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Permit
CITY OF TIGARD MASTER PERMIT II ---- 4 COMMUNITY DEVELOPMENT Permit#: MST2021-00120 Date Issued: 04/06/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 112CA02700 Jurisdiction: Tigard Site address: 15205 SW GENTLE WOODS CT Subdivision: GENTLE WOODS Lot: 19 Project: Haddox 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: $5,115.47 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 Drains: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw 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>=10oK: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'l 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 5.67 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: HADDOX,DAVID AARON&AMY BRS FIELD OPS LLC Required Items and Reports(Conditions) 15205 SW GENTLE WOODS CT 1403 NORTH RESEARCH WAY TIGARD,OR 97224 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: FfaUyVa.v De/Weee Permittee Signature: On.Aprlif Th'L 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. i • Buildint? Permit Application RECEIVED .-B Residential MAR 2 9 2021 FOR OFFIR'1, USU.OyI.1 City of Tigard Received ij/d* S. A Permit No.:MSr'n,I-cc`/0 ,11111 e 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review C Phone: 503.718.2439 Fax: 503.598.1960`BUILDING DIVISION DateBy: Other Permit: y y TIGARD InspectionB :Line: 503.639.4175 DateRead r� Id See Page 2for Internet: www.tigard-or.gov otified/Method: * 110 Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING 0 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 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. CATEGORY OF CONSTRUCTION - l Valuation: $ 5,115.47 \ ❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15205 SW Gentle Woods Ct, Tigard, Oregon, 97224 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Amy Haddox 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 equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Rooftop Solar PV Valuation: $ l0�J Existing building area: square feet 1 l l3 New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: Amy Haddox Type of construction: Address:15205 SW Gentle Woods Ct,Tigard,Oregon,97224 Occupancy soups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT El CONTACT PERSON BUILDING PERMIT FEES* Business name:BRS Field Ops, LLC (Please refer tojerschedule) Structural plan review fee(or deposit): Contact name: Tia Derbidge - 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* Commercial and residential prescriptive installation of CONTRACTOR roof-lop 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 and administrative fees): Phone:(385+482-0045 Fax: ( ) State surcharge(12%ofpennit fee): $21.60 CCB Ho.: 227185 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained ^v within 180 days after it has been accepted as complete. Print name: Jeffre Lee Date: 03/23/2021 *Fee methodology set by Tri-County Building Industry y Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COMJWEB) I x- Electrical Permit Application RECEIVE FOR OFFICE USE ONLY City of Tigard Received cued Permit#: M STZlt�2t�e�i7�o I t 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 AR 9 1021 Date/B : Related Permit if: TIGARD Inspection Line: 503.639.4175 Ready Date/By: Iuris: Ed See Page 2 far m Internet: www.tigard-or.gov t;ITY OF TIGARO Notified/Method: Supplemental Information TYPE OF WORCILUING DIVISION PLAN REVIEW ❑New construction ©Addition/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. 0 Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ©1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived 15205 SW Gentle Woods Ct, Tigard, C ID of new motor load of system. Job#: Job site address: g 100HP or more. ❑"A", ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Amy Haddox ❑Hazardous locations. 