Permit (105) CITY OF TIGARD MASTER PERMIT
II, .
r, .. ...... COMMUNITY DEVELOPMENT Permit#: MST2017-00330
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2017
Parcel: 2S104AD01300
Jurisdiction: Tigard
Site address: 12725 SW WALNUT ST
Subdivision: BELLWOOD Lot: 2
Project: Kirk
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: $22,094.00 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
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 add9 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:
KIRK,KRISTINA&MICHAEL BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
12725 SW WALNUT ST 1220 S 630 EAST,STE 430
TIGARD,OR 97223 AMERICAN FORK,UT 84003
PHONE: PHONE: 385-498-4408
FAX:
Total Fees: $361.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable la 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 w›, s susperl. • for more the 180
days. ATTENTION: Oregon law requires you • foil_w the rules adopted by the Oregon Utility Notification Center. ose ar- --- forth in OAR
952-001-0010 through OAR(02_0 2-0 1-909•` You m obt a copy of the rules or direct questions to OUNC by calling 503.23 , *or 1.8f1
Issued By: '
•:r /, 44, ;' Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio •ate.
/ 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
i
Residential REcEIVEDFOR OFFICE USE OLY
III Cl� Of Tlgard Received `A� Permit No.:
Date/By: 5 "" i MSraar 7 330
13125 SW Hall Blvd.,Tigard,OR 972?�3I�Lr n 1? Plan Review g �G 1
Phone: 503.718.2439 Fax: 503.598./i61011 U f Date By: O ) "-tf Other Permit:
TI G A R D Inspection Line: 503.639.4175 ,r Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF T r"ti �yD Notified/Method: p Supplemental Information
iT�l?4
.,.»»,....._.......... '''"................................,......... "ii ......x,P/ is • �+{� A
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
E✓ Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
;o RY '4t;reTR� � work indicated on this application.
❑r 1-and 2-family dwelling ❑Commercial/industrial Valuation: $22,094
El Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
t, ,,ILOCATIONitTotal number of floors:
Job site address:12725 SW Walnut St New dwelling area: square feet
City/State/ZIP:Tigard, OR, 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Kristina Kirk Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
SW128th Ave Other structure area: square feet
Subdivision:CPO4b Bull Mtn Lot no.:R480321 Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S104AD01300 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
D :` ti work indicated on this application.
:.:......
Rooftop Solar PV Installation 12.18kW Valuation: $
Existing building area: square feet
New building area: square feet
020,11Mitt PROPERTY °
..,.».......^.....,.::-:,:.^........... ...: ........:..:.,».,..,... ••:u::: ::n" . ' : Number of stories:
. .
,.
Name:Kristina Kirk Type of construction:
Address:12725 SW Walnut St Occupancy groups:
City/State/ZIP:Tigard/OR/97223 Existing:
Phone:( ) Fax:( )
New:
Business name: Blue Raven Solar ._ . ,......... .,. aeir 'eriis'.. : ;;; ...
Contact name:
Zach Schofield Structural plan review fee(or deposit):
Address: 1220 S 630 E STE 430
FLS plan review fee(if applicable):
City/State/ZIP: American Fork,UT 84003 Total fees due upon application:
Phone:(385) 482-0045 Fax: :( )
Amount received: ____CL3--"
fi ei' Sii;'s"s2lmiq iiiiii8'r'.iiiiiir iifim i'.ii.0 CiifiiiicF imiefifti': t iiiim4ipiiE%6lint iiiiie iEPS"Eiv,,,?iiEfiifii:igo
E-mail: Permitting.department@blueravensolar.com
i L AIC` 45 f
Commercial and residential prescriptive installation of
ENIONINEMENDEMBEREENCEPPIAdailtiningliaiiinitiiiirEEMINSEREiliniiiiiiiiiiiiiiroof-top mounted PhotoVoltaic Solar Panel System.
Business name: Blue Raven Solar Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 1220 S 630 E Solar Installation Specialty Code checklist.
City/State/ZIP: American Fork,UT,84003 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: #210112
Total fee due upon application: $201.60
Authorized signature: i This permit application expires if a permit is not obtained
f within 180 days after it has been accepted as complete.
Print name: JefferyLee *Fee methodology set by Tri-County Building Industry
Date:8/18/2017 Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
ir;T:1;;::'171:iiii.:;:7:72:i*Oftigi04811111111111.,111101111,10,1111SPIP Description `
Qty. I Each I Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 12.2 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
El Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/z hr min)
a ' �e x
i lE .1 �
. ._ Subtotal
. b�� . . .......
PP f l
Subtotaa l(Enter on Page 1):
Fee for each commercial system: $75.00 , Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ 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
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELCPermitApp_ELR ERE.doc Rev 06/17/2015
I.
ELF
-WEI)
•ctrical Permit A 1 1 li FOR OFFICE' ESE ONLY 2-)o
City of Tigard ��yy i Date/Bea �' / �A , - /1 i #11-00
IN ... 13125 SW Hall Blvd.,Tigard,OI �1142.xj
Plan Review
a Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4125 f`i 4T OF T I GARD Ready Date/By: Juris: EI See Page 2 for
T 1 G A l lD Internet: www.tigard-or.gov ,„,�DIVISION, Notified/Method: Supplemental Information
. ..
..........».................. . _.........._..........i.............,._......................,..........» ......,........,.......,,.....:..:®;�::::.::::::::::�:.:-; ::... :::; � ss:=;u:€s:::sss¢sa";t:is;;€€=ii€;''=_s€€sii`'€€":ins
❑New construction ❑■ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition 0 Other:
.........._.- _,, ....._.... ., where the available fault current ❑Marinas and boatyards.
