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Permit 4 CITY OF TIGARDPhi I MASTER PERMIT COMMUNITY DEVELOPMENT Permit It: MST2020-00093 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2020 Parcel: 2S102CA00210 Jurisdiction: Tigard Site address: 13235 SW ASH DR Subdivision: VIEWCREST TERRACE Lot: 8 Project: COOK Project Description: Solar photovoltaic system. 5/13/20: REPRINT to change contractor information. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement: sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front: Smoke Dwelling Units: Third: sf Right: Detectors: Total: sf Value: $25,656.00 Rear: PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer: Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Bckflw Prevntr: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Other Fixtures: Drywell-Trench Drain: Other Fixture Units: MECHANICAL Fuel Tvpes Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Fum<100K: Vents: Woodstoves: Gas Outlets: Furn>=100K: 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 addl 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 Other: Y Other Description: Roof top PV system 12.39 kW Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 Owner: Contractor: COOK,LORI LEA&RONALD SR BRS FIELD OPS Required Items and Reports(Conditions) 13235 SWASH DR 1403 NORTH RESEARCH WAY TIGARD,OR 97223 OREM,UT 84097 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 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 952-001-0010 through OA 952-001-0090. u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987c or 1.800.332.2344.44 Issued By: � Permittee Signature: , t �-Ly/0 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 RECEIVED FOR OFFICE USE ONLY City of Tigard Received ater, 3 / e20 .1 ...,, • (J,Z(J�Xj0/.3 i • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 11 2020 Plan Review rI "�'�'�''� �� G, ' It. Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 3 'Lbw IIt .{ Sri :0 / — 2 i i t ,, a i, Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By tr.'' ® See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Not led! o� � , Supplemental Information r TYPE OF WORK REQUIRED t ATA: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. 00 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ 25,656 ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 13235 SW Ash Dr, Tigard, Oregon,97223 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Lori Cook Covered porch area: square feet Cross street/directions to job site: // �Aw �,(__/ Deck area: square feet r.//(/r°en- bstll - 1 4 5. LJ/_ rii*Kit Other structure area: square feet (i( a6jCoe•tit"d! te}( e REQUIRED DATA:COMMERCIAL USE CHECKLIST Subd>rvision: 5e., 56.44 i /a,//` y Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all /"/r Tax map/parcel no.: , A [�I �� / �• equipment,materials,labor,overhead,and the profit for the .� DESC/1tIPTION OF WORK work indicated on this application. 1), $ 9 J('J Rooftop Solar PV Valuation: $ Existing building area: square feet New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: Lori Cook Type of construction: Address:13235 SW Ash Dr,Tigard,Oregon,97223 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) 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 FLS plan review fee(if applicable): City/State/ZIP: Orem, UT 84097 _ Total fees due upon application: Phone:(385482-0045 Fax: :( ) Amount received: E-mail: P g• P r.ermittin de arment blueravensolacom PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: B41/e-RaVen-S.afdr j/�,5 <(c( c771>C Submit two(2)sets of roof plan with connection details J and fie 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 lie.: Total fee due upon application: $201.60 p-6-71r-L. r / This permit application expires if a permit is not obtained Authorize srgna Jeffrey y /lee "'!!�f��`"'�� !XFi within 180 days after it has been accepted as complete. Print name: Jeffre Lee Date: 03/10/2020 *Fee methodology set by Tri-County Building Industry y Service Board. 1:1Building\Permits\BUP-RF.SPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) .' Electrical Permit Application ��++ FOR OFFICE(1SL ONLY N City of Tigard R��e ��® RRece ed Permit a: g 13125 SW Hall Blvd.,Tigard,OR 97223 MAY — A Z02n Plan Review ' I Phone: 503.718.2439 Fax: 503.598.1960 'ie Date/B : Related Permit#: Inspection Line: 503.639.4175 0 ,_.... ,. Ready Date/By - luds. ® See Page 2 for T IGA RD Internet: www.tigard-or.gov ('.i 1 r(-" ":,.ARD NotifiedMlethod: Supplemental Information .irx ,::r nraN REV..-.,". ❑New construction ®Addit ion/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): ❑Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑Other. where the available fault current 0 Marinas and boatyards. � CC�i E4 pu1 .Of f1NSTEf3iC J'1Q y; ,ia_ T exceeds 10,000 amps at 150 volts or ❑Floating buildings. ©1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ;., _. . ❑Emergency system. larger separately derived Job#: Job site address: 13235 SW Ash Dr,Tigard, Oregon, 97 ❑Ad&lion of new motor load system IONIP or more. ❑"A" "E" "1-2" "1-3" Cl /$tate/ZIP: 0 Six or more residential units. occupancy. ty 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Lori Cook ['Hazardous locations. ❑Supply voltage for more than 0 Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: Descripdon Qty.... Each Total ':;. 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#: 2S102CAD0210 Ea.add'150o sq.ft.or portion 33.92 1 „„PESCRIP''1 4 ,Y RK r Limited energy,residential Rooftop Solar PV (with above sq.ft.) 7s.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) rn Renewable Energy ElSee Page 2 pi PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Lori Cook 200 amps or less 100,70 2 Address: 13235 SW Ash Dr,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 Phonel(808)200-2887 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: mauigirl52@hotmail.com relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I 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 ❑ 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 service or feeder fee,first Address: 1403 N Research Way branch circuit 56.18 2 City/State/ZIP: Orem,UT 84097 Each add'I 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 z 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 WaySignall, tca )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 Industrial plant(1 hr min) 78 lsr hr Inspections for which no fee is 90.00/hr CCB Lic.:227185 Electrical Lie.: C1493 Suprv.Lie.: 6394S specifically listed(ti hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: S,.kha. .. Subtotal Print name: Shan Whittaker Date: 05/04/2020 ❑Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): elea7 TOTAL PERMIT FEE: Authorized signature: 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. 1lauil ding\Permits\ELC PermitApp ELR ERE.doc Rev 06/17/2015 440-4615T(Il/05/COM/WEB Electrical'Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description l Qo. [ Each Total • 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 Ti 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 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: ❑ Other: Solar PV Each additional inspection is 66.25/hr I charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('Vs hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal Enter on Page 1). Number of inspections allowed peer permit_ (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ] Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1.\BuildingPermin ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 Electrical Permit Application RECEIVED FOR OFFICE USE ONLY 1. Received City of Tigard DateB : Permit i?. III • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 1 2020 Plan Review • Phone: 503.718.2439" Fax: 503.598.1960 Date/B : Related Permit 5: TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Ready Date/By: hais: H See Page2 for x Internet: www.tigard-or.gov RI III DING DIVISION Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction ©Addttion/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): D Demolition ❑Other: ['Service or feeder 400 amps or more 0 Building over three stones. where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. ©1-and 2-family dwelling ❑Commercial/industrial ❑ Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family El Master builder El Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: Job site address: 13235 SW Ash Dr, Tigard, Oregon, 97 ❑Addirionorofnewmore_motor load of system 100HP ❑"A" "E" "1-2" "1-3„ CI /$fate/ZIP: ❑Six or more residential units. Occupancy. ty ❑Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Lori Cook ❑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 Qtv. I 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#: Ea add)500 sq.ft.or portion 33.92 l 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.) Renewable Energy 0 See Page 2 ®PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Lori Cook 200 amps or less 100.70 2 Address: 13235 SW Ash Dr,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 fill APPLIC $ .P-l. , ..'+ cP:: s, c f>., 1 ` Branch circuits—new,alteration,or extension,per panel "r+3 ... �' .,„,,,.,s..„,.,,,;a, ,.aw�ak 4. � A.Fee fur branch circuits with Business name: Blue Raven Solar above service or feeder fee, 7.42 2 each branch circuit Contact name: Hannah Webb 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}'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 inigation circle 67.84 2 Business name: Blue Raven Solar Sign or outline lighting 67.84 2 Address: 1403 N Research Waypinealateratins)or limited-energys . 0 See Paget 2 panel,alteration,or extension. ty 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:(385)482-0045 Fax:( ) Investigation(1 hr min) 90.00/hr Industrial plant(1 hr min) 78.18/hr Email: permitting.department@bluera l r. l Inspections for which no fee is 90.00/hr CCB Lic.: lectrical Lic.: G4499- Suprv.Lic.: specifically listed(Va hr min) �Q /J�y /�J ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: itt uttr4,2 net, Subtotal: Print name: Sam Collier Date: 03/10/2020 ❑Plan Review Required(25%of permit fee): �� ,' State surcharge(12%of permit fee): Authorized signature: Jeffrey tee PERMIT FEE: e a" _/ This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 03/10/2020 days after it has been accepted as complete. a Number of inspections allowed per permit. t:lBuilding/Permits1ELC PermitApp_ELR_ERE.doe Rev 06/17/2015 440-4615T(1I/05/COM/WEB