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Permit rn,5 r""2023-as 153 City of Tigard : RE - '' Building Division Cpt ;; . s - 13125 SW Ha11 Blvd,Tigard, OR 97223 APR 1 i ; Phone: 503.718.2439 Fax: 503.598.1960 T I G A R D Inspection Line: 503.639.4175 CITY OF T www.tigard-or.gov BUILL11' „ L, 2010 Oregon Solar Installation Specialty Code Check List for Prescriptive Installation of Roof-Mounted PhotoVoltaic Solar Panel System Property Information Installation Address: 11222 SW Cotton Wood Ln, Tigard, Oregon, 97223 City: Zip: Owner's Name: Donna Yount Date: 04 / 13 /2023 Contractor's Name: BRS Field Ops, LLC CCB #: 227185 Design Parameters of the Property/Structure If"Yes", does not Flood Hazard Is the installation E Yes qualify for the Area Located in a flood prescriptive path, follow plain/flood way? © No OSSC or ORSC for design requirements. Wind Exposure Is the wind exposure © Yes If"Yes", qualifies for "C"or less? ❑ No the prescriptive path. Installations on detached Is the Ground Snow single/two-family Load 70 psf or less? dwelling/single/two- If"Yes", qualifies for family townhomes © Yes the prescriptive path. and/or their accessory Ground structures. ❑ No Snow Load Is the Ground Snow Installations on all Load 50 psf or less? If"Yes", qualifies for structures other than © Yes the prescriptive path. above ❑ No 1 1:/Building/Forms/PhotoVoltaic-Checklist02-01-11.docx rt, Is the construction RI material wood and does Yes Type of If"Yes", qualifies for the construction qualify Construction No the prescriptive path. as "conventional light ❑ frame"construction? Is the spacing 24 inches or less? Pre-engineered trusses. © Yes If"Yes", qualifies for the prescriptive path. ❑ No Roof framing members Is the spacing 24 inches or less? Nominal lumber. © If"Yes", qualifies for Yes the prescriptive path. ❑ No Is the combined weight © Yes of the PV modules and If"Yes", qualifies for racking less than or ❑ No the prescriptive path. Solar equal to 4.5 psf? installation Is the solar installation layout in accordance Yes If"Yes", qualifies for with Section 305.4(3) of ❑ No the prescriptive path. the 2010 Oregon Solar Code? ❑ Metal Single layer If roofing material is Roofing Check the type of ❑ of wood one of the three types material roofing material shingle/shake checked, qualifies for Max. two layers the prescriptive path. 0 of composition shingle. Is the roof mounted © Yes Connections of solar assembly If"Yes", qualifies for the solar assembly connected to roof ❑ No the prescriptive path. to the roof framing or blocking directly? 2 I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx ❑ Yes If"Yes", qualifies for Is the gauge 26 or less? ❑ No the prescriptive path. 115 lbs for 60 inch spacing or less? 111 If"Yes", qualifies for Yes the prescriptive path. ❑ No Minimum Uplift rating of Clamps? 75 lbs for 48 inches spacing or less? If"Yes", qualifies for ❑ Yes the prescriptive path. ❑ No Attachment of roof mounted Minimum 24 inches If the spacing falls solar systems Spacing of clamps? within 24 inches and 60 directly to inches Maximum 60 inches inches, qualifies for the standing seam prescriptive path. metal panels Width of roofing If the width of the panel panels? 18 inches or less is less than 18 inches, inches qualifies for the prescriptive path. Minimum#10 at 24 inches o/c? Size and spacing of If"Yes", qualifies for fastener? ❑ Yes the prescriptive path. ❑ No Is the roof decking of WSP min. %2"thickness, ❑ Yes decking connected to If"Yes", qualifies for framing members ❑ No the prescriptive path. w/min. 8d nails @ 6"/12" o/c? Is the height less than or Maximum 18 inches equal to 18 inches? Height of the from the top of the If"Yes", qualifies for solar modules module to the roof © Yes the prescriptive path. surface. ❑ No 3 I1Building/Forms/PhotoVoltaic-Checklist02-01-11.docx M v, Submittal Documents required for Prescriptive Installations Show the location of the PV system in relation to buildings,structures, property lines, and, as applicable, flood hazard areas. Site Plan Details must be clear and easy to read. Minimum size of the plan is 8.5 x 11 inches. Attach a simple structural plan showing the roof framing (rafter size,type, and spacing) and PV module system racking attachment. System must be shown in sufficient detail and clarity to assess whether it Structural Plan meets the prescriptive construction requirements as listed earlier above in the matrix. Minimum size of the plan is 8.5 x 11 inches. PV Modules Manufacturer: QCeIIs Model Number: Q.PEAK DUO BLK ML-G10+ 400 Listing Agency: CSA 4 I:Building/Forms/PhotoVoltaic-Checklist02-01-11.docx CITY OF TIGARD MASTER PERMIT ' I ' COMMUNITY DEVELOPMENT Permit#: MST2023-00153 T r C;A RI) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2023 Parcel: 1 S134ACO2655 Jurisdiction: Tigard Site address: 11222 SW COTTONWOOD LN Subdivision: ENGLEWOOD NO.3 Lot: 221 Project: Yount Project Description: Rooftop solar PV system 11.2 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: $10,104.64 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 All N Other: Y Other Description: Roof top solar array 11.2 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: YOUNT,DONNA SURVIVORS TRUST BRS FIELD OPS LLC Required Items and Reports(Conditions) 11222 SW COTTONWOOD LN 1403 NORTH RESEARCH WAY TIGARD,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 :::;;: fhrni inh R oc9nnn11m:�, htoin n nnnv offho nde nr Aire,*ncfinne 4n ni inir h,,' Iiinn 5n9Z91QQR7nr 1 Rnn Z'29` ' ' � �` Permi tee Signature: C ti1./-W"A Call 503.63 5 by 7:00 a.m.for the next available inspection date. 1 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. A__ Building Permit Application el ?b-- Residential Ia i FOR OFFICE [ISE ONLY City of Tigard Received A I 74. I9 H T 7613 -OG t5.. III DateBy: 1'Vr Permit No.:q 13125 SW Hall Blvd.,Tigard,OR 97223 / ?r't 1 "/ 2023 Plan Review 4 /�ies_Phone: 503.718.2439 Fax: 503.598.196'0 ! tP DateBy: l7 1�IrC Other Permit: l 1 t i A,l`l., Inspection Line: 503.639.4175 Date Ready/By: Suns: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TICAR Notified/Method 5 13� 23 . Supplemental Information r F BUILDING L(Ir 1' � I �i • /i i r ,y ��f rz '�� ''' '1 3r 1 t r !t ❑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 / / .' w 44, n,- .✓�' F 4 4 F f„ ".4� �( r work indicated on this application. 0 1-and 2-family dwelling ElCommercial/industrial Valuation: $ 10104.64 ❑Accessory building 0 Multi-family Number of bedrooms: oi ❑Master builder ❑Other: Number of bathrooms: `� # ' 1 t a Total number of floors: Job site address: 11222 SW Cotton Wood Ln,Tigard,Oregon,97223 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Donna Yount Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet rat A l I, ?I ,'' 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.: materials, labor,overhead,and theprofit for the `; ' ,s a a wok indicatedon thisapplication., Rooftop Solar PV Valuation: $ Existing building area: square feet New building area: square feet ') F f Number of stories: Name: Donna Yount Type of construction: Address: 11222 SW Cotton Wood Ln,Tigard, Oregon,97223 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) ,., �, t, ✓" 7 r : ,,: f lilO;lD f fi $�6 New: ,.�i l4r ,,$ l ,r c,�lc Business name: BRS Field Ops, LLC � � �r Contact name: Tianna Mounga 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 Amount received: Phone:( 385)482-0045 Fax::( ) E-mail: permitting.deparment@blueravensolar.com f, ; `, ,/, 10 P; .