Permit (168) CITY OF TIGARD MASTER PERMIT
.2 .11111
11111 1.241' COMMUNITY DEVELOPMENT Permit#: MST2019-00112
T[GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/10/2019
Parcel: 1 S 133DD05700
Jurisdiction: Tigard
Site address: 12695 SW WINTERLAKE DR
Subdivision: VILLAGE AT SUMMER LAKE PARK NO.3 Lot: 97
Project: Hartwig
Project Description: Rooftop 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: $10,116.32 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: Y Other Description: Roof Top Solar PV 4.8 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:
HARTWIG FAMILY TRUST BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
BY HARTWIG,DAVID&KIERSTIN 1220 S 630 EAST,STE 430
TRS AMERICAN FORK,UT 84003
12695 SW WINTER LAKE DR
TIGARD,OR 97223
PHONE: PHONE: 385-498-4408
FAX:
Total Fees: $322.38
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 &Igw the rules adoptesL.b the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You mobtain a cop e-rules.ar• -ct•Lestions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: '// Permittee Signature:
Call 5 :':C . •y 7:00 a.m.for the next available inspection ate.
This permit card shall be kept in a conspicuous place on the job site until completion of e projec.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard APR - 12019 Received c/ / Q �.011 Permit Nq
13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
Phone: 503.718.2439 Fax: 503.598 ' TIGARD y �/ /�{� Other Permit:
OF Plan Ry: l ore
T I G ARD Inspection Line: 503.639.4175 gull DING DIVISION
Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov otified/Meth :4—* ` �//(/\ Supplemental Information
' =b RK i, 0Q` IRFif DATA:I ATiticrF D L ING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
EAddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
A't ' lw ,)ll(i UIT work indicated on this application.CORflytCTO
0 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 10,116.32
IDAccessory building 0 Multi-family Number of bedrooms:
k..) ❑Master builder 0 Other: Number of bathrooms:
JOB E A TION.. i Total number of floors:
Job site address: 12695 Drive Tigard,Oregon 97223 New dwelling area: square feet
City/State/ZIP: ` 2;,) :;,J in..` C1.'-i4/k• Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: David Hartwig Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DAATA O3 IMA C L,-UE CHECKLIST
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
DES�PTION work indicated on this application.
Rooftop solar PV Valuation: $
Lt.c6 v 1�N`,` Existing building area: square feet
New building area: square feet
® O Y':+(} R Number of stories:
Name: David Hartwig Type of construction:
Address: 12695 Southwest Winter Lake Drive Tigard,Oregon 97223 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
C" ;APPIC ICAN ..:. CONTACTRSON }patqa s
Business name: Blue Raven Solar ;Illilorit
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: Permittin •de artment blueravensolar.com PHOTOVOLTAICP'
.:..: *
.:. . ... ..... ..:.:. .... ..... :.. . ...: : .. ...:: , . ..
.. ..:;
LIQ Commercial and residential prescriptive installation of
P
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.
City/State/ZIP: American Fork,UT,84003 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(385-4)32-0045 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: #210112
Total fee due upon application: $201.60
r
Authorized signature: This permit application expires if a permit is not obtained
.". a,
f within 180 days after it has been accepted as complete.
Print name: Jeffery LeeDate: 03/29/2019 *Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard ReceivDate/Bed
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
CEMIREN
m Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: 171 See Page 2 for
11CiARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
liliglaililiMIORNINMEERigiigniNTYPE;OF W1€ .. ... 1kLAN W... .
0 New construction 1=1 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.
0 Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
TT GORY0l CONSTRUCTI amps at or ❑Floating buildings.
,: exceeds]0 000 150 volts
0 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: ❑Fire pump. 0 Installation of 150 KVA or
doSITET�ft+10I10rA)01 'AI1 :.... . . ;i ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 12695 Southwest Winter Lake Drive 10OHP or more. ❑"A","E","1-2","1-3",
City/State/ZIP: Tigard,Oregon 97223 ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: David Hartwig 0 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 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#... . ..... ... portion
33 92 1
iiligailigilaigiNi ;: ocop O ( W Limited energy,reidenti l
75.00 2
(with above sq.ft.)
