Permit •
I) CITY OF TIGARD MASTER PERMIT
III _. , COMMUNITY DEVELOPMENT Permit0: MST2020-00099
Date Issued: 04/15/2020
T 1 G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104DD08700
Jurisdiction: Tigard
Site address: 12837 SW MORNINGSTAR DR
Subdivision: MOUNTAIN HIGHLANDS NO.3 Lot: 45
Project: Tse
Project Description: Solar photovoltaic system. 5/13/20: REPRINT to change contractor information.
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 of Value: $8,993.00 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 0 Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bcklw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units: Roof top PV system
MECHANICAL
Fuel'Noes 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
Fum>=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'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 PV system 3.245 kW
Ecompasing
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VS R-3 0
Owner: Contractor:
CHU,WAI TIN BRS FIELD OPS Required Items and Reports(Conditions)
TSE,TREEDY WAI CHU 1403 NORTH RESEARCH WAY
12837 SW MORNINGSTAR DR OREM,UT 84097
TIGARD,OR 97223
PHONE: 385-482-0045 PHONE: 855-205-2530
FAX:
Total Fees: $322.38
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: 0 -gon law requir s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throug ,'R 952-.•1-009 . You may obtai copy of the rules or direct questions to OUNC by calling 503.232.1987� or 1.800.332.2344.
Issued By:/, " Permittee Signature: 96- V../
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
Resist ential p . FOR OFFICE USE ONIX
City of Tigard �l G�q @� qV q DateB .., ,)v Ij f�° o>a�C) ,
14 i • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 2 V 2021P1'Review )
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 3/ ZdAps OlherPe,ime
1.1,,-`Il II Inspection Line: 503.639.4175 rrrgggate Ready/By:! hais: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGAF[ ,;feodd ` Supplemental Information
R!)ii DINO olVls ON
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 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 dwellingValuation: S 8,993
y ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
y rI is,/OB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12837 Southwest Morningstar Drive,Tigard,Oregon,97223, United Si New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: treedy tse Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
friglet. t ,
/ — - v fit- Lo= i P. Other structure area: square feet
>ls ` fjl 4� ejp � j'� _ 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 Valuation: $
3.ay5 61 Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: treedy tse Type of construction:
Address:12837 Southwest Morningstar Drive,Tigard,Oregon,97223,United States Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( 1 New:
0 APPLICANT ®CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:Blue Raven Solar
Structural plan review fee(or deposit):
Contact name: Hannah Webb
—
Address: 1403 N Research Way PLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP: Orem, UT 84097
Phone:(385482-0045 Fax::( ) Amount received:
E-mail: permitting.deparment@blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: l3luc flovcn Solar Ks[S ,'J� t"7S Submit two(2)sets of roof plan with connection details
K 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:(385482-0045 Fax:(/ ) State surcharge(12%of permit fee): $21.60
CCB lic.: 22 485 . / 7 fr 2_ "1G N(li`, Total fee due upon application: $201.60
Authorized signature: V q� lee This permit application expires if a permit is not obtained
L. within 180 days after it has been accepted as complete.
Print name: JeffreyLeeDate: 03/25/2020 *Fee methodology set by Tri-County Building Industry
Service Board.
1:\BuildingWern its\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
lectrical Permit Applicati V11.1111111EM=11111111611.‘
.� City of Tigard ,t Received Permit#.
• 13125 SW Hall Blvd.,Tigard,OR 97223MAY —4 2020 Date/By:i_( Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#:
TIGARD Inspection Line: 503.639.4175 CI', ,.:•:..TABD Ready Date/By: runs. HI See Page for
Internet: vvww.tigard-or.gov 3UILDINC DIVIS C: Notified/Method: Supplemental Information
R.' ':'s >'" , L>'. 47-4"— ,Pw 1F
W
-+varem"ue� Y? . PLAN REV _.. _
' - fiYPE OF
El New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Demolition ❑ t)Tilel: ❑Service or feeder 400 amps or more ['Building over three stories.
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
M1-and 2-family dwelling ❑Commercial/industrial Accessory building teas to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑ Other: ID Fire pump. 0 Installation of 150 KYA or
fI0 QC-TI ❑Eme gency system. larger separately derived
Job#: Job site address: 12837 Southwest Momingstar Drive, ❑Addition of new motor load of system.
100HP or more. ❑"A" "E" "I-2" "I-3"
City/State/ZIP: ❑Sixor more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Treedy Tse 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or mole 600 volts nominal.
Cross street/directions to job site: ,r „
Description Qty. Each Total r..
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel l: 2S104DD08700 1,000 sq.ft.or less 168.54 4
---- Ea.add'l 500 sq.ft.or portion 33.92 1
SCRIPTION OF WORKI Limited energy,residential
Rooftop Solar PV (with above sq.ft.) 75.0o 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
PROPERTY OWNER Renewable Energy ❑ See Page 2
___ 0 TENANT Services or feeders installation,alteration,and/or relocation
Name: Treedy Tse 200 amps or less 100.70 2
Address: 12837 Southwest Morningstar Drive,Tigard,Oregon,97223,United 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:((50318997792 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: treedy_mat@yahoo.com 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
Branch circuits—new,alteration,or extension,per panel El APPLICANT 7 0 CONTACT PERSON
A.Fee for branch circuits with
Business name: Blue Raven Solar above service or feeder fee, 7.42 2
- — each branch circuit
Contact name: Ethan Derieg 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
Miscellaneous(service or feeder not included)
Phone:( 385)182-0045 Fax::( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
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(I tar min) 66.25/hr
Phone:385 i482-0045 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
CCB Lie.: 227185 Electrical Lie.: C1493 Suprv.Lie.: 6394S specifically listed CAhr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Si. tZtz.L. Subtotal.
Print name: Shan Whittaker Date: 05/04/2020 0 Plan Review Required(25%of permit fee):
/ State surcharge(12%of permit fee):
Authorized signature:
.kf
r TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name: Ethan Derieg Date: 05/04/2020 days after it has been accepted as complete.
* Number of inspections allowed per permit.
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•
Electxi4'a1 Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems ystems combined: $75.00 Description Q� Each Total
Renewwable electrical energy systems:
Check Type of Work Involved: s kva or less 00 70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to25 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 552.26 2
with OAR 918-309-0040)
❑ 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:
M I Other: Solar PV Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00,1 hr
specifically listed(Ve hr min)
COMMERCIAL WORK ONLY: E'e ICAL 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
n Boiler Controls
❑ Clock Systems
Ti Data Telecommunication Installation
n Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
(l Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I1BuildingPPermitsiELC_PermitApp_ELR_ERE.doc Rev 06/17/2015