„7 i ,^ g 94 7 Commercial and residential prescriptive installation of ,.. „ ,. `; _'A s, .E„ . ,,v,., , s, ., 7is,ti. i 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: j This permit application expires if a permit is not obtained r&a.kQ /ir k9151 Permitting Coordinator within 180 days after it has been accepted as complete. Print name: Tianna Mounga f Date: 04/13/2023 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) A Electrical Permit Application FOR OFFICE USE ONLY City of Tigard DateBe: Permit#: J , il•�ii � 1111 4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review it Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Juris: (a See Page 2 for I I c,A R 13 Internet: www.tigard-or.gov Notified/Method: Supplemental Information ; .. n .. ..cv 1.. .. ,...,^ .F..0 ..� 4 1. .. .�..� .r. ,r.. ...... .. i f":. . i Af 1. . R Please check all that apply(submit 2 sets of plans w!items checked): El New construction El Addition/alteration/replacement ❑Demolition ❑Other: ❑Service or feeder 400 amps ar more ❑Building over three stores. where the available fault current ❑Marinas and boatyards. �. 3 to., / Ojgla Si' $t9 ,y exceeds 10,000 amps at 150 volts or ❑Floating buildings. 0 ,,1-and 2-family dwelling ElCommercial/industrial �❑Accessory building less to ground,or exceeds la,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump. ❑Installation of 150 KVA or 1: ' ` ❑Emergency system. larger separately derived Addition of new motor load of system. Job#: Job site address: 11222 SW Cotton Wood Ln,Tigard,Oreg en, 9❑❑73 or more. El `A","E","1-2","1-3", ❑Six or more residential units. occupancy. City/State/ZIP: ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Donna Yount ❑Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Description 1'�Qt I Each I Total 1 *� 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 n 33.92 1 io u.4 .. ... u , , ..,14,,,:7,: 0, f,2>,,e. .3ZeZ Limited energy,residential 75.00 2 Rooftop Solar PV (with above sq.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 r « �--- f 1 �� �-'F Erg -x - » %o .,>- _ . ., ... Services or feeders installation,alteration,and/or relocation Name: Donna Yount 300 amps or less 100.70 2 Address: 11222 SW Cotton Wood Ln,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 2 168.54 2 401 amps to 599 amps Owner signature: Date: p p- Branch circuits—new,alteration,or extension,per panel %� 'r !'�; `..,w.f ,.,.� ,! ., � A.Fee for branch circuits itdth Business name: BRS Field Ops, LLC above service or feeder fee, 7.42 2 each branch circuit Contact name: Tianna Mounga B.Fee for branch circuits without Address: 1403 N Research Way service or feeder fee,fast 56.18 2 branch cncuit City/State/ZIP: Orem, UT 84097 Each midi branch circuit 7.42 2 Phone: 385)482-0045 Fax: : Miscellaneous(service or feeder not included) ( ( ) Each manufactured or modular 67.84 2 dwelling,service and or feeder Email: permitting.department@blueravensolarcom Reconnect only 67.84 2 r e - .f . _. .�'. ,.: -,1 1,*,'...,. .., t s.:Zi n.F ,.. 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 0 See Page 2 2 panel,alteration,or extension. 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(lhrmin) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie,: 227185 Electrical L'c.: C1493 Suprv.Lic.: 6394S specifically listed(��z hr mm) Suprv.Electrician signature,required: t Y o ; ' Subtotal: Print name: Shan Whittaker Date: 04/13/2023 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 721 ( (a ittotala Permitting Coordinator TOTAL PERMIT FEE: This permit application expires it a permit is not obtained within 180 Print name: Tianna Mounga Date: 04/13/2023 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 4d0-4615T(11i05/COM,1vEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: • Fee for all residential systems combined: $75.00 �cnption Q`y.1 � I Total om 1 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 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 any of the above: ❑ Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is,specifically90.00/hr listedaun 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: El Audio and Stereo Systems El 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 I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015