Permit (2) CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00255
Date Issued: 08/18/2022
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1126B15100
Jurisdiction: Tigard
Site address: 14041 SW FANNO CREEK DR
Subdivision: COLONY CREEK ESTATES NO.6 Lot: 129
Project: Aithala
Project Description: Solar photovoltaic system.4.4 M.
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: $3,969.68 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 Bckflw Prevntr: 0 Catch Basins: 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'I 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 4.4 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:
AITHALA,SATHVIK PANAMBUR BRS FIELD OPS LLC Required Items and Reports(Conditions)
PRASAD,SMRITI 1403 NORTH RESEARCH WAY
14041 SW FANNO CREEK DR OREM,UT 84097
TIGARD,OR 97224
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 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: �C—
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.
i
ituildin2 Permit Application
Residential RECEIVES FOR OFFICE USE ONLY
City of Tigard Received
Date/B :
• 13125 SW Han c�pp Blvd.,Tigard,OR 97223 AUG G 2Q2?_
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 , c Date/By: G � 2 Other Pcrmic
Inspection Line: 503.639.4175 CITY OF TIGARD Date Rcady/By: ori.: 0 Sec Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Nonfied/Method: { ?iii Supplemental>nforniation
TYPE oF`WORK REQUIRE DATA:I-AND 2-FAMILY DWELLING
v r
❑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/alterationh-eplacemcnt ❑Other: equipment,materials, labor,overhead,and the profit for the
CATEGORY t)F, NTRUCTTON� `; �` work indicated on this application.
❑ I-and 2-family dwelling El Commercial/industrial Valuation: $ 3969.68
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB,SITE; V)HO MATIOI AI Lt CA Ohi )� �w��:��� Total number of floors:
Job site address: 14041 SW Fanno Creek Dr,Tigard, Oregon, 97224 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Sathvik Aithala Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
`RE(7UIRED DATA COMItifERCIAL-IJSE 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 thework indicated on this application.
Rooftop Solar PV Ll Valuation: $
Existing building area: square feet
New building area: square feet
$ r
� fiR6P f) )�a NE: Number of stories:
4, k\,v .may. a C
Name: Sathvik Aithala Type of construction:
Address: 14041 SW Fanno Creek Dr,Tigard,Oregon,97224 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
`1 \ `p��\ti w5�ti�, q\\a ,�
\ 3u� 5
SK
+ �)€px a BUILDING PERMIT FEES*
Business name: BRS Field Ops LLC ti.� - -- (Plensere Arta e"eschedailc)
Structural plan review fee(or deposit):
Contact name: Spencer Fong
Address: 1403 N Research Way FLS plan review fee(if applicable):
City/State/ZIP: Orem, UT 84097 Total fees due upon application:
Amount received:
Phone:( 385)482-0045 Fax: :( )
E-mail: permitting.deparment@blueravensolar.com PFQTCOkTATCcSOLARPANLSYSTEMFElS*,111,"
\�v,�, Commercial and residential prescriptive installation of
CONtACTOIt 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 Oreton
Address: 1403 N Research Way Solar Installation Shecialn Code checklist.
Cit /State/ZIP: Orem, UT 84097 Permit Fee(includes plan review
Y $180.00
and administrative fees):
Phone:( 385)482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 227185 Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
Permitting Coordinator within 180 days after it has been accepted as complete.
Print name: Spencer Fony Date: 07/25/2022 Fee methodology set by Tri-County Building Industry
Service Board.
1:ABuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I1/02/COM/WEB)
a.
Electrical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard Date/By: Permit
• 13125 SW Hall Blvd..Tigard.OR 97223 pkat ReNicN
Phone: 503.718.2439 Fax: 503.598.1960 DatcBv: Related Permit 4:
Inspection Line: 503.639.4175 Ready Daic/By: jrrri, 0 See Page 2 for
Internet: www.ti,,ard-oi-.gov Nolihed/Method: Supplemental Information
TYPE p1�';�WORK PLAN REVIEW
❑New construction Addition/alteration/replacement Plcat,c check all that apply(submit 2 sets of plans whicros checked):
❑Service of feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CATRCORx,OF CONIRUCTON exceeds 10.000 amps at 150 volts or ❑Floating buildings.
