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Permit
CITY OF TIGARD MASTER PERMIT = n Permit#: MST2021-00288 COMMUNITY DEVELOPMENT T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2021 Parcel: 1 S134C615100 Jurisdiction: Tigard Site address: 12249 SW ANTON DR Subdivision: ANTON PARK NO.2 Lot: 78 Project: Prudencio 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: $5,756.04 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 Drains: 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bdcflw Prevntr: 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>=10OK: 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+ampNolt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All N Other: Y Other Description: Roof Top Solar PV System 6.375 kW Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 D Owner: Contractor: PRUDENCIO,DANIEL S&REBECCA S BRS FIELD OPS LLC Required Items and Reports(Conditions) 12249 SW ANTON DR 1403 NORTH RESEARCH WAY TIGARD,OR 97223 OREM,UT 84097 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $361.19 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 req res you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 0S9-nn1Jm1 nhrni r inh r\AP nn1_n Yr../ a,nht in a n.,of th Jac nr direnf n Inntinne fn rN iMC ha nallinn 6n'1 91 QA7 nr 1 Ann 119 94d4 • Issued By: /l/i /�` `^ Per tt e Signature: �evo i ���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 '5--7 f(0(2i Residential RECEIVED FOR OFFICE USE ONLY Cityof TigardReceived y 7 Q7+ 02100280 0 8j g3 19 20 L-L/ I Permit No.: Mc�I GVGY—WZd7S JUL.�Ut. �I Uale/By: y- 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ��? �, ^'!.J� Phone: 503.718.2439 Fax: 503.598.1960;IN 1 rY OF TIGARG DatDate/By:y: /:J Other Permit: 1 , ,.1.,1, Inspection Line: 503.639.4175 I ' r� t I( DIVISION c 1 Dale Ready/By: / %i I° 0 See Page 2 for Internet: www.tigard-or.gov 3IJITING DIVI` IO N. .fied/Method2/ 7( (,. r Supplemental Information TYPE OF WORK R'1 'fA'l D•z A:I-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 ❑ Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 5756.04 EllAccessory building El Multi-familyNumber of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12249 SW Anton Dr,Tigard, Oregon,97223 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Rebecca Prudencio 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 .dD DESCRIPTION OF WORK work indicated on this application. Rooftop Solar PV 1 Valuation: $ 3 7S +r1. Existing building area: square feet VVV���"' New building area: square feet la PROPERTY OWNER 0 TENANT Number of stories: Name: Rebecca Prudencio Type of construction: Address: 12249 SW Anton Dr,Tigard,Oregon,97223 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT CONTACT PERSON BUILDING PERMIT FEES* Business name: BRS Field Ops, LLC (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: Jeffrey Lee Address: 1403 N Research Way FLS plan review fee(if applicable): City/State/ZIP: Orem, UT 84097 Total fees due upon application: Amount received: Phone:( 385)482-0045 Fax: :( ) E-mail: permitting.deparment©blueravensolaccom 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 and fire department access,along with the 2010 Oregon Address: 1403 N Research Way Solar Installation Specialty Code checklist. City/State/ZIP: Orem, UT 84097 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( 385 .82-0045 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: 227185 Total fee due upon application: $201.60 Authorized signature: y./ This permit application expires if a permit is not obtained �' within 180 days after it has been accepted as complete. Print name: Jeffrey ee Date: 07/06/2021 *Fee methodology set by Tri-County Building Industry Service Board. t•\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COMIWEB) /Electrical Permit Applicati E C City of Tigard E IV E I� FOR OFFICE USE ONLY Received Permit#: MC IzJ21--O s 2 S9 13125 SW Hall Blvd.,Tigard,OR 97223Date/B v JUL 1 3 2021 Plan Review Related Permit#: 1 Phone: 503.718.2439 Fax: 503.598.1960 Date/0 : Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: Jarls: fa See Page 2 for TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information 3UILDING DIVISION TYPE OF WORK PLAN REVIEW ❑ New construction BAddition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more ['Building over three stories. ❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. p 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ['Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Joh#: Job site address: 12249 SW Anton Dr,Tigard,Oregon, 97223 100HP or more. ❑"A"="E"•"1-2 "1-3 O Six or mom residential units. occupancy. City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Rebecca