0 Supply voltage for more than O 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'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 0 See Page 2 ®PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Amy Haddox 200 amps or less _ 100.70 2 Address: 15205 SW Gentle Woods Ct,Tigard, Oregon,97224 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 El APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension, i•r panel A.Fee for branch circuits with Business name: BRS Field Ops, LLC above service or feeder fee, 7.42 2 --- each branch circuit Contact name: Tia Derbidge B.Fee for branch circuits without 1403 N Research We service or feeder fee,first 56 18 2 Address: Y branch circuit City/State/ZIP: Orem, UT 84097 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 385)482-0045 Fax: :( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: permitting.department@blueravensolar.com Reconnect only 67.84 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 Address: 1403 N Research Way0 See Page 2 2 panel,alteration,or extension. City/State/ZIP: Orem, UT 84097 Each additional inspection over allowable in any of the above ,t Additional inspection(1 hr min) 66.25/hr Phone:(385)482-0045 Fax: ( ) Investigation(1 hr min) 90.00/hr Email: permitting.department@blueravensolarcom Industrial plant(1 him n) 78.18/hr inspections for which no fee is 90.00/hr CCB Lie.: 227185 Electrical Lie.: C1493 Suprv,Lie.: 6394S specifically listed(V2 hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: , ('V71 Subtotal: Print name: Shan Whittaker Date: 03/23/2021 IDPlan Review Required(25%of permit fee): tA"r�n State surcharge(12%of permit fee): Authorized signature: d"r " TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Jeffrey Lee Date: 03/23/2021 days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Buildmg\Pemtits\ELC_PermitApp_ELR_ERE.doc Rev 06:17/20 I5 440-4615T(11/05/COM/WED Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Oty. I Each I Total I " • Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kva or less 100.70 2 5.01 to 15 kva 1 133.56 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 • n 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 n 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(is hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation n 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 I3BuildinglPermitslELC_PermilApp_ELR ERE.doc Rev 06/17/2015 City of Tigard ECIVE� IN • Building Division = 13125 SW Hall Blvd,Tigard,OR 97223 MAR 2 9 2021 Phone: 503.718.2439 Fax: 503.598.1960 T I G A R D Inspection Line: 503.639.4175 rJITY OF TIGARD www.tigard-or.gov 3UILDING DIVISION 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 15205 SW Gentle Woods Ct, Tigard, Oregon, 97224 City: Zip: Owner's Name: Amy Haddox Date: 03/27/2021 Contractor's Name: BRS Field Ops, LLC 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. Wind Exposure Is the wind exposure Yes If"Yes", qualifies for "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. ❑ No Snow Load Is the Ground Snow Installations on all Load 50 psf or less? If"Yes", qualifies for structures other than CN Yes the prescriptive path. above ❑ No 1 I:Building/Fortes/PhotoVoltaic-Checklist02-01-11.docx Is the construction EN material wood and does Yes Type of the construction qualify If"Yes", qualifies for Construction as"conventional light ❑ No the prescriptive path. frame" construction? Is the spacing 24 inches or less? Pre-engineered trusses. Yes If"Yes", qualifies for the prescriptive path. ❑ No Roof framing members Is the spacing 24 inches or less? If"Yes", qualifies for Nominal lumber. Yes the prescriptive path. ❑ No Is the combined weight p Yes of the PV modules and If"Yes", qualifies for racking less than or ❑ No the prescriptive path. Solar equal to 4.5 psf? installation Is the solar installation layout in accordance Yes If with Section 305.4(3) of "Yes", qualifies for ID the prescriptive path. the 2010 Oregon Solar 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 © Yes Connections of solar assembly the solar assembly connected to roof If"Yes",prescriptiveqpaeies for ❑ No the path. to the roof framing or blocking directly? 2 I:Building/Forms/PhotoV oltaic-Checkl ist02-01-11.docx Is the gauge 26 or less? El Yes If"Yes", qualifies for ❑ No the prescriptive path. 115 lbs for 60 inch spacing or less? El Yes "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 standing seam prescriptive path. metal panels Width of roofing If the width of the panel is less than 18 inches, panels? 18 inches or less qualifies for the inches prescriptive path. Minimum#10 at 24 inches o/c? Size and spacing of If"Yes", qualifies for fastener? ❑ Yes the prescriptive path. ❑ No Is the roof decking of WSP min. %"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 Yes If"Yes", qualifies for ei solar modules module to the roof the prescriptive path. surface. ❑ No 3 I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx .. .. r 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: JinKO Solar Eagle Model Number: JKM 315M-6OHL Listing Agency: CSA 4 1:/Building/Forms/PhotoVoltaic-Checklist02-01-1 I docx