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Permit (2) IFil CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit it: MST2019-00392 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2019 T I i_.;i I+.l.7 9 Parcel: 2S103DD00420 Jurisdiction: Tigard Site address: 10825 SW FAIRHAVEN WAY Subdivision: FAIRHAVEN COURT Lot: 13 Project: SAMPLE 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: $11,851.00 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 addl 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 PV system 4.725 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: SAMPLE,SUE ELLEN& BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) VARNES,ALFRED M JR 1220 S 630 EAST,STE 430 10825 SW FAIRHAVEN WAY AMERICAN FORK,UT 84003 TIGARD,OR 97223 PHONE: PHONE: 385-498-4408 FAX: Total Fees: $321.38 This permit is issued subject to the regulations c. tained 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. Thi; .ermit will e •ire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon I- requ' s you • follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 .#1-011%I. lsou A ,btain a co.., of the ''les or direct questions to OUNC by callin. 503.2 �� 1987 0 .800.33 44. �� ik 4. f Issued By: �i f/ 4 44./Li. Permittee Signature: , / / Call 503.639.4175 by 7:00 a.m.for the next available inspection dat, This permit card shall be kept in a conspicuous place on the job site until completion of the • eject. Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD MASTER PERMIT II COMMUNITY DEVELOPMENT Permit#: MST2019 00392 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2019 F f C;A R[3 9 Parcel: 2S103DD00420 Jurisdiction: Tigard Site address: 10825 SW FAIRHAVEN WAY Subdivision: FAIRHAVEN COURT Lot: 13 Project: SAMPLE 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: $11,851.00 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'I 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 PV system 4.725 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: SAMPLE,SUE ELLEN& BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) VARNES,ALFRED M JR 1220 S 630 EAST,STE 430 10825 SW FAIRHAVEN WAY AMERICAN FORK,UT 84003 TIGARD,OR 97223 PHONE: PHONE: 385-498-4408 FAX: Total Fees: $321.38 This permit is issued subject to the regulations c•,tained 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. Thi, permit will e •ire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon I-I- requi s you o,' follow the/rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 9 L7!01-0r;r. lou A' a cop, of the,7Ies or direct questions to OUNC by callin• 503.2 1987 0 .800.33 - 44. ,> / Issued By: �� �� irL A Permittee Signature: W j Call 503.639.4175 by 7:00 a.m.for the next available inspection dat, This permit card shall be kept in a conspicuous place on the job site until completion of the • •ject. Approved plans are required on the job site at the time of each inspection. Building Permit Application RECEIVED Residential OCT g 2019 FOR OFFICE USE ONLY INCit of Tigard " Received / ClT ,t.. I, t �Gl � 'l6�it..a.,—Uv 3 5'Z. - Y g C' Ra Date/By: ® 13125 SW Hall Blvd.,Tigard,OR 972236tj��U"ii� DIVISION Plan Review %,.... ®� f-1 Al Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: I TIGARD Inspection Line: 503.639.4175 Date Ready/By: !oris: El See Page 2 for Internet: www.tigard-or.gov No. -d/Method � (.V Supplemental Information \ TYPE OF WORK REQUIRED DATA: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 ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 11,851 ❑ 1-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: CIAccessory building ElMulti-family❑Master builder 111Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10825 Southwest Fairhaven Way,Tigard, Oregon, 97223, United State New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Sue Sample 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. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the j `" _" DESCRIPTION OF WORK work indicated on this application. Oo Rooftop Solar PV L` t 7,2S )p Valuation: $ Y`^ Existing building area: square feet New building area: square feet ® PROPERTY OWNER; ❑ TENANT, Number of stories: Name: Sue Sample Type of construction: Address:10825 Southwest Fairhaven Way,Tigard,Oregon,97223,United States Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT CONTACT P RSON BUILDING PERMIT FEES* (Please refer to fee schedule) c; Business name:Blue Raven Solar Structural plan review fee(or deposit): Contact name: Hannah Webb FLS plan review fee(if applicable): Address: 1403 N Research Way City/State/ZIP: Orem, UT 84097 Total fees due upon application: Phone:(385)482-0045 Fax::( ) Amount received: E-mail: permitting.deparment@blueravensolar.com PHOTOVOLTAICSOLAR PANEL SYSTEM FEES*T -I i ��o�® bi ,`I ; , Commercial and residential prescriptive installation of tiy,, TRACTORt 0 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:(385}482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: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: 10/07/2019 *Fee methodology set by Tri-County Building Industry Service Board. I:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/By:EPermit N: r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/Bv: Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Tris: a See Page 2 for TIGARI} Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑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 ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ©I-and 2-family dwelling ❑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: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 10825 Southwest Fairhaven Way, Tiga 0 dition ofnew motor load of ystem. I OOHP or more. 0"A" "E" "1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.4: Project name: Sue Sample ❑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 Qtr, 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 4: Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK ywa Limited energy,residential Rooftop Solar PV (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) gi Renewable E ❑ See Pe 2 PROPERTY OWNER , 0,TENANT Services abor feedersnergy installation,alteration,agand/or relocation Name: Sue Sample 200 amps or less 100.70 2 Address: 10825 Southwest Fairhaven Way,Tigard, Oregon,97223, United St 201 amps 10400 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 I 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 APPLICANT Branch circuits—new,alteration,or extension,per panel ® ❑.CONTACT PERSON „ A.Fee for branch circuits with Business name: Blue Raven Solar above service or feeder fee, 7A2 2 each branch circuit Contact name: Hannah Webb 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'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 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Blue Raven Solar Sign or outline lighting 67.84 2 Address: 1403 N Research Wa y Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. 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:(385 482-00455 Fax:( ) Investigation(I hr min) 90.00/hr Email: permitting.department@blueravensolar.com // Industrial plant(1 hr min) 78.18/hr `c l L Inspections for which no fee is CCB Lie.:210112 Electrical Lic.: C1214 Suprv.Lie.: 6097S specifically listed('/2 hr min) 90.00/hr Jt .u E'C%cc,. ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: �"` Subtotal: Print name: Sam Collier Date: 10/07/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: J TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 10/07/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. I\Building\Permits\ELC_PemiitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(I 1/05/COM/Wt/B Elgctricaf Permit Application —City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Ucscription I Qty. I 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 I 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 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: ❑ Other: Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('h hr min `° � COMMERCIAL WORK ONLY: � �� �.�„� PERMIT fits S 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 I I Fire Alarm Installation I HVAC I I Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* I I 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_ERF..doc Rev 06/17/2015 City of Tigard RECEIVED Building Division OCT 8 2019 • 13125 SW Hall Blvd,Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 CITY OF 1 OARD BUILDING DIVISION T I GARD 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: 10825 Southwest Fairhaven Way, Tigard, Oregon, 97223, Ur City: Zip: Owner's Name: Sue Sample Date: 10/07/2019 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. 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 IL2 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-Checkli st02-0 I-11.docx Is the construction MI material wood and does Yes Type 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. p YeS If"Yes", qualifies for the prescriptive path. n No Roof framing members Is the spacing 24 inches or less? If"Yes", qualifies for Nominal lumber. 0 Yes the prescriptive path. ❑ No Is the combined weight ElYes of the PV modules and If"Yes", qualifies for racking less than or I I No the prescriptive path. Solar equal to 4.5 psf? installation Is the solar installation MI layout in accordance Yes with Section 305.4(3) of If Yes , qualifies for the 2010 Oregon Solar n No the prescriptive path. Code? U 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. L2 of composition shingle. Is the roof mounted p Yes Connections of solar assembly the solar assembly connected to roof I If"Yes", qualifies for No the prescriptive path. to the roof framing or blocking directly? 2 1:/Building/Forms/PhotoVoltaic-Checklist02-0I-1 I.docx Yes If"Yes", qualifies for Is the gauge 26 or less? I I No the prescriptive path. 115 lbs for 60 inch spacing or less? If"Yes", qualifies for n 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. 'h"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 0 Yes the prescriptive path. surface. ❑ No 3 1:/Building/Forms/PhotoVoltaic-Checkli st02-01-11.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 1 1 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 315M-60L Listing Agency: CSA 4 1:/Building/Forms/PhotoVoltaic-Checklist02-01-1 I.docx