Permit 11111
CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit#: MST2022-00106
Date Issued: 05/03/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 DA09300
Jurisdiction: Tigard
Site address: 8949 SW GRAVENSTEIN LN
Subdivision: APPLEWOOD PARK NO.3 Lot: 86
Project: Sanchez
Project Description: Solar photovoltaic system 3.6 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: $2,001.60 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
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'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 3.6 kW Ecompasing:
P 9
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
SANCHEZ,ANDREWJ BRS FIELD OPS LLC Required Items and Reports(Conditions)
8949 SW GRAVENSTEIN LN 1403 NORTH RESEARCH WAY
TIGARD,OR 97224 OREM,UT 84097
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $325.38
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 th�rule` adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: Permittee Signature: /
C . 9.4175 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
Residential RECEIVE, FOR OFFICE USE ONLY
Cityof Tigard Received
g APR 18 2022 / /
Date/By
!/r � L/ , _ ,0
,, .� ,* 13125 SW Hall Blvd.,Tigard,OR 97223 Plan 1Fc., ..
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARb Date/B : ti5 Other Permit:
raidotl Inspection Line: 503.639.4175 BUILDING DIVISION DateReady/By: Juris: 0 See Page 2for
Internet: www.tigard-ocgov Notified/Method / Supplemental Information
TYPE OF WORK REQUIRED 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 CONS'IRUC I lON work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 2001.60
0 Accessory building El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
Total number of floors:
Job site address: 8949 Sw Gravenstein Ln, Portland,Oregon,97224 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
NV Suite/bldg./apt.no.: I Project name: Andrew Sanchez 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
hl IST
x//lee „sy .. w4.•_;-..4 :`r.-
Subdivision: I Lot no.: Permit fees*are based on the v alue of the work perlor med.
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'WOR r work indicated on this application.
Rooftop Solar PV Valuation: $
Existing building area: square feet
New building area: square feet
PROPERTY;OWNER ❑ TENANT Number of stories:
Name: Andrew Sanchez Type of construction:
Address: 8949 Sw Gravenstein Ln,Portland,Oregon,97224 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
�ili)C r saes ram. ` ® CONTACT PERSON ,
� �,. ._,� BUILDING PERy1('I!FEES'
Business name: BRS Field Ops, LLC (Please refer to fee sclrerlulc)
Structural plan review fee(or deposit):
Contact name: Spencer Fong
FLS plan review fee(if applicable):
Address: 1403 N Research Way
Total fees due upon application:
City/State/ZIP: Orem,UT 84097
Phone:( 385)482-0045 Fax: :( )
Amount received:
E-mail: permitting.deparment@blueravensolar.com : ' 9 *w '
Commercial and residential prescriptive installation of
CONTRACTOR
roof-top mounted Photovoltaic Solar Panel System. j
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
air Fouy, Permitting Coordinator within 180 days after it has been accepted as complete.
Print name: Spencer Fong/ Date: 04/11 /2022 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
CityTigard Received
Ob Date/By: Permit#:
* '� 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: Juris: 0 See Page 2 for
TIGARD Internet: www.tigard-or.gov Notified/Method:
d g Supplementallnforwatinn
TYPE OF WORK 1 ,, -, Pr,AN REVIEW
I —
❑ New conslructitin Ej Addition alter:Mon'rehlnccillcit Please check all that apply(submit 2 set,ot plans wiitemschecked):
0 Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION S exceeds 10,000 amps at 150 volts or ❑Floating buildings.
s/ I-and 2-familydwellingLIAccessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑ ❑Commercial/industrialamps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE Y'r-` A TIO v AND LOCATION 0 Emergency system. larger separately derived
Addition of new motor load of system.
Job#: Job site address: 8949 Sw Gravenstein Ln, Portland, Oregon, 9 enpormore. ❑"A", 'E", `I-z", 1-3",
City/State/ZIP: ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Andrew Sanchez 0 Hazardous locations. ❑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: 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
ate 4"' DESCRIPTION OF WORK l.V.,, t 3„ ..,
Limited energy,residential 75.00 2
Rooftop Solar PV (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy ElSee Page 2
PROPERTY OWNER j ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Andrew Sanchez 200 amps or less 100.70 2
Address: 8949 Sw Gravenstein Ln,Portland,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
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 Branch circuits-new,alteration,or extension,per panel
El ❑ CONTACT PERSON 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: Spencer Fong 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
Email: permitting.department@blueravensolar.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
CONTRACTOR :v
> 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
Address: 1403 N Research Way panel,alteration,or extension. 0 See Page 2 2
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) 78.1 s/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 227185 Electrical L'c.: C1493 ji Suprv.Lic.: 6394S siecifically listed(1/2hr min)
.. _,. , .,..v , .._., h
Suprv.Electrician signature,required: // Subtotal:
Print name: Shan Whittaker Date: 04/11 /2022 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
g /pQ,f{G'er Fail Permitting Coordinator
l ! This permit application expires if a permit is not obtained within 180
Print name: Spencer Fong Date: 04/11 /2022 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(II/05/COM/WEB
Electrital`Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
ncseription I T otal I * ..Q . I Each
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 133.56 2
• Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ 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
with OAR 918-309-0040) 552.26 2
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 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(V2 hr min)
,SSM EI I 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:
❑ A• udio and Stereo Systems
n Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
n 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:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015