Permit CITY OF TIGARD MASTER PERMIT
I ' COMMUNITY DEVELOPMENT Permit#: MST2019-00230
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/25/2019
T t t ;\!z,f� 9 Parcel: 2S106AD09300
Jurisdiction: Tigard
Site address: 16904 SW LEMONGRASS LN
Subdivision: RIVER TERRACE EAST Lot: 200
Project: Jan
Project Description: Solar photovoltaic.
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: $10,617.23 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
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 4.96 kW Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
JAN,ERIC KEVIN BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions)
QU,YUAN 1220 S 630 EAST,STE 430
16904 SW LEMONGRASS LN AMERICAN FORK,UT 84003
BEAVERTON,OR 97007
PHONE: PHONE: 385-498-4408
FAX:
Total Fees: $321.88
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 y• to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 95 %111-0090 You obtain a co. of the rul-s or direct questions to OUNC by calling .232.1(487 or 1.800.332.2344.
\aCi`Hijhoiii../
Issued By: / "� - e Permittee signature: X
Call 603.639.4175 by 7:00 a.m.for the next available inspection date. V
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 ApplicationsA
Residential � FOR OFFICE ISE ONI.\
City of TigardReceived permit No..
IN . 13125 SW Hall Blvd.,Tigard,OR 9722 ,JUN - Z l; PlanDate/By:Re Lit 5 \C1 SYT �`c�ST�GiCi-C
Plan Review
Phone: 503.718.2439 Fax: 503.598.1 ( l C zf P. Date/By: le LQ t 9 Mk Other Permit:
T I G A R D Inspection Line: 503.639.4175 l r�, 1 Date ReadyBy: Juris: ® See Page 2 for
Internet: www.tigard-or.gov , I : otified/Me,•,: 0 `'f 4 Supplemental lnformation
fI :i Q7 B @ I?1( ,
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
›SAddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
;;;_iorc �_ ____° work indicated on this
application.
llirnoiluitilmininimiiiiiiimoniviiiipficiwgwA11-and 2-family dwelling ❑Commercial/industrial Valuation: $ 10,617.23
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
>::.:;::w::: g $TSP I rr • il.XATI•1 .....•. Total number of floors:
Job site address: 16904 SW Lemongrass Ln, Beaverton, Oregon,97007, United States New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Eric Jan Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
T37 DATA> RCIAL I 1
44..44_,_.. _.._ ...... ...... ..-_.._: _................................. .........:
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
it ES ,40.t • OF'Y r , work indicated on this a.•lication.
•::4..
•............... 4444_ 4444...,. 4444.,.,.
......t.......... . ..__.................... 44:44_ ••.�,........................_.,.._Rooftop Solar PV qG W Valuation: $
Existing building area: square feet
New building area: square feet
;:.'11,i ® ,' l h k� Number of stories:
444»4444. :::::: . .......... __ n..• .._
Name: Eric Jan Type of construction:
Address:16904 SW Lemongrass Ln,Beaverton,Oregon,97007,United States Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
......._4444... .:..,...._' ::::::::::::::,a,,:::::::tinii,irai ::.::::.::::::
::::::-4444::::::::-•:.:.............. :::-.._,..........
................... .:i ............,.:r :(::::::: :.:::::4444 :i F•
......_.......»......:: : :::.::v 4444 ::. lfiallc ».........._,.......,........... 1.. ,.:••:�.; :. ..
4444..»44.4`4ai,., . ..:
:z : ^xz.: .... ......,:.......4444._..........,,........... 4444». ........__., n.... Ey-y� .. ..A.. $
....ev... ».::: ._.::t...,'»„ 4444._ ..................... ....,........:•:.�:t:::�R.•..........,,..............t....._....... .......................«4444.
..._........... ........ 4444. .z�:� .t.......
............... .......x ......,.. 4444....,»............, v._...