`❑
]-and 2-family dwelling ❑Coinrnercl al/I ndustrlal ❑ Accessory huddinu, less hi ground.or exceeds 14,000 ❑Commercial-use af_ricultural
` amps loo all other installations. buildings.
❑Multi-family ❑ Master builder ❑ Other: ❑Fire pump. ❑Installation of 150 KVA of
JOB'SI INFORMATION elD;LOCATION ElFnurgcncy system. larger separately derived
'........ Addition of new motor load of system
Job#: Job site address: 14041 SW Fanno Creek Dr, Tigard, Oregc n, 99�a4jp or more. ❑"A","F"..,12". 1-3",
City/State/ZIP: ❑Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Sathvik Aithala ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: = FEE=SCI3I IJIE kgp
_.
Description I QI . Each 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']500 sq.fi.or portion 33.92 1
ItKs.
Llnnuecl energy,residential
75.00 2
Rooftop Solar PV (with above sq.ft.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
.,, �, P12Z?T'ER ,Q Tt �❑,TNANT�� Services or feeders installation,alteration,and/or relocation
Name: Sathvlk Althala 200 amps or less 100.70 2
Address: 14041 SW Fanno Creek Dr,Tigard, Oregon,97224 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 maps 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
Branch circuits—new,alteration,or extension,per panel
Al A£ I NT \ Ui T:4CI.P It$t71 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 of feeder fee,first
Address: 1403 N Research Way branch circuit 56.18 2
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 m:mufxtured or modular
dwelling,service and/or feeder 67.84 2
Email: permitting.department@blueravensolar.com
Reconnect only 67.84 2
�'°e?- Pump or irrigation circle 67.84 2
Business(lame: BRS Field Ops, LLC. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: 1403 N Research Way anel,alteration,or extension. ❑ See Page 2 2
City/State/ZIP: Orem, UT 84097 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( 385) 482-0045 Fax: ( ) Investigation(I hr min) 90.00/hr
Email: permitting.department@blueravensolar.com Industrial plain(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 227185 Electrical Lie.: C1493 Suprv.Lie.: 6394S specifically listed(i/2 hr nein)
ELECTRICAL PERMIT I EES,
Suprv. Electrician signature,required: Subtotal:
Print name: Shan Whittaker Date: 07/25/2022 ❑Plan Review Required(25%of permit fee):
State surcharge(12% of permit fee):
Authorized signature: 4V- FoyTOTAL PERMIT FEE:
Permitting Coordinator
This permit application expires if a permit is not obtained within 180
Print name: Spencer Fong Date: 07/25/2022 dans after it has been accepted as complete.
Nuniher of inspections alloss'etl per permit.
IABuilJing\F'cnnimsV[LC_PcnnitApp_ELR_EREdoc Rev 06/17/2015 44(146151(1 I/05WOM/w11B
Et ctrical Permit Application— City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
W,SIDENTIAI;WORK ONLY; F scxE ULE
Ucscri lion Qty. 1?ach Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems" 15.01 to 25 kva 200.34 1
❑ BurWind generations stems in excess of 25 kva:
Bur-lar Alarm 25.01 to 50 kva 301.04 2
❑ Garage Door Opener" 50.01 to 100 kva 552.26 2
>I 00 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air COndlt1017ing Solar generation systems in excess of 25 kva:
Systema
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100kva—noadditional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr I
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/z hr min)
N,
VORK ONLY y ,EST .. "... RIVItfir $
�, :,
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 Numbcr of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ 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
I:ABuildineVPermits\ELC_PermitApp_FLR_FRE.doc R-06/17/'015