Permit (219) CITY OF TIGARD MASTER PERMIT
II s COMMUNITY DEVELOPMENT Permit#: MST2018-00187
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2018
T r r; Iz i� 9 Parcel: 2S109DA15600
Jurisdiction: Tigard
Site address: 15346 SW GREENRIDGE PL
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 75
Project: MORTENSON
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: $13,101.84 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'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: Y Other Description: 6.67 kW solar 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:
MORTENSON,ROBIN M BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
DAIKER,ANJANETTE M 1220 S 630 EAST,STE 430
15346 SW GREENRIDGE PL AMERICAN FORK,UT 84003
TIGARD,OR 97224
PHONE: PHONE: 385-498-4408
FAX:
Total Fees: $358.69 -::,
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other,_.'phi •e -'. ,Al work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if / p-••`•:f6r` im" 180
days. ATTENTION: Oregon law requires you , follow the rules adopted by the Oregon Utility Notification Cef1t�l • .!r. -re - • in OAR
952-001-0010 through OAR 95 :r -0090. You m obtain a copy t e rules or direct questions to OUNC by calling 503 ••4' , .
Issued By: l• e75Permittee Signature: �'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
Received ie ,. �, ��y
- City of Tigard ., T Date/By- LP /i5 '3 — Permit No.:ills r , ,- (/�.i/T711,1 ,
'"" yIS
e 13125 SW Hall Blvd.,Tigard,OR 97223'' Plan Review
Phone: 503.718.2439 Fax: 503.598.19 1 s i Date/By: ;7 Other Permit: I
T 1 C;A R D Inspection Line: 503.639.4175 Date Ready/By: G .2t •��tuns:�� ® See Page 2 for
Internet: www.tigard-or.gov Not'fied/Method: /�'i.f$ Supplemental Information
.,IJN 21. fill —� .7
TYPE OF WOI C QUIREDDATA:I-. - AMIL"t DWELLING
0 New construction • D es•1' ' . r ��,11 Permit fees*are based on the value of the work performed.
❑✓ Addition/alteration/replacement ■ er: 1 MU Indicate the value(rounded to the nearest dollar)of all
P equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Ell-and 2-family dwellingValuation: $ $13,101.84
0 Commercial/industrial
ElAccessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15.346Southwest Greenriage Place, Tigard,Oregon, New dwelling area: square feet
97294 United States —
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Anjie Mortenson Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
. REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OP WORK ` work indicated on this application.
Rooftop solar PV Valuation: $
6.67 kW Existing building area: square feet
New building area: square feet
PROPERTY OAR Q ALS''; Number of stories:
Name: Anjie Mortenson Type of construction:
Address:
1b346 Southwest Greenridge Place, I igard,Oregon, Occupancy groups:
97294, Unitad States
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT CONTACT CT,PSN BUILDING PERMIT FEES*
Business name: Blue Raven Solar +etre to schedule)
Structural plan review fee(or deposit):
Contact name: Tara Mount
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: permitting.department@blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
, r
Commercial and residential prescriptive installation of
. „G'O1' O1t: roof-top mounted Photo Voltaic 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:(385-482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: #210112
Total fee due upon application: $201.60
Authorized signature: ;41/7f-ckThis permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jeffery Lee Date: 06/22/2018 *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)
1
Electrical Permit Application, 1- , FOR OFFICE USE ONLY
ntACity of Tigard ' ' Date/B : 0 1 . 6i MALIr�
114 '" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
II Phone: 503.718.2439 Fax: 503.598.1960 JUN2018 Date/B Related Permit#:
Inspection Line: 503.639.4175 1 Ready Date/By: Juris�`� ® See Page 2 for
TI C A R 1) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
CITY OF TIGARD
0 New construction ❑■ Addition/al p'1.t-,I rAI ON Please check all that apply(submit 2 sets of plans w/items checked):
ElService or feeder 400 amps or more 0 Building over three stories.
1=1 Demolition 1=1 Other:
where the available fault current 0 Marinas and boatyards.
'e4.*EGoRy Or CO TRVC i exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑■ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
.401. StTEr INFOlg1M ATIO,ANDSTI 0 Emergency system. larger separately derived
Job#: Job site address: 15346 Southwest Greenridge Place, El Addition of new motor load of system.
Tigard,Oregon,97224,United States 100HP or more. ❑"A","E","1-2","1-3",
ElCity/State/ZIP: Six or more residential units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Anjie Mortensen 0 Hazardous locations. ❑Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SC EDULE
Description I Qty. I Each I Total I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'(500 sq.ft.or portion 33.92 1
13FrSOR PTION OF WOR ' Limited energy,residential
(with above sq.ft.) 75.00 2
Rooftop solar PV Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
OWNER Renewable Energy 0 See Page 2
CI EROPERTY . Services or feeders installation,alteration,and/or relocation
Name: Anjie Mortensen 200 amps or less 100.70 2
Address: 15346 Southwest Greenndge Place, I igard,Oregon,91224, 201 amps to 400 amps 133.56 2
-
United States 401 amps to 600 amps 200.34 2
City/State/ZIP: 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
Ai" L I Atli P
m,„.„3,,, Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name: Blue Raven Solar above service or feeder fee,
7.42 2
each branch circuit
Contact name: Kati Singer 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'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(385 ) 482-0045 Fax: :( ) Each manufactured or modular 67.84 2
ermittin de artmentn blueravensolar.com dwelling,service and/or feeder
Email: P g P ` Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Blue Raven Solar Sign or outline lighting 67.84 2
Address: 1220 S 630E STE 430 Signal Meru t(s)or limited-energy 0 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:( ) /o/(f, / Investigation(1 hr min) 90.00/hr
ermittin de artment blueravensolar.com Industrial plant(1 hr min) 78.18/hr
Email: P g• P @ yyyy?S/S Inspections for which no fee is 90.00/hr
CCB Lic.: 210112 y�•l/ Electrical Lic.: Cl 214 Suprv.Lic.:-0097S specifically listed('/z hr min)
ICM;. saeiliT F
Suprv.Electrician signature,required: c- „✓,�__ Subtotal:
Print name: Sam Collier Date:06/22/2018 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: J1 - ...':-/ „..,....„,, TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Ben Wade Date:06/22/2018 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitAppELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrital Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDESTIAL WORK ONLY: ,
DescrFee for all residential systems combined: $75.00 . I Each I *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
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
El Garage Door Opener* 50.01 to 100 kva 552.26 2
>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
❑ 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 mm)
Inspections for which no fee is 90.00/hr
specifically listed(/2 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL R T MMR.
Su
Fee for each commercial system: $75.00 allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
ri Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
L\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015
• City of Tigard
111 q Building DivisionIVELEIVED
13125 SW Hall Blvd, Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 JUN 21 ZO5S
T I G A R D Inspection Line: 503.639.4175
www.tigard-or.gov CITY OF TIGARD
BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 15346 Southwest Greenridge Place, Tigard, Oregon,
97224. United States
City: Zip:
Owner's Name: Anjie Mortenson Date:
Contractor's Name: Blue Raven Solar CCB #: 210112
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? ❑■ No OSSC or ORSC for
design requirements.
111
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. ❑ 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:/Building/Forms/PhotoV oltaic-Checklist.docx
Is the construction
material wood and does Yes
Type of the construction qualify If"Yes", qualifies for
Construction ❑ No 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 ❑■ 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 ❑� Yes
layout in accordance If"Yes", qualifies for
with Section 305.4(3) of
the 2010 Oregon Solar 111No 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.
❑■ of composition
shingle.
Is the roof mounted n Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
n No the prescriptive path.
to the roof framing or blocking
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
directly to inches Maximum 60 inches inches, qualifies for the
standing seam prescriptive path.
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? 111 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/Photo Voltaic-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:
15346 SW GREENRIDGE PL, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00187
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15346 SW GREENRIDGE PL, TIGARD,
OR, 97224
Record Type: Record ID:
Residential - Master Permit MST2018-00187
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor