Permit .
r „ CITY OF TIGARD MASTER PERMIT
II
I COMMUNITY DEVELOPMENT Permit#: MST2022-00051
Date Issued: 03/03/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111AD14000
Jurisdiction: Tigard
Site address: 15035 SW 91ST AVE
Subdivision: MALLARD LAKES Lot: 6
Project: Miller
Project Description: Rooftop Solar PV 9.2 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: $8.300.00 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: Storm Sewer: 0
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 9.2 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF 0
Owner: Contractor:
MILLER,ROBERT M&CONNIE H BRS FIELD OPS LLC Required Items and Reports(Conditions)
15035 SW 91ST AVE 1403 NORTH RESEARCH WAY
TIGARD,OR 97224 OREM,UT 84097
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $357.19
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
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Issued By: Edgcu do Ma Ldov,aoLo Permittee Signature: S� "I ^'�
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 _ IV
ED
City of Tigard FEB 2 2 2022 Received Date/By: r 22 Permit No.:mg-2022-0005)
1111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review l� I22
IQ Phone: 503.718.2439 Fax: 503.598.1960i Try OF MARL Date/By: / `/ Other Permit:
Inspection Line: 503.639.4175 ^'� `/ Date Ready/By: j J la See Page 2 for
TIGARD ��JILDIIVG DIVISI Notifie o O 11� Supplemental Information
Internet www.tigard-or.gov r� PP
f` i' Fiat , �"'12-FAMILY DWWLL G'
0 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
= i,< ,. 9Ie . '`A ', ,,_ work indicated on this application.
❑ 1-and 2-family dwelling 0 Commercial/industrial
Valuation: $ 8300.24
❑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: 15035 SW 91 st Ave,Tigard,Oregon,97224 New dwelling area: square feet
�V/ City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Robert Miller Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
rat/660 AE,k':6141440,r ' O i,'•! 0a-tgie
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 Ci,—i Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Robert Miller Type of construction:
Address: 15035 SW 91 st Ave,Tigard,Oregon, 97224 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops, LLC (Please refer to fee rchedutf)
Structural plan review fee(or deposit):
Contact name: Jeffrey 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: :( )
PHOTOVOLT c':'.�,.i ,
E-mail: permitting.deparment@blueravensolar.com ,
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 Authorized signature: i// /
Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
t /,i, within 180 days after it has been accepted as complete.
Print name: Jeffrey Lee Date: 02/22/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
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Electrical Permit Application i'oi (Frio. t!ti1`:o i.'
Received
.City of Tigard -.,'4,, Date/B Permit#:
IN . • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960E < n Date/B : Related Permit#:
Inspection Line: 503.639.4175 � ' Ready Date/By: kris: B See Page 2 for
l 16"`R I) Internet: www.tigard-or.gov Y Notified/Method: Supplemental Information
❑New construction El Addition/alteration/replacement Please check all that apply(submit I sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
- 1 h t„ l 1 A y 4.77 e l exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El1-and 2-family dwelling 0 Commercialindustrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
Wiarm+'1. 1
/' f:. { a o f 0 I t , .Y t'. +ram/g"": ❑Emergency system. larger separately derived
ie'r ❑Addition of new motor load of system.
Job#: Job site address: 15035 SW 91st Ave,Tigard, Oregon,97224 IOOHP or more. ❑"A "E "1-2 "1-3".
❑Six or more residential units. occupancy.
City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: Robert Miller 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: 'fa '" . ', 37: 7 34 r/ . ,` 1; ,''
Description Qty. Each Total •
New residential single-or multi-family dwelling unit.
Subdivision: I 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
Limited energy,residential 75.00 2
RooftopSolar PV (with above sq.ft.)
Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
u 'mila*' ;#7' t rl7)it, .mr' `". tz' Services or feeders installation,alteration,and/or relocation
Name: Robert Miller 200 amps or less 100.70 2
Address: 15035 SW 91st Ave,Tigard,Oregon,97224 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
Fax: ( ) Over 1,000 amps or volts 552.26 2
Phone:( ) 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
E i -` I - rs1R y+far" �.A v ., Branch circuits—new,alteration,or extension, r panel
...1•
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
service or feeder fee,first 56.18 2
Address: 1403 N Research Way branch circuit
City/State/ZIP: Orem, UT 84097 Each add'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 385)482-0045 [ Fax: : ( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: permitting.department@blueravensolar.com Reconnect only 67.84 2
�,,a irr/ /°2r.` < }xj 1"1qt `, c� .PI'' Pumpor irrigation circle 67.84 2
a1/errll�r �1+�5 G ,friF!� nn.«.�,,.+, - ..., ,,
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(I 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 Lie.: 227185 Electrical Lc.: C1493 Suprv.Lic.: 6394S s. ificall listed(1/2!hrr min,•)
Suprv.Electrician signature,required: Subtotal:
Print name: Shan Whittaker Date: 02/22/2022 0 Plan Review Required(25%of permit fee):
1 State surcharge(12%of permit fee):
Authorized signature: #/
1
4, TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Jeffrey L Date: 02/22/2022 days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:Bu •
1d nglPermits�ELC_PermitApp_EIJL_ERB doc Rev 06/17/2015 440-4615T(l l/OS/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 'Dotal I *
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 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
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 thin)
Inspections for which no fee is 90.00/hr
specifically listed(t/hr min)
COMMERCIAL WORK ONLY: 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:
in Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
El 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:\Building\Permits\ELC_PermitApp_ELR ERE..doc Rev 06/17/2015