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Permit (76) CITY OF TIGARD MASTER PERMIT III ■ COMMUNITY DEVELOPMENT Permit#: MST2018-00200 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2018 T t c,A A .L� g Parcel: 2S108DB07400 Jurisdiction: Tigard Site address: 15236 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 72 Project: GONZALEZ 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: $12,651.07 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 Drywell-Trench Drain: 0 Other Fixtures: 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: Y Other Description: Solar photovoltaic system.6.38 KW 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: GONZALEZ,HENRY 0&KELLY E BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) 15236 SW THAMES LN 1220 S 630 EAST,STE 430 TIGARD,OR 97224 AMERICAN FORK,UT 84003 PHONE: PHONE: 385-498-4408 FAX: Total Fees: $358.69 00. This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all othe -pplicable - •II wo k will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if - ,is-'`suspe. '. •r •-• -..180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Ce T.•se ru:- - - - in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 A: •• .0.3 n By: / / �/ g Issued / / )At , �,i:_ Permittee Signature: Call 503.639.4175 by 7:00 a.m.fo the next available inspection da 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 •, y :t. , 4• "Residential JUL 9 2018 FOR OFFICE USE ONLY - City of Tigard Received ��[" //'�� permit Nr ♦ if.-c...)45:14.630 Dateiv Q l� i III 13125 SW Hall Blvd.,Tigard,OR 97223 + ` Plan Review Phone: 503.718.2439 Fax: 503.598.1961.I31.. LT):r k. Liv:.-,0,i' Date/By: 7/1IS O Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: /41c......„ kris: ® See Page 2 for Internet: www.tigard-or.gov otifie. ,ethos lSupplemental Information P 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 1=1 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the i CATEGt R1 0iti' STRV Opt work or indicated Gated on this application.k dia pli ❑r 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ $12,651.07 ❑Accessory building ❑Multi-family Number of bedrooms: 0 Master builder ❑Other: Number of bathrooms: { $ R [ N Total number of floors: Job site address: 1 b236 Southwest I hames Lane, I igard,Oregon,91224, New dwelling area: square feet llnitad States City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Kelly Gonzalez Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet RtQ Dt .k'=t'rt.CG 3 C KLIST Subdivision: 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 ,"i " ;t work indicated on this application. Rooftop solar PV Valuation: $ 4 L9•39) t(v) Existing building area: square feet New building area: square feet I}lrzmnii ©...:: Number of stories: Name: Kelly Gonzalez Type of construction: Address: 15236 Southwest I hames Lane, I igard, Oregon,9/224, — United States Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ........ .: : ..:�sz�%'Fiii'iit?a'iii iEii:�.`:ii iiE?i::i�Fii:iii�5:::'rfz �S.:�: �..:��.. • r-----;:a:::::::::::::::::::::::::•::::::::::::SE2"ii:...�ailiAiiiiihilfiiilkin ..., i::::::::::::.sa.::::::::::^.i'ai: ......:......_..........:............;.. .. .. .... isommea Business name: Blue Raven Solar _, E Esw a i l 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::( ) . _....... ,: .A..:moii..u..,n...t rec.e ived: :: _...• . . .. E-mail: Permittin .de artment blueravensolar.com : rli T0VOLC_ AN V vst_M : miRE, : ;:::::::. ::: : : .::::; ..a :: :;: s,: . .. ;::: ...:..::::_:- - :: -:,:..::•:.....................:..::.::::::::: ::::::::::::.............:.::::- : ::::;<:�;::= :_;::_:�;::::::::: ::>::;;;s:s ::;:< roof-t m • ,..,..,.. ................. _... ...........,..,..........,... . . .....................................;...,,::: ...:_....:...........:...........,.....;....;..:.:::•::,,. op ounted PhotoVoltarc 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: rc4 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: 07/03/2018 *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) • Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received Permit#: Date/B : of 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Il` Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for T I G A R D • Internet: www.tigard-or.gov Notified/Method: Supplemental Information i ,,._,• ' ... I ' ; WQllatl .. '�� ... ..,,. v .............. ilii..;: .. ..„. ...� ;ilii.. ,; ...,.,,. .;.::,w ..,,a;,;E:.:, ._. . El 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 0 Marinas and boatyards. nGOR Q. 11N'IR11+> .JQl exceeds 10,000 amps at 150 volts or 0 Floating buildings. __ .::. , . ■ 1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ 0 0Accessory building amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or IIIIIiiIIIIIIIIIINIIIIRIIiiiiiiifiiiii49**CptervAls-Dii!LocATMSEENEREffigamie ❑Emergency system. larger separately derived Job#: Job site address: 15236 Southwest Thames Lane,'Tigard, 0 Addition of new motor load of system. Oregon,97224, United States 100HP or more. ❑°'A","E",°1-z",°1-3", City/State/ZIP: ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Kelly Gonzalez ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Description j Qty. I Each I Total r•• 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#: 1a1l.EiSlr`RIPT...... �'P WORIf: residential n 33.92 1 Ea. 500sq. or portio REM `..:•......,. v ,.,.v_...... . ;i Limited energy,residen is 75.00 2 Rooftop solar PV (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 n.....„...,.....,...,;.,,....: ROPER' 'i OAR... .. 0 TENS - - Services or feeders installation,alteration,and/or relocation Name: Kelly Gonzalez 200 amps or less 100.70 2 Address: 15236 Southwest 1 hames Lane,Tigard,Oregon,97224, 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 iiiillre:::ata:: :.:...::::a:rr::>ss:zs:"iiCi is: .m:.:.......:.:.......:: ::::::::::::::.::: .::::r:::;:::::::::::::, Branch it ` ..... . illi:.. .....,... , ....... :...... �" . i '.,....:.: 6.... new,alteration,or extension,per panel c circuits era u ilii.. A.Fee for branch circuitswith Business name: Blue Raven Solar above service or feeder fee, 7.42 2 each branch circuit Contact name: Ashleigh Egbert 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: Permitting.department@blueravensolar.com dwelling,service and/or feeder Reconnect only 67.84 2 """""`""" Pump or irrigation circle 67.84 2 sa .....,_. ....:............. ilii... ,ilii... , .: ilii-..:. Business name: Blue Raven Solar Sign or outline lighting 67.84 2 Address: 1220 S 630E STE 430 Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension. American Fork,UT.84003 Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(1 hr min) 66.25/hr Phone:( 385)482-0045 Fax:( ) (0 it if Investigation(1 hr min) 90.00/hr Email: Permitting.dePartment@blueravensolar.com coo C77 n lb-industrialpslant(1 hr min) 78.18/hr for which no fee is 90.00/hr CCB Lic.: 210112 Electrical Lie.: C1214 Suprv.Lic.: 6'e9TS' specifically listed %hr min) . ;% ilii •, Suprv.Electrician signature,required: ,J ._ Subtotal: Print name: Sam Collier Date:07/03/2018 0 Plan Review Required(25%of permit fee): 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:07/03/2018 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB • Electrical Permit Application—City of Tigard -Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Description 1 Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable 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 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 ❑ 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(V2 hr min) Subtotal(Enter�. on Page 1): Fee for each commercial system: $75.00 y * 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 n 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 1:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 • City of Tigard Building Division ' 13125 SW Hall Blvd,Tigard, OR 97223 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: 15236 Southwest Thames Lane, Tigard, Oregon, 97224, United States City: Zip: Owner's Name: Kelly Gonzalez Date: 07/03/2018 Contractor's Name: Blue Raven Solar CCB #: 210112 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation CI Yes qualify for the Area Located in a flood prescriptive path, follow plain/flood way? 0 No OSSC or ORSC for design requirements. 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? structures other than If"Yes", qualifies for ❑■ Yes the prescriptive path. above ❑ No 1 I:/Building/Forms/PhotoVoltaic-Checklist.docx Is the construction material wood and does ❑■ Yes "Yes",of If Yes , qualifies for the construction qualify Constructionas "conventional light n 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. n 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 psf? installation Is the solar installation layout in accordance ❑■ Yes If"Yes", Yes , qualifies for with Section 305.4(3) of n No 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 0 Yes Connections of solar assembly the solar assembly connected to roof If"Yes", qualifies for framingblockin ❑ No the prescriptive path. to the roof or 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 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 P anels Width of roofing If the width of the panel is less than 18 inches, panels? 18 inches or less inches qualifies for the prescriptive path. tive 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. '/z"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 El 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:Solar World Model Number: 290M 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: 15236 SW THAMES LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00200 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: 15236 SW THAMES LN, TIGARD, OR, 97224 Record Type: Record ID: Residential - Master Permit MST2018-00200 Inspection Type: Inspector: 299 Final inspection Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor