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Permit I _ CITY OF TIGARD MASTER PERMIT II I COMMUNITY DEVELOPMENT Permit#: MST2022-00139 T I G AR.n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2022 Parcel: 23106DA19000 Jurisdiction: Tigard Site address: 13220 SW 165TH AVE Subdivision: RIVER TERRACE EAST 2 Lot: 229 Project: Ling Project Description: Solar photovoltaic system 16 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: $14,435.20 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 Bcktw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 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 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: 0 601-1000 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 16 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: LING,QINGYUE BRS FIELD OPS LLC Required Items and Reports(Conditions) ZHOU,XIAOPING 1403 NORTH RESEARCH WAY 13220 SW 165TH AVE OREM,UT 84097 TIGARD,OR 97007 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $431.48 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. ATTENTI N: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oF9_nM_nnin rhrnunh R oc9_nn1-/n/gpor yn, m n nm Main a n ,of rhn nine nr rrirant mmelinne}n(II min by nnllin 1 919 oR7 nr nn 1119994dd Issued By: l E� Permittee Signature: 1!/l 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 RECEIVED FOR OFFICE USE ONLY City of Tigard Date/B d 5 / k ''"` "otG21'C1J/35 13125 SW Hall Blvd.,Tigard,OR 97223Plan Review i�AY 1 7 ZOZT Z Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ?/ .1.t G A K i D Inspection Line: 503.639.4175 TY r' r "( Da eadyBy: // mom: See Page 2 for Internet: www.tigard-or.gov �i OF f Iv7YtHJ dfiel„ /�// Supplemental Information TYPE OF WORKREQUIRED 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 0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 14435.20 ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building El Multi-familyNumber of bedrooms: , ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13220 SW 165th Ave,Beaverton,Oregon,97007 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet \ Suite/bldg./apt.no.: Project name: Qingyue Ling 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 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 DESCRIPTION OF WORK work indicated on this application. Rooftop Solar PV C`. kvi Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Qingyue Ling Type of construction: Address: 13220 SW 165th Ave, Beaverton,Oregon,97007 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT ® CONTACT PERSON i BUILDING PERMIT FEES* (Please refer to fee schedule) Business name: BRS Field Ops, LLC 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 Amount received: Phone:( 385)482-0045 Fax: :( ) E-mail: permitting.deparment©blueravensolarcom 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 $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 FoRip Permitting Coordinator within 180 days after it has been accepted as complete. Print name: Spencer Fon Date: 05/09/2022 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • Electrical Permit Applicatin ECft IV E 0,) ived FOR OFFICE USE ONLY Rece City of Tigard �I Receiv : Permit N: _ 13125 SW Hall Blvd.,Tigard,OR 97223 " 1 7 ZOZZ Plan Review Phone: 503.718.2439 Fax: 503.598.19 S'AYDate/B : Related Permit#: Inspection Line: 503.639.4175 'I,V OF ry tfn AC;U Ready Date/By: tons 65 See Page 2 for I lt"- \ ll Internet: www.tigard-or.gov '' -. Notified/Method: Supplemental Information TYPE OF WelkIR` PLAN REVIEW ❑New construction ❑V Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wfitems checked): O Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑d 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family 0 Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Addition of new motor load of system. Job#: Job site address: 13220 SW 165th Ave, Beaverton, Oregon 97mt or more. ❑`A",'e"•"I-z","1-3 ❑Six or more residential units. occupancy. City/State/ZIP: 0 Recreational vehicle parks. ID facilities. Suite/bldg./apt.#: Project name: Qingyue Ling ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I * 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 DESCRIPTION OF WORK 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.) Renewable Energy ❑ See Page 2 8 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Qingyue Ling 200 amps or less 100.70 2 Address: 13220 SW 165th Ave,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:( ) 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 0 CONTACT PERSON 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: Spencer Fong B.Fee for branch circuits without service or feeder fee,first 56.18 2 Address: 1403 N Research Way 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 67.84 2 ermittin de artment©blueravensolar.com dwelling,service and/or feeder Email: P 9 P Reconnect only 67.84 2 CONTRACTOR 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 El See Page 2 2 Address: 1403 N Research Way 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(1 hr mm ) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: 227185 Electrical L'c.: C1493 Suprv.Lie.: 6394S specifically listed(Y hr min) ' / ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: _ Subtotal: Print name: Shan Whittaker Date: 05/09/2022 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: eaC'pFail Permitting Coordinator TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Spencer Fong Date: 05/09/2022 days after it has been accepted as complete. * Number of inspections allowed per permit. 1:1Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I 1/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I 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 leas 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 1 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 El Garage Door Opener* 50.01 to kva 552.26 2 >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 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 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/z hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n Boiler Controls n 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 IABoilding\Permits\ELC_parmitApp_ELR_tiRE.doc Rev 06/17/2015