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Permit
11111 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00122 Date Issued: 05/19/2022 Tic;A it.1? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S109DA17600 Jurisdiction: Tigard Site address: 15319 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 105 Project: VAN DAAM Project Description: Solar photovoltaic system. 13.2 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: $7,339.20 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 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Fum>=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 WI 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 Vaccuum System: N Garage Opener: N All N Other: Y Other Description: Roof top solar array 13.2 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: VAN DAAM,JACOB&MELISSA BRS FIELD OPS LLC Required Items and Reports(Conditions) 15319 SW SUMMERVIEW DR 1403 NORTH RESEARCH WAY TIGARD,OR 97224 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. is permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: 0 on law r uires ou to w the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 4c9-in111fl1fl fhrnunh CAP o nt-nn wt.., nhtai mu of the mlpc nr Airprt nimctinnc In r u min by Tallinn Fro 9 0A7 nr 1 Ann Tr,'2 AA s : Issued By: Permittee Signature: /u�/ + 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 Residential FOR OFFICE USE ONLY Received City of Tigard Datelly: S/ Z /3j- Permit Nn. SJ-.o ..dD acid..., -'r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 1711 : Phone: 503.718.2439 Fax: 503.598.19�E r EIVEE Received Other Permit TIG RD Inspection Line: 503.639.4175 *A Date Ready/By. Jam _ 0 See Page 2 for Internet: www.tigard-or.gov V, �� NotifiedlyAethod5 / /5/ •e' / Supplemental Information . �k, V $ F" > REQUIRED DATA:1!ND 2-FAMILY DWELLINGwe' s , � ' t s ❑New construction ❑DiiitiDbiliColi f` ' '' Permit fees*are based on the value of the work performed Indicatethe value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the �' r ICJ' � ' '� 't, s work indicated on this application. CATfsGURY UE` 1 Y '>; ,,"4." ❑ I-and 2-family dwelling ❑Commercial/industrial Valuation: $ 7339.20 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: ta.r pRMATION AND LOCATION Total number of floors: Job site address: 15319 Sw Summerview Dr.,Portland,Oregon,97224 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Jacob Van Daam Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet Cell Tt>4 `,-': f.i,,,IP }b 3e.. e pi t1 ` Subdivision: _1 Lot no.: Permit fees*arc 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 .. x J, s , BPERTY OWNER ❑ TENANT Number of stories: Name: Jacob Van Daam Type of construction: Address: 15319 Sw Summerview Dr., Portland, Oregon, 97224 Occupancy groups: City/State/ZIP: Existing: Phone ( ) Fax. I ) New: APPLICANT ® CONTACT PERSON ' ' " ' ' ' B ,79 I&.- 0,T ' aIs yl; Business name: BRS Field Ops, LLC /$t ,4ai, af `` ` `r' Ii-'"' °"° ✓�sCx` Structural plan review fee(or deposit): Contact name: Spencer Fong 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 t RPANEL S'',t MEELS* E-mail: permitting-deparment@blueravensolar.com Z"s� '`t �: ys a.r ., ,,,. Commercial and residential prescriptive installation or CONTRACTOR RAC'I OR '" �' Vile 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 Specially Code checklist. City/State/ZIP: Orem, UT 84097 Permit Fee(includes plan review $180.00 and administrative tees): Phone:( 385)482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 227185 Total tee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained S meet_ Fort Permitting Coordinator within 180 days after it has been accepted as complete. Print name: Spencer Fon YY•�V/IILLGG!! VVI`/Y Date: 04/26/2022 *Fee methodology set by Tri-County Building Industry Service Board. 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/201 I 440-4613T(11/02/COM/WEB) Electrical Permit A i s lication FOR OFFICE USE ONLY ' Received City of Tigard Date/By: Permit#: 1111✓"' ' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: furls: El See Page 2 for TIG ARI Internet: www.tigard-or.gov Notified/Method: Supplemental Inl"ormation TYPE OF WORK I PLAN REVIEW ❑ New construction ❑ Addition/alteration/replacement I'Ieis -Irck till that apply(submit 2 sets ofpl t to sr/itraits checked): ❑Service or(ceder 400 amps or more ❑Building over three stories. ❑ Demolition ❑Other: where the available fault cu ern ❑Marinas and boatyards. x CATFCORY OF CONSTRUCTION exceeds 10,000 amps at I50 volts or ❑Floating buildings. ❑ I-and2-famllydwelling ❑ Commerciahmdustrial ❑ Accessorybuilding less to ground,or exceedsl4,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑ Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or v«s. r a" pg kE (3va_ l .,M# `� ..,,........_45 .g /! 5G�ls'g � ❑Emergency o system. larger separately JenveJ ❑pA7J�Ji2timt of new motor Toad of system Job#: Job site address: 15319 Sw Summerview Dr., Portland, Oregon, it)AIM'r7ormare. ❑"A-."E.."12-,"I-3-, ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Jacob Van Daam ❑hazardous locations. ❑Supply voltage(or more than ❑Service or Iceder 600 amps or norm. 600 volts nominal. Cross street/directions to job site: FEE SCHT s s 7 itiLW, ncscripiioa I Qtv. 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'I 500 sq.ft.or portion 33.92 1 `,,,, ii::- ;1 r ;,`': DESCRIPTION OF ,4,1y!. .,,• , . „ _,. , .: ' ; Limited energy,residential Rooftop Solar PV (with above sq.fi.) 75.00 2 _____ __ Limited energy,multi-family residential(with above sq.ft.) 75.00 2 Renewable Energy ❑ See Page 2 Et PROPERTY OWNER '-'54.,, CI TENANT Services or feeders installation,alteration,and/or relocation Name: Jacob Van Daam 200 amps or less 100.70 2 Address: 15319 Sw Summerview Dr., Portland,Oregon,97224 201 amps to 400 amps 33.56 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 •� �c\ i ) rir -,/�rj./ 1dq „� tr; art ,'v $ Branch circuits—new,alteration,or extension, er panel Business name: BRS Field Ops,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Spencer Fong D.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'I 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 weak „�{{ Reconnect only 67.84 2 67.84 2 Business name: BRS Field Ops, LLC Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: 1403 N Research Way ID 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(I hr min) 90.00/hr Email: permitting.department@blueravensolar.com mdasn;al plain(t hr min) 7838/nr Inspections for which no fee is 90.00/hr CCB Lie.: 227185 Electrical L'c.: C1493 Suprv. Lie.: 6394$ s.ec,ficall listed(yhrmm) Suprv.Electrician signature,required' Subtotal: Print name: Shan Whittaker Date: 04/26/2022 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: \YeReer Fail Permitting Coordinator TOTAL PERMIT FEE. f(�- This permit application expires if a permit is not obtained within ISO Print name: Spencer Fong Date: 04/26/2022 days after it has been accepted as complete. * Number of inspections allowed per permit. ih Boildingi Perms ,El( Perm,lApp ELR_ERE.doe Rev 06/17/2015 440.46t5T(i E55/COM/WEB .Eaectrital Permit Application —City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: * SIDENTIAL WORK ONLY: FEE SCHEDULE neseript inn j Qty. I Each I Total e 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 n Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) n 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 Teel ailly listed( ,hr ita ns C014IA'IERC, ©! Or :i '„": . ELECTRICAL. PE—RN: Subtotal(Enter on Page I): Fee for each commercial system: $75.00 Number ofInspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: I I Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation HVAC n Instrumentation n Intercom and Paging Systems 1 Landscape irrigation Control* U Medical ❑ Nurse 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:�nuildine\Permits`,ELC_PermitApp_ELR ERE.doe Rev 06/17/2015