'`' "°""°°"'°""""'°'"''°°° exceeds 10 000 am s at 150 volts or Floatin buildin s.
i ._.......: i !.. t " ' �0 a' b t# i= P ❑ g g
❑■ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
Multi-familyMaster builderOther: Fire um all other installations. Installation
ngs.
0 ❑ 0 El pump. ❑Insalof 150 KVA or
-••••• •••- 0; i ';� y� � �-- ❑Emergency system. larger separately derived
Job#: I Job site address:12725 SW Walnut St ❑A]O0HP o of oew motor load of system.
HP or more. ❑"A" "E" "1-2" "1-3"
City/State/ZIP:Tigard, OR, 97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: 1 Project name:Kristina Kirk ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street directions to job site: as 1 l 4
SW128th Ave Description I Qty. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision:CPO4b Bull Mtn 1 Lot#:R480321 Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:2S104AD01300 Ea.add'1500 sq.ft.or portion 33.92 1
Limited energy,residential
,..... ...........:::::......: 75.00 2
Rooftop Solar PV Installation 12.18kW (with above sq.ft.)Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
i
::::::::...................»r.x :;::.:::::; Renewable Energy ❑ See Page 2
_..... _._.. ....,.�_........._._.... . ..._......... .....,.. ..,,...� . .............._......:_,..................,..... Services or feeders installation,alteration,and/or relocation
Name:Kristina Kirk 200 amps or less 100.70 2
Address:12725 SW Walnut St 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard/OR/97223 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
HatiMMINIMORMI ':__-_ _'° Branch circuits—new alteration or extension per panel
C' rs o a .a s' ' �: '
. ........_ .. ........ : ...,....... ..,._...,_... ......... A.Fee for branch circuits with
Business name: Blue Raven Solar above service or feeder fee, 7.42 2
Gardner each branch circuit
Contact name: Brittany B.Fee for branch circuits without
Address: 1220 S 630 E STE 430 service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: American Fork,UT,84003 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(385 ) 482-0045 I Fax: :( ) Each manufactured or modular 67.84 2
Email: P g P
ermittin de artment@blueravensolar.com dwelling,service and or feeder
..................._....,,,,,.;-. .. Reconnect only 67.84 2
..............._:::::::�:;:::::::�:.:<:.=.:ass:;;:::::_�:::::::�:��s.::�st;;mt........... p,,._.:: .,:�:;... .,...........,;,...;,..,.._,...........;.....;............._,;.,,......:-�:::....;m.,..,
67.84 2
Business name: Blue Raven Solar Sign or outline lighting 67.84 2
Address: 1220 S 630 E STE 430 Signal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: American Fork,UT.84003
Additional inspection(1 hr min) 66.25/hr
Phone:( 385)482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr
Email: p g• P
ermittin de artment@ blueravensolar.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
210112 C 1214 6097S specificallylisted '/z hr min) 90.00/ht
CCB Lic.: Electrical Lic.: Suprv.Llc.: ( _
c: :: !1t6'..,t18-s: E
........»........................._.,;. r.ASt'.'>is;e=-sit.::`la
Suprv.Electrician signature,required: Subtotal:
Print name: Sam Collier - Date: 8/18/2017 El Plan Review Required(25%of permit fee):
L:
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Ben Wade Date:$/1$/2017 days after it has been accepted as complete.
* Number of inspections allowed per permit.
l:ABuildingVPermits\ELC_PermitApp_ELR_ERE.dec Rev 06/17/2015 440-4615T(11/05/COM/WEB
s
e
City of Tigard
'' Building Division RECEIVEI)
III _' 13125 SW Hall Blvd,Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960
T I GARD Inspection Line: 503.639.4175 AUG 2 2 201'
www.tigard-or.gov
CITY OFTIGAR
BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 12725 SW Walnut St
City: Tigard Zip: 97223
Owner's Name: Kristina Kirk Date: 8/18/2017
Contractor's Name: Blue Raven Solar CCB #: 210112
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation El Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? ❑■ No OSSC or ORSC for
design requirements.
❑■ Yes
Is the wind expexposure If"Yes", qualifies for
Wind Exposure "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 ❑■ Yes the prescriptive path.
above
❑ No
1
I:/Building/Forms/Photo V oltaic-Checkli st.docx
Is the construction ❑
material wood and does Yes
Type of the construction qualify If"Yes", qualifies for
Construction111No 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 0 Yes
of the PV modules and If"Yes", qualifies for
racking less than or ❑ No the prescriptive path.
Solar equal to 4.5 psi?
installation Is the solar installation
layout in accordance ❑■ Yes
with Section 305.4(3) of If"Yes", qualifies for
Fp the 2010 Oregon Solar No the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
Roofing Check the type of n 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 0 Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
framingblocking
n No the prescriptive path.
to the roof or g
directly?
2
T:/Building/Forms/PhotoVoltaic-Checklist.docx
•
❑ Yes If"Yes", qualifies for
Is the gauge 26 or less? ❑ No the prescriptive path.
115 lbs for 60 inch
spacing or less?
II] Yes
"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 Maximum 60 inches inches, qualifies for the
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.
❑ No
Is the roof decking of
WSP min. 'A"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/PhotoV oltaic-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:Solar World
Model Number:Sunmodule Plus SW 290M Black
Listing Agency: UL 1703
4
I:/Building/Forms/Photovoltaic-Checklist.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12725 SW WALNUT ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2017-00330
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12725 SW WALNUT ST, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2017-00330
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor