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Permit CITY OF TIGARD MASTER PERMIT 411. COMMUNITY DEVELOPMENT Permit#: MST2020-00336 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/11/2021 Parcel: 2S104BC08500 Jurisdiction: Tigard Site address: 12950 SW OXALIS TER Subdivision: HILLSHIRE CREST Lot: 7 Project: Krista Hume 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: $8,525.79 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 Furn<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 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 9.6 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: HUME,DAVID T&KRISTA R BRS FIELD OPS LLC Required Items and Reports(Conditions) 12950 SW OXALIS TER 1403 NORTH RESEARCH WAY TIGARD,OR 97223 OREM,UT 84097 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $359.69 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. You ma obtain a of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 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 t,-J.Z4 , IP Residential RECEIVE® FOR OFFICE USE ON l i City of Tigard DEC 0 9 2020 Received IVZc t 5fi 2lll0-00550 ,114 ° 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 1Z 2� Permit No.. g Plan Review ` Phone: 503.718.2439 Fax: 503.598. Y OF TIGARD Date/By: 12, Z /.vim Other Permit: i(.:�]t[, Inspection Line: 503.639.4175 Date ReadyBy: h � ! � H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: „I �t 417 r a l Supplemental Information TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING ❑New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. A. 0 1-and 2-family dwelling ElCommercial/industrial Valuation: $ $8,525.79 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12950 SW Oxalis Terrace,Tigard, Oregon, 97223 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Krista Hume Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square fret 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Rooftop Solar PV Valuation: $ 1 r I y_ �/]O Existing building area: square feet 1 ,~ New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: Krista Hume Type of construction: Address:12950 SW Oxalis Terrace,Tigard,Oregon,97223 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT ECONTACT PERSON BUILDING PERMIT FEES* Business name:Blue Raven Solar (Please refer to fee schedule) Contact name: Justin Marlowe Structural plan review fee(or deposit): FLS plan review fee(if applicable): Address: 1403 N Research Way 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* 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 Wayand 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 Phone:(3853482-0045 Fax:( ) and administrative fees): State surcharge(12%of permit fee): $21.60 CCB lie.: 227185 Total fee due upon application: $201.60 Authorized signature: geetl,eil 46 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: 12/07/2020 *Fee methodology set by Tri-County Building Industry Service Board. f\Building1 Permits 1BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) a !— 2 20 Electrical Permit ApplicatiDECEIVED FOR OFFICE USE ONLY City of Tigard Received Permitg: 4W4.�j,,�6332(� II II 13125 SW Hall Blvd.,Tigard,OR 97223n Plan Review /E �YV J _ ' Phone: 503.718.2439 Fax: 503.598.1917d'� Q`� 2020 Date/By: Related Permit N: Inspection Line: 503.639.4175 CITY OF TIGARDReady Date/By: Juris� PI See Page 2 for TIGARD Internet: www.tig and-or. ovNotified/Method. - Supplemental Information TYPE OF SING DIVISION PLAN REVIEW ❑New construction ©Addition/alteration/replacement Please check all that apply(submit 2 sets of plans iv/items 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 0 Floating buildings. ©1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived 12950 SW Oxalis Terrace, Tigard, Ore ❑Addition of new motor load of system. Job#: Job site address: 9 I00HP or more. ❑"A","E","I-2","I-3", Ci /State/ZIP: ['Six facilities.Six or more residential units. occupancy. ty 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Krista Hume ❑Hazardous locations. ❑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 l • 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 Rooftop Solar PV (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) el PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: Krista Hume 200 amps or less 100.70 2 Address: 12950 SW Oxalis Terrace,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 I 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 El APPLICANT m�ai/r rl' x, , t , Branch circuits—new,alteration,or extension,per panel 'gr.