Permit CITY OF TIGARD MASTER PERMIT
. COMMUNITY DEVELOPMENT Permit#: MST2022-00278
Ti GA RL') 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/06/2022
Parcel: 2S104BB04200
Jurisdiction: Tigard
Site address: 14051 SW LIDEN DR
Subdivision: CASTLE HILL Lot: 25
Project: Charlotte Breese Trepus
Project Description: Solar photovoltaic system 4.8 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: $4,330.00 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
FootingDrain: 0 Ice Maker: 0 Bckflw Prevntr: 0
Hose Bib: 0 Backwater Value: 0
Drywall-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
Fum<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 0
W/Svc or Fdr:
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/0 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 4.8 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB ft-3 0
Owner: Contractor:
BREESE,CHARLOTTE L BRS FIELD OPS LLC Required Items and Reports(Conditions)
14051 SW LIDEN DR 1403 NORTH RESEARCH WAY
TIGARD,OR 97223 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
OS9_n01-nn101hrnunh nap oc9-nM-nnon Vnn nr,off nhfain T'nf7117TwJ nr rliranf nuacfinnc fn N IlJC by nallinn 5 A 7i9 1 QA7 1 ann A19 9sdd
Issued By: r -..0'�s:_ ittee Signature: ( // /J/`///
C .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 projec.
Approved plans are required on the lob site at the time of each inspection.
....Building Permit Application laResidential L. L v■
FOR OFFICE USE ONLY
City of@ Tigard rr,I)b 9 202 r Received ok • r //r� '�A� /y� (�
DatclBy:`� 2i�i /Ill Permit No.: ST�'l2_ 3-D-• 18
Ill I • 13125 SW Hall Blvd.,Tigard,OR 97223 _ "`` 1771-�,t 11 vim+
Phone: 503.718.2439 Fax: 503.598.1960 GI I Y OF TIGAR :laic/Be`'iew`'
Q� �� ZZ Ali— Other Permit:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISII�te Ready/Ry ��/7 l,�ri.: a See Pn� o Q. be_for
Internet. www.tigard-or.gov NotificdlMerhod:✓ Supplemental Information
i
TYPE OF WORK REQIII ID DATA:1-AND 2-EA,YIILY DWELLING
❑New construction ❑Demolition Permit fees arc hased on the value or the ‘A cm F,periornxd.
- — 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.
❑ -and 2-lamily dwelling ❑Connerciul/indusui,d Valuation: $ 4330.56
IDAccessory building El Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
- IOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14051 SW Liden Dr, PORTLAND,Oregon, 97223 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Charlotte Breese Trepus Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-ESE CHECKLIST
Subdivision: Lot no.: Permit tees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Rooftop Solar PV L{ tD�t'Z 1,0 Valuation: $
[ Existing building area: square feet
New building area: square feet
N PROPERTY OWNER ❑ TENANT Number of stories:
Nana: Charlotte Breese Trepus Type of construction:
Address: 14051 SW Liden Dr, PORTLAND,Oregon, 97223 Occupancy groups:
City/State/ZIP: --
Existing:
Phone ( ) Fax ) — -
- New:
❑ APPLICANT ® CON'EAC'I' PF.RSON BUILDING PER s-Il l FEES*'
x.,,
Business name: BRS Field Ops, LLC - - (Pteare refer tof'eeacherlatle) " '�
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 YHOTOVOI I tiC SOLAR PANEL SPS'IF,NI I F.ES
CONTRACTOR - Commercial and residential picseripuve installation of
roof-top mounted Photovoltaic Solar Panel System.
Business name: BRS Field Ops, LLC t Submit two(2)sets of roof plan with connection details
Address: 1403 N Research Way and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: Orem, UT 84097 Permit Fee(includes plan review $180.00
Phone:( 385)482-0045 Fax: ( and administrative fees):
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
• a, Permitting Coordinator within 180 days after it has been accepted as complete.
Print name: Lacy Holliday Date: 08/02/2022 *Fee methodology set by Tri-County Building Industry
- Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Permit N: C''ifTV VS 'e rrv)_7j
° 1312eSW Hall
82439 Tigard,OR 97223 RED I�!
111111 S- Phone: 503.7I82439 Fax: 503.59RJ 960 C D'cv'ew
By: Related Permit#:
TIGARD Inspection Line: 503.639 4175 Ready Date/By: luris: 0 See Page 2 for
-, Interact- v ow.tigard-er.gov AUG9 /11`II�)) Nati tied!Alerhod:
G 0 17Li✓' Supplemental Information
TYPE OF WORK , y/.:0,vii,'1;,y10 PLAN REVIEW
❑ Now construction El Addition/alteration/reetml"rwr(t/�DIVISION Please cheek all that dpply +uhmt 2 seta of plans v(items checked): --
DCIn01 tiou >w�aJn�r[.jv�t��VV l7 ❑Service or feeder 400 amps Or mole ❑Building o vet three stories.
❑ ❑ Other:
where the available fault current ❑Marinas and boatyards
CATEGORY OF CONSTRULTI
* ,,, exceeds IO,Ol10 amps m 150 volts or CI Floating buildings
"/❑ and ? i.ulllly dwelling ❑Colmnert lttl/Industrial Li Accessory building less to ground,or exceeds 14.000 ❑Commercial-use agncnitnral
IAamps for all other installations. buildings.
