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Permit CITY OF TIGARD MASTER PERMIT "� ' ,' COMMUNITY DEVELOPMENT Permit#: MST2019-00397 Date Issued: 10/30/2019 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102BC09300 Jurisdiction: Tigard Site address: 12758 SW KING CT Subdivision: GRACELAND Lot: 6 Project: SIAS 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: $14,747.00 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 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'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 N Other Y Other Description: Roof Top Solar PV System 6.3 kW Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: SIAS,REBECCA L BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) 12758 SW KING CT 1220 S 630 EAST,STE 430 TIGARD,OR 97223 AMERICAN FORK,UT 84003 PHONE: PHONE: 385-498-4408 FAX: Total Fees: $358.19 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 f- e rules or direct questions to OUNC by callin 93.2 . 9 7 r 800.33 344. Issued By: �' ,//,--- '3"' Permittee Signature: ill 5173.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the roject. Approved plans are required on the job site at the time of each inspection. Building Permit Application Residential RECEIVED FOR OFFICE USE ONLY Cityof Tigard 2019 Received // g O Date/By: Li ��� Permit No.:/y�57��A1 f'�3C(7 " 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 1 / v Plan Review Q 1�,.. 1171 Phone: 503.718.2439 Fax: 503.598.19�6^0. ` Date/By: [u t' L /'T�\ Other Permit: TIGARD Inspection Line: 503.639.4175 CITY OF i'IGAR® Date Ready/By: // lu/`�'� 8 See Page 2 for Internet: www.tigard-or.gov BUILDING INV1Sl® oohed/Method: �: Supplemental Information TYPE OF WORK REQUIRED DATA:I-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: $ 14,747 ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: 1q\�t JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12758 Southwest King Court, Tigard, Oregon, 97223, United States New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Rebecca Sias Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED'DATA:COMMERCIAL-USEO CKLI ?,, Subdivision: 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 110.: equipment,materials,labor,overhead,and the profit for the ij q\ . v i DESCRIPTION OF WORD ��v / work indicated on this application. CO ,L K w Rooftop Solar PV Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWER %,, ❑ TENANT 11. a, Number of stories: Name: Rebecca Sias Type of construction: Address:12758 Southwest King Court,Tigard,Oregon,97223,United States Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: , VN," i❑ APPLICANT < CONTACT PERSOBUILDING PERMIT FEES* m ,q, �, ` - i+ ,'e:w-;�(Please refer to fee sck¢il#le) vvva, :-.%:-; ,*0 ,' 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: Amount received: Phone:(385482-0045 Fax::( ) \ civ, i E-mail: permitting.deparment@blueravensolar.com PHOTOVOLTAIC SOLAR'P EL SYSTEM EE a 2a2f, Commercial and residential prescriptive installation of ONTRACT \ / ,\ g \ roof-top mounted Photoofaic Solar Panel 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 CCB he.:210112 Total fee due upon application: $201.60 Authorized signature: (7effrey 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: 10/09/2019 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY Received City of Tigard_ ErDate/By: 13125 SW Hall Blvd.,Tigard,OR 97223 F1LL "I V plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 (�((`� '(( Ready Date/By: Juris: 0 See Page 2 for TIGARD U I j 0 2019 Notified/Method: SupplementalInformation � Internet: www.tigard-or.gov TYPE OF WORICITY OF TIGARD PLAN REVIEW ❑New construction ®Addition/alteralBUttVls'I®N 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 ❑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: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived 12758 Southwest KingCourt, Tigard, ( ❑Addition of new motor load of system. Job#: Job site address: g 100HP or more. ❑"A","E","I-z","1-3", City/State/ZIP: ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Rebecca Sias ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: 4 SCII(Eb ' Description l Qty. I Each I Total f 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']500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK 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.) Renewable Energy ❑ See Page 2 IAPROPERTY OWNER-;: ❑; ANT4-„,,„„ Services or feeders installation,alteration,and/or relocation Name: Rebecca Sias 200 amps or less 100.70 - 2 Address: 12758 Southwest King Court,Tigard, Oregon,97223, United States 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 ® APPLICAN =- t;r S1.0 CONTACT PERSON BArancee h for bcranch cuits—circuwneits wit,alteration,h or extension,per panel ir Business name: Blue Raven Solar above service or feeder fee, 7 42 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'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 385)t82-0045 Fax: :( ) Each manufactured or modular 67.84 2 Email: permitting.department@blueravensolar.com dwelling,service and/or feeder Reconnect only 67.84 2 $ 1 \, TOR w^. � ��, ,.mp���nva,��V� CON'S Pump or irrigation circle 67.84 2 Business name: Blue Raven Solar Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 1403 N Research Way 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:c385 482-0045 Fax:( ) !v/, /l.Z Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: permitting.department@blueravensolar.com S inspections for which no fee is 90.00/hr CCB Lic.: 210112 Electrical Lic.: C1214 Suprv.Lic.: R(1Q7S spec utcally listed(yhr mm) !,moi/ ;gtt '}RIGr L PERMIT FEES Suprv.Electrician signature,required: ",un�L.c Oecc. Subtotal: Print name: Sam Collier Date: 10/09/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: /` /� TOTAL PERMIT FEE: `S,`f This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 10/09/2019 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/I7/2015 440-46t 5T(t t/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 Description 1 Qty. 1 Each 1 Total 1 Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: S kva or less 100.70 2 5.01 to 15 kva / 133.56 2 I 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 ❑ G• arage 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 ❑ V• acuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ O• ther: 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(%hr min) COMMERCIAL WORK ONLY LECTRICAL PERMIT%FEES „ � � Fee for each commercial system: $75.00 Subtotal(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 ❑ Clock Systems n D• ata Telecommunication Installation n Fire Alarm Installation HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:\Building\Remus\ELC_PernitApp_E1.12_ERE.doe Rev 06/17/2015 City of Tigard Building Division ' . CEIVE 13125 SW Hall Blvd,Tigard, OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 OCT ® 2019 T I GARD Inspection Line: 503.639.4175 CITY OF TIGA D www.tigard-or.gov 3UILO WG DIVISION 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 12758 Southwest King Court, Tigard, Oregon, 97223, United City: Zip: Owner's Name: Rebecca Sias Date: 10/09/2019 Contractor's Name: Blue Raven Solar CCB #: 210112 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation n 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 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 MI 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 1:/Building/Forms/Photo Voltaic-Checklist02-01-1 .docx Is the construction 12 material wood and does material Type 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? If"Yes", qualifies for Nominal lumber. C2 Yes the prescriptive path. n No Is the combined weight ❑l Yes 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 layout in accordance Yes with Section 305.4(3) of If Yes , qualifies for the 2010 Oregon Solar n No the prescriptive path. Code? H 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 Max. two layers the prescriptive path. MI of composition shingle. Is the roof mounted p Yes Connections of solar assembly If"Yes", qualifies for the solar assembly connected to roof No to the roof framing or blocking the prescriptive path. directly? 2 1:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx 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 Yes the prescriptive path. No Minimum Uplift Eating of Clamps? 75 lbs for 48 inches spacing or less? If"Yes", qualifies for ❑ Yes the prescriptive path. n 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? El Yes the prescriptive path. n No Is the roof decking of WSP min. '/2"thickness, I I 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 MI solar modules module to the roof Yes the prescriptive path. surface. ❑ No 3 l:/Building/Forms/PhotoVoltaic-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 315M-60L Listing Agency: CSA 4 1:/Building/Forms/PhotoV oltaic-Checklist02-01-1 1.docx