Prudencio 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: ;a"' +, ,, "' *: DULE Description I Qty. I Each I Total I 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 (with above sq.ft.) 75.00 2 RooftopSolar PV Limited energy,multi-family residential(with above sq.ft.) 75.00 2 El PROPERTY OWNER 0 TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: Rebecca Prudencio 200 amps or less 100.70 2 Address: 12249 SW Anton Dr,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 I 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 Branch circuits—new,alteration,or extension,per panel ®APPLICANT 0 CONTACT PERSON ' 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: Jeffrey Lee B.Fee for branch circuits without 1403 N Research Wayservice or feeder fee,first 56.18 2 Address: 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 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 ❑ 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(I hr min) 90.00/hr Email: permitting.department@blueravensolar.com Industrial plant(1 hr mm ) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 227185 Electrical L'c.: C1493 Suprv.Lie.: 6394S specifically listed(/hr min) ...ri ELECTRICAL PERMIT FEES :. Suprv.Electrician signature,required: ip Subtotal: Print name: Shan Whittaker Date: 07/06/2021 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: •41 j This permit application expires if a permit is not obtained within 180 „ . Print name: Jeffrey L / Date: 07/06/2021 days after it has been accepted as complete. 1' Number of inspections allowed per permit. taBuilding\Permits\PI.C_I'crmicApp_EI.R_Etth.dac Rev(16/17/2015 440-4615T(I1/05/COMIWF.B Electrical Permit Application-City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: Description Qty. Each I Total 11 Fee 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 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: El Burglar Alarm 25.01 to 50 kva 301.04 2 El Garage Door Opener* 50.01 to 100 kva 552.26 2 >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 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( hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page I): 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 ❑ 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 E1Building\'crmitsUil.C_PermitApp_hl.R_ERE.doe Rev 06/17/2015 City of Tigard RECEIVED '' Building Division , • • 13125 SW Hall Blvd,Tigard, OR 97223 ILL `j 20�i Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD T I GARD Inspection Line: 503.639.4175 3UILDING DIVISION 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: 12249 SW Anton Dr, Tigard, Oregon, 97223 City: Zip: Owner's Name: Rebecca Prudencio Date: 07/06/2021 Contractor's Name: BRS Field Ops, LLC CCB #: 227185 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation ❑ Yes qualify for the Area Located in a flood prescriptive path, follow plain/flood way? p No OSSC or ORSC for design requirements. Ci 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. L I No Snow Load Is the Ground Snow Installations on all Load 50 psf or less? structures other than If"Yes", qualifies for Yes the prescriptive path. above ❑ No 1 I:Building/Forms/PhotoV oltaic-Checklist02-0I-l 1.docx Is the construction material wood and does Yes Type of If"Yes", qualifies for Construction the construction qualify ❑ No the prescriptive path. as "conventional light frame" construction? Is the spacing 24 inches or less? Pre-engineered trusses. p 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. 0 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 El layout in accordance Yes If"Yes", qualifies for with Section 305.4(3) of ❑ No the prescriptive path. the 2010 Oregon Solar Code? ❑ Metal Single layer If roofing material is Roofing Check the type of n of wood one of the three types material roofing material shingle/shake checked, qualifies for Max. two layers the prescriptive path. © of composition shingle. Is the roof mounted p Yes Connections of solar assembly the solar assembly connected to roof No If"Yes",prescriptiveqpaies for framingor blockin ❑ the path. to the roof g directly? 2 I:Building/Forms/Photo Voltaic-Checklist02-01-11.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 standing seam prescriptive path. 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? ❑ 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 If"Yes", qualifies for solar modules module to the roof Yes the prescriptive path. surface. ❑ No 3 I:Building/Forms/PhotoVoltaic-Checklist02-01-11.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: JinKO Solar Eagle Model Number: JKM375M-6RL3-B Listing Agency: CSA 4 I:Building/Forms/Photo Voltaic-Checklist02-01-I 1.docx