Permit CITY OF TIGARD MASTER PERMIT
Ilig * Permit#: MST2021 00218
' COMMUNITY DEVELOPMENT
Date Issued: 06/14/2021
T!i;/k R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S134D613200
Jurisdiction: Tigard
Site address: 11124 SW 114TH PL
Subdivision: BRIGHTWOOD SUBDIVISION Lot: 4
Project: Espy
Project Description: Rooftop Solar PV 8.25 kW
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: $7,443.15 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>=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 8.25 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:
ESPY,JOHN S&JAN H BRS FIELD OPS LLC Required Items and Reports(Conditions)
11124 SW 114TH PL 1403 NORTH RESEARCH WAY
TIGARD,OR 97223 OREM,UT 84097
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $359.69
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 44oily Vcvnine•Weje Permittee Signature: OW Appii.Cati,011.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application RECEIVEDT.— Z� 2
Residential FOR OFFICE LSE ONLY
City of Tigard MAY 2 7 202 RDaceeB a7 Permit No.:$ 4S 2 21,00zjq,
t111 - '" 13125 SW Hall Blvd.,Tigard,OR 97223r Plan Review or,
3: Phone: 503.718.2439 Fax: 503.598.196I OFTIGARD Date/By: co ?j Other Permit:
1 0, ‘h 1, Inspection Line: 503.639.4175 RUILDING DIVISION' Date Ready/By: r11 116,v 61 See Page 2 for
Internet: www.tigard-or.gov ea/Method: �r�l Supplemental Information
/f'ii,
TYPE OF WORK REQU 'rt, 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
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ 7443.15
w ❑ 1-and 2-family dwelling ❑Commercial/industrial
\'` 0 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: 11124 Southwest 114th Place,Tigard,Oregon, 97223 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldgJapt.no.: Project name: John Espy 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Rooftop Solar PV V,-1. Is Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: John ESPY Type of construction:
Address: 11124 Southwest 114th Place,Tigard,Oregon,97223 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: BRS Field Ops, LLC
Structural plan review fee(or deposit):
Contact name: Jeff Lee
FLS plan review fee(if applicable):
Address: 1403 N Research Way
Total fees due upon application:
City/State/ZIP: Orem, UT 84097
Amount received:
Phone:( 385)482-0045 Fax::( )
E-mail: permitting.deparment@blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic 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:( 385 482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 227185 Total fee due upon application: $201.60
If
Authorized signature: f// This permit application expires if a permit is not obtained .a
/ 004 within 180 days after it has been accepted as complete.
Print name: Jeffrey ee / Date: 05/25/2021 *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 FOR OFFICE USE ONLY
City of Tigard Received
INiDate/B : Permit#: I '00 2113125 SW Hall Blvd.,Tigard,OR 97RECEIVED
•
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/ : Related Permit#:
Inspection Line: 503.639.4175 ReadyDate/By: Juris
I'IGAROSeePage2for
, Internet: www.tigard-or.gov CITY OF TIG A r,D Notified/Method: Supplemental Information
❑ 0 TYPE OF W e M D�f�C DIVISION _ PLAN REVIEW
New construction Addition/alteratio replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more IDBuilding over three stories.
0 Demolition 0 Other:
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 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 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 11124 Southwest 114th Place,Tigard, 9 ard,Ore i ❑Add 100HP HP or more o of o motor load of system.
. ❑"A" "E" "1-2" "1-3",
City/State/ZIP: ElSix or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: John Espy 0 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 Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 I
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.)
Renewable Energy ❑ See Page 2
PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: John Espy 200 amps or less 100.70 2
Address: 11124 Southwest 114th Place,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 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: Jeff Lee B.Fee for branch circuits without
service or feeder fee,first
Address: 1403 N Research Way 56.18 2
branch circuit
City/State/ZIP: Orem, UT 84097 Each add'1 branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 385)182-0045 Fax: : ( ) 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
Signal circuit(s)or limited-energy
Address: 1403 N Research Way panel,alteration,or extension. 0 See Page 2 2
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)182-0045 Fax: ( ) Investigation(1 hr min) 90.00/hr
Email: permitting.department@blueravensolar.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 227185 Electrical Lic.: C1493, Suprv.Lie.: 6394S specifically listed(1 hr min) 90.00/hr
� 67 ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: K(G'
/ � Subtotal:
Print name: Shan Whittaker ff��i Date: 05/25/2021 ❑Plan Review Required(25%of permit fee):
AI, State surcharge(12%of permit fee):
Authorized signature: # �t TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Jeffrey L Date: 05/25/2021
days after it has been accepted as complete.
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 Description I Qty. f Each I Total l *
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
ri A• udio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ B• urglar Alarm 25.01 to 50 kva 301.04 2
Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance 552.26 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
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 1
charged at an hourly(1 hr thin)
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 1):
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n A• udio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
n F• ire Alarm Installation
❑ HVAC
n Instrumentation
n Intercom and Paging Systems
n L• andscape Irrigation Control*
n M• edical
n N• urse Calls
n O• utdoor Landscape Lighting*
n Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
III City of Tigard RECEIV '
. . '' Building Division MAY' 2 7 2.
■ 13125 SW Hall Blvd,Tigard, OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGt.
T I GARD Inspection Line: 503.639.4175 BUILDING DIVI -!
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: 11124 Southwest 114th Place, Tigard, Oregon, 97223
City: Zip:
Owner's Name: John Espy Date: 05/25/2021
Contractor's Name: BRS Field Ops, LLC CCB #: 227185
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation El Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? Ci No OSSC or ORSC for
design requirements.
Is the wind exposure 0 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 Li I 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?
structures other than If"Yes", qualifies for
Yes the prescriptive path.
above
❑ No
1
..,., m fr. . ., .. . /NI -- •
Is the construction
material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify II] No
Construction as "conventional light the prescriptive path.
frame"construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. Ci Yes If"Yes", qualifies for
the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. 0 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 ❑ No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation
layout in accordance 0 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 LI of wood one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
MI of composition
shingle.
Is the roof mounted p Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
T•/R..ilr7i..../C......../Ol......\/..1...:..fL,.,.l_I:_✓vl n1 .t �___
❑ Yes If"Yes"
Is the gauge 26 or less? , qualifies for
❑ 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
0 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
directlyto inches inches, qualifies for the
Maximum 60 inches 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? ❑ Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. %2"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. 0 No
3
I:Buildine/Forms/PhotoVoltaic-Checklist02-01-11 dncx
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/PhotoVoltaic-Checklist02-01-11.docx