Midst Iam11, IIIMaster builder ❑ Other:' ❑Fire pump. ID Installation of 150 KVA or
JOB si tE INFORMATION AND LOCATION ,9r '14, ❑Emergency system. larger separately derived
Job : Job site address: 14051 SW Liden Dr ❑Addition of new motor load of system_
111 I00HP or more. ❑"A","E",'1-2","l3",
City/Stale/ZIP: PORTLAND, Oregon, 97223 ❑Six or more residential units. occupancy.
El Health-care facilities- ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Charlotte Breese Trepus ❑Hazardous locations. 0 Supply voltage lot more than
❑Service or feeder 600 amps or more. 600 volts nominal
Cross street/directions to job site:
e M '' a.
Desonpuon (jty. Each total
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
t,.- La.add'I 500 sq.ft.or portion 33.92 I
DESCRIPTION OF E „ fU - ,.
�' Limited energy,residential
Rooftop Solar PV (with above sq.It.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
m PROPERTY OWNER yak, Renewa Energy ❑ ee Page 2 r,� �` � Services orble feeders installation,alteration,and/or relocation
Name: Charlotte Breese Trepus 200 amps or less 100.70 2
Address: 14051 SW Liden Dr, PORTLAND,Oregon,97223 201 amps to 400 amps 133.56 2
City/State/ZIP:
401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Email: Temporary services or feeders installation,alteration,and/or
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 to400 amps 125.08 2
Owner signature:_- Date: 401 amps to 599 amps 168.54 2
2 APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits widt
Business name: BRS Field Ops, LLC above service or feeder fee,
Contact name: Lacy Holliday
each branch circuit 7.42 2
B.Fee for branch circuits without
Address: 1403 N Research Way service or feeder fee,first
branch circuit 56.18 2
City/State/ZIP: Orem, UT 84097 Each add'I branch circuit 7.42 2
Phone:( 385)482-0045 Fax: :( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: permitting.department@blueravensolar.com
dwelling,service and/or feeder 67.84 2
Reconnect only 67.84 2
,, CONTRACTOR ' /
-- -- ^�� �.. '��%
• ��A Pump or irrigation circle 67.84 2
Business name BRS Field Ops, LLC Sign or outline lighting 67.84 2
Address: 1403 N Research Way Signal circuit(s)or limited-energy
panel,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(1 hr min) 6625/hr
Phone:( 385) 482-0045 Fax:( ) Investigation(I hr min) 90.00/hr
Email: permitting.department@blueravensolar.cons Industrial plant(1 hr min) 78.18/hr
inspections for which no fee is
CCB Lic.: 227185 Electrical L'c.: C1493 Suprv.Lie,: 6394S speettirally listed(1/2hr aria) I 90.00/hr
Suprv. Electrician signature,required ,/ ELECTRICAL PERMIT FEES "f
il
Subtotal:
Print name: Shan Whittaker Date: 08/02/2022 0 Plan Review Required(25%of permit fee):
♦♦J State surcharge(12%of permit fee):
Authorized signature: /fj,�� a" Permitting Coordinator TOTAL PERMIT FEE.
"'� / This permit application expires if a permit is not obtained within 180
Print name: Lacy Holliday Date: 08/02/2022 J Jays after it has been accepted as complete.
Number of inspections allowed per permit.
h\Building\Per um,\ELC_Permi1App_ELR_Y.REdoc Rev 06/17/2015 440-46151711/05A OM/WEB
Electrical Permit Application— City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: RECEIVE®
Renewable Energy Permit Fees:
AUG 0 9 2022
RESIDENTIAL WORK ONLY:
4a; �R TIGARD h hn ,# FEESCIINDUCF
Fee for all residential systems combined: gnexnptmn �Qlc.
b:ach Toud
B W 0 t, DIVISION Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
I Audio and Stereo Systems* 1 5.01 to zs kva
200.34 2
BurglarI
Alarm Wind generation systems in excess of 25 kva:
25.01 to50 kva 301.04 2
❑ Garage Door Opener* so.ol to too kva 552.26 2
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
Heating, Ventilation and Air Conditioning
System* Solar generation systems in excess of 25 kva:
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:
Li Other: Each additional inspection is
charged at an hourly(I hr min) 66.25/hr
Inspections for which no fee is
spccdlcally listed('/a hi mini 9000/hr
COMMERCIAL WORK ONLY,; , .�: < „ E>LECTRICAL t'I MiT FEES
Fee for each commercial system: $75.00 slwer tl(Enlc, I'dge. 1):
(SEE OAR 918-309-0000) Nnmb r of inspections ahowcd pr r pcin,u.
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
H Clock Systems
Data Telecommunication Installation
II Fire Alarm Installation
n HVAC
nInstrumentation
Li Intercom and Paging Systems
I I Landscape Irrigation Control*
Medical
Nurse Calls
Outdoor Landscape Lighting*
n Protective Signaling
Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I''\Building\PermjioELC.PcnniiApp FI.R_EREdoc Rev 06/17/2015