� d'e a z:O w/ Au A.Fee for branch circuits with Business name: Blue Raven Solar above service or feeder fee, 7.42 2 each branch circuit Contact name: Justin Marlowe 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 Phone: 385 82-0045 Fax:: Miscellaneous(service or feeder not included) ( }1 ( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: permitting.department@blueravensolar.com 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 ❑ 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(1 hr min) 66.25/hr Phone:(385 482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr Email: permitting.department@blueravensolar.com Indus al plant(Ihrmin) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.:227185 Electrical Lie.: C1493 Suprv.Lie.: 6394S specifically listed(v hr min) 6han9ilhittahe ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal Print name: Shan Whittaker Date: 12/07/2020 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee). Authorized signature: J "'- TOTAL PERMIT FEE This permit application expires ifapermit is not obtained within 180 Print name: Jeff Lee Date: 12/07/2020 days after it has been accepted as complete. * Number of inspections allowed per permit. I:1Bw'ding\Permits\ELC_PennitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I I/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 DemFee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 1 133.56 2 n A• udio 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 an 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('G hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page I): $75.00 Fee for each commercial system: • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n C• lock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC n Instrumentation ❑ Intercom and Paging Systems n L• andscape 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 1:1B1tilding1Permits\ELC_PermitApp_ELR_ERE.doc Ray 06/17/2015 City of Tigard RECEIVED 1111 Building Division DEC 09 2020 • 13125 SW Hall Blvd,Tigard,OR 97223 CITY OF TIGARD Phone: 503.718.2439 Fax: 503.598.1960 BUILDING DIVISION T I G A R D Inspection Line: 503.639.4175 www.tigard-or.gov 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 12950 SW Oxalis Terrace, Tigard, Oregon, 97223 City: Zip: Owner's Name: Krista Hume Date: 12/07/2020 Contractor's Name: Blue Raven Solar CCB #: 227185 Design Parameters of the Property/Structure If"Yes", does not Is the installation qualify for the Flood Hazard Located in a flood ❑ Yes prescriptive path, follow Area plain/flood way? p No OSSC or ORSC for design requirements. Is the wind exposure Yes If"Yes", qualifies for Wind Exposure "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 0 Yes the prescriptive path. and/or their accessory Ground structures. E No Snow Load Is the Ground Snow Installations on all Load 50 psf or less? structures other than If"Yes", qualifies for 0 Yes the prescriptive path. above No 1 I1Building/Fonns/PhotoVoltaic-Checklist02-Ol-11.docx 4 Is the construction material wood and does Yes Type of the construction qualify If"Yes", qualifies for ConstructionU No the prescriptive path. as "conventional light frame" construction? Is the spacing 24 inches or less? Pre-engineered trusses. ElYes If"Yes", qualifies for the prescriptive path. ❑ No Roof framing members Is the spacing 24 inches or less? Nominal lumber. If"Yes", qualifies for © Yes the prescriptive path. ❑ No Is the combined weight p Yes of the PV modules and If"Yes", qualifies for racking less than or 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 No the prescriptive path. Code? ❑ Metal Single layer If roofing material is Roofing Check the type of ❑ of wood one of the three types material roofing material shingle/shake checked, qualifies for Max. two layers the prescriptive path. 0 of composition shingle. Is the roof mounted p Yes Connections of solar assembly If"Yes", qualifies for the solar assembly connected to roof No the prescriptive path. to the roof framing or blocking directly? 2 I.Bu ilding/Forms/Photo V oltaic-Checkl ist02-01-1 I docx ❑ Yes If"Yes", qualifies for Is the gauge 26 or less? ❑ No the prescriptive path. 115 lbs for 60 inch spacing or less? ❑ If"Yes", qualifies for Yes the prescriptive path. ❑ No Minimum Uplift rating of Clamps? 75 lbs for 48 inches spacing or less? If"Yes", qualifies for ❑ Yes the prescriptive path. ❑ 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 prescriptive path. standing seam metal panels Width of roofing If the width of the panel panels? 18 inches or less is less than 18 inches, inches qualifies for the prescriptive path. Minimum#10 at 24 inches o/c? Size and spacing of If"Yes", qualifies for fastener? n Yes the prescriptive path. I No Is the roof decking of WSP min. 'A" thickness, ❑ 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 1-/Building/Forms/PhotoVoltaic-Checklist02-OI-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: J in KO Model Number: Solar Eagle 320W M 60CEL BLACK Listing Agency: CSA 4 I:Building/Forms/PhotoVoltaic-Checkl ist02-0I-1 I.docx