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Permit
CITY OF TIGARD MASTER PERMIT • COMMUNITY DEVELOPMENT Pe►mit#: MST2020 0017s TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2020 Parcel: 1 S134CC01300 Jurisdiction: Tigard Site address: 12140 SW MERESTONE CT Subdivision: MERESTONE Lot: 12 Project: Coufal Project Description: Install rooftop 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: $0.00 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 BckOw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywall-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 Srvc/Feedem Branch Circuits 1000 st 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 Other: Y Other Description: Roof top PV system 6.08 kW Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: COUFAL,ERNEST JR 8 BARBARA BRS FIELD OPS LLC Required Items and Reports(Conditions) 12140 SW MERESTONE CT 1403 NORTH RESEARCH WAY TIGARD,OR 97223 OREM,UT 84097 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $358.19 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. his 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 y to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 01-0090. Yo ay obtain co of the rules or direct questions to OUNC by calling 503.23 1987 or 1.800.332.2344. e- Issued By: Permittee Signature: .' (77 Call 503.639A175 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 /,...2 4. . ,� 1 Permit ` ;� --` 13125 SW Hall Blvd.,Tigard,OR 97 ��I"�D Plan R vi ,�d J/,, JC S�z�t�U�( V 1-0 1 Other Permit: �. Phone: 503.718.2439Blvd. Fax: 503.598. Date/By: 1 I G ARI., Inspection Line: 503.639.4175 Date Ready/By: / him: BI See Page 2 for Internet: www.tigard-or.gov MAY 2 6 2020 N "fied/Method: /L Supplemental Information TYPE OF W r t nrn r ni Ii ION REQUIRED DATA:1-AND 2-FAMILY DWELLING O New construction ❑ Demolition Permit fees*are based on the value of the work performed. \Lk 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. Valuation: $ $14,163.10 ❑ 1-and 2-family dwelling ❑Commercial/industrial ElAccessory building El Multi-familyNumber of bedrooms: ❑Master builder ❑Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12140 SW Merestone Ct Tigard ,Oregon 97223 New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Ernest Coufal Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet .., •..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: $ �G f (t V? Existing building area: square feet � New building area: square feet ® PROPERTY OWNER 0 TENANT Number of stories: Name: Ernest Coutal Type of construction: Address:12140 SW Merestone Ct Tigard,Oregon 97223 Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: 0 APPLICANT El CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule) Business name:Blue Raven Solar Structural plan review fee(or deposit): Contact name: Ethan Derieg 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: 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: BRS Field Ops, LLC Submit two(2)sets of roof plan with connection details Address: 1403 N Research Wayand 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:(385482-0045 Fax:( ) . State surcharge(12%of permit fee): $21.60 CCB lie.: 227185 7)22._I Total fee due upon application: $201.60 Authorized signature: f rM L1:x This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Ethan DeriegDate: 05/07/2020 *Fee methodology set by Tri-County Building Industry Service Board. l:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11102/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY City of Tigard C �1` I • ' I: Permit :l`1Sr2p2p-0C� I '7! C • 13125 SW Hall Blvd.,Tigard,OR 97223 G 9 V 'an Review • Phone: 503.718.2439 Fax: 503.598.1960 DAB : Related Permit#: l(1 Inspection Line: 503.639.4175 i f . '} 7 t{_.Ready Date/By: Suns: ® See Page 2 for I l( ARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK '—'i i ' '...jr t,tin,tvlcl„'nhi- PLAN REVIEW ❑New construction ©Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 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. © I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family E Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived Job#: Job site address: 12140 SW Merestone Ct Tgard,Oregon 97223 ❑Addition of new motor load of system. I00HP or more. ❑"A" City/State/ZIP: 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: ['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. Tax map/parcel#: 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 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 ®PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation Name: 200 amps or less 100.70 2 Address: 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 El CONTACT PERSON Branch circuits—new,alteration,or extension, ,er 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: Ethan Derieg B.Fee for branch circuits without service or feeder fee,first Address: 1403 N Research Way 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 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 WaySignall,alteration,ti )or limited-energy ❑ See Page 2 2 panel, or extension. Each additional inspection over allowable in any of the above City/state/ZIP: Orem, UT 84097 Additional inspection(1 hr min) 66.25/hr Phone:G85 482-0045 Fax:( ) Investigation Cl hr min) 90.00/hr Email: permitting.department@blueravensolar.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 7 Electrical Lie.: C1493 Suprv.Lie.: 6394S specifically listed(h hr min) �'I P) ", 1r ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: 57.„ Subtotal: Print name: Shan Whittaker Date: 05/07/2020 0 Plan Review Required(25%of permit fee): 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: Ethan Derieg Date: 05/07/2020 days after it has been accepted as complete. * Number of inspections allowed per permit. I?Building\ ermits\LLC_PermilApp_ElR_ERE.da Rev06/17/2015 440-4615T(11l05/COM/wl!n Electrical Permit Application—City of Tigard Pagt 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description Qty. I 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 1 133.56 2 ❑ 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 El Garage kva 552.26 2 Garage Door Opener* 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: n Other: Each additional inspection is 66.251 hr 1 charged at an hourly(I hr min) Inspections for which no fee is 90.001 hr specifically listed('h hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT ERRS 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 ❑ 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 I:UtuildinglPermitsVil.C_PermaApp_EIR_ERE.doc Rev 06/17/2015 I.