
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
CONTACT PERSON A.Fee for branch circuits with
✓.APPLICANT above service or feeder fee, 7.42 2
each branch circuit
Business name: Elemental Energy B.Fee for branch circuits without
Contact name:John Grieser service or feeder fee,first 56.18 2
branch circuit
Address:6819 SE Foster Rd. Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
City/State/ZIP:Portland,OR 97206 Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Phone:(503 )967-5786 Fax: :( ) 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
Signal circuit(s)or limited-energy See
Business name: Elemental Energy 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(1 hr min) 78.18/hr
Inspections for which no Ice is 90.00/hr
CCB Lie.: 195141 Electrical Lie.:C1228 Suprv.Lie.: 4786S specifically listed(%hrmin)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: C'(6 -tom�� Subtotal:
7/13/2017 Plan review(25%of permit fee):
Print name: Charles Harry t State surcharge(12%of permit fee):
Authorized signature: /1/1TOTAL PERMIT FEE:
Print name: John Grieser Date: 7/13/2017
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELRERE.doc Res 05/21/2013 440-4615T(it'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 Description I Qty. I Fee I Total I *
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
ElBurglar 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 918-309-0040)
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
EEach additional inspection over allowable in any of the above:
Other: Each additional inspection is 66,25/hr 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specificallz 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
CAudio and Stereo Systems days after it has been accepted as complete.
* Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
• Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:\I3uilding1Permits ELC_PermitApp_ELR_ERE.doc Rev 05,21/2013
4
City of Tigard
Building Division
13125 SW Hall Blvd,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960
TI G A R D Inspection Line: 503.639.4175
www.tigard-or.gov
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof.-M. nted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 15356 Sw Oak Valley Terrace
City: Tigard, OR 97224 Zip:
Owner's Name: Hung Nguyen Date: 7/13/2017
Contractor's Name: Elemental Energy CCB #: 195141
Design Parameters o the Property/Structure
If"Yes", does not
Is the installati. qualify for the
Yes
Flood Hazard Located in a ood ❑ prescriptive path, follow
Area plain/flood ay? ❑� No OSSC or ORSC for
design requirements.
Wind Exposure Is the ind exposure Yes If"Yes", qualifies for
C"or less? ❑ No the prescriptive path.
I stallations on detached Is the Ground Snow
single/two-family Load 70 psf or less?
dwelling/single/two- If"Yes", qualifies for
family townhomes ❑r Yes the prescriptive path.
and/or their accessory
Ground structures. ❑ No
Snow Lo• i Is the Ground Snow
Installations on all Load 50 psf or less?
structuresIf"Yes", qualifies for
other than
❑ Yes the prescriptive path.
above ❑
No
1
I:Building/Forms/PhotoV oltaic-Checklist.docx
City of Tigard ,
II Building Division
13125 SW Hall Blvd,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960
TI G A R D Inspection Line: 503.639.4175
www.tigard-or.gov
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted 1
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 15356 Sw Oak Valley Terrace
City: Tigard, OR 97224 Zip:
Owner's Name: Hung Nguyen Date: 7/13/2017
Contractor's Name: Elemental Energy CCB #: 195141
Design Parameters of the Property/Structure
If"Yes", does not
Is the installation qualify for the
Flood Hazard Located in a flood ® Yes
prescriptive path, follow
Area 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. 0 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
1.•Bui Iding/Forms/Photovoltaic-Checklist.docx
Is the construction
material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify El No the prescriptive path.
Construction as"conventional light
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. ElYes 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.
0 No
Is the combined weight El 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 «
with Section 305.4(3) of If Yes , qualifies for
❑ 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
the solar assemblyconnected to roof If"Yes", qualifies for
❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
I:/Building/Forms/PhotoV oltaic-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.
❑ No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes", qualifies for
ElYes the prescriptive path.
❑ No
Attachment of
roof mounted If the spacing falls
solar systems Spacing of clamps? Minimum 24 inches within 24 inches and 60
directlyto inches inches, qualifies for the
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 Yes If"Yes", qualifies for
fastener? 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
rescri tive path.
p p
surface. 0 No
3
I:Bui lding/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: Hyundai
Model Number: HiS-S29ORG
Listing Agency: UL
4
I:B uilding/Forms/Photo Voltaic-Checklist.docx