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Permit (263) CITY OF TIGARD MASTER PERMIT ' ' COMMUNITY DEVELOPMENT Permit#: MST2019-00331 Date Issued: 08/19/2019 T-i C;r1 R f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S133DC08700 Jurisdiction: Tigard Site address: 13245 SW SHORE DR Subdivision: WINTER LAKE Lot: 17 Project: GROSS Project Description: Solar photovoltaic system. BUILDING Floor Areas Required Setbacks Required 1 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: $14,853.11 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 System 7.75 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: ___GROSS,ANDREW W _ ___ _ BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) 13245 SW SHORE DR 1220 S 630 EAST,STE 430 TIGARD,OR 97223 AMERICAN FORK,UT 84003 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 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 2-001-0099,.., ou obtain dopy ofpe rules or direct questions to OUNC by calli : 503.23 987- .800.332.23 41. f r Issued By: ,4� 7- � Permittee Signature: I1'PII U A i ..6"- Call 503.639.4175 by 7:00 a.m.for the next available inspecti•. +ate. 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. Building Permit Application S residential FOR OFFICE USE ONLY I p 3r-t" s ,.-.a City of Tigard " x,. Received ° 13125 SW Hall Blvd.,Tigard,OR 97223 t Plan Date/B viewPi/ /4 Permit No.: c,_. Date/By:.111 /y�}/ '�,i�/ Phone: 503.718.2439 Fax: 503.598.1960 f t �s tt +� 1 �'� �� Other Permit: TIGARD Inspection Line: 503.639.4175 I- ' a44 a; Date Ready/By: //� /, Juris: I Ea See Page 2 for Internet: www.tigard-or.gov No'--d ethod: I ( ��� �' Supplemental Information I '.(°:; ‘'''. :3 ‘':t i - P 1: ,. 4,> , TYPE OF W t='`e,. 1 QtI b's A 1'A 1 AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ID Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the Cr1�EGORY OF CONSTRUCTION work indicated on this application. ID1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 14,853.11 ❑Accessory building 1=1 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND-LOCATION Total number of floors: Job site address: 13245 Southwest Shore Drive,Tigard, Oregon, 97223, United States] New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Andrew Gross 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 DESCRIIPTION O WORK equipment,materials,labor,overhead,and the profit for the " � work indicated on this application. •� / Rooftop Solar PV Valuation: $ -!• 1 S `W Existing building area: square feet ' New building area: square feet PRO ERTY OWNER ❑-;T AN , Number of stories: Name: Andrew Gross Type of construction: Address:13245 Southwest Shore Drive,Tigard,Oregon,97223,United States Occupancy groups: Existing: New: t HUILDING'L'l R!'IIFFE+ES* • ,. a'teuse refer 4Jeet scbeilirfj Business name:Blue Raven Contact name: Lesly Bee Structural plan review fee(or deposit): .. ' 1 '- - FLS plan review fee(if applicable): - �' 1' Total fees due upon application: 1 : IA, E-mail: permitting.deparment@blueravensolar.com PHOTOVOLTAIC= OLARPANELSyST SEES' „ - ; CONT , , Commercial and residential prescriptive installation of ' roof-top mounted PhotoVoltaic Solar Panel System. Business name: Blue Raven Solar Submit two(2)sets of roof plan with connection details Address: 1403 N Research Way and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: Orem, UT 84097 Permit Fee(includes plan review Phone:(385482-0045 I Fax:( ) and administrative fees): $180.00 CCB lic.: 210 2 State surcharge(12%of permit fee): $21.60 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. I Print name: Jeffrey Lee I Date: 07/30/2019 I *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 , CityofTigard g Date/B t4 Permit#: 7 . CY `J v 13125 SW Hall Blvd.,Tigard,OR 97223 y' 077 .5� rt rGbi t Plan Review Phone: 503.718.2439 Fax: 503.598.1960 l-I h .11 a L''.0. Date/By: Related Permit#: TIGARD Inspection Line: 503.639.4175 Ready Date/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov 1 ,4 . v !i tified/Method: Supplemental Information TYPE OF WORIii ' il` 'INC: 1)1\1610N — a,,,,�rr�kW PLAN REVIEW [1 New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Demolition 0 Other: ❑Service or feeder 400 amps or more ❑Building over three stories. * --,.ave -CATEGORY where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ©1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ID Installation of 150 KVA or JOB SITEINFORMATION:AND LOCATION ❑Emergency system. larger separately derived 13245 Southwest Shore Drive, Tigard, ❑Addition ofnew motor load of system. Job#: Job site address: 100HP or more. ❑"A","E","l-z",`°1-3", City/State/ZIP: ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Andrew Gross ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description �I Qty. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 IISCRIPTION OF Xellic,, 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.) PROPERTY OWNER �" Renewable Energy ❑ See Page 2 1 _ ,, ❑ TENANT i% � _ Services or feeders installation,alteration,and/or relocation Name: Andrew Gross 200 amps or less 100.70 2 Address: 13245 Southwest Shore Drive, Tigard, Oregon, 97223, United State 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 Email: Temporary services or feeders installation,alteration,and/or 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 *, !