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Permit p CITY OF TIGARD MASTER PERMIT * COMMUNITY DEVELOPMENT Permit#: MST2021-00503 Date Issued: 11/24/2021 TIGARD• 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1346D11800 Jurisdiction: Tigard Site address: 12079 SW SUMMERBROOK LN Subdivision: SUMMERBROOK SUBDIVISION Lot: 1 Project: Faroukh Project Description: Rooftop Solar PV 3 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: $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 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 0 0-200 amp: 0 W/Svc or Fdr: 0 1000 sf or less: 0 0-200 amp: 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 V 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: FAROUKH,ASHRAF ADEL BRS FIELD OPS LLC Required Items and Reports(Conditions) AHMADH,SHAYMA 1403 NORTH RESEARCH WAY 12079 SW SUMMERBROOK LN OREM,UT 84097 TIGARD,OR 97223 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $324.38 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 oc7-nnl-nnln thrn,inh nAO oc2nn1-noon Vnn mau nhfnin a rnnu of*ha ndpe nr rlirprf niiactinnc fn ni i i('Cu raninn Fn'n 747 10517 nr 1 RN1117"IAA Issued By: Ho-Uij Va-vw De,\iJe.9e, Permittee Signature: Oisn,Ap-10-1..i.zzutio-vt, 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 lob site at the time of each inspection. Building Permit Application a ECEIVED S Residential ruin Orrit'h: Ish:Oyl.v City of Tigard NOV101021 RDa By // /5 ZOZI .ii " Permit No.:'� ST2_621-005663 ;, - "I 13125 SW Hall Blvd.,Tigard,OR 97223 ITY OF TIGARD Plan Review I t Phone: 503.718.2439 Fax: 503.598.19 Dan Re; a.1 y I ocher Permit. TIGARD Inspection Line: 503.639.4175 UILJlNG DIVISIOl�f Date Ready/By: �j � fa See Page 2 for Internet: www.tigard-or.gov ` Notifie o l - Supplemental Information TYPE OF WORK Q RED DATA:1-AND 2-FAMILY DWELLING ❑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. El1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 2706.60 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12079 SW Summerbrook LN,Tigard,Oregon,97223 New dwelling area: square feet 0° City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Ashraf Faroukh 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: 1 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 1_ Valuation: $ P� Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Ashraf Faroukh Type of construction: Address: 12079 SW Summerbrook LN,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 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: i// This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Jeffrey Lee / Date: 11 /09/2021 *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 ApplicatiA EcEivED FOROFFICEI. SI:ONLY Received Permit#: City of Tigard 1 Receiv 13125 SW Hall Blvd.,Tigard,OR 97223N�� 0 �pZ� Plan Review IIIIPhone: 503.718.2439 Fax: 503.598.1960 Date/B Related Permit#: Inspection Line: 503.639.4175 =✓ITY OF TIGARD Ready Date/By: kris: Eff See Page 2 for T I G A R D Internet: www.ti and-or. ov Notified/Method: Supplemental Information S 8 711 Ild t—t161r. rm r r,tr,A ...,:1111}.0f i TYPE OF WORK PLAN REVIEW ❑New construction ©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. 0 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. 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 ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 12079 SW Summerbrook LN,Tigard, Oregon,9 7 or more ❑"A' "E","1-z'°,"l-s", Clly/State/ZIP: 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Ashraf Faroukh 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: FEE SCHEDULE 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 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 ® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Ashraf Faroukh 200 amps or less 100.70 2 Address: 12079 SW Summerbrook LN,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 APPLICANT ❑ 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 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: 1403 N Research Way panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP: Orem, UT 84097 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 Lc.: C1493 Suprv.Lic.: 6394S specifically listed('h hr min) .407/ ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 0 / Subtotal: Print name: Shan Whittaker Date: 11 /09/2021 0 Plan Review Required(25%of permit fee): Fyn State surcharge(12%of permit fee): Authorized signature: # �[�y, TOTAL PERMIT FEE: / / VVV���{{{��� This permit application expires if a permit is not obtained within 180 Print name: Jeffrey L Date: 11 /09/2021 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I1/05/COM/WEB 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 Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less ( 100.70 2 Check Type of Work Involved: 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n 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) ❑ 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 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(th hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES 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 ❑ Boiler Controls El Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation El H• VAC ❑ Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n P• rotective Signaling (1 O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations L\Building\Permits\Et.C_PetmitApp_ELR_ERF..doc Rev 06/17/2015