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Permit CITY OF TIGARD MASTER PERMIT II COMMUNITY DEVELOPMENT Permit#: MST2020-00185 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2020 T L t;A R.T3 9 Parcel: 1 S136AA12800 Jurisdiction: Tigard Site address: 10282 SW 67TH AVE Subdivision: OAK STREET ESTATES Lot: 23 Project: EHMANN Project Description: Solar photovoltaic system. BUILDING Floor Areas Reouired 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bckflw Prevntr. 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Times 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 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 3.52 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: EHMANN.JIM&MUTHONI BRS FIELD OPS LLC Required Items and Reports(Conditions) 10282 SW 67TH AVE 1403 NORTH RESEARCH WAY TIGARD,OR 97223 OREM,UT 84097 PHONE: PHONE: 855-205-2530 FAX: Total Fees: $322.38 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 thro AR 952-0 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or1.88000.3332.2344. �,� Issued By: / ��y Permittee Signature: Oft /'r1/ /'"�e4tA[ w/(2 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 II Received /�' City of Tigard DECEIVED Date By: it //PT) Permit No.:��7'�� -Of)jCi�_ • 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review//__ p ^ -! ✓/ a..ei J Phone: 503.718.2439 Fax: 503.598.1960 Date/By: (Y 1 W2 Other Permit: l !(,A R l) Inspection Line: 503.639.4175 J U N 3, 2020 Date ReadyBy: rwls- la See Page 2 for Internet: www.tigard-or.gov t ed/M od. .� � � n Supplementallnformation TYPE OF Willis'1 WING L)'VIJtUh REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑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. dwellingValuation: $ $9,561.34 0 1-and 2-family ❑Commercial/industrial V.1 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10282 Southwest 67th Avenue,Tigard, Oregon, 97223, United States New dwelling area: square feet City/State/ZIP: Garage/carport area: square feet Suite/bldg./apt.no.: Project name: Jim Ehmann 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.: Tax Lot ID: 1 S 136AA12800 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: $ 3 rs'L Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Jim Ehmann Type of construction: ' Address:10282 Southwest 67th Avenue,Tigard,Oregon,97223,United States Occupancy groups: City/State/ZIP: Existing: Phone:( I Fax:( 1 New: ❑ APPLICANT EaCONTACT PERSON BUILDING PERMIT IEES Business name:Blue Raven Solar (Please refer rojee schedule) 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:( 3853482-0045 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: 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:(3854482-0045 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: 227185 Total fee due upon application: $201.60 Authorized signature: / . . This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: JeffreyLeeDate: 05/18/2020 *Fee methodology set by Tri-County Building Industry - - Service Board. I:1Building1Permits1BUP-RESPermitApp.doc 02/24/201 l 440-4613T(I I/02/COM/WEB) Electrical Permit Application FOR OFFICE USE ONLY • Received _ City of Tigard Permit#: RECEIVE ill ,Re • 13125 SW Hall Blvd.,Tigard,OR 97223 an Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Related Permit#: Inspection Line: 503 639.4175 - Ready Date/By: lens: ® See Page 2 for TIGARD, Internee w ww.1igard-or go v Notified/Method. Supplemental Information TYPE OF WORKCI i'Y OF E iGAR[i PLAN REVIEW ❑New Construction ©Addition/alteration/teplacernent Please check all that apply(submit 2 sets of plans wtiteins checked)_ ❑Service or feeder 400 amps or snore 0 Building over three stories. ❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exiw is 10,000 amps at 150 volts or 0 Floating buildings. Ei1-and 2-family dwelling ❑Commerciallindusnial Accessory building less to ground,or exceeds14,W0 ❑Commercial-useagr cultural amps for all oilier installations. buildings. ❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separately derived 10282 Southwest 67th Avenue, Ti arc ID Addition of new motor load of system. Job 4: Job site address: g 100HP or more. Ci /State/ZIP: 0 Six or more residential units. occupancy. ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: Jim Ehmann ❑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 V4. I Each I Total I ii New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: Tax Lot ID: 1 S136AA12800 1,000 sq.ft.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.(N) 2 Limited energy,multi-family 75.00 residential(with above sq.ft.) Renewable Energy ❑ See Page 2 Fa PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: Jim Ehmann 200 amps or less 100.70 2 Address: 10282 Southwest 67th Avenue,Tigard,Oregon, 97223, United Slat( 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: ( 9711 9 98-86 83 Fax: ( ) Over 1,000 amps or volts 55226 2 Temporary services or feeders installation,alteration,and/or Email: jimepdx@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 _ 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, 7.42 each branch circuit Contact name: Jim Ehmann 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:( 385 482-0045 Fax: : ( ) Each manufactured or modular 67.84 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 Signal circuits)or limited-energy ❑ See Page 2 2 Address: 1403 N Research Way panel,alteration,or extension. City/State/ZIP: Orem, UT 84097 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:385 1482-0045 Fax: ( ) Investigation(1 hr min) 9(1510/hr Email: permitting.department@blueravensolar.com lndusttial plant(1 hr nan) 78.18tnr Inspections for which no fee is 90.00t hr CCB Lic.: 227185 Electrical Lic.: C1493 Suprv.Lic.: 6394S specifically listed(V:hr min) ��� ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Shan Whittaker Date: 05/18/2020 ElPlan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 09 - - TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within Hitt Print name: Jeff Lee Date: 05/18/2020 days atter it has been accepted as complete. * Number of inspections allowed per permit. PBuildingWemnits'ELC PermitApp_ELR_ERE.doc Rev 06:17,2014 4404619TO145/CONEWEB , . Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description 1 QD. 1 Each I Total I 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 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 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ H• eating, Ventilation and Air Conditioning Solar generation systems in excess of25 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 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(Yz hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal eEnter on Page I), (SEE OAR 918-309-0000) ' Number of inspections allowed per permit Check Type of Work Involved: ❑ Audio and Stereo Systems n B• oiler Controls n Clock Systems n D• ata 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 1:1BuiIding'PermirsiELC PermitApp_ELR_ERE.doe Rev 06/17/2015