Permit 14 CITY OF TIGARD MASTER PERMIT
a COMMUNITY DEVELOPMENT Permit#: MST2022-00098
T I[;A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2022
Parcel: 2S111 DD15100
Jurisdiction: Tigard
Site address: 8785 SW HAMLET ST
Subdivision: MILLMONT PARK Lot: 28
Project: Romano
Project Description: Solar photovoltaic system 6.4 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: $3,558.40 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 array 6.4 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:
HOLT,WAYNE LEROY JR BRS FIELD OPS LLC Required Items and Reports(Conditions)
ROMANO,LISA ANN 1403 NORTH RESEARCH WAY
8785 SW HAMLET ST OREM,UT 84097
PORTLAND,OR 97224
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 I
will be done in accordance with approved plans. This per 't will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: 'regon law requi you to low the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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iiir
Issued By: ----aPermittee Signature: 7/ /G Gw
/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. T
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 Eiew'hi
// /�/, P !f
APR b2022 �,(� j — !13125 SW Hall Blvd. Tigard,OR 97223 u Other Permit:
Phone: 503.7182439 Fax: 503.598.1960,1
CITY OF T IGA L Date/By: l7 ?/
1 1 t,; 1; ) Inspection Line: 503.639.4175 nI n n ate Ready/By: �S s: 0 See Page 2 for
Internet: www.tigard-ocgov BUILDING OIVISIO otified/Metho • / Q -' Supplemental Information
TYPE OF WORK RE IRED DATA:1- NI)2-FAM1LY 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
El vddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 3558.40
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other.
Number of bathrooms:
JOB SITE INFORMATION AND I.()CA'lION Total number of floors:
Job site address: 8785 Sw Hamlet St,Portland,Oregon,97224 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
f Suite/bldg./apt.no.: Project name: Lisa Romano Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED D'sI'.':CO\I%1ERCIAL-IiSI;CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value oldie swot k 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 t tTIA .:;.:..,,,.!To, work indicated on this application.
Rooftop Solar PV � Valuation: $
Existing building area: square feet
New building area: square feet
r-
® PROPERTY OWNER s ❑ 'It NANT Number of stories:
Name: Lisa Romano Type of construction:
Address: 8785 Sw Hamlet St, Portland,Oregon,97224 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
APPLICANT ® CONI AC 1 PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops, LLC (Please refer to fee se/rechdc)
Structural plan review fee(or deposit):
Contact name: Spencer Fong
Address: 1403 N Research Way FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Orem,UT 84097 —
Phone:( 385)482-0045 Fax: :( ) Amount received:
E-mail: permitting.deparment@blueravensolaccom PI10TOV01 TAIL SOLAR PANEL SYSTEM FEES*
r, 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: n This permit application expires if a permit is not obtained
E:�/iee FV u y, Permitting Coordinator within 180 days after it has been accepted as complete.
Print name: Spencer Fon il F'•�ifsYA t/Vi Date: 04/01 /2022 *Fee methodology set by Tri-County Building Industry
Service Board.
i 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
i
.- a ... -. .� -. ._ .. ...
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received Permit#:
Date/By:
t -rt 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' 11" 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: Supplemental Information
TYPE OF:WORK PLAN REVIEWX '' '-,
( ElNew construction LI Addition/alteration/replacement Please chuck dll that apply(submit 2 sets of plans w/items checked).
ElService or feeder 400 amps or more a Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
t %% ra CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
0 1-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 a Commercial-use agricultural
amps for all other installations. buildings.
1
❑ Multi-(amity El Vlasler builder El Other- 0Fire pump. ❑Installation of 150 KVA or
JOB SI'I E INFORMATIONS AND LOCATION ❑Emergency system. larger separately derived
El Addition of new motor load of system.
Job#: Job site address: 8785 Sw Hamlet St, Portland, Oregon, 97224 100HP or more. ❑"A","E","1-2","I-3",
City/State/ZIP: ❑Six or more residential units. occupancy.
❑Health-care facilities. a Recreational vehicle parks.
1 Suite/bldg./apt.#: Project name: Lisa Romano a Hazardous locations. 0 Supply voltage for more than
['Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: ��^ rf 0 .
Description Qty. Each I Total x
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK ' z
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 ❑ See Page 2
PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Lisa Romano 200 amps or less 100.70 2
Address: 8785 Sw Hamlet St, 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
Vie- Branch circuits—ne alteration,or extension,per panel
,4` ® APPLICAN I' ❑ CONTACT PERSON
- A.Fee for branch circuitsw 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 anct feetofee,first branche circui 56.18 2
brh
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
;-.!,?-it!ii);(47:1., CONTRACTOR Pump or irrigation circle 67.84 2
Business name: BRS Field Ops, LLC Sign or outline lighting 67.84 2
Address: 1403 N Research WaySignal circuit(s)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Orem, UT 84097
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
CCB Lie.: 227185 Electrical L'c.: C1493 Suprv. Lie.: 6394S , specifically listed(//hr min) 90.00/hr
-+r" ELECTRIC'AL PERMIT FEES
Suprv.Electrician signature,required: �/-7 Subtotal:
Print name: Shan Whittaker Date: 04/01 /2022 a Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
8 ! ((,�7y 77(g Permitting Coordinator
This permit application expires if a permit is not obtained within 180
Print name: Spencer Fong Date: 04/01 /2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
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Electrieal Permit Application —City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
U.xiipiion Qlc. tach IoLd
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: S kva orless 100.70 2
5.01 to 15 kva 1 133.56 2
n 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
n Garage 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
n Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n 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(%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:
Audio and Stereo Systems
Boiler Controls
n C• lock Systems
Data Telecommunication Installation
Fire Alarm Installation
HVAC
n Instrumentation
n Intercom and Paging Systems
n L• andscape Irrigation Control*
n M• edical
Nurse Calls
Outdoor Landscape Lighting*
I I Protective Signaling
n O• ther:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
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