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Permit FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT a Transmittal Letter T I G A R I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO:` (.lg�yl f ' DATE RECEIVED: DEPT: BUILDING DIVISION s . JUL 2 0 2020 FROM: BRS Permitting CITY OF TIGARD Blue Raven Solar BUILDING DIVISION COMPANY: ,Q�- PHONE: 385-482-0045 ,OQ/M/ �•44r�i�-e:,i- ,( A�cre-vewsdl ✓'. Conti By: -t-_ RE:• 13145 Southwest Ash Drive, Tigard, Oregon, ELC2020-0031 MST2020-00100 (Site Address) (Permit Number) - Margaret (Peggy) Dahms (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. 0 Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: Updated plans to reflect upgrade scope of work, interconnection method, and wiring methods. Please see attached engineer letter. FOR 0 ICE USE ONLY Routed to Per echnician: Date: 7/�/Zp7� Initials: AA' Fees Due: Yes ❑ No Fee Description: Amount Due: l2 ? ar\ OW $ 545C) $ Special Instructions: Reprint Permit (per PE): o ❑ Done Applicant Notified: f3 a- Date: 7/3(/ Initials: r--f-V I:\Building\Forms\Transmittal)Ytter-Revisions.doc 05/25/2012 ill - CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit It: MST2020-00100 Date Issued: 04/15/2020 T IG ART) 13125 SW Flail Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102CA00219 Jurisdiction: Tigard Site address: 13145 SW ASH DR Subdivision: VIEWCREST TERRACE Lot: 17 Project: DAHMS 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 sf Value: $23,344.00 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 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 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 11.025 kW Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 0 Owner: Contractor: DAHMS FAMILY REVOCABLE LIVING TRBRS FIELD OPS Required Items and Reports(Conditions) BY DAHMS,ARMIN A TR 1403 NORTH RESEARCH WAY 13145 SW ASH DR OREM,UT 84097 TIGARD,OR 97223 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $359.19 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 160 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 952-001-0010 through OA 2-001-0 0. Yo ay obtain a copy the rul or direct questions to OUNC by calling 503. .1987 or 1.800.332.2344. Issued By: ermittee Signature: �`�L 7' 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 FOR OFFICE USE ONLY City of Tigard RECEIVED Date 3yd: tO 71- * zra-0-0 p/OO II • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan�Review a� I Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 6 2020 �31 Z A A OlfierPemtit Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD No sed/M o ,7(� / Supplemental Information m Ill nihlr, f IVISlnn1 Z TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING I ❑ Neu construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑ Addi lion%ailciatiouireplacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 23,344 ❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building Multi-family \ ❑ Number of bedrooms: i' ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13145 Southwest Ash Drive, Tigard,Oregon, 97223, United States New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg/apt.no.: Project name: Margaret(Peggy)Dahms Covered porch area: square feet Cross street/directions to job site: Deck area: square feet 41( ft et/4 Mr di Cf 14'1 b rrs jpyit4 c7 h 'r Other structure area: square feet Sl2 • l{� , u €t fUC!r `.2` /^)/ ec6 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 Valuation: $ ll1 ()�7 C/S �� Existing building area: square feet New building area: square feet ga PROPERTY OWNER ❑ TENANT Number of stories: Name: Margaret(Peggy)Dahms Type of construction: Address:13145 Southwest Ash Drive,Tigard,Oregon,97223,United States Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: ❑ APPLICANT ®CONTACT PERSON BUILDING PERMIT FEES* (Please refer ill fee schedule) Business name:Blue Raven Solar Structural plan review fee(or deposit): Contact name: Hannah Webb Address: 1403 N Research Way FLS plan review fee(if applicable): 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_: Et tie Rdvet I Solar J"31 '5 i� 9✓ 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 Specially 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 tic.: 227485 ... 1O i/a 444 11'►fro Total fee due upon application: $201.60 Authorized signature: Jej'Pey Lee This permit application expires if a permit is not obtained 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. l:\Building\Pcrmits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) ' IV D MAY -4 2020 Electrical Permit Application 1'012 Ol l it I. I SI•: 0A1.1 CITY,j, i i i/`)RD Received City of Tigard BUILDING ,, DneB : Perrin: Ill • 13125 SW Hall Blvd.,Tigard,OR 97223 O E7i VIiSj ON Plan Review • Phone: 503.718.2439 Fax: 503.598.1960 Date/B Related Permit N: Inspection Line: 503.639.4175 Ready Date/By: 3uris: ® See Page 2 for IIGARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW'-. .. ❑New construction ®Addition/alteration/replacement Please check all that apply(suhrnit 2 sets pflplany w/items checked): ❑Service or feeder 400 snips or more ❑Building over three stories. E Demolition ❑Other: _ where the available fault current ❑Marinas and boatyards. 