„ Z.4 PLI NT �\ Branch circuits—new,alteration,or extension,per panel ii �� '% tf1YTA�T PERS(� fi �,.\ 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: 1403 N Research Way service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: Orem, UT 84097 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 385}182-0045 Fax: :( ) Each manufactured or modular Email: permitting.department@blueravensolar.com dwelling,service and/or feeder 67.84 2 e connect onl67.84 2�i, '-,-7,,, ‘e,, , CONTRACTR A „ A _ Pump or irrigation circle 67.84 2 Business name' Blue_RavenSnlar___ -- ____ _-- • ._____ Address: 1403 N Research Way Signal circuit(s)or limited-energy ❑ See page 2 2 panel,alteration,or extension. g Each additional inspection over allowable in any of the above City/State/ZIP: Qrem, UT 84097 Additional inspection(1 hr min) 66.25/hr Phone:685482-0045 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 CCB Lic.:210112 Electrical Lic.: C1214 Suprv.Lic.: 6097S specifically listed(V2 hr min) 90.00/hr ELE 2TRI; L j it,SEES Suprv.Electrician signature,required: Subtotal: Print name: Sam Collier Date: 07/30/2019 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: Jeffrey TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 07/30/2019 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: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: $75.00 Description I Qty. I Each I Total * 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 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >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 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: Ela Other: Solar PV 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(%i hr min) COMMERCIAL, VOI K""ONLY EtEciwCAL PERMIT FEES � Subtotal Fee for each commercial system: $75.00 (Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n 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 L\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 AUG 0 5 2.019 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: 13245 Southwest Shore Drive, Tigard, Oregon, 97223, Unite City: Zip: Owner's Name: Andrew Gross Date: 07/30/2019 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? p No OSSC or ORSC for design requirements. Is the wind ex osure Yes Wind Exposure p 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-tvwnhunies _"- thep rescrPl_ve- pa th: ' ' 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 above Yes the prescriptive path. ❑ No 1 I:/Building/Forms/Photo Voltaic-Checklist02-01-I 1.docx • Is the construction material wood and does 2 Yes Type ofIf"Yes", qualifies for Construction the construction qualifyq as "conventional light 111 No the prescriptive 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? Nominal lumber. If"Yes", qualifies for ❑ Yes the prescriptive path. ❑ No Is the combined weight p Yes of the PV modules and If"Yes", qualifies for racking less than or n 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 n No the prescriptive path. Code? n Metal Single layer If roofing material is Roofing Check the type of n of wood one of the three types material roofing material shingle/shake checked, qualifies for the prescriptive path. Max. two layers of shingle. Is the roof mounted p Yes Connections of solar assembly the solar assembly connected to roof If"Yes", qualifies for to the roof framing or blocking n No the prescriptive path. directly? 2 I:/Building/Forms/Photovoltaic-Checklist02-01-11.docx n Yes If"Yes", qualifies for Is the gauge 26 or less? n No the prescriptive path. 115 lbs for 60 inch spacing or less? If"Yes", qualifies for n Yes the prescriptive path. H No Minimum Uplift rating of Clamps? 75 lbs for 48 inches spacing or less? If"Yes", qualifies for ❑ Yes the prescriptive path. H 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 Yes If"Yes", qualifies for fastener? n the prescriptive path. ❑ No Is the roof decking of WSP min. '/2"thickness, El Yes decking connected to If"Yes", qualifies for framing members ❑ No the prescriptive path. Nv/min..Sc rrnils 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 2 Yes the prescriptive path. surface. n No IlBuilding/Forms/Photovoltaic-Checklist02-01-11.docx 3 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 310M-60L Listing Agency: UL — _ 4 I:/Building/Forms/PhotoVoltaic-Checklist02-0 1-1 1.docx City of Tigard Tel: 503.718.2439 Location: Inspection Date: 13245 SW SHORE DR, TIGARD, OR, 97223 Record Type: Record ID: Residential - Master Permit MST2019-00331 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Violation Summary: Inspector Contractor City of Tigard Tel: 503.718.2439 Location: Inspection Date: 13245 SW SHORE DR, TIGARD, OR, 97223 August 29, 2019 at 10:42:36 AM Record Type: Record ID: Residential - Master Permit MST2019-00331 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Violation Summary: Inspector Contractor