Permit CITY OF TIGARD MASTER PERMIT
lig-_ COMMUNITY DEVELOPMENT Permit#: MST2022-00200
Date Issued: 07/13/2022
T i C,A n O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 109DA 12800
Jurisdiction: Tigard
Site address: 12956 SW BIRCH HILL LN
Subdivision: SUMMIT RIDGE NO.2 Lot: 117
Project: VU
Project Description: Solar photovoltaic system 6.8 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: $6,134.96 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 6.8 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:
VU,PAUL BRS FIELD OPS LLC Required Items and Reports(Conditions)
NGUYEN,CAM 1403 NORTH RESEARCH WAY
12956 SW BIRCH HILL LN OREM,UT 84097
TIGARD,OR 97224
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $361.19
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 re uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: / �/� Permittee Signature:
Call 5 3.639.4175 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
City of Tigard CEIVED Date/By:Raeid f2-.4 Permit No.: ST?
. ived ��
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 Date/By: / It/ Other Permit:
Inspection Line: 503.639.4175 JUN 2 9 2022 Date Ready/By: r r+
TIGARD p /� See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD
Notilie ethod:7� / Supplemental Information
TYPE OF WORK ILDING DIVISION REQUI ED 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.
❑ I-and 2-family dwelling Valuation: $ 6,134.96
❑Commercial/industrial
ElAccessory building ❑ Multi-family Number of bedrooms:
(� 0 Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12956 SW Birch Hill Ln, Portland,Oregon, 97224 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Paul Vu 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 1 t1 r(6 tw Valuation: $
�( Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Paul Vu Type of construction:
Address: 12956 SW Birch Hill Ln, Portland, Oregon, 97224 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMTP FEES*
Business name: BRS Field Ops,LLC (Please refer tof'eeschedule)
Structural plan review fee(or deposit):
Contact name: Ben Curth
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-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 Oi-c,iwn
Address: 1403 N Research Way Solar Installation Specialty Code checklist.
Cit /State/ZIP: Orem, UT 84097 Permit Fee(includes plan review
y and administrative fees): S 180.(>U
Phone:( 385)482-0045 Fax:( ) State surcharge(12%of permit fee): S21.60
CCB lie.: 227185
Total fee due upon application: S201.60
Authorized signature: /v+y»ac C Permitting Coordinator This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Ben Curth Date: 06/27/2022 *Fee methodology set by Tri-County Building industry
Service Board.
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r
Electrical Permit Application FOR OFFICE USE ONLY
q City of Tigard Received Permit#:
" 13125 SW Hall Blvd.,Tigard,OR 97223 y:
Plan Review Related Permit#.
Phone: 503.718.2439 Fax: 503.598.1960 r"`" y:
Inspection Line: 503.639.4175 'Date/By: to s ® See Page 2 for
j TIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
rl
❑New construction 0 Addition/alteration/repl (tetttj Please check all that apply(submit 2 sets of plans w/items checked):
El Demolition
���� �� ��_ ❑Service or feeder 400 amps or more ❑Building over three stories.
Demolition Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
Q I-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 ❑Master builder ❑Other: 0 Fire pump. ❑Installation of I50 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
Addition of new motor load of system.
Job#: Job site address: 12956 SW Birch Hill Ln, Portland, Oregon 97224.HP or more. ❑'A"."E I-'-","I-3".
0 Six or more residential units. occupancy.
City/State/ZIP:
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Paul Vu 0 Hazardous locations. 0 Supply voltage for more than
['Service or feeder 600 amps or more. 6(X)volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qtr. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.Ii.or less 168.54 4
Tax map/parcel#:
Ea.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Rooftop Solar PV (with above sq.ft.) 75.00 2
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: Paul Vu 200 amps or less 100.70 2
Address: 12956 SW Birch Hill 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
II Owner signature: Date: 401 amps to 599 amps 168.54 2
EaAPPLICANT ❑ 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,
Ii each branch circuit 7.42 2
Contact name: Ben Curth B.Fee for branch circuits without
service or feeder fee,first
Address: 1403 N Research Way 56.18 2
branch circuit
City/State/Z1P: Orem, UT 84097 Each add')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
Address: 1403 N Research Way panel,alteration.or extension. ID See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP: Orem, UT 84097
Additional inspection II hr min) 66.25/hr
�' Phone:( 385) 482-0045 Fax:( )
Investigation(I hr min) 90.00/hr
Email: permitting.department@blueravensolar.com Industrial plant t l hr min) 78.18/hi
(' Inspections for which no fee is 90.00/hr
CCB Lic.: 227185 Electrical Lc.: C1493 Suprv.Lic.: 6394S specifically listed(/hr min)
/2 ✓ Subtotal:ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: ]
�� Print name: Shan Whittaker Date: 06/27/2022 ❑Plan Review Required(25%of permit fee):
State surcharge(12(/ of permit fee):
I1 Authorized signature: Bea Cu h Permitting Coordinator TOTAL PERMIT FEE.
This permit application expires if a permit is not obtained within 180
Print name: Ben Curth Date: 06/27/2022 days after it has been accepted as complete.
Number of inspecioins allowed per permit.
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it
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 I `"
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 6.O 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
Garage Door Opener* 50.01 to 100 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
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n O• ther: Each additional inspection is
charged at an hourly(1 hr min) 66.25/hr I
Inspections for which no fee is 90.00/hr
specifically listed(t/z 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:
f l Audio and Stereo Systems
n B• oiler Controls
Clock Systems
Data Telecommunication Installation
Fire Alarm Installation
HVAC
n Instrumentation
ri Intercom and Paging Systems
(1 L• andscape Irrigation Control*
I I Medical
n N• urse Calls
Outdoor Landscape Lighting*
ri Protective Signaling
[] Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
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