Permit (19) CITY OF TIGARD MASTER PERMIT
1111 '` Permit#: MST2018-00343
� COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/02/2019
T t c; lZ I 9 Parcel: 25111 DA03000
Jurisdiction: Tigard
Site address: 8585 SW BRAEBURN LN
Subdivision: APPLEWOOD PARK NO.2 Lot: 25
Project: BARANICK
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: $9,651.61 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 RainStorm Sewer: 0
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
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:
BARANICK,SCOTT&TERRI BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
8585 SW BRAEBURN LN 1220 S 630 EAST,STE 430
TIGARD,OR 97224 AMERICAN FORK,UT 84003
PHONE: 385-482-0045 PHONE: 385-498-4408
FAX:
Total Fees: $320.88
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: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of •- • - • - •uestions to OUNC by calling 503.232.1987 oror1.800.332.2344.
Issued By: - /L���� ......c......- •ermittee Signature: ( / "
Call *,'4175 by 7:00 a.m.for the next available inspection date. Jyet
This permit card shall be kept in a conspicuous place on the job site until completion of the projec.
Approved plans are required on the job site at the time of each inspection.
B> lding Permit Application
Residential FOR OFFICE LSE ONLY
Cl Of Tigard ECEIVE
��'ceived
IN `J g Date/B3. , Pi;',' ...♦- 83 f'/3
13125 SW Hall Blvd.,Tigard,OR 97223DEC 1 Plan Review -7
a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I / �� Other Permit:
Inspection Line: 503.639.4175 Z 1 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigazd-or.govTIGARD , Notified/Methodte SupplementalInformation
RJD
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❑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
❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
a: µ:::ms•: . _ :<Em?:::: i work indicated on fus
application.
_:mn:. ^mmimi .. i _ ®. , l !„ m _..
mil , , ,,
Valuation: $ $9,651.61
0 1-and 2-family dwelling 0 Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
i i ]W iI'T 7,'! 111Wil "r""liiialigiNiiiiii,illiMiiiiinill Total number of floors:
Job site address: 8585 SW Braeburn Ln,Tigard,Oregon,97224 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Scott Baranick Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
-77
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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
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.... . 1. :18. -:_~ :: ..:: •_:;.w:::'•::€s.€;€€is> a-
work indicated on this ap
hcarion.
;'•;;:C»
Rooftop solar PV Valuation: $
U � `L `d Existing building area: square feet
1 w- New building area: square feet
, .
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Name: Scott Baranick Type of construction:
Address: 8585 SW Braeburn Ln,Tigard,Oregon,97224 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
._.. i ..., .mill mill ,...�..........;:•,,::: m....U ._... .Illi...
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Business name: Blue Raven Solar a:::::::;<;::.m :.;_::::::::::::::: fad. .. i:i::: ::::_::::;::.:::::::::::m•
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:
Amount received:
Phone:(385) 482-0045 Fax::( ) >r:::.-::n:::•.:::_::::r.:::=:=ri3::i3 m:utiiiiiii-:;;:;:.::;_ :::::r•:aa::.w:i:s•:::::n i::i :=:;=t,.::;::::::_im._s:::wr:
4.
E-mail: Permitting.department@blueravensolar.com
f1•T ,o
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Commercial and residential prescriptive installation
f
-_, ::-: :.: -^.... i:. .:.. E. ----nmii..-:v .....a:. . _ =.»_...n.: _=:;_. _ :.:Rg::it ,..,n _3s:::::n::::a= ::,:- - x: :n:. __ : i:_._ <: a_ ..i43; .._._..l•v=a_;,.. :o_t::.:.._:-»milili_ _».ra.:s:-:::,t- :»_ :_ ... roof-top mounted PhotoVoltaic 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.
ty American Fork,UT,84003 Permit Fee(includes plan review
City/State/ZIP: $180.00
and administrative fees):
Phone:(385-4$2-0045 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: #210112
Total fee due upon application: $201.60
This permit application expires if a
permit is not obtainedAuthorized signature: 1. ♦.t
within 180 days after it has been accepted as complete.
Print name: Jeffery Lee Date: 12/05/2018 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Applicata ED Received FOR OFFICE USE oNI.Y
City of Tigard 1/ Date/B : Permit#:
Ili9 13125 SW Hall Blvd.,Tigard,OR 97223 � Plan Review
II, Phone: 503.718.2439 Fax: 503.598.196 E 11 2018 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for
1 1 G A R I) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
.CITY OF TIGARD ...—..........�_......._.. _._...._.__,,.._......,,..._.,__..,.._:..:..::..m::: R:n......._.......................«......_.._,v.....r:.:xrsx::::»::::::::.:
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..........._................:.._x;-:::::x:rr::::?::�::»::su::a:.•,.t:v:::!:::r�.::::c.::... .. .o-.;: r` ,,,« .. .:: ..,,,........a.........._..__.......i ,.......,.....,.,..........e,.___.............. .... x .. �.._................a...._r........,..,..z..... .
❑New construction ❑■ Addition/a 4' : i�-1 1. ment Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
::s:s
: ' EE? t j emv r q i* `1 "g exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑■ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
„c- ' ®_ .uW.... : .3a I i i . i a� . ..»ir- 'i_ y
1 � ❑Emergency
mer enc system:
larger
separately
e aratel derived
Addition of new motor load of system.
Job#: Job site address: 8585 SW Braeburn Ln,Tigard,Oregon, 100HP or more. ❑"A","E","1-z","1-3",
City/State/ZIP: 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Scott Baranick 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
. :::::::xasss::::> :: EE!as�ctEE:=EsssssstE: E..;...;.,,..w...........:::::¢_;:;: isa::::::r:'.:;?sss;ssssj:¢;ti::?&ss<ssasassstsst:E
Cross street/directions to job site: 1511 m::::::3<-::E.-�?'xt:€=::::::x:;:: : >?
Description I Qty. 1 Each 1 Total I
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 I
r _ m3rxa. : 2:-,•,:•:,:. .:.....^:,^. ._..s
?.assa?, sis:; e.va : : Limited energy,residential
75.00 2
Rooftop solar PV (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
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.a...-ii_il..::ic �._....,...;'+:._.. M,.»..a..,. ^»: _ nc
Services oler Efeneedrers installation,al❑terawnP,aaned2/
or relocation
Name: Scott Baranick 200 amps or less 100.70 2
8585 SW Braeburn Ln,Tigard,Oregon, 201 amps to 400 amps 133.56 2
97224
Address: 9
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) I 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
_Wv..�:x:Wr=; - � �1 :mss E ,j• �. � Branch circuits—new,alteration,or extension,per panel
¢?:i=.::--iw>s si & ...,..«.;:::.x snM1J,tE:. t `t!1 E
,. ...�.: ._......,_..:,-:>.:::: :- : ...,..:. ..... _...... - .....__.._..._..t..,:r• :::..�. A Fee for branch circuits with
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 I Fax: :( ) Each manufactured or modular 67.84 2
Email: permitting.department@blueravensolar.com dwelling,service and/or feeder
Reconnect only 67.84 2
..«...._.._.._«......._,..:._,_.:»�•”.,....;..._,,;,.....«..�......��,x _..,,,;_........«._ ._.•,.-,... _.._. •::::::-�:rast:::.i:i:>,l:a::5! v-xa,:w.,:..�.a-.::...a_•^....-,.rrc::.
.attt.....::-m:mM -.............•.::::r::;!::.r fix ;,, xa..
u.W .nt€ n[»r €: � . ,;,» ».._ ;....:t _ s _s::: aA .;:.... . 4 ��aarAi;ri^??:.....,.t.:.r�^am.sr u....:....Wi�.._sW,••
ir»E'»carr_yC ::-::?•s^-
Pump or irriation circle 67.84 2
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.
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:( ) 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 0 hr min)
11111211,114:::-If;•:i;7414;A:Elr..4.0111111111M
Suprv.Electrician signature,required: „, ._. Subtotal:
Print name: Sam Collier Date: 12/05/2018 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: • 7 ---...,.___„..
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Ben Wade Date: 12/05/2018 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELCPermitAppELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Elett"rical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
If: . .. . T,. ..17,4:77-711711,111511•11111•1111111e ...,.z..,.. ..........x........
Description Each I Total
Fee for all residential systems combined: $75.00 Qm :
3' Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 2
5.01 to 15 kva 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('/2 hr min)
.. P Rz. 2 11 ....... w -us ,......._......:z3.:hf'r:u. .. .... �E
:: 3 : ::, r,::::,:
"""` Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * 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
❑ 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
.
City of Tigard
'' Building Division RECEIVED
13125 SW Hall Blvd,Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 DEC .l 1 2otg
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: 8585 SW Braeburn Ln,Tigard,Oregon,97224
City: Zip:
Owner's Name: Scott Baranick Date: 12/05/2018
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.
Wind Ex osure Is the wind exposure ❑� Yes If"Yes", qualifies for
p "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
I:Building/Forms/Photovoltaic-Checklist.docx
Is the construction
material wood and does ❑■ Yes "Yes",of If Yes , qualifies for
Construction the construction qualify prescriptive
as "conventional light ❑ No the rescri tive path.
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. 0 Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
If"Yes", qualifies for
Nominal lumber. ❑� Yes the prescriptive path.
❑ No
Is the combined weight EI Yes
modules and
If"Yes", qualifies for
of the PV
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 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 0 Yes
Connections of solar assembly
the solar assemblyconnected to roof If"Yes", qualifies for
❑ 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?
111 Yes
"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.
metalanels If the width of the panel
P Width of roofing is less than 18 inches,
panels? 18 inches or less
inches qualifies for the
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. 1/2"thickness, ❑ Yes
decking connected to If"Yes", qualifies for
framing members ❑ No the prescriptive path.
w/min. 8d nails @
6"112" 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 0 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:Trinasolar
Model Number: 300 TSM-DDO5A.08(II)
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:
8585 SW BRAEBURN LN, TIGARD, OR, 97224 January 17, 2019 at
1 :52:11 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00343
Inspection Type: Inspector:
299 Final inspection Jeremy Burrows
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:
8585 SW BRAEBURN LN, TIGARD, OR, 97224 January 17, 2019 at
1 :52:10 PM
Record Type: Record ID:
Residential - Master Permit MST2018-00343
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor