Permit CITY OF TIGARD MASTER PERMIT
~ Permit#: MST2022-00516
a: COMMUNITY DEVELOPMENT
I,G r\Tt O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1 2122/20 2 2
Parcel: 2S109AD08500
Jurisdiction: Tigard
Site address: 12762 SW ROCKY MOUNTAIN CT
Subdivision: ELK HORN RIDGE ESTATES Lot: 29
Project: Si Wang
Project Description: Rooftop Solar PV System 3.2 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: $2,887.00 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
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add.'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 Securiry Alarm: N Vaccuum System: N
y Garage Opener: N All N
Other: N Other Description: Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
WANG,SI VI&JUNWEI BRS FIELD OPS LLC Required Items and Reports(Conditions)
12762 SW ROCKY MOUNTAIN CT 1403 NORTH RESEARCH WAY
TIGARD,OR 97224 OREM,UT 84097
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $319.88
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: ``;� '� Permittee Signature:
II 503.639.4175 by 7:00 a.m.for the next available inspection date��l���/t�?
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 AbplicatioiRECEIVED
Residential ,.,r.C 1 3 2022 FOR OFFICE USE ON pi
Cityof Tigard Received ,„„,,,t No.: S i26.7.Z—cosi/
1111 mil 131 SW Hall Blvd.,Tigard,OR 9722CITY OF TIGARD Plan RDate/Beview I �/� )5q }� J Y
Phone: 503.718.2439 Fax: 503.598} DING DIVISION Date/By: !✓ 11(U- 11�' der Permit:
l.I a A R i Inspection Line: 503.639.4 175 Date Ready/By. I Juns: ® See Page 2 far
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK REQUIRED DATA:1-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 ❑Other: equipment,materials,labor,overhea
d,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling D Commercial industrial Valuation: $ 2887.04
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
V JOB SITE INFORMATION AND LOCATION Total number of doors
Job site address: 12762 SW Rocky Mountain Court,Tigard,Oregon,97224 New dwelling area: square feel
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Si Wang Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feel
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 2_ \&' Valuation: $
J Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Si Wang Type of construction:
Address: 12762 SW Rocky Mountain Court,Tigard,Oregon,97224 Occupancy groups:
City/State/ZIP:
Existing:
Phone:( ) Fax:( )
New:
❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops, LLC (Ptearereerto fee schedule)
Contact name: Tia Derbidge Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address: 1403 N Research Way
Total fees due upon application:
City/State/ZIP: Orem, UT 84097
Phone:( 385)482-0045 Fax::( )
Amount received:
PHOTOVOLTAIC SOLAR P SYSTEM FEES*
E-mail: permitting.deparment@blueravensolarcom
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/Slate/ZIP: Orem, UT 84097 Permit Fee(includes plan review $180 00
and administrative fees):
Phone:( 385)482-0045 Fax:( ) State surcharge(12a/o of permit fee): $21.60
CCB lie.: 227185
Total fee due upon application: $201.60
Authorized signature: j"� �r�,,//�.� This permit application expires if a permit is not obtained
! 49 V C Wfe Permitting Coordinator within 180 days after it has been accepted as complete.
Print name: Tia Derbidge Date: 12/14/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
t:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application-City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Renew
Fee for all residential systems combined: $75.00 Rnn Q Farh Tee
Renewable electrical energy systemm s:
Check Type of Work Involved: 5 kva or less 1 00.70 2
5.01 to 15 kva 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
50.01 to 100 kva 552.26 2
Garage Door Opener* >100 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* >100 kva-no additional charge 0.0 3
Each additional inspection over allowable in an of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr nun)
Inspections for which no fee is 90.00/hr
specifically listed('h hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):* 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
El 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
I:1Boilding\Permits\ELC_Permi[App_ELR_ERE.doe Rev 06/17/2015