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Permit CITY OF TIGARD MASTER PERMIT 2.."- COMMUNITY DEVELOPMENT 111 Permit#: MST2017-00435 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2017 Tt Parcel: 2S110CB08700 Jurisdiction: Tigard Site address: 12464 SW ST ANDREWS LN Subdivision: MOUNTAIN VIEW ESTATES Lot: 12 Project: RUFENER 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: $9,892.96 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 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: 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: RUFENER,JUSTIN B&STEPHANIE L BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) 12464 SW ST ANDREWS LN 1220 S 630 EAST,STE 430 TIGARD,OR 97224 AMERICAN FORK,UT 84003 PHONE: PHONE: 385-498-4408 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 be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if w•rk is sus.- :ed for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Centee Thos 1 are set forth in OAR 952-001-0010 through OA 2-001-009 You - ,obtain a cop of the rules or direct questions to OUNC by calling 503.23 . . •to. - 344 Issued By: • e,`. .A.,..,,,,,g.dar. Permittee Signature: // Call 503.639.4175 by 7:00 a.m.for the next available inspe• iodate. 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. $uilding Permit Application Residentialliti ,X 4, FOR OFFICE FSE ONLY City of Tigard Date ; U��\ � ?h�� Date/By: )l &I/2 Permit N��/tJ7�cJv/?�" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review - Phone: 503.718.2439 Fax: 503.598.1 Date/By: 7 Other Permit: Inspection 503.639.4175 °�''I I LIr 1I.+.�r t'1 ` T I G A R P P , Date Ready/ y: ( Juds: El See Page 2 for Internet: www.tigard-or.gov Sul 6N( e )Lir .' , ;6. tified/Met :� _ i 77 ( Supplemental Information ........................._...,..............:.:::r.:;::sua:r:��:::::.........15Eiiii'site43ii:: .,.::::,...............,.................. � � i 9:::a:p::;:;::::uga.:zr.:;:;:a.::riF4r.::::::: ii,'crzi:'.i'sicjii"s;i ...:..............: :iiiErzriiF?.^f::(i�jtu ...•.......:..:....:..:::. + .. ....., ......_ .:._.....: ;:::.;::::::::;::.: 1 ,_sit �, �M >.. t.. Il+` Stir r :.,,. _.,:......ilii._, ,....::: ................... ..,,_...__.,,.,. ' ....... '� ..__..._. �. .. ❑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 ❑Other: equipment,materials,labor,overhead,and the profit for the :. : _= sr_:;; -i::s:::s :s-:::_:<..::::...._;.:, .., - ` :'.h:=1 .. ., , ._... .............._. ..: work indicated on this ap licati n .._..i_.».r..,. . :: s :,:::: . . . .. : : .. ::, e . . o. :t® °ns:;::: r;: . _..:... .... . ...._ : : _ :: :: ; : :; . ,._ . . ElgiiEitimiimtYiomRiwiliqgtmitnim 1-and 2-family dwelling ❑Commercial/industrial Valuation: $9,892.96 ❑Accessory building 0 Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: . . . . _,. : - ::: _ : .: . ° ,. ,, ;�... .., .:'' € € e o ....= ii Total number offloors: :... :- ,: : :: : . _.....: : •;: Es:: :.: :_:,;;;;:ris;:- .;.._ ... ..-: sn.;; Job site address:12464 SW,,&t1111 Andrews Ln New dwelling area: square feet City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:Rufener 4.56kw Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet RE(U I1-htiA * ® I4a 13 , Subdivision:CPO4b bull mtn Lot no.:R2150313 Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S110CB08700 Indicate the value(rounded to the nearest dollar)of all ....................:•::::: ::::::;::;::r::::::.................,..,...........:•:::::::::., . ,...:....._..... ..............:. ., :,.. .... . :....��:!:a:::: <sv::::::aas:=@Pi'ssi's€i;€Em€?if€ii€€Ids;<sa:�::a,:::::::rs: .....•...::::::: ......................._...._...»......,,;.'h'i.n::;.:. ,....,a : _Il ..;:::r:::::::>::=:F::--;:::::: iiiihis-is:i,....,.....:.._....... work indicated on this application. Rooftop solar PV 4.56kw Valuation: $ / 4' Q AfQ T- �4-j L Existing building area: square feet *J/L{-, Pi e, . ti_44 / , A1%I j. 2&-- -- New building area: square feet s uar ::.•csv. :::S?ra�:..• »_............._.....r.,...a..... ... :.....ilii.»...,....,...».......».„u .._...,.,.....;.._,;,.........;cFit?i..x.:i2:EEr`siiSiiF'si:E2E{°cie2ii2i� .:�::ei£eE� ,....,._._..,.. ... ...:rzu:ilai. iikEixs i%e 2i:sE's3 imilmi,:::;:: ............................ _..,...._........:....r..:r ::r : 'i� ::::i?:::::: .....,......._..............,s.,....e�:f:::::::Y•z�ai:tiFiii»vr.:r.. .,....... _.....................:....,.....»........_-,: ....:,.._..,.m•:;.,»... ..... . ........___,..i .,.. .,,•,;::::: , : ::.,.;...,......r;_... :.:. .: :ioii;::::::::::,:::�::i• Number of stories: Name:Justin Rufener Type of construction: Address:12464 SW Saint Andrews Ln Occupancy groups: City/State/ZIP:Tigard, OR 97224 Existing: Phone:( )971-322-3103 Fax:( ) New: ...._.»