Permit CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit#: MST2022-00419
T t G ART) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/03/2022
Parcel: 2S112BC03200
Jurisdiction: Tigard
Site address: 14685 SW 83RD AVE
Subdivision: HAMBACH PARK Lot: 16
Project: Staeger
Project Description: Rooftop Solar PV system 8.715 kW
BUILDING
Floor Areas Reaulred Setbacks Required
Stones: 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: $7,767.00 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
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
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 0.2D0 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+amplvolt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: Y Other Description: Roof top solar array 8.715 kW N
Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
STAEGER,RALPHA BRS FIELD OPS LLC Required Items and Reports(Conditions)
14685 SW 83RD AVE 1403 NORTH RESEARCH WAY
TIGARD,OR 97224 OREM,UT 84097
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $358.69
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
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Issued By: D4 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspect! n 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 rob site at the time of each inspection.
Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard RECEIVERece Date/By Pit No.:/I�tJ� (�
Illi • 13125 SW Hall Blvd,Tigard,OR 97223 , DateBp�Z (;OC�19
■ Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date By: (Q/ LZ Other Permit
T I U A It 1) Inspection Line: 503.639.4175 S E P 27 2022 Date Ready/By: ( runs: SiSee Page 2 for
Internet: www.figard-or.gov Notified/Method: I 7-1l Z -- Supplemental Information
CITY OFTIGARU I
TYPE OF WORRUII(SING DIVISION REQUIRED DATA:I-AND2-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.
❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 7767.94
ElAccessory building ❑Multi-family Number of bedrooms:
❑ Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 14685 SW 83 rd Avenue, PORTLAND,Oregon, 97224 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Ralpha Staeger 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.
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 Q --1 ( 5- t-v(,,` Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Ralpha Staeger Type of construction:
Address: 14685 SW 83 rd Avenue, PORTLAND,Oregon,97224 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( )
New:
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops, LLC (Please refer Wfee schedule)
Structural plan review fee(or deposit):
Contact name: Bryson Taylor
FLS plan review fee(if applicable):
Address: 1403 N Research Way
City/State/ZIP: Orem, UT 84097 Total fees due upon application:
Phone:( 385)482-0045 Fax::( ) Amount received:
E-mail: permitting.deparment@blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic 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 Specially Code checklist.
City/State/ZIP: Orem, UT 84097 Permit Fee(includes plan review $180.00
Phone:( 385)482-0045 Fax:( ) and administrative fees):
CCB lic.: 227185 State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
Bnao-tittiNior
Permitting Coordinator within 180 days after it has been accepted as complete.
Print name: Bryson Taylor Date: 10/20/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Pernvts\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application RECEIV. FOR OFFICE USE ONLY
City of Tigard •eceived _
DareB Permit#:�f7TJ27, 'O'�
• 13125 5W Hall Blvd.,Tigard OR 97223 SEP 2 7 202?Plan Renew !/v `9
a •� Phone: 503.718?439 Fax: 503.598.1960Related Permit S:
- Date/By:
Inspection Line: 503.639.4175 CITY OFTIGAR>Rearly Date/By: kris: ® See Page 2for
I l ii A R I)
Internet www_tigard-or.gov gl,Jl l_DING nl1/I I ftiqufied/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction RI Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more El over three stories.
❑Demolition ❑ Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
El1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑ Multi-family 0 Master builder 0 Other: 0 Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address: 14685 SW 83 rd Avenue, PORTLAND, Oreconn,,Addition
onoforw motor load of system.
more. ❑.<A„ ,.E„ �1_2„ .,1.3,.
City/State/ZIP: 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Ralpha Staeger ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description 1 Qry. I Each I Total I
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'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
RooftopSolar PV 75.00 2
(with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
® PROPERTY OWNER El TENANT Renewable Energy El See Page 2
Services or feeders installation,alteration,and/or relocation
Name: Ralpha Staeger
200 amps or less 100.70 2
Address: 14685 SW 83 rd Avenue, PORTLAND, Oregon,97224 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 I
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
® APPLICANT 0 CONTACT PERSON
A.Fee for branch circuits with
Business name: BRS Field Ops, LLC above service or feeder fee,
each branch circuit 7A2 2
Contact name: Bryson Taylor B.Fee for branch circuits without
Address: 1403 N Research Way service or feeder fee,first 56.1a 2
branch circuit
City/State/ZIP: Orem, UT 84097 Eachadd'l branch circuit 7.42 2
Phone: 385 482-0045 Miscellaneous(service or feeder not included)
( ) Fax: : ( ) Each manufactured or modular
Email: permitting.department@blueravensolar.com dwelling,service and/or feeder 67.84 2
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
Address: 1403 N Research Way Signal circuit(s)or limited-energy
panel,alteration,or extension. ID 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) 66.25/hr
Phone:( 385) 482-0045 Fax:( ) Investigation(I hr min) 90.00/hr
Email: permitting.department@blueravensolar.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 227185 Electrical L'c.: C14933,j� Suprv.Lic.: 6394S specifically listed(1/2fir rain) 90.00/hr
Suprv.Electrician signature,required: "✓tC ELECTRICAL PERMIT FEES
Subtotal:
Print name: Shan Whittaker Date: 10/20/2022 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: 13ntrou lizy67- Permitting Coordinator TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Bryson Taylor Date: 10/20/2022 days after it has been accepted as complete.
• Number of inspections allowed per permit.
IIBuihlimgg\Permits\ELC-PermitApp_ELR_ERE.doc Rev 06/l7/2015 440-4615T(l l/05/COM/WPB
Electrical Permit Application-City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 Description I Qty. Each I TotalI *
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 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 Solargeneration systems in excess of 25 kva:
System* y
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:
❑ Other: Each additional inspection is 66.25/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(r hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMTr FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
(SEE OAR 918 309 0000) * 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
n Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
t:1Building\Pennita'E1.C_PermitApp_ELR_ERE.doc Rev 06/17/2015