Permit q CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00204
+ 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2022Parcel: 2S1 11 DA10200
Jurisdiction: Tigard
Site address: 8993 SW CORTLAND LN
Subdivision: APPLEWOOD PARK NO.3 Lot: 95
Project: Van Tran
Project Description: Solar Photovoltaic System 4kW DC
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: $3,608.80 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 Bckflw Prevntr: 0 Catch Basins: 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
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'l 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 4.0 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:
TRAN,VAN TU LIVING TRUST BRS FIELD OPS LLC Required Items and Reports(Conditions)
8993 SW CORTLAND LN 1403 NORTH RESEARCH WAY
TIGARD,OR 97224 OREM,UT 84097
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 to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
Q59.nn1-nni n thrni inh nAp gr.9.nM.onan Vni i may nhtnin n r dac nr Hir t--ti—to ni min by—nin 7 nn 9'ldd
Issued By: Permittee Signature:
Cal .4175 by 7:00 a.m.for the next available inspection dat
This permit card shall be kept in a conspicuous place on the job site until completion of th roject.
Approved plans are required on the job site at the time of each inspection.
Buildi-n1 Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard 7� -. Received f
J b D;uc/[3v: �//3 - Permit No.: -�Ck
• 13125 SW Hall Blvd.,Tigard.OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Plan
// -Z-LOther Permit
Inspection Line: 503.639.4175 Date Readv/6y Ju- 8 See Page 2 for
Internet: www.tigard-or.gov N hied/Method' �_ Supplemental Information
TYPE t OF WORK . REQU ED DATA:1 AND 2-FAMILY SWELLING
❑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
aw-
- CATEGORY"OF CONSTRUCTION work indicated on this application.
❑ and 2-family dwelling Valuation: $ 3608.80
I-
❑ Commercial/industrial
❑Accessory building ❑ Multi-family Number of bedrooms:
❑Miter builder ❑Other: Number of bathrooms:
j JOB SITI* INFORMATIOIV`AND LOCATION Total number of floors:
Job site address: 8993 Southwest Cortland Lane,Tigard, Oregon,97224 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Van Tran Covered porch area: square feet
Cross streetldirections to job site: Deck area: square feet
Other structure area: square feet
V `
COMMEI2CIA H CU, �
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
�a
equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
Rooftop Solar PV Valuation: $
Existing building area: square feet
New building area: square feet
WOM 0.1
J m111K t
OY11 ❑ TENANT,. Number of stories:
>,
2,a a'
Name: Van Tran Type of construction:
Address: 8993 Southwest Cortland Lane,Tigard, Oregon, 97224 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
BiILDING PER1VIx ITES
PPLIANT �, CONTACT PERSON
Business name: BRS Field Ops, LLC Pteas re erto eeschedute}.
Contact name: Lacy Holliday Structural plan review fee(or deposit):
Address: 1403 N Research Way FLS plan review fee(if applicable):
City/State/ZIP: Orem, UT 84097 Total fees due upon application:
Phone:( 385)482-0045 Fax::( )
Amount received:
E-mail: permitting.deparment@blueravensolar.com PFTDTf)'gL*SOLAR,PANELSXSTEM�EES�--'
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 Insrallotion Specialry 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(1217c 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
` Lacu Permitting Coordinator within 180 days after it has been accepted as complete.
Print name: Lac Holliday Fee methodology set by Tri-County Building Industry
Y y Date: 06/07/2022
Service Board.
C\BuildingAPermits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(II/02/COM/WEB)
Electri,cal Permit Application FOR OFFICE USE ONLY
Received
City of Tigard Dalc/ftv: Pei[)III
13 125 SW Hall Blvd..TiLard.OR 97223 Plan Reviekk
Phone: 503.718.2439 Fax: 503.598.1960 Datc/13v: Relaled PcIlilit
Inspection Linc: 503.639.4175 Ready Dalc/By: Fff—.S�e—11age 2 to,
Internet wxvA.tiLard-oi-.-ov
Notified/Mc1hod: Supplemental Information
TYPE OF WOR
PLAN REVIEW
F1 New construction Adclition/�titcratioii/i-epl�iceiiient Please clieck al I that apply(�Lill III it 2 se I so I plans�/itcrrrs checkct I I.
Sete ice oi I ceder 400 anips oi mole El BuildillL,oxci
0 Demolition E]Other: where the available fault Ctirictil El Manoas and I...alvald'.
CATEGORY OF CONSTRUCTION exceeds 10,000 arups at 150 volts oi C)FloatinL b0ildi[IL .
I-and 24annly dwellin- E]Cornmercial/indt-IStrial El Accessory btrildin- less to ground,or exceeds 14.000 El CollullelCial-LiW aDICIII(I-11al
ainps I-or all other installations.
El muhi-famiiy El Master builder Other: El File purnp. El histalla'tion ol 150 KVA ,I
EnLcicncy systern. -ately del I\ell
JOB SITE INFORMATION ANDCOC lal Lei sepal
El Addition ofnew motor load of systeill.
Job#: Job site address: 8993 Southwest Cortland Lane,Tigard, 01 e]ond P;fiW)4, ),. [I"A"."I......1-2'-,"1-3,",
City/State/ZIP: E]Six or more residential units. occupancy.
El Health-care tacilifics. El Recreational Nehicle parks.
Suite/bld,-./apt.#: Project name: Van Tran 0 Hazardous locations. El SuPPIv NoltaL'c lot 111ole thall
I El Service or feeder 600 amps oi more. 600 ")Its nominal.
Cross strect/directions to job site:
VEKSCREDULE;
D—i-ifition E'acb
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']500 sq.ft.or portion 33.92 1
Limited energy,residential
2 Adfl� CRIPTION,OF,WORk,,,"
Rooftop Solar PV (with above sq.ft.) 75.00 2
Limited energy,multi-farnily 75.00 2
residential(with above sq.ft.)
Renewable Energy E] See Page 2
7,
TY,
x OWNER
Services or feeders installation,alteration,and/or relocation
Name: Van Tran 200 arrips or less 100.70 2
Address- 8993 Southwest Cortland Lane,Tigard,Oregon, 97224 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 arrips 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 beinf-,made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchanLc,accordin.-to ORS 447,449,670,and 701. 201 arrips to 400 arrips 125.08 2
Owner si-natUre: Date: 401 amps to 599 arrips 168.54 2
a, Branch circuits–new,alteration,or extension,per panel
A- APPLII�ANT,
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: Lacy Holliday B.Fee f0l-branch Circuits W11/10111
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 Each manufactured or inodular 67.84
dwelling,service and/oi feeder
Email: permitting.department@blueravensolar.com g
Reconnect only 67.84 2
CONTIUCTOR
PLITTIP oi irrigation circle 67.84 2
Business name: BRS Field Ops, LLC Sign or outline lighting 67.84 2
Signal Cil-CLlit(S)or firnited-eneigy 0 See Page 2 2
Address: 1403 N Research Way panel,alteration.or extension.
City/State/ZIP: Orem, UT 84097 Each additional inspection over allowable in any of the above
Additional inspection(I hr inin) 66.25/hr
Phone:( 385) 482-0045 Fax:I InvestiLation(I fir runi) 90.00/hr
Email: permitting.department@blueravensolar.com Industrial plant(I hr inin) 78.18/fir
Inspect ions for NN hich no Ice is 90.00/fir
CCB Lic.: 227185 Elcctrical Li , C1493 6394S specifically listed('12 fir nun)
--Ac.:
, �" //';Tls:'�p ELECTRICAL,PERMIT FEES
SUprv.Electrician si-natt-I A
re,rcql-lircd---111��, Subtotal:
Print name: Shan Whittaker Date: 06 07/2022 Plan Review Required(251/, of permit Ice):
State surcharge(121Z, ofpci-rint Ice):
ALIthori/ed signature: Permitting Coordinator TOTAL PERMIT FFL.
lacy #Aa—av This permit application expires if a pernii(is not obtained vvilhin 180
Print name: Lacy Holliday Date: 06/07/2022 lim s after it has been accepted its complete.
NUmbei oI in,Pcction,all,)'vCd J'Cl Pellulil
P—L,11A1111,E I�R,ER I�d0c R,,06/17/20 15 440 1615 1 H 1/054 ON IAN[-13
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL'_4' RK UNLY ,„ Description EEE SCHEDULE.QI}.-� . Each Tn�al
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 ?
❑ 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
F-1 Garage Door Opener >100 kva(fee in accordance
with OAR 918-309-0040) 592.26 2
F1 Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System"
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is
charged at an hourly(I hr min) 66.25/hr 1
Inspections for which no fee is 90.00/hr
specifically listed('/2 hr min)
=f
Subtotal(Enter on Page 1):
(SEE OAR 918-309-0000)
Fee for each commercial system: $75.00 r Number Of inspections allowed per permit.
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
IAnuildlm�APcnnn�AELC_Pcrmi(App_E LR_ERll.doc Rc,06/1720/5