Rooftop solar PV
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
glitIngi
PROPERTY=OW1' A t Services or feeders installation,alteration,and/or relocation
Name: David Hartwig 200 amps or less 100.70 2
Address: 12695 Southwest Winter Lake Drive Tigard,Oregon 97223 201 amps to 400 amps 133.56 2
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
..... ::. . :.......... :. . ::: l CO! Arc" : of ...,... :: :. tto ,or extension,perpanel
ranc circuits new,altera n n a
A.Fee for branch circuits with
Business name: Blue Raven Solar above service or feeder fee,
7.42 2
each branch circuit
Contact name: Lesly Bee 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
ermittin de artment blueravensolar.com dwelling,service and/or feeder
Email: P g P @ Reconnect only 67.84 2
..... .. C¢ ' OR° ";i Pump or irrigation circle 67.84 2
-._ g
Business name: Blue Raven Solar Sign or outline liF�tin 67.84 2
Address: 1220 S 630 E STE 430 Signal item t(s)or limited-energy El 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:( ) /o b///
Investigation(1 hr min) 90.00/hr
Email: Permitting.department@blueravensolar.com S ZOlg Industrial plant(1 hr mm) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 210112 Electrical Lic.: C1214 Suprv.Lic. specifically listed('/s hr mm)
ELS RICAL PE T l E
Suprv.Electrician signature,required: <-0,„{-- 4.„__
1Subtotal:
Print name: Sam Collier Date:03/29/2019 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: 03/29/2019 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:
*
Fee for all residential systems combined: $75.00 ne Qty' Even 7 Tnte]
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 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:
n 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
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 r 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('/z hr min)
L PER T FEES
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 ELRERE.doc Rev 06/17/2015
Cit of Tigard
RECEIVED
II Buildingy • g APR — 12019
Division
2ill
' 13125 SW Hall Blvd,Tigard, OR 97223 CITY OF TIGARD
Phone: 503.718.2439 Fax: 503.598.1960 F3UILDING DIVISION
Ti 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
p Y
Installation Address: 12695 Southwest Winter Lake Drive Tigard , Oregon 97223
City: Zip:
Owner's Name: David Hartwig Date: 03/29/2019
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 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
I:/Building/Forms/PhotoV oltaic-Checklist.docx
Is the construction
material wood and does ❑■ Yes
Type of the construction qualify If"Yes", qualifies for
Construction as "conventional light 111No 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
111the 2010 Oregon Solar No 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 ❑■ Yes
Connections of solar assembly
If"Yes", q
the solar assembly connected to roof ualies for
El No the prescriptive fipath.
to the roof framing or blocking
directly?
2
I:/Building/Forms/PhotoV oltaic-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 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? El 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
solar modules module to the roof ❑� Yes the prescriptive path.
surface. ❑ No
3
1:/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: 16
Listing Agency:CSA
4
I:/Building/Forms/PhotoV oltaic-Checklist.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12695 SW WINTERLAKE DR, TIGARD,
OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00112
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12695 SW WINTERLAKE DR, TIGARD,
OR, 97223
Record Type: Record ID:
Residential - Master Permit MST2019-00112
Inspection Type: Inspector:
299 Final inspection David Young
Result:
PASS - NoCofO
Comments:
System appears ok per approved plans.
Violation Summary:
Inspector Contractor
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
iiil City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
Ti Ci A 1 C) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
/
TO: ?/( A° DATE ' "CEIVED:
DEPT: BUILDING DIVISION " EEIVED
APR 3 0 2019
FROM: Lesly Bee CITY OF TIGARD
BUILDING DIVISION
COMPANY: Blue Raven Solar
PHONE: 385-482-0045 By:e,
RE: 12695 Southwest Winter Lake Dri Tigard, 1 MST2019-00112
(Site Address) / (Permit Number)
David Hartwig
subdivision . - , • .-r
(Project name ors ��)
sr
I.
ATTACHED ARE THE FOLLOWI tIrTEM�:
Copies: Description: Copies: ' Description: ,
Additional set(s) of plans. 0 Revisions:
Cross section(s) and det,.`Is. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: We change• the layout during installation.
Routed to Pe TechQ
ian: Date: 2, (/ Initials: : is
Fees Due: es No Fee Descrip Ion: Amount Due:
Vt � r t,,,- $ x '27
P $
Special
Instructions:
Reprint Permit(per PE): Yes ❑ No ❑ Done
ki(
Applicant Notified: ate: C,'/G('q Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
Date:04/16/2019
Project Name: David Hartwig RECEIVED
Address: 12695 Southwest Winter Lake Drive,Tigard, OR 97223 APR 3 0 201921
CITY OF TIGARD
BUILDING DIVISION
Updated plans to show the layout that was installed.
Please reach out to me directly if you have any questions.
Scott Gurney
Engineering Sr. Manager
engineering@blueravensolar.com
385-498-6700
The Future Energy~Today.
BLUE RAVEN