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Permit 11111 _ CITY OF TIGARD MASTER PERMIT I COMMUNITY DEVELOPMENT Permit#: MST2020-00094 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2020 Parcel: 2S108DB04800 Jurisdiction: Tigard Site address: 15095 SW 154TH AVE Subdivision: POLYGON AT BULL MOUNTAIN Lot: 46 Project: JIANG 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: $10,714.00 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 Storm Sewer. 0 Drains: 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 Tvoes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0 Heat Pump: N Hoods: 0 Other Units: 0 Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvciFeeders 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: 0 401-800 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: Y Other Description: Roof top solar PV system 4.13 kW Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF V B R-3 a Owner. Contractor: JIANG,ZENGHUI BRS FIELD OPS Required Items and Reports(Conditions) SHAN,SHUANG 1403 NORTH RESEARCH WAY 15095 SW 154TH AVE OREM,UT 84097 TIGARD,OR 97224 • PHONE: PHONE: 855-205-2530 FAX: Total Fees: $346.38 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: 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 OAR • -001-0090. Yo/`y^(��y obtain a co of the rules o direct questions to OUNC by calling 503.232.1987 or 1.300.332.2344. Issued By: " (Yl//11 e% Permittee Signature: AP %//��//�r Li 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 RECEIVE R FOR OFFICE l SF ONLY City of Tigard eceivedDate/By: / / fd Permit No.: /' 77de Y.. ii '7 lig . • 13125 SW Hall Blvd,Tigard,OR 97223 MAR 17 2O2( Zino Plan Review a Phone: 503.718.2439 Fax: 503.598.1960 Date/By: i Zino Other Permit: T I G A R n Inspection Line: 503.639.4175 CITY OF TI GAR D Date Ready/By //' ®7uris. See Page 2 for Internet: www.tigard-or.gov p)JII_-f INf DIVISIONNo4fjad/bletho - ��/'� Supplemental Information l TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑ New construction ❑Demolition Permit fees*arc 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. Di-and 2-family dwelling El Commercial/industrial Valuation: S 10,714 `J ❑Accessory building 0 Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 15095 Southwest 154th Avenue, Tigard,Oregon,97224, United State: New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Zenghui Jiang Covered porch area: square feet Cross street/directions to job site: -td' / Deck area: square feet /11/ �iC(W.c c/n'��hl�l` I (S /4't.Gt 521-4 4A /rr Other structure area: square feet -415e �• N�C v k7I gc.s/Yei u'e-rr(Gc 2/ 676 3 REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: I 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: $ tl l Existing building area: square feet i New building area: square feet p PROPERTY OWNER 0 TENANT Number of stories: Name: Zenghui Jiang Type of construction: Address:15095 Southwest 154th Avenue,Tigard,Oregon,97224,United States Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT ®CONTACT PERSON BUILDING PERMIT FEES* Business name:Blue Raven Solar (Please refer to fee schedule) Structural plan review fee(or deposit): Contact name: Hannah Webb 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: P 9• P ermittin de arment blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of /� ( roof-top mounted PhotoVoltaic Solar Panel System. Business name Buie-Raven_ /U SOlar E ,,� ��S Submit two(2)sets of roof plan with connection details Address: 1403 N Research Way and fire department access,along with the 2010 Oregon 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 lie.: 227185 Total fee due upon application: $201.60 Authorized signature: Jell"lee This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Jeffrey LeeDate: 03/12/2020 *Fee methodology set by Tri-County Building Industry Service Board. I:\Build ng\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Applicati p ED FOR OFFICE use ONLY `,.,-r City of Tigard A{ Received : • 13125 SW Hall Blvd.,Tigard,OR 9722MII AY -k LULU Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B t II..4 R D Inspection Line: 503.639 4175 `I `r 'i'f? Ready Date/By: runs H See Page 2 for Internet. www.tigard-or.gov Notified/Method. Supplemental Information TYPE OF WORK -'`F`l— PLAN REVIEW. -x.::-`r _ ❑New construction ®Add ition/alteration/repl ace ment Please check all that apply(submit 2 sets of plans w/items checked): D Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. ?' CATEGORY OF CONSTRUCTION ..,-.-it t ; exceeds 10,000 amps at 150 volts or ❑Floating buildings. "M 1-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 [1 Other: ❑Fire pump. 0 Installation of 150 KVA or "- *IN vaa,aa TIP.V. ♦N. `OCA F.d • 0 Emergency system. larger separately derived Job#: Job site address: 15095 Southwest 154th Avenue, Tigal ElAdditionIOOHP of new motor load of system. or more. ❑"A" "E' "1.2" "1-3" City/State/ZIP: ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: Zenghui Jiang 0 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: t` r F+= ,.'� . Description 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#: 2S108DB04800 Ea.add'I 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential Rooftop Solar PV (with above sq.ft.) 75.00 2 ____ Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 ®PROPERTY OWNER ❑ TENANT __ Services or feeders installation,alteration,and/or relocation Name: Zenghui Jiang 200 amps or less 100.70 2 Address: 15095 Southwest 154th Avenue,Tigard,Oregon,97224,United Sta 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:((203)9086217 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: zenghuij@gmail.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 ®APPLICANT ❑ CONTACT PERSON •' Branch circuits—new,alteration,or extension, i er panel - - -R 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 circuit56.18 2 City/State/ZIP: Orem, UT 84097 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 385 482-0045 Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: permitting.department@blueravensolar.com Reconnect only 67.84 2 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 WaySignal alteration,)or limited-energy ❑ See Page 2 2 panel, 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) 78.18/hr Inspections for which no fee is CCB Lic.: 227185 Electrical Lic.: C1493 Suprv.Lic.: 6394S specifically listed(1/4hr min) 90.Oo/hr -ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Sr.....?art.L• Subtotal' Print name: Shan Whittaker Date: 05/04/2020 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Cn.(e r • D"7 TOTAL PERMIT FEE: Authorized signature: 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. 1:1Building\Permas\ELC_PermisApp_ELR ERE.doe 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: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description l Vly. l Each I Total I " Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kva or less 100.70 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: n Burglar Alarm 25.01 to 50 kva 301.04 2 n50.01 01 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: p 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(Y:hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): y • Number of inspections allowed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation n HVAC Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* ❑ Medical n 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\Building\Perrnits'\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 t "Electrical Permit Application FOR OFFICE USE ONLY we Received City of Tigard Date/By: ! Permit a: 13125 SW Hall Blvd.,Tigard,OR 9 ' E C E I V E D Plan Review Phone: 503.718.2439 Fax: 503.598.1960' 'Mill). . Date/13y: Related Permit 8: Inspection Line: 503.639.4175 Mil p " f''?f Ready Date/By: lads: El See Page 2 for TIGARD, Internet: www.tigard-or.gov Notifedi:Nethod: Supplemental Information TYPE OF wt Y(if- i I(JAHU PLAN REVIEW E New construction ®Addition/alteration/replacement� Please check all that apply(submit 2 sets of plans wilterns checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑Commercial's , less to ground,or exceeds 14,000 ❑Commercial-use agricultural ©1-and 2-family dwell mg industrial E Accessory building amps for all other installations. buildings. ❑Multi-family ❑ Master builder E Other: 0 Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: 15095 Southwest 154th Avenue, Tigar ❑Addtonofnewmotorloadof system 100HP or more. ❑"A" "E" "1-2" "1-3" City/State/ZIP: ❑Six or more residential units. occupancy. ❑Health-care facilities. ❑Recreational vehicle packs. Suite/bldg./apt.#: Project name: Zenghui Jiang 0 Hazardous locations. 0 Supply voltage for more than ❑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.fl.or less 168.54 4 Tax map/parcel#: Ea.add'l500 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.) Renewable Energy 0 See Page 2 ®PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: Zenghui Jiang 200 amps or less 100.70 2 Address: 15095 Southwest 154th Avenue,Tigard, Oregon, 97224, United Sta 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 APPLICANT ❑ 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, 7.42 each branch circuit Contact name: Hannah Webb • B.Fee for branch circuits without Address: 1403 N Research Way service or feeder fee,firstbranch 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 t82-0045 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 t(s)or limited-energy 0 See Page 2 2 paned,alteration,or extension. ty Orem, UT 84097 Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(I hr min) 66.25/hr Phone:(385)482-0045 Fax: ( ) Investigation(1 hr min) 90.00/hr Email: permitting.depa nt@blueravensolar.com Industrial plant(l hr min) 7a.1R/hr Inspections for which no fee is 90.00/hr CCB Lic.J Electrical Licf: u 1493 "I Suprv.Lic.: specifically listed(ti hr min) n r t It_w ELECTRICAL PERMIT FEES Suprv.Electrician3D signature,required: Subtotal: Print name: Sam Collier Date: 03/12/2020 ❑Plan Review Required(25%of permit fee): _ State surcharge(12%of permit fee): TOTAL PERMIT FEE: Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 03/12/2020 days after it has been accepted as complete. • Number of inspections allowed per permit. I:'Sinilding'Permits`ELC PermitApp_ELRERE.doe Rev 06117l2015 4404615T(l Ir05/COM1WEB