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Permit Support Document (10) IN ii City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT \/ Q 1 Request for Permit Action //07 ,0epi--- TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard, OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor EPCity Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): CANCEL/VOID PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). ❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: /'fs7 /2 _ o0,3,;,-,/ Site Address or Parcel#: /V26, ef. 5 tx.,1 ef- c/c Project Name: C /J/a�E- G t_.. Subdivision Name: Lot#: EXPLANATION: S-,f; / 6724-4/2— 4-i 6' ./t/7741-62-6/2. ► a't.:--'4-/6,6 c,t/64--/r. L7 SAG.t (4-770 nes , S>z&- /`lSr,xv 7-40,2.F-7, Signature: <6 ' y—C . . Date: V/f/> Print Name: .� 9�/ ; e, 7.1-S E Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. FOR OFFICE USE ONLY Route to S s Admin: Date B Route to Records: Date //9 /] Refund Processed: Date n/..4- By Invoice Processed: Date By B�'f--' Permit Canceled: Date'//6/,2 By efis -arcel Tag Added: Date By I:\Building\Forms\RegPemutAction_ 9231 .doc s IF V 0 I 2 Building Permit APvlicatio r /'V'7 Residential €DR Ft 01 E It (. i tilt7\i l City of Tigard ff� Received y 13125 SW Hail Blvd.,Tigard,OR 973A U u 1 4 2017 : Hato/By * /7 Pcnoit Na/y�% /� /f � Phone: 503.718.2439 Fax: 503.5 plan Review �j /� E t, Inspection Line: 503.639 4175 + }f T — j c–) Other Permit. r l i Gtl i Date R�ynt —/1, h7 / 1 I/� S See Page 2 far Internet. www:iigard-or.gov t Notified/Method: / •I t1Supplemental intonnetten BU DING DIVISION t []New construction ;. . T t _ ‘hr-.1',-,€g €., ��� .... ` Demoliti n Permit fees*are based on the value � g of the work performed. ►�+Addition/alteration/replacement ©Other; Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the work indicated on this application. ue :I I-and 2-family dwelling ❑Commercial/industrial rlaluation: 3000 0 Accessory building 0 Multi-family Number of bedrooms: d Master builder 0 Other: Number of bathrooms: ��. . u.. . t tr�p Total number of floors: Job site address: 14368 SW 88th Ave, New dwelling area: square feet _ City/State/ZIP: Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt,no.: I Project name: Chad Campbell Covered porch arca: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Permit fees*are based on the value of the work , Subdivision: Lot no.: * performed, Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of allaoverhead,andprofit t t 1, w work indicated materials,labor,i anonthero for the t t : ��� work on this application. Valuation: $, PV ROOF MOUNT Existing building area: square feet -. New building area: square feet Var-,-*-,',_,2Number of stories: Chad Campbell mpbell Type of construction: Address: 14368 SW 88th Ave, Occupancy P y groups: City/State/ZIP: Tigard,OR 97224 Existing: Phone:( ) Fax:( ) ,..., New E -',-•,-,77 t - iJ t'. r ' Business name: S�olarCity I p / or Structuraldeor review fee lan deposit): Contact name:Melissa Ferias p �' Address: 32 NE 112th Ave. FLS plan review fee(if applicable): City/State/ZIP:Portland{}R 97220 Total fees due upon application: Phone:(503)$94 6903 Fax::(1864445-7459 Amount received: E-mail:Melzssa.Fariast Solarcit coTt2 . sst tk i r /.., r ... , , Commarrehool ailaie installation i of roof-top mountedtoVoltaicSorPanel System.i '' ,-mailSubmit two(2)sets of roof plan with connection detailsBusnessname SolarCityOI$3C1tYor Address: and fire department access,along with the 2010 Oregon 1 2 NE 112th Ave Solar Installation Specially Code checklist. City/State/ZIP:Portland OR 97220 Permit Fee(includes plan review and administrative fees): $180.00 Phone:( 503) 894-6903 Fax:(1868 445-7459 State surcharge(12%ofpermit,fee): $21,64 CCH lie.: 180498 Total fee due upon application: $201.60 Authorized signature: i` This permit application expires if a permit is not obtained I within 180days after it has been accepted as complete. I Melissa Fart. Date: $y by Tri-Count Budding Indus Print name: 08.11.17 `Fee metho o set y g uy Service Board. I:\Building\Permits\BCJP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WE13) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE I_'SF; ONLY City of Tigard Received Inall 13125 SW Hall Blvd.,Tigard,OR 972231111 DawnPhone: 503.718.2439 Fax: 503.598,1960 Associated permits: l t G F.R D 24-Hour Inspection Line: 503,639.4175 0 lilectrical 0 Plumbing 0 Mechanical Internet: www:tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW ves No ti;A _ I Land use actions completed. See jurisdiction criteria for concurrent reviews. ■ U I 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district;etc. 0 0 p 3 Verification of approved plat/lot. 0 00 4 Fire district approval required. Name of district: 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ 0 6 Sewer permit 0 ❑ ❑ 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. d 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,siltfence