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Permit (93) CITY OF TIGARD MASTER PERMIT ,,111;111Permit#: MST2017-00453 COMMUNITY DEVELOPMENT Date Issued: 11/22/2017 T(GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DB12200 Jurisdiction: Tigard Site address: 17497 SW SHADOW TRAIL ST Subdivision: RIVER TERRACE NORTHWEST Lot: 122 Project: LI 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: $3,000.00 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. 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 OP 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: LI,PENG SOLARCITY CORPORATION Required Items and Reports(Conditions) ZHAO,XUN 6132 NE 112TH AVE 17497 SW SHADOW TRAIL ST PORTLAND,OR 97220 BEAVERTON,OR 97007 PHONE: PHONE: 503-894-6903 FAX: 866-445-7459 Total Fees: $324.88 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 work is suspended for more the 180 days. ATTENTION: • -gon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug •�•AR 95�1-009 . You may obtai a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r I Issued By� ��.G�i" 1 Permittee Signature: S'-'?—i �-r/, L°a �� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 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. a 4a' - • Ct ''.41.'-'1 fis'i i'!• 7-f,-t c-,,,.. / Se n 1., Building Permit Application ' .--' --1 --'-' 7 -114r '''' Residential 1.{)1(UI lit l 1 sl OM 1 NOV 16 101/- City of Tigard ESINFilffiffirfflill Permit No,: ,.- - ,I 1 3 1 ,__ . 13125 SW Hall Blvd.,Tigard,OR 972‘ti 11 / (..' S: r),,,,,,T,,.,„ ..,,. N.,Review mg" / ,i, ; - Phone: 503.718.2439 Fax: 503.598.03'0 - — ''''''' DaterB . Other Permit: di a 1 I 11LInspection Line: 503.639.4175 , : .- Dateteady/By: ' M See Page 2 forL, Internet: www.tigard-or.gov Notified/Method: /Ai Supplemental Information ar.QuIREttoATA:I. tte; ,,,, ILY*WPA4N44„ 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 is Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the "'':------::----,-----• ' ---'- — ,21: --'' - 7;,,, 7 work indicated on this application. or 0 Cij': AVM* , ''---C .), „; Valuation: $ 3 DOO e'l 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building 0 multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: miTE EspoptmATION Apo„4„,(KATION „): Total number of floors: Job site address: 119,9 1 S\n( G t--kcA l)Dv\/ 7 Koil 1.... T. New dwelling area: square feet City/State/ZIP: u?.,(A,v.e,y tun ocz, a‘--t-o-o-i- Garage/carport area: square feet Suite/bldg./apt,no.: I Project name: 1;‘ Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet '1st)W0,—TA:WIC '' 'tiAte044Etarklaxir Subdivision: I Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax niapiparcel no.: equipment,materials,labor,overhead,and the profit for the DEBOOPT1ON op W• 9 , , work indicated on this application. Valuation: $ PV ROOF MOUNT Existing building area: square feet L't •55- ,,,N,A./.--- New building area: square feet aerially. ta-d--i:.: — ; - ;,4- ',:d , Number of stories: Name LI, ---? - 6 Type of construction: Address: 1-1 L97 sw s helot ow I- k_ati L .1. Occupancy groups: City/State/ZIP: 6 t/aNty-1-vy-t. f 6A 001 Existing: Phone:( ) Fax ( ) New: Cotmer PgagaN ,..-,-,'..---7---.----1.--i;k1-„;,.1NG ' 1,----FFL';if,'AC:' _'''1.1-7.,....., Business name:SolarCity Corp Structural plan review fee(or deposit): Contact name: Melissa Farias FLS plan review fee(if applicable): Address:6132 NE 112th Ave, Total fees due upon application: City/State/ZIP: Portland OR 97220 Amount received: Phone:(503)894.6903 I Fax::(1866 445-7459 r;Z-1 46tPle,,6) rn E-mail:Melissa.Farias@SolarCity.co 0, Commercial and residential prescriptive installation of CONWi" ---'------1- ' roof-top mounted Photo Voltaic Solar Panel System. Business name:SolarCity Corp. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 6132 NE 112th Ave , Solar Installation Specially code checklist. Permit Fee(includes plan review City/State/ZIP: Portland OR 97220 $180.00 and administrative fees): Phone:( 503) 894-6903 Fax:(186d 445-7459 State surcharge(12%of permit fee): $21.60 CCB lie.: 180494 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained A, V" ' within 180 days after it has been accepted as complete. _ . Print name: Melissa Fari , Date: 1 1 . 15 . 1-1 *Fee methodology set by Tri-County Building Industry Service Board. I:1BM Iding1PerrnitsIBUP-RESPermitApp.doc 02/24/2011 440-46131(1 1/02/COM/WEB) 1 Electrical Permit Application IIIIIIIIIMIIZIIIIIIIIIIIIIIIIIII City of Tigard R.rriyad 4111 i 13125 SW Hall Blvd.,Tigard,OR 97223 Pate/By: Pcrntit No,: ■ Phone: 503.718.2439 Fax: 503.598,1960 Plan Review w . ' Date/fly: Other Permit: l, t l t Inspection Line: 503 639.4175 Date Ready/By: Janis:. � of Ser Page 2 for Internet: www ngard or.gov Notified/Method. Supplemental Information 0 New construction *C.* Addition/alteration/replacement Please check all that apply(submit 2 eels of plans whtcros checked below): 0 Service or feeder 400 amps or more 0 Building over three stories. t J Demolition 0 Other: where the available fault current ❑Marinas and boatyards. i, �`r,, Y t ,--.*-10. ---,---,,,,--,,:,------r---',,----. exceeds 10,000 amps at 150 volts or 0 Floating buildings, : I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 Cl Comings. -ase agricultural 0 Multi-family 0 Master builder for all other installations. buildings. 0 Other: ❑Fire pump. 0 Installation of iSO KVA or � R _ Q l mergency system. larger separately derived system. (� N 0 Addition of new motor load of ❑ A,"E" "1-2"'°I-3" Job no.: Jot,site address: (19�-1 SW ) ' c Opp '( a 1 lOOHP ew mote. occupant . OW 1 y '[]Six or more residential units. 0 Rectrxtional vehicle parks. City/State/ZiP: 3 0 �e./1-'ll v\ O� /7t�-DD ©Health-cats facilities, 0)Supply voltage for more than v vvv / t fV 1 -roc) ©Hasardoue loeaticr�s 600 volts nominal. Suite/bldg./apt.no. Project name: 1/t 0 Service or feeder 600 amps or more. V Cross street/directions to job site: Description Qty. For, Toad •.�. New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq.ft.or less 168.54 4 Tax map/parcel no.: Ea,add"!500 sq,ft.or portion 33.92 1 i Ute..: ., - Limited energy,residential 75.00 ilifORK 2 ..�L �°� (wFth abave sq.0-) ROOFPV MOUNT Limited energy,multi-family residential(with above sq.fl) 75.00 2 I('V� Renewable Energy d4 See' Page 2 Services or feeders installation alteration,and/or relocation %. , 'i r �,Jygkt200 amps or less 100.70 2 Name: p. )6amps 10400 amps 133.56 2 201 t (� 401 amps m 600 amps 20034 2 Address:`19- "1� S V� S hO‘ OW -vyai ; 1 601 amps to 1,000 amps 301.04 2 City/State/ZIP: 8.� �' op 01 -Y10� Over 1,000 ampsvices volts 552.2E 2 v 1 \Ji`- l V Temporary services or feeders installation,alteration,and/or Phone:( ) I Fax:( ) relocation Owner installation:This installation is being made on property that I own which is not 200 amps or Ices 59.36 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.082 Owner signature: 401 amps to 599 amps 168.54 . 2 Date: Branch 3.c � �- , .,._ . circuitsnew,alteration,or extcnsion,.or panel , , , , , Flt X , A.Fec for branch circuits with Business name: above service or leader fee, SolarCity Corp. each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Melissa Farias service or feeder fee„first branch circuit 56.18 2 Address: 6132 NE 112th Ave Each aaa'1 branch circuit 7.42 2 City/State/ZIP:Portland, OR 9722 Miscellaneous(service or feeder not included) Each manufactured or modular Phone:(503) 894-6903 J Fax::(1866) 445-7459 dwelling service and/or feeder 67,84 2 E-mail m Reconnect only 67.84 2 Melissa.Earlas@SolarClty co ,',_,..