Permit •
insT223-oo iv
City of Tigard RED
Building Division MAY ,3
13125 SW Hall Blvd,Tigard, OR 97223 CITY OF T',{
Phone: 503.718.2439 Fax: 503.598.1960 BUILDING
T I GARD Inspection Line: 503.639.4175
www.tigard-or.gov
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 6910 SW Oak St, Portland, Oregon, 97223
City: Zip:
Owner's Name: David Botteron Date: 04 / 28 / 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 ❑ Yes qualify for the
Located in a flood prescriptive path, follow
Area plain/flood way? ❑� No OSSC or ORSC for
design requirements.
Wind Exposure Is the wind exposure 2 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 ❑Q 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
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Is the construction
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?
�/
If"Yes", qualifies for
Pre-engineered trusses. ❑ Yes the prescriptive path.
❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. Q If"Yes", qualifies for
Yes the prescriptive path.
❑ No
Is the combined weight 0 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
with Section 305.4(3) of If"Yes", qualifies for
the 2010 Oregon Solar ❑ No the prescriptive path.
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.
2 of composition
shingle.
Is the roof mounted 0 Yes
Connections of solar assembly
the solar assembly connected to roof If"Yes", qualifies for
❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
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❑ 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
prescriptive path.
standing seam
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 ❑ Yes If"Yes", qualifies for
fastener? the prescriptive path.
❑ No
Is the roof decking of
WSP min. t/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
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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
2: COMMUNITY DEVELOPMENT Permit#: MST2023-00187
Date Issued: 06/01/2023
T I G Ag D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136AD01901
Jurisdiction: Tigard
Site address: 6910 SW OAK ST
Subdivision: VILLA RIDGE Lot: 1
Project: Botteron
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
Other Fixtures: 0
Drywell-Trench Drain: 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 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:
BOTTERON,DAVID A&CONSTANCE E IBRS FIELD OPS LLC Required Items and Reports(Conditions)
LIVING TRUST 1403 NORTH RESEARCH WAY
6910 SW OAK ST 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 wit, -pproved 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:0, -..n law ires y to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc9-nnli nin thrnnnh OAR 1-nna/nn may !ain rnn,of the ri ileac nr dirt n,ioctinnc to fit INC h,rallinn nn4 9 0M77 nr 1 Ann 999 934.4.
1 / `
Issued By: I" Permittee Signature: ,5e'" e���J
' 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 Ic 4 , eigiw-
City of Tigard R ce"ed
1)ate/By l ermit No.: �+
13125 SW Hall Blvd Tigard,OR 97223 �� � �S����� ��
Plan R view "'`
21
' 6" Phone: 503.718.2439 Fax 503.598.19601111111
MAY Dot rBy 5 Other Pznn t:
TIGARD
Inspection LA ne: 503.639.4175 Date Ready/By: I�,rts: ® See Page 2 for
Internet: www.tigard-or.gov Notiied/Metlrod:5 Supplemental Information
CITY OF TIGARD
BUILDING DIVISION
(.4 Co wr is/
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,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 5,052.32
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
lob site address: 6910 SW Oak St, Portland, Oregon,97223 New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: David Botteron Covered porch area: square feet
('Toss 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 PV5'14 k.0 Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER: ❑ TENANT Number of stories:
Name: David Botteron Type of construction:
Address: 6910 SW Oak St, Portland, Oregon,97223 Occupancy groups:
City/State✓ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT 141' CONTACT PERSON BUILDING PERMIT FEES*
Business name: BRS Field Ops, LLC
(Please refer to fee schedule
Structural plan review fee(or deposit):
Contact name: Courtnie Hougaard
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*
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
GCB lie.: 227185
Total fee due upon application: $201.60
Authorized signature: This permit application expires it'a permit is not obtained
teat,ehae +vw r , Permitting Coordinator within 1.80 days after it has been accepted as complete.
9 Dale: 04/28/2023
Print name: Courtnie Hougaard � " *Fee methodology set by Tri-County Building Industry
Service Board.
l:A Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(11/02/COMNPEB)
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Rece
ived M 11.01%.6O\V 1
U e iv Permit Ii N
a 13125 SW Hall Blvd tigard,OR 97223 Plan Review
Phone: 50>.718 2439 Fax: 503.598.1960 DateBy: Related Permit tt:
TIGARI3 Inspection Line: 503.639.4175 Ready Date/By: Suns: 0 See Page 2 for
• ii Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
0 Service or feeder 401)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.
❑ ❑l-and 2-familydwelling Commercial/industrialu less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Accessory building amps for all other installations. buildings.
❑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 4: Job site address: 6910 SW Oak St, Portland, Oregon, 97223 lOOHPormore. ❑ a°','1 ,'°1-2 "1-3',
City/State/ZIP: 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt. fit: Project name: David Botteron ❑;Hazardous locations. 0 Supply voltage for more than
0 Service or feeder 600 amps or more. 600 volts 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.
1,000 sq.11.or less 168.54 4
Tax map/parcel#: La.add'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
75.00 2
Rooftop Solar PV (with above sq.t1.)
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
elRenewable Energy 0 See Page 2
C1 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: David Botteron 200 amps or less 100.70 2
Address: 6910 SW Oak St, Portland, 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,(H)0 amps or volts 552.16 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,
each branch circuit 7.42 2
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 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
Signal circuit(s)or limited-energy Address: 1403 N Research Way panel,alteration,or extension. ❑ See Page 2 2
Each additional inspection over allowable in any of the above
City/State/ZIP: Orem, UT 84097
Additional inspection(1 hr mum) 66.25/hr
Phone:( 385) 482-0045 Fax: ( ) Investigation(1 hr rain) 90.00/hr
Industrial plant(1 hr min) 78.18/hi
Email: permitting.department@blueravensolar.com
Inspections for which no fee is 90.00/hr
CCB Lie.: 227185 Electrical L.c.: C1493 , Suprv.Lic.: 6394S specifically listed(t,21u:min)
t ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: 0 .0 Subtotal:
Print name: Shan Whittaker Date: 04/28/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit tee):
Authorized signature: C1u t e*Alf aror TOTAL PERMIT FEE:
b Permitting Coordinator
This permit application expires if a permit is not obtained within 180
Print name: Courtnie Hougaard Date: 04/28/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I tl*itding..Permrts,E LC Permittlppp_I I.R_}'RE.dog Rev 06/17/2015 440.4615T111/05/CONEWEB
• Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qty. I Each I Total I r
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 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 90.00/hr
specifically listed(Yz hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
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
n Outdoor Landscape Lighting*
n Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
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