Permit III CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00347
T I i,A I}i) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/02/2021
Parcel: 2S104CC04000
Jurisdiction: Tigard
Site address: 13928 SW HILLSHIRE DR
Subdivision: HILLSHIRE ESTATES NO.2 Lot: 146
Project: Duff-Jansson
Project Description: Rooftop solar PV 3kW
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: $2,706.60 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
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 N
Other: Y Other Description: Roof Top Solar PV System 3 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
DUFF-JANSSON,INGER BRS FIELD OPS LLC Required Items and Reports(Conditions)
13928 SW HILLSHIRE DR 1403 NORTH RESEARCH WAY
TIGARD,OR 97223 OREM,UT 84097
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $323.88
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
Qc9-nn1-nnin rhrn,inh cud>QS9_nn1_nnon Vnmt m.0 nhtoin a rnnu of fha'lilac nr rlirarf niioctinnc to(ii tnic hu raiiinn Sn1 919 1QR7 nr 1 Ann 119 9144
Issued By: }(O'U.y V& De/Weffe Permittee Signature: ')tniArpiiira. inrv1
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 iob site at the time of each inspection.
Building Permit Application
I. ego
Residential RECEIVED FOR OFFI(T USE ONIa
City of Tigard
Received Permit No.: !NWT' '',OCI3 b1
4,/
f
4 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 1902 Date/By: Z Plan Review ZZ
Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Per
tic,.\1,:,i 5 Inspection Line: 503.639.4175 CITY OF TIGARD D Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov otified/Method• �.r Supplemental Information
(.!lI..II!�G DIVISI� •,
TYPE OF WORK IRE ATA: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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $ $2,706.60
❑ 1-and 2-family dwelling ❑Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
ox ❑Master builder ❑Other: Number of bathrooms:
NJOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13928 SW Hillshire Dr,Tigard, Oregon,97223 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldgiapt.no.: Project name: -1•Rger-dertraeli-•atir._ , lA S(Oh 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 '� AL) Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: fi,y�,J.,,-,son lat..t: t > (iLit 0 .7 Type of construction:
Address: 13928 SW Hillshire Dr,Tigard,Oregon,97223 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT El 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
FLS plan review fee(if applicable):
Address: 1403 N Research Way
City/State/ZIP: Orem, UT 84097 Total fees due upon application:
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 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:( 385 482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 227185
Total fee due upon application: $201.60
Authorized signature: ,r// , This permit application expires if a permit is not obtained
I fi/ within 180 days after it has been accepted as complete.
Print name: Jeffrey ee Date: 08/06/2021 *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 Applicatio ,ECEIVED FOR OFFICE USE ONLY'
Received
City of Tigard Permit#:
lig13125 SW Hall Blvd.,Tigard,OR 97223 AUG 1909 Date/B
g Plan Review Related Permit#:
Phone: 503.718.2439 Fax: 503.598.1 OF TIGARD Date/B
Inspection Line: 503.639.4175 �+� Ready Date/By: Juris: H See Page 2 for
i'` `"i Internet: www.tigard-or.gov 3UILDING DIVISION Notified/Method: Supplemental Information
e. 'fiY l+a �x itl .! !k r, ' t r;t z aka a x r r t c + r +° 5#��* s( f a z `1 t ls# s ,x 3 r t, i tltixd51 a# s y rtJ
_._ ed�gg�J�.�..� �`, .,�#�# ,.. �}'tr `��i'".i'Z:'r . � `. �, #""�..-n: .. �ah�i*�{+. i°1�f�.�°�4.4 4
❑New construction Cil Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
)1, ,r l,tr r CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
ti 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 Multi-family 0 Master builder ❑Other: 0 ampsirefor all other installations. buildings.
u
p mp. 0 Installation of 150 KVA or
NiSINDI r RLr ; t , M'd p LOCATION `s` 0 Emergency system. larger separately derived
Job#: Job site address: 13928 SW Hillshire Dr,Tigard,Oregon,97223 ❑Addition of new motor load of system.
100HP or more. ❑"A" "E" "I 2" "1-3"
Cit /State/ZIP: ❑Six or more residential units. occupancy.
y 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Inger Jansson ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: 1r(' 'i '• A d1 '
L �r t x, , ,. , t A;',4 r �., :...
Description I-,Qty•,I ,w Each •I. Total
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
,'.. 1 : - , 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 0 See Page 2
130*ERTV O R 'El TENANT Services or feeders installation,alteration,and/or relocation
Name: Inger Jansson 200 amps or less 100.70 2
Address: 13928 SW Hillshire 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
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
® N7 ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per 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: Jeffrey Lee 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'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 385 482-0045 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
SAddress: 1403 N Research Waypanel,ieal circuit(s)or limited-energy
0 See Page 2 2
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)I82-0045 Fax: ( ) Investigation(1 hr min) 90.00/hr
Email: perpitxipO.FLepartment c'blueravensolar.com Industrial plant(1 hr min) 78.18/hr
?�f !(Y_��.�L� Inspections for which no fee is 90.00/hr
CCB Lie.: 227185 Electrical Lc.: C1493 9 Suprv.Lic.: 6394S specifically listed(t/z hr min)
� ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 7 Subtotal:
Print name: Shan Whittaker Date: 08/06/2021 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: i// V TOTAL PERMIT FEE:
'/ This permit application expires if a permit is not obtained within 180
Print name: Jeffrey L Date: 08/06/2021 days after it has been accepted as complete.
* Number of inspections allowed per permit.
11Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
�' k� a § '� ., z r V:x'f.1.1," Description Qty.
Each Total ,
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
El 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
❑ Garage Door Opener* >100 kva(fee in accordance
552.26 2
with OAR 918-309-0040)
❑ H• eating, 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
s.-cificall listed hr min
, ,_x _ �r.�k?: Subtotal(Enter on Page 1):
Fee for each commercial system: $75•00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ B• oiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
El M• edical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
•
City of Tigard RECEIVED
In Building Division AUG 19 02r
IN
13125 SW Hall Blvd,Tigard, OR 97223 c.;ITY OF TIGARD
- Phone: 503.718.2439 Fax: 503.598.1960 'RAIDING DIVISION
`1. I G A RI)I) 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: 13928 SW Hillshire Dr, Tigard, Oregon, 97223
City: Zip:
Owner's Name: Inger Jansson Date: 08/06/2021
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.
Wind Exposure Is the wind exposure 0 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 C7 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
I1Building/Forms/PhotoVoltaic-Checklist02-01-11.docx
Is the construction
material wood and does Yes
Type of If"Yes", qualifies for
the construction qualify
Construction ElNo the prescriptive path.
as "conventional light
frame"construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. C7 Yes If"Yes", qualifies for
the prescriptive path.
n No
Roof framing
members Is the spacing 24 inches
or less?
If"Yes", qualifies for
Nominal lumber. C51 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 If"Yes",
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 ❑ 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 If"Yes", qualifies for
❑ No the prescriptive path.
to the roof framing or blocking
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 If the width of the panel
Width of roofing is less than 18 inches,
panels? 18 inches or less
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. V2" 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/PhotoVoltaic-Checklist02-01-11.docx