-:,'''''17--""'.. w. �, Pump or irrigation circle 67.84 2 ` E ) �I Sign or outline lighting 67.84 2 Business name: Signal circuit(s)SolarCity Corp. gion or extend-energy Sas Address: panel,alteration,or extension. Page 2 2 6132 NE 112th Ave Each additional inspection over allowable in any of the above City/Slate/ZFP; Additional inspection(1 hr min) 66.25/hr Portland 011 97220 Investigation(1 hr miss) r 66.25/hr Phone:(503)894-6903 i Fax:(1866) 445-7459 Industrial plant(1 hr min) 78,18/hr ( Inspections for which no fee is CCB Lia:180498 I Electrical Lie,: 0562 ( Supry.Lica: 58735 �ciflcallistedfhfirmin) 9000/hr . 1.,, �- _�" Suprv,Electrician signature,required: ...----- Subtotal: ,,—- °� ... tW, Subtotal: Print name: Nicholas Armstrong J Date: 1 1 1 S. I T Plan review(25%of permit fee): Authorized signature: 4. State surcharge(12%of permit fee): TOTAL PERMIT FEE: Print name: • L This permit application expires if a permit is not obtained within 180 Melissa Far , bate: ` S ' days after it has been accepted as complete. tiV3rsiWica6NPrrmustGt.CePemnitApy_ELRrERE.dac Rev a5l31Y1n13 ` • Numberofinspectionsallowedperpermit. 440.4615T(t t.o5/COMJWEO • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: :1 +S N.TIAL W(:Q ONL '': tefotiwg, Fee for all residential systems combined..... .. $75.00 Description I Qte. € pee I Total I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less t 100.7(1 1 b 0 10 2 ❑ Audio and Stereo Systems* 5.01 w is kva133.56 (1' 3 2 15.01 to 25 kva 200.34 2 1.1 Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 [] Garage Door Opener* 50.01 to 100 kva 552.26 2 I00 kva(tee in accordance with 0 Heating,Ventilation and Air Conditioning OAR 918-309-0040) 552.26 System* Solar generation systems in excess of25 kva: Each additional kvt over 25 7.42 3 ❑ Vacuum Systems >100 kva-no additional charge 0.0 3 Each additional inspection over ri linwahle in any of the above: Other: Each additional inspeclion is charged at an hourly(1 hr mm) 6625/hr 1 inspections for which no fee is specifiality listed CA hr mm) 90.00.'hr CO> ERCjAL;WORK.ON i gLECTRICAL::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 permil is nal obtained within ISO Audio and Stereo Systems days after it has been steepled as templet°. * Number of inspections allowed per permit. ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation O 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:�fiuilJaig:PrrmYalELC,pttnasiApp ll.R fiRE.dos tie 0512(0.513 i City of Tigard RECEIVE) :f _ . 1111 '' Building Division " ' 13125 SW Hall Blvd, Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960• N 0 V .t. "Z(-.W T I GARD Inspection Line: 503.639.4175CifY Cit: a a ; www.tigard-or.gov MIS I T1 G DIVISION 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: I l i-ovi S w S hol v Tali U ST • City: 9(0`Jv-c f/VDY\ Zip: 97224 Owner's Name: p-DnG �, Date: Contractor's Name: SOLAR CITY CCB #: 180498 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. 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/Fonns/Photo Voltaic-Checkl ist.docx Is the construction material wood and does Yes Type of If"Yes", qualifies for the construction qualify ❑ Construction as "conventional light No the prescriptive path. 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 ® 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", qualifies for the 2010 Oregon Solar ❑ No the prescriptive path. Code? ❑ Metal Single layer If roofing material is RoofingCheck the type ❑ of wood of 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 If"Yes", qualifies for to the roof framing or blocking ❑ No 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? is less than 18 inches, 18 inches or less qualifies for the inches 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 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: - " SO moi/ G1IVY Model Number: -260"' SC 3'')/t---; Listing Agency: UL1703 4 I:/Building/Forms/PhotoVoltaic-Checkl ist.docx City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17497 SW SHADOW TRAIL ST, BEAVERTON, OR, 97007 Record Type: Record ID: Residential - Master Permit MST2017-00453 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor