Permit NICITY OF TIGARD MASTER PERMIT
,t COMMUNITY DEVELOPMENT Permit#: MST2020-00317
Date Issued: 12/03/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S110DD06200
Jurisdiction: Tigard
Site address: 10615 SW HIGHLAND DR
Subdivision: SUMMERFIELD NO.4 Lot: 162
Project: Freeman
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: $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
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
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
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 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:
FREEMAN,JOYCE M TRUST BRS FIELD OPS LLC Required Items and Reports(Conditions)
10615 SW HIGHLAND DR 1403 NORTH RESEARCH WAY
TIGARD,OR 97224 OREM,UT 84097
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $322.88
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 952-001-0090.-0 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987�0.298 or 1.800.332.2344.
Issued By: c1A R) 4tJC _ , r� Permittee Signature: I: t apt?Ac C�o 6-- 1
Call 503.639.4175 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 project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application �.�, I�� D - i • a0
Residential 1 `�'M-`°-° "` FOR OFFICE USE ON I Y
NOV10 202D Receivyd /` I �v2v , U M 12o20-603) 7
City of Tigard Date ! 2 Petri[No.:
III13125 SW Hall Blvd.,Tigard,OF.+ ®1 Plan Review
Phone: 503.718.2439 Fax: 50V0 612 F II pG�Ai'i6..! Date/ny: (I l7 2.6124 1 4 herPem r.
TIGARI) Inspection Line: 503.639.418UILDING DIVISION Date Ready/By: ;Igo
7 /�!! � SeePage2for
Internet: www.tigard-or.gov Notified/Method: !/w �r F7 Supplemental Information
TYPE OF WORK REQU1R&D 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.
2-family dwellingValuation: $ $3,769.29
❑ 1-and D Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 10615 Southwest Highland Drive,Tigard,Oregon,972243506, United New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Joyce Freeman Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feel
REQUIRED 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: $
2 t S. ILO` Existing building area: square feet
c7 New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Joyce Freeman Type of construction:
Address:10615 Southwest Highland Drive,Tigard,Oregon,972243506,United States 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
Address: 1403 N Research Way FLS plan review fee(if applicable):
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*
CONTRACTOR Commercial and residential prescriptive installation of
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 Way and fire department access,along with the 2010 Oregon
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
COI lie.: 227185 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: JeffreyLee Date: 10/27/2020 «Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application rF
,JVED FOR OFFICE: USE ONLY
City of Tigard NOV 1 0 20ZO Received Permit h: 81-2020- ,, - I
IIIII13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 5 l�9 8Y296� �" C A y' Date/B : Related Permit N:
Inspection Line: 503.639.4 7$I r t r'+ tC`
1• r i,r',?`,I Ready Date/By: MIMI I+J See Page 2 for
TLCAKD Internet: www.tigard-or.go30' II yl ` ` " r Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
El New construction a ddition/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.
El Demolition El Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
El 1-and 2-family dwelling ❑Commercial/industrial III Accessory building eftsto ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
El Multi-family ❑Master builder El Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
10615 Southwest Highland Drive, TI c ❑Addition of new motor load of system.
Job#: Job site address. 9 g 100HP or more. ❑"A" "E" "I-2" 't-3"
Cl /State/ZIP: El Six or snore residential units. occupancy.
ty ❑Health-care facilities. 0 Recreational vehicle
parks.
Suite/bldg./apt.I?: Project name: Joyce Freeman ❑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 Ott. I Each I Iola' I
-__._..__ New residential single-or multi-family dwelling unit.
Subdivision: Lot if: 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.ft.) 75.00 2
Rooftop Solar PV
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
. . . .sa PROPERTY OWNER El TENANT Services or feeders installation,alteration,and/or relocation
Name: Joyce Freeman 200 amps or less 100.70 2
Address: 10615 Southwest Highland Drive,Tigard, Oregon, 972243506, Unit( 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
each branch circuit
Contact name: Grayson Beck a Fee for branch circuits without
1403 N Research Wayservice or feeder fee,first 56.18 2
I Address: branch circuit
City/State/ZIP: Orem, UT 64097
Each add'1 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: BRS Field Ops, LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ID 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 Indust alplant(lhrmim) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 227185 Electrical Lic,: C1493 Suprv.Lic.: 6394S specifically listed(Y hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ` " Subtotal:
Print name: Shan Whittaker Date: 10/27/2020 ❑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: 10/27/2020 days after it has been accepted as complete.
* Mather of inspections allowed per permit.
L\Budding'PematsiELC_PennitApp_ELR_EREAoc Rev 06/17/2015 4404615T(11105/COM/NEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
a
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each 1 Total 1 •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 1 100.70 2
5.01 to 15 kva 133.56 2
n 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
CIGara e Door O ener* 50.01 to too kva 552.26 2
g p >100 kva(fee in accordance 55226 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
❑ Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in an of the above:
•
n 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: E
ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on rage 1):
y * 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
❑ 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
IaBuilding'Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015
Branden Taggart
From: Branden Taggart
Sent: Wednesday, December 2, 2020 6:55 PM
To: Permitting Department
Subject: Permit for Joyce Freeman: MST2020-00317 - 10615 SW Highland Drive
Attachments: Invoice.pdf
Hi Grayson,
The solar permit for Joyce Freeman is ready to issue now. The balance due is$322.88, 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
(MST2020-0031) 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
IIIa City of Tigard
> Senior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard,OR 97223
(593)718-2449
brandent@tigard-or.gov
1