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Permit CITY OF TIGARD MASTER PERMIT .'. COMMUNITY DEVELOPMENT Permit#: MST2020-00259 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/20/2020 TIGARD Parcel: 2S109DA18100 Jurisdiction: Tigard Site address: 15209 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 110 Project: Villasenor Project Description: Rooftop Solar PV 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: $21,054.40 Rear: 0 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: D Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bcktw 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 Solar PV System 9.765 kW Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF V 8 R-3 0 Owner: Contractor: VILLASENOR,LAZARO&MARIA YANET BRS FIELD OPS LLC Required Items and Reports(Conditions) 15209 SW SUMMERVIEW DR 1403 NORTH RESEARCH WAY TIGARD,OR 97224 OREM,UT 84097 PHONE: PHONE: 855-205-2530 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 952-001-0090. Y . a c e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344` Issued By: Permittee Signature: < 0 . 9.4175 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 project. Approved plans are required on the job site at the time of each inspection. Building Permit Application" i ResidentialVED 3r.n.,IC(( ,,... FOR OFFICE USE ONLY /1 /y) KUU 2o20 Received air / `CJ M() r2d2V W 25- City of Tigard LL'33 9 1 evev a , ,,,,i Permit No.: III • 13125 SW Hall Blvd.,Tigard,OR 97 `J - Plan Revrcw Aick Phone: 503.718.2439 Fax: 5 S DateBy Other Permit: I BC rIGAR� 3 Inspection Line: 503 639 4175 yy ,--,. Dale Ready/By Aais: ® See Page 2 for T I CU A R D Internet: www.tigard or govir�I_i i I j 11.Ni q IJ I V I ZZD I U N Notified/Method: -�0�,2/34dor TG Supplemental Information (ir) I=YI/�t7 t &e' fJ4N let TYPE OF WORK REQUERiD 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 1/, CATEGORY OF CONSTRUCTION work indicated on this application. - \I L✓J 1-and 2-family dwelling ElCommercial/industrial Valuation: $ $21,054.40 ❑Accessory building ❑Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15209 SW Summerview Dr, Portland,Oregon,97224, USA New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Lazaro Villasenor 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: Lot no.: Permit finis*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: S 7 l9 c Y V Existing building area: square feet New building area: square feet ®PROPERTY OWNER 0 TENANT Number of stories: Name: Lazaro Villasenor Type of construction: Address:15209 SW Summerview Dr,Portland,Oregon,97224,USA Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT ®CONTACT PERSON BUILDING PERMIT FEES* Business name:Blue Raven Solar (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: Grayson Beck 1403 N Research Way FLS plan review fee(if applicable): Address: -- City/State/ZIP: Orem, UT 84097 Total fees due upon application: Phone:(385482-0045 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 Address: 1403 N Research Wayand fare department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/Stale/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.: 227185 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Jeffrey re Lee Date: 08/27/2020 *Fee methodology set by Tri-County Building Industry y Service Board. I:ABuildiing\PermitsVBUP-RESPermitApp.doc 02/24/2011 440-4613T(1 t/02/COM/WEB) �ADAsn E.. 1,.._ Electrical Permit Applic ��� ,.r. �I t-.„ FOR oFFiCE USE oNi.Y A. 0. Re . City of Tigard N U a 2020 DatceBivede :06,,,,,..2c20 Permit a �S'�z31 —nt ,S • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: Sr13.598.1960 t j 0? i,D DateB : Related Permit 4: Inspection Line: 503 639.4175'" - Ready Date/By: Ts s: H See Page 2 for TI GAR f) Internet: www.tigard or.gov' Notified/Method: Supplemental Information l TYPE OF WORK PLAN REVIEW ❑New construction ©Addition/alterationireplacentent Please check all that apply(submit 2 sets of plans wrtems checked): 0 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. ei-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural Multi-familyMaster builderamps for all other installations. buildings. ❑ ❑ ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job tt: Job site address: 15209 SW Summerview Dr, Portland, ❑Addition of new motor load of system 100HP or more. ❑"A" "E» "1-2" "1-3" City/State/ZIP: ❑Six or more residential units. occupancy. ❑Recreational vehicle parks. 0 Health-care facilities. Suite/bldg./apt.#: Project name: Lazaro Villasenor ❑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 1 . 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'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Rooftop Solar PV q 1 7 k VAN (with above sq.ft.) Limited energy,multi-family 75 00 2. residential(with above sq.ft.) PROPERTY OWNER ❑ TENANT Services Energy 0 See Page 2 IAServices or feeders installation,alteration,and/or relocation Name: Lazaro Villasenor 200 amps or leas 100.70 2 Address: 15209 SW Summerview Dr, Portland,Oregon,97224, USA 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 ®,,,P 'l" ;I: r A 419 i,7, I ,? v.. N}t_.. ` 1,M1 Branch circuits—new,alteration,or extension,per panel sa " 'd if 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 service or feeder fee,first 56.18 2 Address: 1403 N Research Way branch circuit City/State/ZIP: Orem, UT 84097 Each add't branch cucuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 385)182-0045 Fax: :( ) Each manufactured or modular 67.84 Email: permitting.department@blueravensolar.com dwelling,service and a feeder 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 Address: 1403 N Research WaySignal circuit(s)or limited-energy 0 See Page 2 2 alteration,hemtion,or extension. City/State/ZIP: Ofem, UT 84097 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25 hr Phone:(3855)482-0045 Fax: ( ) Investigation(1 hr min) 90.00/hr Email: permitting.department@blueravensolar.com Industrial plant(lhrmin) 78.18/hr Inspections for which no fee is 9O.ON hr CCB Lic.: 227185 Electrical Lic.: C1493 Suprv.Lic.: 6394S specifically listed(44 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 57,.... rl�'. Subtotal: Print name: Shan Whittaker Date: 08/27/2020 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: eii1r TOTAL PERMIT FEE: This 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. I:\BmIding\Permits\ELC_PermilApp ELR_ERE.doe Rev 06/17i2015 440-4615Tt11/05/COM/WEB Flectrical Permit Application—City of Tigard *, Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Dee • Fee for all residential systems combined: $75.00 Description Qry. I Each 1 Total I Renewable electrical energy systems: Check Type of Work Involved: s kva orless 100.70 2 5.01 to 15 kva d_ 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 with OAR 918-309-0040) 552.26 2 n H• eating, 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: n O• ther: 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('%hr min) COMMERCIAL WORK ONLY: ELECTRICAL 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: ❑ A• udio and Stereo Systems ❑ Boiler Controls n Clock Systems n D• ata Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling n O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\ParmitsEELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Branden Taggart From: Branden Taggart Sent: Friday, October 2, 2020 5:10 PM To: Permitting Department Subject: Solar Permit for Lazaro Villasenor: MST2020-00259 - 15209 SW Summerview Dr. Attachments: Invoice.pdf Hi Grayson, The solar permit for Lazaro Villasenor 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 (MST2020-00259) 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. Thanks, Branden Taggart ph R. City of Tigard Senior Permit Technician -?' Community Development Ttc;AK0 13125 SW Kali Blvd Tigard, OR 97223 (503}718-2449 brandent@tigard-or.gov 1