Permit CITY OF TIGARD MASTER PERMIT
l s ' COMMUNITY DEVELOPMENT Permit#: MST2022-00050
T I C;A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2022
Parcel: 2S 104CA00400
Jurisdiction: Tigard
Site address: 13403 SW ESSEX DR
Subdivision: HILLSHIRE Lot: 4
Project: Kopsaftis
Project Description: Rooftop Solar PV 12.4 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: $53,041.00 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 12.4 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:
KOPSAFTIS,WILLIAM DANIEL&GAIL MiBRS FIELD OPS LLC Required Items and Reports(Conditions)
13403 SW ESSEX DR 1403 NORTH RESEARCH WAY
TIGARD,OR 97223 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
oc9-nn1-nnln fhrniinh flAO o59-nn1-anon Vnn may,nhtmin a,'nn,of fho n1mc nr,VirAnf ntioctin,, rn(11 INr by cn'i 9'i9 10R7 nr 1 Still 119'7144
Issued By: Edgardo-MaldoKado Permittee Signature: 'a j�ryl i cad ova
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.
. W
Building I'eihmit Application CI V
Residential 1' C----T;)
�D
FOR OFFICE USE ONLY
Cityof Tigard FEB 2 2 2022 Received ,��� �J'
g Date/By: Or- Permit No.:PISTZD?Z, 1 00
" 13125 SW Hall Blvd.,Tigard,OR 97223 -
_ Date/By:Pla Review ZZ
Phone: 503.718.2439 Fax: 503.598.1960 jl 1' �' f IGARD Other Permit:
TIGARD Inspection Line: 503.639.4175 tUILDING DIVISI Date Ready/By. 1 ' RI See Page 2 for
Internet' www.tigard-or.gov Notified/ thod- Supplemental Information
TYPE OF WORK R UIRED DATA: I-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 x, work indicated on this application.
-OttAtEll-and 2-family dwelling LiCommercial/industrial Valuation: $ 53,041
ElAccessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION - , ;„, 0, Total number of floors:
as
ty Job site address: 13403 Sw Essex Drive, Oregon, 97223 New dwelling area: square feet
CCity/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: William Kopsaftis Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
RI;QUIREI)DATA:COMMERCIAL-LASE 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
g DESCRIPTION OF WORKr'"h ,r,' work indicated on this application.
Rooftop Solar PV 12 ,t..1 Ito Valuation: $
I K. Existing building area: square feet
New building area: square feet
PROPERTY OWNER ❑ TENANT` Number of stories:
Name: William Kopsaftis Type of construction:
Address: 13403 Sw Essex Drive,Oregon, 97223 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax: ( )
New:
❑ APPLICANT 1 B CONTACT PERSON BUILDING PERMIT FEES*
i' Business name: BRS Field Ops, LLC (Please rc r to lee schedule)
t Structural plan review fee(or deposit):
: Contact name: Jeffrey Lee
rf FLS plan review fee(if applicable):
Address: 1403 N Research Way
R
fCity/State/ZIP: Orem, UT 84097 Total fees due upon application:
Phone:( 385)482-0045 Fax::( )
Amount received:
I E-mail: permitting.deparment@blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM LIES*
Commercial and residential prescriptive installation of
N CONTRAC'l'OB ' ,,,,, �_, roof-top mounted PhotoVoltaic Solar Panel System.
Business name: BRS Field Ops, LLC Submit two(2)sets of roof plan with connection details
I 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
/ '/ • .4r within 180 days after it has been accepted as complete.
Print name: Jeffrey Lee Date: 02/21 /2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
CityofTigard _ Received
' g ° _ f Date/By: Permit#:
13125 SW Hall Blvd.,Tigard,OR 97223 '
I
, Plan Review
Phone: 503.718.2439 Fax: 503.598.I960,r.,., Date/By: Related Permit#:
Inspection Line: 503.639.4175 afar iit, ReadyDate/By: kris:
TIGARD ® SeePage2for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
la
:: F z �- Vie+ '� � ,'��z�. .,r � �� p '^°{{yy r ,.s+z F�t�4r3„ 1 a z�r4- ,�� t r. t` e xF�' ,� R .�'r /
.f..x., .,. . ,,. fair - r, �. 14 0, $°/;''Cf.,,, ._ i f ', `Y fir`, �a , .. 45'? ,1 �-a A-.°rt, :s ir,.
❑New construction ❑Addition/alterat"foi$1re il.c' "rent'' Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition El Other: ❑Service or feeder 400 amps or more ❑Building over three stories.
_ where the available fault current 0 Marinas and boatyards.
�' a�d rr,, t ��p f ' r� I tiii(i�, ,sa � ' exceeds 10,000 amps at 150 volts or Floating buildings'
r;C..�` . �3Y��aF. P ❑ g.
v/ I-and 2-familydwellingless to ground,or exceeds I4,000 ❑Commercial-use agricultural
❑ ❑Commercial/industrial ❑Accessory building
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other:
['Fire pump. ❑Installation of I50 KVA or
%� � � j_�e r`>, 0 `i t` �)e a k i \ & 99 5 ❑Emergency system. larger separately derived
� ea.: :�;, ._,K,.f � 4� zl�xr v�.,.�,,.,�,�'f �i ��ea �a N!.`. :�, �.. C .;
❑Addition of new motor load of system.
Job#: Job site address: 13403 Sw Essex Drive, Oregon, 97223 I00HP or more. ❑ A", E", '1 z", I-3",
City/State/ZIP: ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name: William Kopsaftis ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site:
Description 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
r..vL.,a..w 1k1.-2t Vc d`,./ ` )r'f '('; -' I ' Limited energy,residential
(with above sq.ft.) 75.00 2
Rooftop Solar PV Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
/ r/ a s f/ z t ,/ 7 Renewable Energy 0 See Page 2
r._ ,....1 a�.i.,..�.d x . Far. �4.,">,..., , . r.. �. Services or feeders installation,alteration,and/or relocation
Name: William Kopsaftis 200 amps or less 100.70 2
Address: 13403 Sw Essex Drive,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:( ) 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
14I _ .,: 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
branch circuit 56.18 2
City/State/ZIP: Orem, UT 84097 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 385)482-0045 I Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitting.department@blueravensolar.com
Reconnect only 67.84 2
:. / 1V,i 1. ) ,'i c,, d 1;: . _ F Pump or irrigation circle 67.84 2
Business name: BRS Field Ops, LLC Sign or outline lighting 67.84 2
Address: 1403 N Research Wa Signal circutt(s)or limited-energy 0 See Page 2 2
y 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(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 227185 Electrical L'c.: C1493 j Suprv.Lie.: 6394S s. ctficall listed(%:hr man)
" Yfi
Suprv.Electrician signature,required: �"W `fit?' $.r'PUS°,i' ;,`Lc i. -,'et ` .i. ;,",-Jjy "
Subtotal:
Print name: Shan Whittaker Date: 02/21 /2022 ❑Plan Review Required(25%of permit fee):
IF State surcharge(12%of permit fee):
Authorized signature: /Y TOTAL PERMIT FEE:
// • FEE:,
' This permit application expires if a permit is not obtained within 180
Print name: Jeffrey L Date: 02/21 /2022 days after it has been accepted as complete.
Number of inspections allowed per permit.
1:\Build ing\Permits\ELC_PennitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(1 I/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Of- AA 07.
Description Qty. Each Total Is
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 IS 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:
n B• urglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ G• arage 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 1. 3
>100 kva-no additional charge 0.0 3
[II Vacuum Systems*
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(t hr min)
a)1Y tie �' 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
❑ 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:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015