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Permit (2)
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2022-00271 Date Issued: 08/25/2022 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103CC00600 Jurisdiction: Tigard Site address: 13760 SW 121ST AVE Subdivision: COLONIAL VIEW Lot: 1 Project: Antico Project Description: Solar photovoltaic system 8.8 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: $7,939.36 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 Mid 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 8.8 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: ANTICO,HANNAH Q&JOSEPH G BRS FIELD OPS LLC Required Items and Reports(Conditions) 13760 SW 121ST AVE 1403 NORTH RESEARCH WAY TIGARD,OR 97223 OREM,UT 84097 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $362.19 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 r quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR oF�_nnf_nnfn thrn nh a ow_nm_nnan rt nt�a rnnv of the ri Jac nr eiirart nimctinnc to(ll IN( by rnilinn rO our nr Rnn R'A')�s Issued By: Permittee Signature: 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 Received City of Tigard Date/By: i 13125 SW Hall Blvd.,Tigard,OR 97223 2t���� Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Z 2 Other Permit: Inspection Line: 503.639.4175 i���Y 0( �IGAR� DateReady/By: /a, nn luris 0SeePage2for Internet: www.tigard-or.gov Notified/Method: [� Supplemental Information BUILDING DIVISION � TWE OF W01tK' #EQU0A DATA I AND 2-l?AMTLY DWELLING ❑New construction ❑Demolition Perritit 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 DF CONSTRVC'MN 1 1 1 1 11work indicated on this application. Valuation: $ 7939.36 ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: NIt B SITE I(1�IF©l2MA'rIQN'AAIB L kATIt)N ' Total number of floors: Job site address: 13760 Southwest 121 st Avenue,Tigard, Oregon,97223 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Joseph Antico Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIItEL1 DATA:CO�RCTAL=LYSE 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 � VQEK _ work indicated on this application. ION:OF�Rooftop Solar PV .$ 1� Valuation: $ Existing building area: square feet New building area: square feet Number of stories: Name: Joseph Antico Type of construction: Address: 13760 Southwest 121 st Avenue,Tigard,Oregon,97223 Occupancy groups: City/State/ZIP: Existing: Phone: ( ) Fax:( ) New: APPY; . Ct3NiAC 'F)EI ... ON: BLI3�:14" trII. "` s Pisses �to tehed�e 77 Business name: BRS Field Ops, LLC Structural plan review fee(or deposit): Contact name: Bryson Taylor 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(YCIflL ALG JelE€ E-mail: permitting.deparment@blueravensolar.com Commercial and residential prescriptive installation of 4. 14, ,;. 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 $18000 and administrative fees): Phone: ( 385)482-0045 Fax.( ) State surcharge(12%of permit fee): $21.60 CCB he.: 227185 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained Apyz Permitting Coordinator within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Print name: Bryson Taylor Date: 08/ 12/2022 Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(i 1/02/COM/WEB) Electrical Permit Application City of Tigard Date/Bed Permit#: • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 Ready Date/By: orris: 21 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information r>irP 'OF WORK Pll;A;111 RTVIEW ❑New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF C&STROC"TION exceeds 10,000 amps at 150 volts or ❑Floating buildings. less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB STTE DWORMATION AND, LOCATION ❑Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: 13760 Southwest 121 st Avenue,Tigard, C r gorjowg jnre. ❑"A","E","I 2","1-3'°, ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Joseph Antico ❑Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEt?ULE Description I Qty. 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'1 500 sq.ft.or portion 33.92 1 11ESCRjPTQhI of W.+IIrRt?t Limited energy,residential 75.00 2 L I Rooftop Solar PV (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) 77 Renewable Ener ❑ See Page 2 PROP1EaR Y o3ttlri�R ❑ Services or feeders installation,alteration,and/or relocation Name: Joseph Antico 200 amps or less 100.70 2 Address: 13760 Southwest 121st Avenue,Tigard,Oregon,97223 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: 4 —new,alt on,or on, e 401 amps to 599 amp 1 Branch circuits n esti extens' r 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: Bryson Taylor 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 ormodular 67.84 2 dwelling,service and/or feeder Email: permitting.department@blueravensolaccom Reconnect only 67.84 2 7777 '" 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 ❑ 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(I hr min) 66.25/hr Phone:( 385) 482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: permitting.department@blueravensolar.com Inspections for which no fee is 9000/hr CCB Lic.: 227185 Electrical L'c.: C1493 Suprv.Lic.: 6394S specifically listed(1/2 hr min) Suprv.Electrician signature,required: Subtotal: Print name: Shan Whittaker Date: 08/ 12/2022 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): �� TOTAL PERMFEE: Authorized signature: Permitting Coordinator This permit application expires if a permit is not obtained within 180 Print name: Bryson Taylor Date: 08/ 12/2022 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PerrnitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(I 1/05/COM/WEB f Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: L t rR i�ILY WE SCMVIA Description I Qty- I Each Tolal 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 1 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 z 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* >I00 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 ❑ Vacuum Systems* >I 00 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hour) (I hr min) Inspections for which no fee is 90.00/hr s ecificall listed('/2 hr min) COMN(ER Ab'+OR ONL : sir cel c PERM Fee for each commercials stem: $75.00 subtotal(Enteron Page l): �' * Number 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 1:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015