4o .' ,<? CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ©1 and 2-family dwelling ❑Commercial/industrial ElAccessory building less to ground,or exceeds 14,000 ❑Commemial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or '! JOB SITE:;Ill TI' ll LOC•, t2 0 Emergency system. larger separately derived 131�45 Southwest Ash Drive,vh es Job#: Job site address: Tigard, 0 ❑Addition of new motor load of sys ern 100HP or more. ❑"A","E","]-2" "1-3" City/State/ZIP:/State/ZIP: 0 Six or more residential units. occupancy. ty ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Margaret(Peggy)Dahms 0 Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Description Qty. Each Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel ti: 2S102CA00219 1,000 sq.ft.or less 168.54 4 Ea add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK _ Limited energy,residential Rooftop Solar PV (with above sq.ft.) 75.D0 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy IDSee Page 2 rpi PROPERTY OWNER 1 ElTENANT Services or feeders installation,alteration,and/or relocation Name: Margaret(Peggy) Dahms 200 amps or less 100.70 2 Address: 13145 Southwest Ash Drive,Tigard,Oregon,97223, United States 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:(503)5189511 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 t� -- --- Branch circuits—new,alteration,or extension, l er panel 1C.1 APPLICANT ❑ 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 1403 N Research Wa service or feeder fee,first 56.18 2 Address: Y branch circuit City/State/ZIP: Orem, UT 84097 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 385)382-0045 Fax: :( ) Each manufactured or modular 67.84 2 Email: permitting.department@blueravensolar.com dwelling service and/or feeder 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 WaySignalllcircuit(s)to or limited-energy ❑ 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(I hr min) 66.25/hr Phone:(385)482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr Email: permitting.department@blueravensolar.com Maus al plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00i hr CCBLie.:227185 Electrical Lie.: C1493 Suprv.Lie.: 6394S specifically listed('iihrmin) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Sr.Irian. . Subtotal: Print name: Shan Whittaker Date: 05/04/2020 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): a.e Authorized signature: "/..1r , TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Ethan Derieg Date: 05/04/2020 days after it has been accepted as complete. " Number of inspections allowed per permit. I:tBuild,ng\Pcrmits\ELCPemitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(I I/05/COM/WEB Electr'nl Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE DescriptFee for all residential systems•stems combined: $75.00 on oQtr. E.en Total Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 n 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 I Garage Door Opener* 50.01 to 100 kva 552.26 2 >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 I I Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in an of the above: p Other: Solar PV Each additional inspection is 66.251 hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.00/hr specifically listed I%,hr min) COMMERCIAL WORK ONLY: ELECTRICAL. PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): • Number ofinspecnons allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls Outdoor Landscape Lighting* ❑ Protective Signaling n Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 0 611 7/2 0 1 5 1 Electrical Permit Application RECEIVE eceRed MI City of Tigard Date/By: Permit#: 1 SW Hall Blvd.,Tigard,OR 97223 MAR 2 6 2020 Plan Review Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Inspection Line: 503.639.4175 ,. n on Ready Date/By: sulk: I Id See Page 2 for TIGARD Internet: www.tigard-or.gov 'CITY OF TIGARE: nail/Method- Supplemental Information i, ILDING UIViSit:1. TYPE OF WORK PLAN REVIEW ❑ New construction ©Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ©I-and 2-family dwelling E Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑ Multi-family ❑ Master builder El Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job 4: Job site address: 13145 Southwest Ash Drive, Tigard, 0 ❑Addition of new motor load of ❑na'tem 100HP or more. (.'1 /$[ate/Z1P: 0 Six or more residential mots. occupancy. ___.. Cl Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt./f: Project name: Margaret(Peggy)Dahms ❑Hazardous locations. 0 Supply voltage for more than i 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qtr. I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel.ft: 1,000 sq.R.or less 168.54 4 Ea.add'!500 sq.ft.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.) pijRenewable Energy 0 See Page 2 _ PROPERTY OWNER 1- ❑ TENANT' Services or feeders installation,alteration,and/or relocation Name: Margaret(Peggy) Dahms 200 amps or less 100.70 2 Address: 13145 Southwest Ash Drive,Tigard,Oregon, 97223, United States 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 El APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: Blue Raven Solar above service or feeder fee, each branch circuit 7.42 2 Contact name: Hannah Webb B.Fee fur branch circuits without service or feeder fee,first Address: 1403 N Research Way branch circuit56.18 2 City/State/ZIP: Orem, UT 84097 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 385)182-0045 Fax: :( ) Each manufactured or modular 67.84 2 Email: permitting.department@blueravensolar.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Blue Raven Solar Sign or outline lighting 67.84 2 Address: 1403 N Research WaySignal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. Orem, UT 84097 Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(1 hr min) 66.25/hr Phone:i385)482-0045 Fax: ( ) Investigation(I hr min) 90.00/hr Email: permitting.depart ent bluerav-a . . co Industrial plant(1 hrmin) 78.18/hr deMnr 4 Inspections for which no fee is 4 �.. 90.00/hr CCB Lic.: Electrical Lic.: a r( uprv.Lic.: '? specifically listed(5i hr min) �j ELECTRICAL PERMIT FEES, Suprv.Electrician signature,required: CCie Subtotal: Print name: Sam Collier Date: 03/25/2020 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: Jeffrey TO'CAL YIRMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 03/25/2020 days after it has been accepted as complete. Number of inspections allowed per permit. C\Building\Penmts'ELC_PemutApp_ELR ERE.doc Rev 06/17;2015 440-4615T(11/05/COM/WEB