Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00348
T f C;A R Fr 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2021
Parcel: 2S110BC06200
Jurisdiction: Tigard
Site address: 12390 SW THORNWOOD DR
Subdivision: THORNWOOD Lot: 33
Project: Keutfedjian
Project Description: Rooftop solar PV 7.125 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: $6,432.69 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
Bcktlw 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
Furnc106K: 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!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
801-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuurn System. N Garage Opener. N All
Other: Y Other Description: Roof Top Solar PV System 7.125 kW N
Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
KEUFTEDJIAN,ALBERT A BRS FIELD OPS LLC Required Items and Reports(Conditions)
12390 SW THORNWOOD DR 1403 NORTH RESEARCH WAY
TIGARD,OR 97224 OREM,UT 84097
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $356.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
OS9-nnl-nnin thmnnh OAR 0c9_nol_nnon Vnu mel,nh+ain a rnrrn,n1 fha rule nr riirorf nimefinne fr.01 INC by rallinn STI v17 10R7 nr 1 Rnn 119,1AA
issued By: lfQiTN Van/De,De W 0niApplt"
Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application )ECEIVED - 2419 li
Residential 1 AUG 1 9 7 FOR OFFICE['SE O\LI
Cityof Tigard AUG ?3Z i Received Pernik No.:
gDateB : 8 ` 1 �i i'11St"1U21-tx398
III ■ 13125 SW Hall Blvd.,Tigard,OR 9722$.,I OF TIGARD Plan Review Phone: 503.718.2439 Fax: 503.598.1 DareB : •PlairliJ lV 1 er Permit'
11t.ARi, Inspection Line: 503.639.4175 73 UILDING DIVISION Day-Ready/By: ` :6 r HfSee Paget for
Internet: www.tigard-or.gov .0.tified/Meth,-i a� �" Supplemental Information
TYPE OF WORK ffE 11RE U A'FA: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.
0 ElEl Accessory2-familydwellingValuation: $ $6,432.69
1-and ❑CommerciaUindustrial
6
building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
tV+r�Mn.' }iOB,v SITE( INFORMA' [ON AND LOCATION Total number of floors:
it 4 i.R` o...
Job site address: 12390 SW Thornwood Dr-PORTLAND, Oregon 97224 New dwelling area: square feet
City/State/ZIP: Garage carport area: square feet
Suite/bldg./apt.no.: Project name: Albert Keuftedjian Covered porch area: square feet
Cross streeUdirections to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA=COMMERCIAL-USE CHECKLIST
Subdivision: 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: $
Existing building area: square feet
New building area: square feet
la PROPERTY OWNER 0 TENANT Number of stories:
Name: Albert Keuftedjian Type of construction:
Address: 12390 SW Thornwood Dr-PORTLAND,Oregon 97224
Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT ®CONTACT PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops, LLC (Please reJertofeesekeduk)-
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@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)82-0045 Fax:( ) _ State surcharge(12%of permit fee): $21.60
CCB lic.: 227185
�y/t Total fee due upon application: $201.60
Authorized signature: y// ,�],� This permit application expires if a permit is not obtained
/ II„dtsC� within 180 days after it has been accepted as complete.
Print name: Jeffrey e / Date: 08/13/2021 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I t/02/COM/WEB)
r
Electrical Permit ApplicatiotO pcELVED FOR orH i;I. SE oNL.v
City of Tigard Received
Permit#:
13125 SW Hall Blvd.,Tigard,OR 97223 AUG j- g -{'�� Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related F rudt#:
- „ Inspection line: 503.639.4175 t✓ITY OF TIGARD Ready Date/By: kris: RI See Page 2 for
Internet: www.tigard-or.gov , k , ISIONI Notified/Method: Supplemental Information
❑New construction laAddition/alteration/replacement Please check all that apply(submit 2 sets of plans wltems checked):
❑Service or feeder 400 amps or mole 0 Building over three stories.
❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-familydwellingCommercial/industrial less to ground,or exceeds 14,000 0 Commercial-use agricultural
Q El ❑Accessory building
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
.. - _- •.• - ❑Emergency system larger separately derived
Job#: Job site address: 12390 SW Thomwood Dr-PORTLAND,Oregon 97224 ❑Addition of new motor load of system.
100H1'm more. ❑"A" "E" ,•] 2" "1 3"
City/State/ZIP: 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Albert Keuftedjian 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:
Descripoan • _. Qty. Each Total •
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'1500 sq.ft.or portion 33.92 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 ❑ See Page 2
p . --'' .. . -- Services or feeders installation,alteration,and/or relocation
Name: Albert Keuftedjian 200 amps or less 100.70 2
Address: 12390 SW Thornwood Dr- PORTLAND,Oregon 97224 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 snips to 1,000 amps 301.04 2
Phone:( ) I 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
�� , -_ r - a - a Branch circuits—new,alteration,or extension,Per pane►
.,.,''' .. • .. .... „. ,.: .. d, ,, 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 3182-0045 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitting.department@blueravensolar.com Reconnect only 67.84 2
rot S 5 B}�; 3 y j4S.35'4'ik y`Yli= i 5�y'ru
� �.�cx-_.is, pir�,'��c,: s Pump or irrigation circle 67.84 2
Business name: BRS Field Ops, LLC Sign or outline lighting 67.84 2
Address: 1403 N Research WaySignalnl,alteration,ati(s)or extension. 0 See Page 2 2
panel, 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(1 hr min) 90.00/hr
Email: permitting.department@blueravensolar.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90 00/hr
CCB Lic.: 227185 Electrical L-c.: C 1493 Suprv.Lic.: 6394S specifically hatedµ��(1/2 hr min))
Suprv.Electrician signature,required: Subtotal:
Print name: Shan Whittaker Date: 08/13/2021 0 Plan Review Required(25%of permit fee):
Al. State surcharge(12%of permit fee):
Authorized signature: //1 TOTAL PERMIT FEE:
9 / ,i/z This permit application expires if a permit is not obtained within 180
Print name: Jeffrey L / Date: 08/13/2021 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:lauildinglPermitstELC_PermitApp_LR_ERE.doc Rev 06/17/2015 440-4615T(t l/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
upsIDENivitlyo tit# '(�: � ��"^rz� -:. .,�: � �
Description I Qty. I each Total I *
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:
❑ 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) 55226 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* >1(X)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(I hr min)
Inspections for which no fee is 90.00f hr
specifically listed('h hr min)
MME OL4L.WORK ONL
Fee for each commercial system: $75.00 Subtotalldperp(Enter on Pagel):
y * Number of inspections allowed 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
I:\BnadingtPermits\ELC PcrmitApp_ELR_RR1:.doc Rev 06/17/2015