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Permit
Building Permit Applica p, �,,c 3\, 91. 1 .o - �, Residential ` "�w:� FOR OFFICE t St:ONLY City of Tigard SEP 2 2020 E 9,2- zo Permit Noit46/2020-0Z62DBy/hi • 13125 SW Hall Blvd.,Tigard,OR 9722) Plan Review Phone: 503.718.2439 Fax: 503.598 9 1F Tk)/' s, 3 i yp OtherPemit: �� `��I Date/By: T I G A R D Inspection Line: 503.639.41 tom'i-! p.?f\;13 [j ttf l a l(,.,)l V Date Ready/By: kris :s: See Page 2 for Internet: www.tigard-or.gov Notified/Method: 1 h iv 6ll Tl4 I VI Information immmuilimillailt / DATA:1-AND 2-FAMILY DWELLING (_ ID New construction 0 Demolition Permit fees*are based on the value of the work performed. \'J Indicate the value(rounded to the nearest dollar)of all ❑Addition:alteration/replacement El Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling Valuation: $ $29,099.35 1 El Commercial/industrial ❑Accessory building El Multi-family Number of bedrooms: ❑Master builder El Other: Number of bathrooms: ,t. JOB SITE INFORMATION AND LOCAtfION Total number of floors: Job site address: 13720 SW Aerie Drive Tigard, Oregon 97223 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Rae 14.18 kW system Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet TIRED DATA:COMMERCIAL-USE 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 DESCRIPTION OF WORK work indicated on this application. Rooftop Solar PV Valuation: $ Existing building area: square feet New building area: square feet ')<OPERTY OWNER I- ❑ TENANT Number of stories: Name: Shana Rae Type of construction: Address:13720 SW Aerie Drive Tigard,Oregon 97223 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax: ( I New: 0 APPLICANT ®CONTACT PERSON BUILDING PERMIT FEES* Business name:Blue Raven Solar (Please refer ea fee schedule) Structural plan review fee(or deposit): Contact name: Grayson Beck 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 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: BRS Field Ops, LLC 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 Pennit Fee(includes plan review $180.00 and administrative fees): Phone:(385+482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 227185 Total fee due upon application: $201.60 Authorized signature: /14 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Jeffrey LeeDate: 08/27/2020 *Fee methodology set by Tri-County Building Industry y Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Appli i V V „ FOR OFFICE USE ONLY Received CityofTigard 9�ic$ 2020 Permit :Mf...2()1G i9o2 Z g 9 DateB : U U 13125 SW Hall Blvd.,Tigard,OR 3 -/ Plan Review it Phone: 503.718.2439 Fax:,5.04R87..1 .I.,,..., Date/B : Related Permit 5: Inspection Line: 503.639.4115'i : ! � , t -1-',.., i Ready Date/By: 10 See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: IC= Supplemental Information TYPE OF WORK " "" PLAN REVIEW: ❑New construction ©Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wlitems checked)- 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground,or exceeds 14,000 0 Commercial-use agriculturalEi 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building i amps far all other installations. buildings. ❑Multi-family D Master builder D Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 13720 SW Aerie Drive Tigard, Oregon 97223 ❑Addition of new motor load of sYsteru Job#: Job site address: 100HP or more. ❑"A" "E" "1-2' "1-3" 0 Six or more residential units. occupancy" City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Shana Rae 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: FEE SCHEDULEr ' Ix Description I Qty. I Each I Total 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 DESCRIPTION OF WORK Limited energy,residential (with above sq.It) 2 Rooftop Solar PV Limited energy,multi-family 75.00 2 residential(with above sq.ft.) RI PROPERTY OWNER ❑ TENANT S Renewable or feedersrgy ❑ See Page 2 Services or feeders installation,alteration,and/or relocation Name: Shana Rae 200 amps or less 100.70 2 Address: 13720 SW Aerie 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 la APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Blue Raven Solar above service or feeder fee, 7.42 2 each branch circuit Contact name: Grayson Beck B.Fee for branch circuits without 1403 N Research Wayservice or feeder fee,first 56.18 2 Address: branch circuit City/State/ZIP: Orem, UT 84097 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 385)182-0045 Fax: : ( ) Each manufactured or modular 67.84 2 ermittin de blueravensolar.com dwelling,service and/or feeder Email: p g• partment @ Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: BRS Field Ops, LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy 0 See Page 2 2 Address: 1403 N Research Way panel,alteration,or extension. City/State/ZIP: Orem UT 84097 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(385)482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr Email: permitting.department@blueravensolar.com Industrial plant(]hrmin) 78.18 hr Inspections for which no fee is 90.00/hr CCB Lic.: 227185 Electrical Lic.: C1493 Suprv.Lic.: 6394S specifically listed(/r hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: .2...'ll ah.4w Subtotal: Print name: Shan Whittaker Date: 08/27/2020 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: ?i- TOTAL PERMIT FEE: 'Ibis permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 08/27/2020 days after it has been accepted as complete. * Number of inspections allowed per permit. t:BuildingsPermitsiELC_PermitApp ELR ERE.doe Rev 06/17/2015 440-4615T(11/051COM/wEa • • E.ectrical 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 nr,cre Qty. E•rn Toial i • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100 70 2 5.01 to 15 kva 133.56 133.90 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 30104 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 55226 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('/z hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: S75.00 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 n Fire Alarm Installation n HVAC • ❑ Instrumentation n 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 UiuildingUPermits'ELC_PermitApp_EI,R ERE doe Rev 06/17/2015 Branden Taggart From: Branden Taggart Sent: Friday, October 9, 2020 7:38 PM To: 'Permitting Department' Subject: Permit for Shana Rae: MST2020-00262 - 13720 SW Aerie Dr. Attachments: Invoice.pdf Hi Grayson, The permit for Shana Rae is ready to issue now. The balance due is$358.69, and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (MST2020-00262) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and I will place this permit in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thank you, Branden Taggart 11/41 w City of Tigard 1 . Senior Permit Technician Community Development riciARi7. 13125 SW Hall BCvd Tigard, OR 97223 (503)718-244g brandent@ tigard-or;gov 1