4444. 4444.. S 4444
Business name:Blue Raven Solar ""'' _,
... ff1('1-:. 4444... .:..::
Contact name: Lesly Bee Structural plan review fee(or deposit):
Address:
1403 N Research Way FLS plan review fee(if applicable):
City/State/ZIP:
Orem, UT 84097 Total fees due upon application:
- Phone:(3854
82-0045 Fax::( ) -Amount
_ . .4:
Amount received:
-\
:::li-:s:: n -:::44::t»i:n::._.»»....:n: > ::.gs;wm: :_-mi,: :t:::::..:_:.;:,:» :::::::::
E-mail: Perm.ttin •de arment blueravensolaccom _ .. . ' » ..
.. ._... .. . .. ... .
.tqoimowi_::.t:_. _::::.:. _... ::_:_..-».4 .:_i: :: €u...........:.:.:.::.:.�:.:.:.:.... i i::- . Commercial and res
iden i 1 prescriptive
t
rue installation of
iit � _ _ : : n _ <¢a; ::_:: • : s :
__..... ...... .. 4:.,. ,. ... ....._......_. ........ »4..::...m: .::.::.::�4:<:::::..: .::: :: :m::::: s::- .:....::.,::.: l.,: ..4 .,.. 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: 1403 N Research Way Solar Installation Specialty Code checklist.
City/State/ZIP: Orem, UT 84097 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(385482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60
ccs tic.:210112 Total fee due upon application: $201.60
Authorized signature: Jeffrey Lee This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jeffrey Lee Date: 06/03/2019 *Fee methodology set by Tri-County Building Industry
__.- Sco.iceBeard.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB)
. Electrical Permit Applcatio.—AEc,FvFr/
FOR OFFICE l:SE ONIA..
City of TigardReceived
JUN -6 2019 Date/By: Permit likkyS-1-i-DrOS_ec,a- .-c
323 ,
II . 13125 SW Hall Blvd.,Tigard,OR 97223Plan Review
1 l'. Phone: 503.718.2439 Fax: 5o3.598.0try OF floAND Date/By: Related Permit I .
Inspection Line: 503.639.4175
TIGARD Internet: www.tigard-or.gov 3
U1 -LNG ReadYDale/BY: Anis:
See Page 2 for
Notifed/Mehod:
Supplemental Information
MEMENEMBERMERMUMW WORK igailririltilinIMERIMMENNINgt NONERINERRINIMMAILRIVOCIREEMINEENNA
0 New construction BAddition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
El Service or feeder 400 amps or more El Building over three stories.
0 Demolition 0 Other: where the available fault current El Marinas and boatyards.
r4APAPQRXI'At t;. (,,,1-iOTA*Eiliiiiiiiiiiimini!IR::iiiiff,iiiiimaniiiiill exceeds 10,000 amps at 150 volts or []Floating buildings.
Ei 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural
amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: ['Fire pump. El Installation of 150 KVA or
'illrn"IMIMRIIIIIIIM"L"IIWP"*r1"li"4":"Si"*iPil11228tin5131111111B E EAndi:rit7c3ifsnyesreimotor load of larger separately
derived
Job#: Job site address: 16904 SW Lemongrass Ln, Beavertor
City/State/ZIP: 0 Six or more residential units, occupancy.
El Health-care facilities. El Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Eric Jan 0 Hazardous locations. El Supply voltage for more than
o Service or feeder 600 amps or more. 600 volta nominal.
Cross street/directions to job site: NEBRIMPRINEDIjiNktibAtililiniiiiiiMiliggiR
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'l 500 sq.ft.or portion 33.92 1
NEIOMMMIMIMMMEargfir::Z:::Wt*ifrorc!zanm:eiuzsnzzzmzmo 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.) _
Renewable Energy 0 See Page 2RTY WR I C.TE Services or feeders installation,
alteration,and/or relocation
Name: Eric Jan 200 amps or less 100.70 2
Address: 16904 SW Lemongrass Ln, Beaverton, Oregon,97007, United Stet( 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:( ) 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
:,.;i fonte Awimpiniffinriiiroimiiim1Hooxrirrk,;......„...,:„„„„,„,,E„.,.; ABrre):1;zii:cui:i circuitsnew,alteration,or extension,per panel
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
service or feeder
Address: 1403 N Research Way 56.18 2
first
branch circuit
City/State/ZIP: Orem, UT 84097 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
Pump or igation circle 67.84 2
- Business name: Blue Raven Solar Sign or outline fightilig 67.84 2
Signal circuit(s)or limited-energy
Address: 1403 N Research Way 0 See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP: Orem, UT 84097
Additional inspection(1 hr min) 66.25/hr
Phone:385 482-0045 Fax:( ) /0.fi 41 Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: permitting.department@blueravensolar.com 5—F4cig Inspections which is
90.00/hr
CCB Lic.:210112 Electrical Lic.: Cl 214 Suprv.Lic.: 60970 specifically listed CA hr,min)
RCM P 4' i FEES
Suprv.Electrician signature,required: geoeuett6Z-t. Subtotal:
Print name: Sam Collier I Date: '06/03/2019 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Jelltai
Authorized signature: tee TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Jeff Lee Date: 06/03/2019 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:11uilding\Permits\ELC_PermitApp_ELR_ERE.doe 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:
. $ } 1 ,. ::.
Description I Qty. Each 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 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
s ecificall listedV2 hr min
�.:?'n:iEiiEiEiiitiiiei;iiiiiii�73H[iE 2:............'.............^��. .:................,...
..:. ...1.. :r;; . :.. ..:: . . ����:cv::::.::v:::::.:::::1111::�:::v:.:11::::11:- "i:iikc2:Ssiii; :.. ..
:,,. _:. : :., e: ::.. :�+ s ::::::•:,::::::::::::::::::::::::•::�::::::�_:,:�:-::::::::r:::-1111 ....._. ...... ..: 1 ae'..:....:.. ....:..:; ...._....... ..........
_ � ::�:: �� .:. :. � '��'� � _...:....:... ... . 1(Enter
Subtotal u n Pagel):
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
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015
City of Tigard RECEIVED
14 44 Building
Division
•
• 13125 SW Hall Blvd,Tigard, OR 97223 JUN `6 2019
Phone: 503.718.2439 Fax: 503.598.1960 CI of i it A i
T I G A R D Inspection Line: 503.639.4175 BUILDING DIVISION
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: 16904 SW Lemongrass Ln, Beaverton, Oregon, 97007, United States
City: Zip:
Owner's Name: Eric Jan Date: 06/03/2019
Contractor's Name: Blue Raven Solar CCB #: 210112
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation u Yes qualify for the
Area Located in a flood prescriptive path, follow i
plain/flood way? p No OSSC or ORSC for
design requirements.
Wind Ex osure Is the wind exposure 0 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 Q 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
above 0 Yes the prescriptive path. i
❑ No
1
I:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
s
Is the construction
Ln material wood and does Yes "Yes",of If Yes , qualifies for
Construction the construction qualify p p p
as "conventional light ❑ No the rescri tive ath.
frame"construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. p YeS If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. 0 Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Is the combined weight p 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 0 Yes «
with Section 305.4(3) of If Yes , qualifies for
lthethe
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.
El of composition
shingle.
Is the roof mounted Yes
Connections of solar assembly
If"Yes", qualifies for
❑
the solar assembly connected to roof No the prescriptive path.
to the roof framing or blocking
directly?
2
I:/Building/Forms/PhotoV oltaic-Checklist02-01-11.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 mountedMinimum 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 qualifies for the
inches 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. Y2"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
module to the roof Yes the prescriptive path.
solar modules p p
surface. ❑ No
3
I:Building/Forms/Photo V oltaic-Checklist02-01-11.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: JinKO Solar Eagle
Model Number: JKM 31 0M-60L
Listing Agency: UL
4
I:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16904 SW LEMONGRASS LN, BEAVERTON, August 2, 2019 at
OR, 97007 10:49:18 AM
Record Type: Record ID:
Residential - Master Permit MST2019-00230
Inspection Type: Inspector:
299 Final inspection Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor