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Permit CITY OF TIGARD MASTER PERMIT • ' COMMUNITY DEVELOPMENT II Permit#: MST2020-00304 TIC;A It n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/17/2020 Parcel: 1S136AD02300 Jurisdiction: Tigard Site address: 10510 SW 71ST AVE Subdivision: VILLA RIDGE Lot: 3 Project: SEARS Project Description: Solar photovoltaic system. BUILDING Floor Areas Reauired 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: $3,769.29 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: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum>=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 2.835 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: SALAS,ROMELIO BRS FIELD OPS LLC Required Items and Reports(Conditions) 10510 SW 71ST AVE 1403 NORTH RESEARCH WAY TIGARD,OR 97223 OREM,UT 84097 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $326.88 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`i 952-001-0090. You may obtaina copy of the rules or direct questions to OUNC by callingg5503.232.1987 or 1.800.332.2344. Issued By: `\S C t `We Permittee Signature: V C\ CWIi CAN-4`.D \ Call 503. 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 la- _ 10 Residential FOR OFFICE USE ONLY City of Tigard r Received��„ /�� IKS '` j" 3�� . 2 2 ° 2020 �,�/ Pemut No.: r. 020 DateBy: III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review q�� /q Phone: 503.718.2439 Fax 5b3.598.1960 S Date/By: `8 !�/Z6z. I Other Perm t: T I G AR D Inspection Line: 503.639.4175 Date ReadyBy: 11`- r�is 0 See Page 2 for Internet: www.tigard-or.gov Notitied/Method: /If(( 7O 0,. 1 (y 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. /1 1 ❑ l-and 2-family dwelling 0 Commercial/industrial Valuation: $ $3,769.29 1V�if ❑ Accessory building El Multi-familyNumber of bedrooms: ❑ Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10510 SW 71ST AVE, Portland, Oregon, 97223 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Romelio Salas 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 v equipment,materials,labor,overhead,and the profit for the y w s `` " )a. work•indicated on this application. Rooftop Solar PV Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Romelio Salas Type of construction: Address:10510 SW 71ST AVE,Portland,Oregon,97223 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: El 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 Address: 1403 N Research Way FLS plan review fee(if applicable): City/State/ZIP: Orem, UT 84097 Total fees due upon application: Phone:(3853482-0045 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 fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/7IP: 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: ,,I This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JeffreyLeeDate: 10/19/2020 *Fee methodology set by Tri-County Building Industry Service Board. I:ABuilding\PermitsVBUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard °3 i Z020 Received Permit x:M �2c7L� Qo o� • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review '' IS Phone: 503.718.2439 Fax: 503 598.I960 DateB : Related Permits: Inspection Line: 503.639.4175 Ready Date/By: el See Page 2 for T I GA R D. Internet: www.tigard-or.gov Notified/Method: 1101MI Supplemental Information TYPE OF WORK PLAN REVIEW ['New construction ©Additi On/alteration/repI ace ment 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. 9 1-and 2-family dwelling E Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural Multi-familyMaster builder amps for all other installations. buildings. ❑ ❑ ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. Larger separately derived Job/: Job site address: 10510 SW 71ST AVE, Portland, Oreg4 ❑Addition more. of new motor load of system. City/State/ZIP: 0 Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Romelio Salas 0 Hazardous locations. 0 Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description l 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 75.00 2 Rooftop Solar PV (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) pi PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: Romelio Salas 200 amps or less 100.70 2 Address: 10510 SW 71ST AVE,Portland,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 ® 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 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 742 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: 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 panel,alteration,or extension. Each additional inspection over allowable in any of the above city/state/ZIP: Orem, UT 84097 Additional inspection(I hr min) 66.25/hr Phone:(385 482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr _ Email: permitting.department@blueravensolar.Com Industrial plant(I hr miii) 78.18/hr Inspections for which no fee is 90.00i hr CCB Lie.: 227185 Electrical Lie.: C1493 Suprv.Lie.: 6394S specifically listed('h hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: S II/l,�:L. Subtotal: Print name: Shan Whittaker Date: 10/19/2020 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 10/19/2020 days after it has been accepted as complete. " Number of inspections allowed per permit. E'Building'Permits\ELC_PermitApp_ELR_EREdoc Rev 06/172015 440-4615T(11 I05/COMiWEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information r• Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined: S75.00 Description Qty. Eaen Test y Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 1 I00.70 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 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 1 charged at an hourly(1 hr min) • Inspections for which no fee is 90.00/hr specifically listed(V 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: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ 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 I\BuildingtPermits\ELC_PerrnitApp ELR ERE.doc Rev 06/17/2015 Branden Taggart From: Branden Taggart Sent: Monday, November 16, 2020 1:51 PM To: Permitting Department Cc: Dianna Ornelas Subject: Permit for Romelio Salas: MST2020-00304 - 10510 SW 71st Ave. Attachments: Permit.pdf Hi Grayson, The permit for Romelio Salas is ready to issue now. The balance due is$326.88, 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 (MST2020-00304) 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, Bran.den Taggart IN . d City of Tigard Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 bra ndent@tigard-or,gov 1