..............::::::::.:: .........:,....,,.............,..,........:::::::::;:._:................................»....................,,......._..,.,..::.:::::,:inn...r::::::::;:::::::::::::::::........;...;...,.,,R "t Business name: Blue Raven Solar " ; „.',...,'k.y., Contact name: Tara Mount 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: . E-mail: Permittin .de artment blueravensolar.com ill" ..._......._, ......;:::::nvS....._,.....c...........a.....:;.....,....n['rrz32i:::;:::::v::::::::;::un:.::2::'.::::::a:::::m::::c::::;:::c,:y;,;.c•::::`.::::::;:»:::-:•a:::;�::::::c:x;e.:_�............. F,:.,...::..:_,F ;:3:.::::�:<:,_........,_._._�.._..,.,::;•......:,:...•...,.•._____......., Commercial and residentialprescriptive installation of _.»_.,.,.,..,_._.:.__--»_....., r•; _. ,.,...,.,1.1;:,:::::::::::::::::-FFilim:_..,_,.,,,......,,.,...-,-F::;;;F::::=.:ss;:i::ntai::::::> itaii_..iamm,._ingi....._,...,,,»•-lmir.....,....»............:...._,_..... s_.ttif:::::::::::r: ;:::_::::.,_,,..,,.....,. :,...._,.,.illi.,....,..,._...._,.., ........._.....ilii..«...F................».._r•.d....,......».,...............,..,..............:..................»........................,..,....,.......»,.-.:c:,::::?;2ieEFEEEasic4EtE: :;:r;: :n:� :,9. .rn?•..............................rasc::::::a_v.._.,_.v_....._ :Yc:::sr.::::::•...........a.....,....:_ .........,,� _...._: roof-topmounted Photovoltaic Solar Panel t m U,.,,..,_. ...._....,..,.,•_» ...................._... .......:•,.:::::-;;.._::::::F:::::,,:::::::,::::::::r:::.::::::•_.�::::::.............._.........................................................,;: System. Business name: Blue Raven Solar Submit two(2)sets of roof plan with connection details Address: 1220 S 630E and fire department access,along with the 2010 Oregon 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 lie.: #210112 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit-is not obtained within 180 days after it has been accepted as complete. Print name: Jeffery Lee Date:11/3/2017 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY Cityof Tigard Received ganDate/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: _ Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechanical TI(; ARD Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ El 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 0 0 3 Verification of approved plat/lot. ❑ 0 0 4 Fire district approval required. Name of district: . ❑ ❑ 0 5 Septic system permit or authorization for remodel. Existing system capacity . ❑ ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. 0 0 ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ 0 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ 0 0 basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/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-ft.intervals);location of easements and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;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 ❑ ❑ 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ 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,roofing,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. ❑ 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater 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- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore.on and shall be shown to be as Ilicable to the .rolect 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". ❑ ❑ ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ ❑ 0 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&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 ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ 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:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit A lication" pp E ,� FOROFFICE s�otil,� City of Tigard Dt/Bea Permit#: 13125 SW Hall Blvd.,Tigard,OR 97223 N O V 6 2017 Plaan Review a Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Ti C f�!2 L> Inspection Line: 503.639.4175 tuD Cif y OF i j .7AR D Ready Date/By: Juris: H See Page 2 for Internet: www.tigard-or.gov t , tt�S�.-�i° p jt l Vit* Notified/Method: Supplemental Information ,ilii.,.»..„•.,•.z<._ilii;..,..., 1 ........_«.........._.....;,......:...... ...:.�ilii.,. :..—..—.«..,».a:a:s:::rz.u».„:.3:::i:i::::;�iieiei�e:S.;::::z�:nciiFFi::::?.i`s:4 u .:5 '+ ••••,••• .......... ..z....,...._......_..... :.. .,ilii z:...:...' r.::::::.......:::•::::::ciFnE:a:c:::cdx:..................: ..........«...y,..e..:.;^ .................„......v.«ilii,. 