Permit IN
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021 00512
Date Issued: 12/07/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA05100
Jurisdiction: Tigard
Site address: 16804 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 51
Project: Afshari
Project Description: Rooftop Solar PV 7.2 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: $4,003.00 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
Bckflw 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>=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 7.2 kW N
p Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
AFSHARI,MUSTAFA BRS FIELD OPS LLC Required Items and Reports(Conditions)
16804 SW FRIENDLY LN 1403 NORTH RESEARCH WAY
TIGARD,OR 97007 OREM,UT 84097
PHONE. PHONE: 855-205-2530
FAX:
Total Fees: $362.69
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
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Issued By: Permittee Signature: 0�^'AY�Y �'tLOirl
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
Residential FOR OFFICE USE ONLY 7�/� /�
City of Tigard RECEIVED DReceived ate/By �/ 30, 20 ( tv� Permit No.:j�lSIL�Z1, S(Z
ilh 't 13125 SW Hall Blvd.,Tigard,OR 97223 NOV V 1 7 20 21 Plan Review
# A " Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: a 7i
'TIGAft) Inspection Line: 503.639.4175 CITY OF TIGARD DateReady/By: r Juris: ® See Page 2for
Internet: www.tigard-or.gov BUILDING DIVISION tified/Method: / Supplemental Information
TYPE OF WORK R r I/IR' t 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.
M 0 1-and 2-family dwelling 0 Commercial/industrial
�' Valuation: $ 4003.20
J 0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 16804 sw friendly lane New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Mustafa Afshari 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: 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 --7.'1 �v Valuation: $
d` Existing building area: square feet
New building area: square feet
lam! PROPERTY OWNER 0 TENANT Number of stories:
Name: Mustafa Afshari Type of construction:
Address: 16804 sw friendly lane Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT Iml 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:
Phone:( 385)482-0045 Fax: :( ) Amount received:
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: This permit application expires if a permit is not obtained
f .j. f within 180 days after it has been accepted as complete.
Print name: Jeffrey Lee / Date: 11 /08/2021 *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 I sh:Oy1.1'
City Of Tlgard RECEIVED Received Pennit#: 5T2V2( W i�
;. ,Y 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
,,' Phone: 503.718.2439 Fax: 503.598.1960 NOV 17 2021 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: WISee Page 2 for
1 i6AR 1} Internet: www.tigard-or.gov CITY OF"IIGARD Notified/Method: Supplemental Information
'atiTYPE OF WORK PLAN DI�IJIO�1
PLAN REVIEW
❑New construction ❑ Addition/alteration/replacement Please check all that apply(submit 2 sets of plans ss/items checked):
ElService or feeder 400 amps or more ❑Building over three stories.
❑Demolition III Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
Q 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
El Multi-family ❑Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 16804 sw friendly lane 100HP or more. ❑"A","E","1-2","1-3",
Clty/State/ZIP: ElSix or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Mustafa Afshari ❑Hazardous locations. ❑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 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'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Rooftop Solar PV (with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy 0 See Page 2
® PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Mustafa Afshari 200 amps or less 100.70 2
Address: 16804 sw friendly lane 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
sAddress: 1403 N Research Way branch circuit feeder fee,first 56.18 2
City/State/ZIP: Orem, UT 84097 Each add'l branch circuit 7.42 2
Phone: 385 482 0045Miscellaneous(service or feeder not included)
( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitting.department@blueravensolar.com
Reconnect only 67.84 2
COMPACTOR Pump or irrigation circle 67.84 2
Business name: BRS Field Ops, LLC Sign or outline lighting 67.84 2
Address: 1403 N Research WaySignalnel,circuit(s)or limited-energy
❑ See Page 2 2
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(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 90.00/hr
CCB Lie.: 227185 Electrical Lc.: C1493f Suprv.Lie.: 6394S specifically listed(l/z hr min)
(t/, ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name: Shan Whittaker Date: 11 /08/2021 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Of
Authorized signature: s 11 TOTAL PERMIT FEE:
t / �/'/i This permit application expires if a permit is not obtained within 180
Print name: Jeffrey L / Date: 11 /08/2021 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
411111111111.
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. I Each I TotalRenewable 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
n Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 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* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr 1
Inspections for which no fee is 90.00/hr
specifically listed('/2 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:
❑ A• udio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
n F• ire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
n N• urse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Pevnits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015