Permit INCITY OF TIGARD MASTER PERMIT
■ Permit#: MST2022-00414
COMMUNITY DEVELOPMENT
Date Issued: 10/31/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S104BA02800
Jurisdiction: Tigard
Site address: 12036 SW WILTON AVE
Subdivision: COTSWALD MEADOWS NO.3 Lot: 117
Project: Baum
Project Description: Solar photovoltaic system 7.2 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: 86,495.84 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
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 Al N
Other: Y Other Description: Roof top solar array 7.2 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:
BAUM,GREGORY H& BRS FIELD OPS LLC Required Items and Reports(Conditions)
SLATER,NITA C 1403 NORTH RESEARCH WAY
12036 SW WILTON AVE OREM, UT 84097
TIGARD,OR 97223
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $357.19
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. ATTEN ION: Oregon law re uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
059-rVN-nnln thrnun 617 o59-nni on V ou nhlcin a rnnu n1/he ri Jec nr diner/ni inMinnc in nl INR hn Tallinn Sill 9R9 1QR7 ROIL Yi9 732t6
l
Issued By: a.A1"71 Permittee Signature: (2:41i� ����'E/C/v
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 iob site at the time of each inspection.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
City of Tigard Ev Received td/5 .2-7 / - 2)--Y/y
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960J I ' 2022 DPaten/By:
2 c
w/Zy �.Z Other Permit:
T I GARD Inspection Line: 503.639.4175 _ Date Ready/By: /��/"y�-urss: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD No[ifie Method: / ZY �i7i(�1� Supplemental Information
',---li ill DING olvlsinNi
TYPE OF WORK REQUIRED DATA:I-AND 2-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 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 6495.84
v ❑Accessory buildingNumber of bedrooms:
0 Multi-family
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12036 SW Wilton Ave.Tigard,OR 97223 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Gregory Baum 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 7 Z 47-1\ Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name: Gregory Baum Type of construction:
Address: 12036 SW Wilton Ave.Tigard, OR 97223 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops, LLC (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name: Hannah Nicholas
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 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 $180.00
and administrative fees):
Phone:( 385)482-0045 Fax:( )
CCB tic.: 227185 State surcharge(12%of permit fee): $21.60
Total fee due upon application: $201.60
Authorized signature: r�f0 / l r This permit application expires if a permit is not obtained
dCNU+x J hda
Permitting Coordinator within 180 days after it has been accepted as complete.
Print name: Hannah Nicholas Date: 10/12/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:1 Building 1Permits'BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Applicatiq-1 ECE I VE FOR OFFICE USE ONLY
DCity of TigQard Received
b Date/By.
Perm t
13125 SW}fall Blvd.,Tigard,OR 9722 (('' y Plan Review
II Phone: 503.7182439 Fax: 503.598.199 6 T 1 9 2 C' DateBy: Related Permit u:
TIGARD Inspection Line: 503.639.4175 `11-y OF TIUAHII Ready Date/By furls: I RI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Bull DING DIV!SIC^
TYPE OF WORK PLAN REVIEW s ,:ry
El New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans a'acros checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
El Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
IA I-and 2-family dwelling ❑Commercial/industrial El Accessory building less to ground,or exceeds 14,000 El Commercial-use agricultural
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑Other: ID Fire .
— pump ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 12036 SW Wilton Ave. Tigard, OR 97223 100HP or more. ❑"A","E","I-2","1-3',
City/State/ZIP: ElSix or more residential units. occupancy.
El Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Gregory Baum El Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more 600 setts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. 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'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Rooftop Solar PV (with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Ea Renewable Energy ❑ See Page 2
PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Gregory Baum
200 amps or less 1170.70 2
Address: 12036 SW Wilton Ave.Tigard, OR 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
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 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 Ea APPLICANT ❑ CONTACT PERSON
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: Hannah Nicholas B.Fee for branch circuits without
service or 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
385 )482-0045Miscellaneous(service or feeder not included)
Phone:( Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitting.department@blueravensolar.com g'
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
Signal circuit(s)or limited-energy
Address: 1403 N Research Way 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) 66.25/hr
Phone:( 385) 482-0045 Fax: ( ) Investigation(1 hr min) 90.00/hr
Email: permitting.department@blueravensolar.com Industrial plant(I hr mini 78.18/hr
Inspections for which no fee is
CCB Lie.: 227185 Electrical Lc.: C1493/ Suprv.Lie.: 6394S specifically listed(vr br min) 90.00/h
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: p i
Subtotal:
Print name: Shan Whittaker Date: 10/12/2022 ❑Plan Review Required(25e/u of pennit fee):
State surcharge(12%of permit fee):
Authorized signature: .faaua4 kfiekear Permitting Coordinator TOTAL PERMIT FEE:
This permit application expires it a permit Is not obtained within 180
Print name: Hannah Nicholas Date: 10/12/2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
t:BuildingTermits\ELC—PermdApp—ELR_ERC.doc Rev06/17/2015 4404615T(I1/05/COIt'WEB
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. I Each I Total I *
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva orless 100.70 2
5.01 to 15 kva 1 133.56 2
n 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 Solar generation systems in excess of 25 kva:
System*
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 fcc is 90.00/hr
specifically listed(' hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page I):
(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
❑ 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
C\BuildinglPcrmits1ELC_Permitnpp_EI.a_ERE.doc Rcv 06/17/2015