4'':'.,ilii .., i ..............».... ..._......,.....,..,....._...,......•.. ilii 4:i .n .,.......«. ..,......,...............,,....»......,... .cr.::-:::::r.::•^r :u:.:.:!....,..,..:_«...............«..•r:::v::;::;:x:: ilii._. ..z...«. ilii... ....................... u.. / :;.�:::�::r::::x:::::::r::::::::......._..,................, ............«.....,....�, ilii. ..:.. .... ........................................._......... ....._.................._ v„ �;". ...«.....ilii..»,»,.........»,.....».......y ...._.._...................... �l��.,.................................:»ilii.pp ...........,...�........,,. ilii ...,_......,.. ® .............................. ........................._...................... ilii..«........................ ...........,........_..x...,.... ...........«.....................,......................._............. i..,ilii ilii......... ................ ......... ......._....................,...,................._:............i�i .,._ .............•.....»» .......__«»,r.. ;.............._».....,,..............................................r ..ilii::::::.:::::x:::a:::;::� ....•. .,........«...,, .......v..,......... .................ilii...», .,.........._..........._._».,..;•... .....•........... ilii..«,,. . .„„ilii«,..._............:..............::::::::::i:::aao-;r,:r:;;n,-•:n:;:::::::::::n:::::: ❑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: •_.•..,•,,, ,,ilii.._ where the available fault current ❑Marinas and boatyards. i , n,,::::::::.:r:!;F;;,,aF.... �,;:;!;,.,;„r„.;.. >}:, i � � : exceeds 10,000 amps at 150 volts or ❑Floating buildings. . ilii.-,_ ,..,... ilii .._. ..._.......,. __........_.F ❑■ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural 0 Multi-family 0 Master builder 0 Other: 0 Fire pump.l other installations. 0 Instadlilnagtiso. n raotf 1y50 eKnVveAd or _ . . .. ... . _ „ .. : .... :. . e. : . _ , mergencysystem arger cepa e ❑Addition of new motor load of system. Job#: Job site address:12464 SW Saint Andrews Ln 100HP or more. ❑°`A”,"E”,"1-2","1-3”, ❑Six or more residential units. occupancy. City/State/ZIP:Tigard, OR 97224 ❑Health-care facilities. ❑Recreational vehicle parks^ Suite/bldg./apt.#: Project name:Rufener 4.56kw ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street erections to job site: ;.;.,.=:.;m INN 4 :;:x!::;;:;r::::: ..........:........... ilii...,..........,_.,............._........... ,,..,, :::�:::;:::::;:-:::::::::ilii..,,._ Description I Qty. I Each I Total 1 * New residential single-or multi-family dwelling unit. Subdivision:CPO4b bull mtn I Lot#:R2150313 Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#:2S110CB08700 Ea.add'1500 sq.ft.or portion 33.92 1 :. ..............._. ::::::;.._:.ilii.::::•:::.::;^:::::: :::.:::^,::r:::;::;:.�.7.. :_,_..,._.,»i .,•-«....:.......,...._ :: :::.;::::....... .....,......_s.. ............._...................: Limitedresidential 75.00 2 ::: ;;==.;=sF::=s>s>:r=sFenergy, Rooftop solar PV 4.56kw (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) ::. ...,........ :::._,:......-:<:::::.:::; :. :............<: : ::: ::.::......._»...........:- ,:::::::::::•::::::,...:...,.............._,..................::::::.. Renewable Ener ::::.:::::::::_,•:::;::::: ,::g� �y .,.• »............._., . :..........,..x.;_x:::.:•....... gY ❑ See Page 2 _....................:._ y _.....................,......._.........,._ ,. :::::::;;:_:::::::;:::_:::::::::::ilii;,., ^^..............r_;,....:::d_.! : ,,y�tam�y�'pp(kt. .Y.. . _illi.......•_......^...........,,^»^•....^.^.^......, . :::::. n: ::::;;:-;::::Ftassss;F F;;_:;:::: ilii_F..,»..........,». ..li.,l?AS+f.I€t'iFRkF.�...�. ;:F;.ceiiuEiFi-SEEiFEiiE^i�iiiiFE=:'?E:iiueEiieEt?iiE?ii!ii&iEF:`• .., .._,...»..................... :•..,........,«»...._...;..;..,....:: .� �`F;:::._.........„..,..........a..,...::::;m: : u:::.z............ .........,......��.�s�i.=i'riii<iii'rEii�Fi::::r.:a:::::-:_iii[F'i - -•^- -.. �•-• • ••••••^-x. -.. ..-... •.••• Services or feeders installation,alteration,and/or relocation Name:Justin Rufener 200 amps or less 100.70 2 Address:12464 SW Saint Andrews Ln 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard, OR 97224 601 amps to 1,000 amps 301.04 2 Phone:( )971-322-3103 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:rufenerj@hotmail.com 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 „.F.ce:::zmzx:r�b.iiiiF£EFSF^File':•'EiEF::z...!,a;;; xu..:^.a...» :;; ll _ ......................... ...... . :;;......._...,.,_.,.............;;::::::n: :z::::::. .., •::: .......s;:;_aF:;-F ranc ctrcmts new alteration or extension perpanel _,....*:.:;x.......:.,,__.,:�::.;::::..... . . . ,........_.............:..._.,.. _.,ilii..: > > P ::.:::.......�:n;::.;:r,:::es•:=.:::::..,.?:: ...:� ...,.._,,,..........._._..._:.:.;.:,... , x-::ilii.. , ::.._............ ............:_.. .........:.ilii::.::::.::.::::::;::Fs:Fa:F ee=.:e sa:FF=at:.......t_.... d6 ...::.¢i°........ :..:_ r;_:: ilii...::::::: _...... .:. ..................- _,........................«....s....._ . .._,._. ., ......................._. A.Fee for branch circuits with Business name: Blue Raven Solar above service or feeder fee, 7.42 2 each branch circuit Contact name: Tara Mount 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 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 :• - « - na ,.... « sHrx ..... .i.l..i.i:..,.,: .....««'c._... _:x....vEz . cws:.«:.. ssr..u::_:w.....;.»,:...:..u:_-.:;•�r :s...: P.!: Pump or i mgatton circle 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 0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: American Fork,UT.84003 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 385)482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr Email: permitting.department@blueravensolar.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 210112 Electrical Lic.: C1214 Suprv.Lic.: 6097S ..specifically listed('A hr mini Suprv.Electrician signature,required: Subtotal: Print name: Sam Collier Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: Print name: Ben Wade �' TOTAL PERMIT FEE: Date:i i/3/2017 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. 1_\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615TQ 1/OS/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: ..........:._..:,.....: :=:.:::::, •wr:::::: .:::.:::::.::: ..:.:: X1.1 ii::. .:.v..::7[:......:::::.o P "e isiiF::iei':'rii:2: c:r.'SE E2???'£iii ii .: »,........;....:..v....._.,_i::'::;:mw:•:r Baa ,:.,.....'. .::...:.: : + Each _...:... ... ... ...:. ......_. Description Fee for all residential systems combined: $75.00 p I Q`y 7 Each f Total 3' Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01to15kva 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 552.26 2 with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ri 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(%s hr min) Niu Fee for each commercial system: $75.00 Subtotal allowedper permnter t.oPage 1): (SEE OAR 918-309-0000) * Number of inspections per permit. 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\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 i CityTigard of RECEIVED 114 Ili Building Division NOV 2017 13125 SW Hall Blvd,Tigard, OR 97223 CITY F liG. RD BUILDING DIVISION Phone: 503.718.2439 Fax: 503.598.1960 T I 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 PhotoVoltaic Solar Panel System Property Information Installation Address: 12464 SW Saint Andrews Ln City: Tigard Zip: 97224 Owner's Name: Justin Rufener Date: 11/3/2017 Contractor's Name: Blue Raven Solar CCB #: 210112 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation 111 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 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? structures other than If"Yes", qualifies for ❑� Yes the prescriptive path. above ❑ No 1 I:/Building/Forms/Photo Voltaic-Checklist.docx Is the construction Type of material wood and does n Yes If"Yes", qualifies for the construction qualify 111 No the prescriptive path. Construction as "conventional light frame" construction? Is the spacing 24 inches or less? Pre-engineered trusses. 111 Yes If"Yes", qualifies for the prescriptive path. ❑ No Roof framing members Is the spacing 24 inches or less? Nominal lumber. n Yes If"Yes", qualifies for 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 psf? installation Is the solar installation layout in accordance ❑� Yes with Section 305.4(3) of If"Yes", Yes , qualifies for 1=1No 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 assembly connected to roof No If"Yes", qualifies for framingor blockin ❑ the prescriptive path. to the roof g 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 mountedMinimum 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 is less than 18 inches, panels? 18 inches or less qualifies for the inches prescriptive path. Minimum#10 at 24 inches o/c? Size and spacing of If"Yes", qualifies for fastener? ❑ Yes 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 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:CSA 4 I:/Building/Forms/PhotoVoltaic-Checklist.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 12464 SW ST ANDREWS LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2017-00435 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor