Permit IN CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00155
T I c;A It.f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2023
Parcel: 1 S135CA09700
Jurisdiction: Tigard
Site address: 11436 SW 96TH AVE
Subdivision: SOLERA Lot: 6
Project: Williams
Project Description: Rooftop solar PV system 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: $5,413.20 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(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 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:
WILLIAMS,DOYLE III BRS FIELD OPS LLC Required Items and Reports(Conditions)
11436 SW 96TH AVE 1403 NORTH RESEARCH WAY
TIGARD,OR 97223 OREM,UT 84097
PHONE: PHONE: 855-205-2530
FAX:
Total Fees: $362.69
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. ATTF ION: Oregon law 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: I " //nUhX,C.fn-
Call 503.639.41 5 y 7:00 a.m.for the next available inspection date.
This permit card shall be kept 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
Received 2 City of Tigard Date/By: 7 I al'2.Q23 . PermitNo.: MST2a23- OG155
.114 , 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 0 2023
g „,p n
_ Plan Review Li Phone: 503.718.2439 Fax: 503.598.1960 DDate/By: (fi s
l/ Other Permit:
'T 1 G A R D Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov p'`q�r-i r'sts �pg Notified/Method: 5 I 12623• q�) Supplemental Information
BUILDING DIVISION, 1V MAIL '0 COMMIE
' . ... ..: �E OIL WORI+k REQUIRED DATAlt::00'2•FAMILY DWE,LING
D 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 CONSTRU ION wor indicated on thisapplication.
.
❑ 1-and 2-family dwelling ElCommercial/industrial Valuation: $5,413.20
❑Accessory building ❑Multi-family Number of bedrooms:
/// ❑Master builder ❑Other: Number of bathrooms:
jOB gam;INFO TIO .A .LOCA'CION Total number of floors.
Job site address: 11436 SW 96th Ave,Tigard,Oregon,97223 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Doyle Williams Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQ ;DATA.COR�RCIAL-USE CHECKLI,�T.
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
CRI TI�ON OF 8041 work indicated on this application.
Rooftop Solar PV ' Valuation: $
lX Existing building area: square feet
New building area: square feet
)PRO ERIY 4 TENANT Number of stories:
Name: Doyle Williams Type of construction:
Address: 11436 SW 96th Ave,Tigard, Oregon,97223 Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
I A�IC.AN r CONTACT PE +„'.,N..
: _ _..0 .. .. ... . _.,:: .. . .: . .: BtIIIf.D>C�TCPtg:mrt + + `;
Business name: BRS Field Ops, LLC (1'lease.,r+eferfceselueatreis) ' - '
Structural plan review fee(or deposit):
Contact name: Courtnie Hougaard
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:
E-mail: permitting.deparment@blueravensolar.com Tl V'OLTAICSOLARP'ANEL MIF'EES* '
CofirLIACT4R
O......... .....
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:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: 227185
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
C(I 4fIblrL ady1 Permitting Coordinator within 180 days after it has been accepted as complete.
Print name: Courtnie Hougaard ""�7"' Date: 04/14/2023 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Application FOR OFFICE USE ONLY
CReceived
• 13125ity SW of HallTigard Blvd.,Ti ard,OR 97223 Date B : V kb
IMIIIIIII
g Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 Date/R : Related Permit#:
T I t A R D Inspection Line: 503.639.4175 Ready Date/By: orris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
T PE'O -W 'ELAN REVIEW
❑New construction El Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
El Demolition 0 Other:
where the available fault
current Marinasand boatyards.
`. CATECOi Y OCOF TRUCTION.. exceeds 10,000 amps at150 volts or 0 Floating buildings.
❑ 1-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 ElOther:
- El Fire pump. ID Installation of 150 KVA or
,Jog pgMA'I'ION;'i' LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 11436 SW 96th Ave,Tigard, Oregon, 97223 100HP or more. ❑"A","E","1 z' °`1-s'
El Six or more residential units. occupancy.
City/State/ZIP: ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Doyle Williams ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: j)�
Description I Qty. I r Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
d ' P C .TION WORT i Limitedresidential
n 33.92 Ea.add'l5 0 sq. or portion
energy,residen' 75.00 2
Rooftop Solar PV (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
1?R O1' C3 O1 iWNER , - ,' ' 0. N : Services orfeeders installation,alteration, relocation
enewa a nergy See Page 2
fe d n and/or
Name: Doyle Williams 200 amps or less 100.70 2
Address: 11436 SW 96th 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
!€ .04-jEIT ...: ... ..... :"....... . .C€7!*As . . . . 4wi.... Branch circuits-c ne ,alteration,or extension,per panel
A.Fee for branch circuitsw with
Business name: BRS Field Ops, LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name: Courtnie Hougaard 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'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( 385)482-0045 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: permitting.department@blueravensolar.com
Reconnect only 67.84 2
VQNI;l C"` OR r on circle u. ; ... ..,... '.. . ... ...:. :.: Pump o irrigati67.84 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 ❑ See Page 2 2
y 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(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 227185 Electrical L'c.: C1493 Suprv.Lie.: 6394S specifically listed(1 hr min)
ELF. ' L tit ,DES
Suprv.Electrician signature,required: Subtotal:
Print name: Shan Whittaker Date: 04/14/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: COW7 mte,� (j,/,,�ar-d Permitting Coordinator TOTAL PERMIT FEE:
j" This permit application expires if a permit is not obtained within 180
Print name: Courtnie Hougaard Date: 04/14/2023 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 440-4615T(11/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
i� SIDENTIAL ► N:Y �DUL s E
Description Qty I Each I Total I *
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 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
El 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 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(t/z hr min)
ELECTRICAL P1 RMLT PEES.. ..
COMMERCIAL WORT.ONLY Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 * 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
❑ 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\ELCPermitApp_ELR_ERE.doc Rev 06/17/2015