Permit CITY OF TIGARD MASTER PERMIT
lilI/1COMMUNITY DEVELOPMENT Permit#: MST2022-00132
Date Issued: 06/07/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA09500
Jurisdiction: Tigard
Site address: 16793 SW BIRDSONG ST
Subdivision: RIVER TERRACE EAST Lot: 95
Project: LIU
Project Description: Solar photovoltaic system 4.8 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: $2,668.80 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
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 4.8 kW Ecompasing: .
1
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
LIU,MAX JIA BRS FIELD OPS LLC Required Items and Reports(Conditions)
CHE,WEI 1403 NORTH RESEARCH WAY
16793 SW BIRDSONG ST OREM,UT 84097
BEAVERTON,OR 97007
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $358.38
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: • egon law requires you to f. f the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
qc9-nM-nnln thrni inh f nn
Issued By: 1-n • 4(ni,m r nhtain nv of thin r,,l nr rlirort ni ioctinnc to(ll IN(:Mi rallinn((`cn4 9'39 1 QA7 nr 1 Ann 1'29 99 d
/ Permittee Signature: r
/'/ 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 job site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
Clty Of Z IgaT d Date/By�l i( Permit No.: M j j'' �0 ��/'
II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie � / t ` �"�/
('"!L. l iz y. /,,,,,,....., Other Permit:
Phone: 503.718.2439 Fax 503.598.I i Date/B �
TIciAlttt
Inspection Line: 503.639.4175 ate Ready/By: turfs: RI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: *r 4-2Supplemental 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 CONSTRUCTION work indicated on this application.
Valuation: $ 2668.80
❑ 1-and 2-family dwelling ❑Commercial/industrial
❑Accessory building El Multi-familyNumber of bedrooms:
III Master builder ❑Other Number of bathrooms.
"41; JOB SITE INFORMATION :1NI) LOCATION Total number of floors:
Job site address: 16793 SW Birdsong St, Beaverton,Oregon,97007 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Max Liu Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRE!)DATA:COMMERCIAL.USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the 000rk 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 +1 Valuation: $
Existing building area: square feet
New building area: square feet
IMI PROPERTY OWNER ❑ TENANT Number of stories:
Name: Max Liu i,JL_ .1 i,(r- '_ Type of construction:
Address: 16793 SW Birdsong St, Beaverton, Oregon,97007 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops, LLC (Please refer to fee schedule)
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:
Phone:( 385)482-0045 Fax: :( ) Amount received:
E-mail: permitting.deparment@blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
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 SS180.00
and administrative fees): _
Phone:( 385)482-0045 Fax:( ) State surcharge(I 2%of permit fee): S21.60
CCB lic.: 227185
Total fee due upon application: $201.60
Thispermit application expires if a permit is not obtained
Authorized signature: Jo edam,.
Y �y-�r� PP P
Joel ImI f 1 Permitting Coordinator within 180 days after it has been accepted as complete.
Fong( urttnl VLL11Y *Fee methodology set by Tri-County Building Industry
Print name: Spencer Fon Date: 04/29/2022 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
• City of Tigard Received Permit#:
� '� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �aM��-0/3a
Plan Review
. Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: inns RI See Page 2 for
IIoARt) Internet: www.tigard-or.gov Notified/Method: Supplemental Information
,,r, ' a w � L .. , �, m , L " t i 1}1ca\ -- -, .'" YP -0,0 k st% o ,:- 1, m,,,,�w w; �aFc�,
❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑Other:
w vva`�m"w\ where the available fault current 0 Marinas and boatyards.
\\i4,, GO1 Y O `��t# � \� a`)`�>"`��'�`aw\\\ r a,\,,,`\`\w` exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 ❑Commercial-use a ricultural
l 1-and 2-family dwelling IIICommercial/industrial ❑Accessory building amps for all other installations. buildings. g
❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or,hzia ' y 'w a " ❑Emergency system. larger separately derived
i� �.d ,,,� ppAdditionofnewmotorloadof system.
Job#: Job site address: 16793 SW Birdsong St, Beaverton, Oregon, 97Q®aHp or more. 0"A","E","1-2",'1-3",
City/State/ZIP: CISix or more residential units. occupancy.
❑Health-care tiicilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Max Liu 0 Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: v `v$vy`\a`a 7 "�
Description I Qtv. I 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'I 500 sq.ft.or portion 33.92 1
IlinVf�„�w � a , � f SA ._ „z Limited energy,residential
(with above sq.ft.) 75.00 2
Rooftop Solar PV Limited energy,multi-family
75.00 2
residential(with above sq.ft.)
�- - :y yw, ,, Renewable Energy 0 See Page 2
- ��' �• • ,.- Services or feeders installation,alteration,and/or relocation
Name: Max Liu 200 amps or less 100.70 2
Address: 16793 SW Birdsong St, Beaverton,Oregon,97007 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
,.� F RSb - Branch circuits—new,alteration,or extension,per pan
el
A�w, , - , i,Q: a W0 s„a.
A.Fee for branch circuits with
Business name: BRS Field Ops,LLC above service or feeder fee, 7.42
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'I branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 385)482-0045 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitting.department@blueravensolar.com
Reconnect only 67.84 2
�� W ` att 1= ._ ,`XX ,m .w w,., 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
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(I hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email: permitting.department@blueravensolar.com
Inspections for which no fee is 90.00/hr
CCB Lie.: 227185 Electrical Lc.: C1493 Suprv. Lie.: 6394S specifically listed(/hr min)Suprv.Electrician signature,required: �/ �`�` � '� t
Subtotal:
Print name: Shan Whittaker Date: 04/29/2022 ❑Plan Review Required(25%of pemut fee):
State surcharge(12°/n of permit fee):
Authorized signature: TOTAL PERMIT FEE:
g ,Fpe1tee F0-4j1. Permitting Coordinator
/_ / This permit application expires if a permit is not obtained within 180
Print name: Spencer Fong Date: 04/29/2022 clays after it has been accepted as complete.
* Number of inspections allowed per permit.
1:,BuildingVPermits\ELC_PennitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I IJ05/COM/WEB
Electrical Permit Application —City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RF ENTI L WORK,ONLY ,l ,i,,eA ;.,FEE schEnuL
Description Qty. I Each I Total
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:
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
with OAR 918-309-0040) 552.26 2
Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
I I 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
charged at an hourly(I hr min)
Inspections for which no fee is
specificall listed hr min) 90.00/hr
N o
Subtotal(Enter on Page 1):
Fee foreach commercial system: $75.00 * Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
Audio and Stereo Systems
I I Boiler Controls
Clock Systems
I I Data Telecommunication Installation
n Fire Alarm Installation
HVAC
n Instrumentation
Intercom and Paging Systems
Landscape Irrigation Control*
Medical
I I Nurse Calls
Outdoor Landscape Lighting*
Protective Signaling
I I Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
L\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev(16/1 7/2111 5