design and location of catch- 0 ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 ❑ ---0 — building codes. Lateral design details and connections must be incorporated into the plans or on a separate hill-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed it copyright violations exist. I I Sitc/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-1,intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage arca;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size f 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 ^ 0 O furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,eta, 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 0 [I floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,tooling,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels- El D 0 Exterior elevations must reflect the actual grade if the change in grade is.grcatcr than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans; Must indicate details and locations;for non- 0 0 0 prescriptive path analysis provide specifications and calculations to engineering.standards. 17 Fioer/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing L 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ET 0 systems,sec item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 0 over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ 0 ' 0 . 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss;shall he,stamped by an engineer or 0 0 0 architect licensed in Ore_on and shall be shown to be a s lieable to the 1n eet under review. ,JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 ©U ii 244 Two(2)sets each arc required for Items 16, 19,20 and 22 above. 25 Building plans shall.not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit 3c System Development Fees document. 0 27 "Drawn to scale"indicates standard architect or engineer scale, 0 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 0 Street Tree List. 29 Site plan to include Trees and tree protection measures as required by conditions of approval. Tree locations,driplines, 9] 0 d and protection measures must he drawn to scale and must include the project arbarist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, 0 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,_1995. I:1Buildingleerrnits1f3UP-RESPcrmi(App,doe 02/24/2011 440-4613T(I 1/02/COM/WGB) R ECEIvAl-rED \if 0 ! r) Electrical Permit Avolication r oIt t t l"l i t"li 0> City of Tigard A U G 1 4 2 01 Received Permit Ha./`9S7"c,2°/7 O/3 13125 SW Hall Blvd.,Tigard,OR ' Plan Review iii t 9 �a�e� Other Permit: Phone 503 718 2439 Pax: $03.S 7v t;i v I a , nj DaceB l, ,i, Inspection Line: 503.639 4175 i g a,,{� Date ReadylBy: Jutis See Page 2 for Internet www.ttgard or.gov BUIL TNG Ill S � Notiticd/Method Supplemental Stformation Q New construction s:4 Addition/alteration/replacement tion/replacement Please check all that apply(submit 2 sets of plans wlitorns checked below): 0 service or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards, Q Demolition ❑Other: r r s c,,_ excccds 10,000 amps at 150 volts or 0 Floating buildings, . ; �__.,.m tee. _" less to ground,or exceeds 14,000 0 Commercial use agricultural ►�4 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps far all other installations. buildings; Multi fttmlly 0 Master builder Q Other: Cl Fire rntmp 0 Installation of 150 KVA or Emergency system. larger separately derived system. I,. = 4.la:�la E: ....I s..". : 4._4 ,, ,le;_.—, 4--a€rt a ❑Addition of new motor load of ❑„A»..E. "1-2,ill-3"> Job no.: Job site address: 14368 SW 88th Ave, Six ore res, occupancy. ❑Six or more residential units.. ❑Recreational vehicle parks. Cit /State/ZIPTigard,OR 97224 O Health-ears facilities. 0 Supply voltage for mare than y g 0 Hazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name: Chad Campbell ❑Service or feeder 600 amps or more, a Cross street/directions to job site: encnultan otv. Pee. Tatar • New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: r Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'/500 sq.ft.or portion 33.92 t Tax map/parcel no Limited energy,residential , 75-00 2 , ,. E Ea •i , ,. with pp uabove sq.ft.) ��•' r" PV ROOF MOUNT...... .,:.L., - a Limi ever . gy,muhi.family 75.SIQ residential(with above sq.ft) 2 [Renewable Energy >-4 "See Page 2 +ENERGY STORAGE SYSTEM Services or feeders installation,alteration,and/or relocation ,_ ems l � 200 amps orless 100.70 1 2 ," t r , 1 00.70.. .,:.., .. 201 amps to 400 amps 133.56 2 Name; Chad Campbell 401 amps to 600 amps 200.34 2 Address: 14368 SW 88th Ave, 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 Phone:( 541) 285 6096 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, er panel ,� t s A.Pee for branch circuits with 1; s '.."!€i;. .. „ " ,, ., , above service or feeder fee, Business name:SolarCity Corp. each branch circuit 5 7,42 37.10 2 B.Pee for branch circuits without Contact name: Fservice or feeder fee,first Melissa lr1aSbranch circuit 56.18 2 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:(503 ) 894-6903 Fax::(I866)445-7459' Reconnectcllinonlyeattd/orfeeder only 67.84 2 E-mail Melissa.Farias@SolarCit .coli/ _Pump or irrigation circle 67.84 2 3 " " Sign or outline lighting 67.84 2 Business name: Signal circuit(s)or limited-energy See SolarCity Corp. panel,alteration,orexlension. 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., ` tnvestrgatiin(I hrtninj" - 66.25/hr Phone:(503) 894-6903 �µFax:(1866) 445-7459 Industrial plant(1 hr min) 78,18/hr Inspections for which no fee is 9000/hr CCB Lie.:180498 Electrical Lie.: CS62 Suprv.Lie.: 58735 r slJeciacally listed(Y,hrmin Suprv.Electrician signature,required: ----- Subtotal: Print name: Date' 08.11.17 Plan review(25%of permit fee):, Nicholas Armstrong State surcharge(12%of permit fee): Authorized signature: "°m T e fib TOTAL PERMIT FEE: 08.11.17 This permit application expires it a permit is not obtained within 180 Print name: ll"Ieli ssa Faris` Gate: days after It has been accepted as complete. Number of inspections allowed per permit. J:Uruikiing4PermSstsLC ennitApp_ELR_GRE.doe Rev 05/2 55512112015 440.4615T(1INSICOMIWLt1 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combind ,.. $7K nr eriptlon n c SLE I ot,. � Pec � Teta! I Check TRenewabie eiectrieat energy systems: Ype of Work involved: 5 kva or less 1 I00.70 100.70 2 ❑ Audio and Stereo Systems 5.01 lu 15 kva 133.56 2 15.01 to 25 kva 200.34 D .Burglar Alarm 2 Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 Garage Door Opener* 50.01 to 100 kva 552.262.26 2 55 ❑ I00 kva(Fee in accordance with OAR 918-309-0040) Heating,Ventilation and Air Conditioning SystemSolar generation systems in excess of25 kva: 0 Vacuum Systems* tkvt 7. >100ach kva additional—no additioveronal clar25ge 042 l I .0 � 33 ❑ Other: Each additional inspection over ver allowable in any of the above: Each additional inspection is ch _ at anhour! 1 hr min) 6625/hr l Inspections for which no fee is C[ ryitlEC:. :Wf3RK:[] specifcilly listed(%he min) fl0•t10.'hr Fee for each commercial system LIC kt iil>N:P ;l1ubto S (SEE OAR 9l 8-309-QOOQ) �75.4t1 Stfhtatal: Plan review,if requited(25%ofpermit fee): Check Type of Work Involved: State surcharge(12%ofpermit fee): TOTAL PERMIT PEE: Audio and Stereo Systems This permit application expires if a permit is not obtained within 180 days tiller it Isis been accepted as complete. A l I umber of inspextioes a5owcd per permit. n Boiler Controls ❑ Clock Systems ❑ Data Telecoirununication Installation ❑ Fire Alarm Installation ❑ HVAC 11 Instrumentation O Intercom and Paging Systems O Landscape Irrigation Control* ❑ Medical ❑ Nurse�Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other Total number of commercial systems: *Nn licenses are required. Licenses are required for all other installations I:1i3ui1dutg;ramitslEl.C,PerrniApp liLR,f3Rii.,tnc Rev OS/21/2U13 • City of TigardC jet_ . Building Division 13125 SW Hall Blvd, Tigard, OR 97223 AUG 1 4 ?All Phone: 503.718.2439 Fax: 503.598.1960 TIGARD Inspection Line: 503.639.4175 CITY OF T.IGA www.tigard-or.gov BUMMING P,'IsI oN 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 14368 SW 88TH AVE City: TIGARD Zip: 97224 Owner's Name: CAMPBELL Date: 08.11.17 Contractor's Name: SOLAR CITY CCB #: 180498 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation Li Yes qualify for the Area Located in a flood prescriptive path, follow plain/flood way? ® No OSSC or ORSC for design requirements. Is the wind exposure ® Yes s? If"Yes", qualifies for Wind Exposure "C" or le ❑ 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 above ® Yes the prescriptive path. ❑ No 1 I:/Building/Forms/Photovoltaic-Checklist.docx Is the construction Type of material wood and does N Yes the construction qualify If"Yes", qualifies for Construction as "conventional light [1] No the prescriptive path. frame"construction? Is the spacing 24 inches or less? Pre-engineered trusses. N YeS If"Yes", qualifies for the prescriptive path. N 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 ❑ No the prescriptive path. Solar equal to 4.5 psf? installation Is the solar installation layout in accordance N Yes with Section 305.4(3) of If"Yes", qualifies for ❑ No the 2010 Oregon Solar 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. N of composition shingle. Is the roof mounted ® Yes Connections of solar assembly the solar assembly connected to roof 111No If"Yes", qualifies for to the roof framing or blocking the prescriptive path. directly? 2 I:/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? 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 directl 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 Yes If"Yes", qualifies for fastener? ElYesprescriptive 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/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: 260 Listing Agency: UL1703 4 11Building/Forms/Photovoltaic-Checklist.docx