HomeMy WebLinkAboutPermit (2) itCITY OF TIGARD MASTER PERMIT
"II 2 q
' COMMUNITY DEVELOPMENT Permit#: MST2023-00131
Date Issued: 04/26/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134DC07900
Jurisdiction: Tigard
Site address: 11700 SW GALLO AVE
Subdivision: GALLO'S VINEYARD Lot: 10
Project: Perry
Project Description: Rooftop solar PV system 5.6 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: $5.052.32 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 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
Fym>=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.'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 All N
Other: Y Other Description: Roof top solar array 5.6 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
PERRY,SHELDON BRS FIELD OPS LLC Required Items and Reports(Conditions)
11700 SW GALLO AVE 1403 NORTH RESEARCH WAY
TIGAR4,OR 97223 OREM,UT 84097
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. 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: I. i Permittee Signature: �4 y/'lICGG 17
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 FOR OFFICE USE ONLY
Receivedty: 4110 2 92e I'W t �-OO 1
City of Tigard Rece ll Permit No.:
• 13125 SW Hall Blvd.,Tigard,OR 97223 APR 1 0 2023 Plan Review L)I /I I ?i3 may]
1 ■ ( tilt'I Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Uate/By:
T L G n I c I t Inspection Line: 503.639.4175 Uate ReadyiBy: rums: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD NotifiedMethod: I q 123 • 1 )• Supplemental Information
BUILDING DIVISION 9MPr LeD GFI lsli WK
TYPE OF WORK REQuIRE!)DATA:1-AND 2-FAMILY DWELLING
❑ New construction ❑Demolition Permit fees*are based on the value oldie 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
1 CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling IDCommercial/industrial Valuation: $ 5,052.32
❑Accessory building 0 Multi-family
Number of bedrooms:
❑ Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 11700 SW Gallo Ave, Tigard, Oregon,97223 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Sheldon Perry 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Rooftop Solar PV [,l/D Valuation: $
Existing,building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Sheldon Perry Type of construction:
Address: 11700 SW Gallo Ave,Tigard,Oregon, 97223 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
0 APPLICANT Y CONTACT PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops, LLC (Please referh fee schedule)
Structural plan review fee(or deposit):
Contact name: Christian Olsen
Address: 1403 N Research Way FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Orem, UT 84097
Phone:( 385)482-0045 Fax::( j Amount received
E-mail: permitting.deparment@blueravensolarcom PHOTOVOLTAIC SOLAR PANEL.SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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:( )
State surcharge(12%of permit fee): $21.60
CCB lie.: 227185
Total fee due upon application: $201.60
Authorized signature: Ch � O +�Jlt Permitting Coordinator This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Christian Olsen K Date: 04 I 06 I 2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\BuildinglPemiits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
•
Electrical Permit Application RECEIVED Received FOR OFFICE USE ONLY
City of Tigard Date/By:
Permit 4: q���j
• 13125 SW Hall Blvd.,Tigard.OR 97223 APR 1 0 2023 Plan Review 1 t(S I j) 3—Uv 1st
Phone: 503.718.2439 Fax: 503.598.1960 Dan Rev Related Pewit tt.
Inspection Line: 503.639.4175 Ready Date/By: furls ® See Page 2 for
TICi AIiD Internet: wunv.tigard-or. o�° Notified/Method: Supplemental Information
° g 1TY(�F TIG?�.�D
TYPE OF WO lk,iLDING L1IVlS101y • PLAN REVIEW
New construction / Please check all that apply(submit 2 sari of plans w/items checked):
❑ IA
ElService or feeder 400 amps or more 0 Building over three stories.
❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
El -and 2-family dwelling ElCommercial/industrial E Accessory building less to ground,or exceeds t4,000 0 Commercial-use agricultural
amps for all other installations. buildings.
E Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 11700 SW Gallo Ave,Tigard, Oregon, 97223 1001w or more. ❑ `A","E", `I-2","l-3',
City/$tate/ZIP: ❑Six or mare residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Sheldon Perry ❑Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or snore. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description l Qtv. 1 Each I Total I '
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,01N)sq.ft.or less 168.54 4
Tax map/parcel If: Eu.add'I 500 sq.R.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.)
e PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2
Services or feeders installation,alteration,and/or relocation
Name: Sheldon Perry 200 amps or less I 100.70 2
Address: 11700 SW Gallo Ave,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: 401 amps to 599 amps 168.54 2
® APPLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per 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: Christian Olsen B.Fee for branch circuits without
Address: 1403 N Research Way service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Orem, UT 84097 Each add'1 branch circuit 7.42 2
Phone: 385 )482-0045Miscellaneous(service or feeder not included)
( Fax: : ( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email: permitting.department@blueravensolar.com 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 WaySignal clreaio)or limited-energy
0 See Page 2 2
panel,alteration,or extension.
CitylState/Z1P: 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(1 hr m n) 78.18/hr
Inspections for which no fee is 90,00/hr
CCB Lie.: 227185 Electrical L'c.: C1493,i Suprv.Lic.: 6394S specifically listed('. hr min)
ELECTRICAL PERMIT FEES
Suprv,Electrician signature,required: tgei Subtotal:
Print name: Shan Whittaker Date: 04 /06/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: Chisleak Ohea Permitting Coordinator TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Christian Olsen Date: 04/06/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:'tBuilding\PermirslELC PemiltApp_ELR_EREdoc Rev 06/17t2015 440-46I5T(11,'05SCOM/WEB