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Permit
lig CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2020-00128 T I GA R Tp 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/27/2020 Parcel: 1 S 135DD05600 Jurisdiction: Tigard Site address: 11830 SW GREENBURG RD Subdivision: 2007-031 PARTITION PLAT Lot: 1 Project: ALCAZAR Project Description: Solar photovoltaic system. 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: $14,747.00 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 Drywall-Trench Drain: 0 Other Fixtures: 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'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svo/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 6.3 kW Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 0 Owner: Contractor: ALCAZAR,GENARO BRS FIELD OPS Required Items and Reports(Conditions) 11830 SW GREENBURG RD 1403 NORTH RESEARCH WAY TIGARD,OR 97223 OREM,UT 84097 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $539.19 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 follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 952-001-0090. You btain a s or direct questions to OUNC by calling 503.232.19 7 or 1.800.332.2344.��//JJ Issued By: �� Permittee Signature: 1::: 4: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. I ' 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 ec FOR OFFICE USE ONLY City of Tigard RECEIVE '''ee,vea /i✓/iP' f J/ 1,•' xo teB - �� �+ III • 13125 SW Hall Blvd,Tigard,OR 97223 'Ian Review .�/t �� s Phone: 503.718.2439 Fax: 503.598.1960 6 Date/By: , 20 Other Pernvt: 1 I C:1 1:i Inspection Line: 503.639.4175 APR 2020 Date Re dyBy� / �/ �/ 7 s I Supplemental See ge2 for Information Internet: www.tigard-or.gov NotaCITY OF TIGARD j �! r BUILDING DIVISION ' '". TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction 0 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 El Other: equipment,materials,labor,overhead,and the profit for the \ . / CATEGORY OF CONSTRUCTION work indicated on this application. Valuation: $ 14,747 ,131-and 2-family dwelling ❑Commercial/industrial Number of bedrooms: ❑Accessory building ❑Multi-family ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11830 SW Greenburg Rd,Tigard,Oregon, 97223, USA New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Genaro Alcazar Covered porch area: square feet Cross street/directions to job site: _[ Deck area: square feet / /,r y�(�S /..1� r � r"�j./ j1" Other structure area: square feet 6t G Li e 1r c*S`("/ 1//' / . REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdiv ion: �{J -�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: $ Existing building area: square feet New building area: square feet ®PROPERTY OWNER ❑ TENANT Number of stories: Name: Genaro Alcazar Type of construction: Address:11830 SW Greenburg Rd,Tigard,Oregon,97223,USA 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 FLS plan review fee(if applicable): Address: 1403 N Research Way Total fees due upon application: City/State/ZIP: Orem, UT 84097 Amount received: Phone:(3853482-0045 Fax: :( ) e E-mail: P 9• P ermittin de arment blueravensolar.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* _ Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: a even '(/ 'C l/C pile q.5 Submit two(2)sets of roof plan with connection details ✓✓✓ and fire department access,along with the 2010 Oregon Address: 1403 N Research Way I— 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.: 227185 Total fee due upon application: $201.60 Authorized signature: t7ehttey lee This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Jeffrey Lee Date: 03/30/2020 *Fee methodology set by Tri-County Building Industry Service Board. 1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard ReceivedDateBY Permit#: -" 13125 SW Hall Blvd.,Tigard,OR 97223 `r tan Review Phone: 503.718.2439 Fax: 503.598.1961}{EC E"w E '1ate/By: Related Permit#: TI G A R D Inspection Line: 503.639.4175 T ` Ready Date/By: Iris: El See Page 2 for -. Internet: www.tigard-or_gav Notified/Mcdiod: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ©Additio Ilia Iterati 0n Ire placement 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 ['Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or 0 Floating buildings. l ©1-and 2-family dwelling ❑Commercial/industrial [ii]Accessory building less to mound,or exceeds 14,000 ❑Commercial-use agriculura amps for all other installations. buildings. ❑ Multi-family ❑ Master builder El Other: ID Ere pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived 11830 SW Greenburg Tigard, Ore ❑Addition of new motor load of system. Job 4: Job site address: Rd, g 1001TP or more. ❑"A".'°E° "1-2" "t-3" Ci /State/ZIP: ['Six or more residential units. occupancy. n ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.4: Project name: Genaro Alcazar ❑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 SCFIEDULE Description I On-. I Each I 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 4: Ea.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.ft.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) --- Renewable Energy ❑ Sec Page 2 RI PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Genaro Alcazar 200 amps or less 100.70 2 Address: 11830 SW Greenburg Rd, Tigard,Oregon, 97223, USA 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 401.04 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 ❑ 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 2 each branch circuit Contact name: Hannah Webb B.Fee for branch circuits without service or feeder fee,first 56 18 2 Address: 1403 N Research Way branch circuit City/State/ZIP: Orem, UT 84097 Each add'1 branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( 3851182-0045 Fax: : ( ) Each manufactured or modular 67.84 2 Email: permitting.department@blueravensolar.com dwell ng,set ice 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 WaySignal alteration,t(s)or limited-energyxenso ❑ See Page 2 2 panel, or extension. y Orem UT 84097 Each additional inspection over allowable in any of the above City/State/ZIP: Additional inspection(1 hr min) 66.25/la Phone:f385)482-0045 Fax: ( ) Investigation(1 hr min) 90.00/hr Email: permitting.department@blueravensolar.com Indust al plant(1 hr min) 78.18/h Inspections for which no fee is 90.00/hr CCB Lie.: 227185 Electrical Lic.: C1493 Suprv.Lic.: 6394S specifically listed(Yi hr min) p�If.t c. ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Shan Whittaker Date: 05/22/2020 0 Plan Review Required(25%of permit fee): Jeffrey State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date: 05/22/2020 days after it has been accepted as complete. Number of inspections allowed per permit. t:.BuildingPermits\ELC_PermitApp_ELR_ERE.doc Rev 06 I7.2a15 440-4615T(I l!O5,COM/WEB Electfrical 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. ) Each I Total I Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kva or 1e55 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 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 66.25/hr I charged at an hourly(1 hr min) • • Inspections for which no fee is 90.00/hr specifically listed(lA hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): e 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 ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1:1BuildingtPer mits1.ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015