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Permit CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2020-00308 T r C.1 A R 13 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/23/2020 Parcel: 2S110CB10600 Jurisdiction: Tigard Site address: 15492 SW SUMMERVIEW DR Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 94 Project: NASONGKHLA 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: $17,000.00 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 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckflw 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 Fum>=100K: 0 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 Solar PV System 9.18 kW Ecompasinq: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 0 Owner: Contractor: NASONGKHLA,EDINA ENERGY SOLUTIONS LLC Required Items and Reports(Conditions) 15492 SW SUMMERVIEW DR PO BOX 887 TIGARD,OR 97224 BEAVERCREEK,OR 97004 PHONE: PHONE: 503-680-3718 FAX: Total Fees: $366.19 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 OAR 952-001-0090., 1 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: motto van Pe. "A-3[-,,t Permittee Signature: OVA 1:::NcIpL jL'hnh 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 j City W HTigard R E �d r na[�By: j o/ j_. , 11111 Penner rre.: )T i P�tJ- rl111 :�i 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 OCTq1• nate�By: �d Q other PermiC I I i,•,l : Inspection Line: 503.639.4175 (J 1 L r L (.' Date g ,igy. lws: H See Page 2 for Internet: www.tigardor.gov rt+''try,1 ,r�FTP.,A1-R7yttsf'icd/Methoa: Supplement Information . y a f `�} 1t1 )�f �t t'Y'.,---- . Ili 1�,51 'Q 1+..;,"t c.a a,'` iV } nix'11h!'� - <' l�?1FXik.I-Arli1'furviffi,YlbvYisiJaG O New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all pilAddition/alteration replacement Q Other: equipment,materials,labor,overhead,and the profit for the • CATEGORY OP,COPIS3R1ICTIO work indicated on this application. jai-and 2-family dwelling 0 Commercial/industrial Valuation: S (i t OoG 0 Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other. Number of bathrooms: A0g sn ilVtKlRMA,�ION AND IACAttROMt Total number of floors: Job site address: I.SM ti Z SuJ 5‘a,,,,,,..t.!V;t.,-... VI-r New dwelling area: square feet City/State/ZIP: . r-k`e, -a /'i .Z24 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: A s Sn ....6.k Covered porch area: square feet Cross street/directions to job site: ���n./ Ah i U ei'lj'i1 h 1`I' Deck area: square feet Other structure area: square feet REQI bATA.COlitheritaA1.4SE CINCICIUT Subdivision: 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 1 y' tJga WON( work indicated on this application. r ( l,O�v Valuation: S -1 , 1 pi c-,0 ., Pfe5cr, t> IDS 1( Existing building area: square feet aA t C/A..-- f(.,V New building area: square feet jaDP tnlla'YlOWNSR Q 111401 Number of stories: Name: A t n 4 IVH—5 ovi kh lel Type of construction: Address: l 5 IA et t W i ^^+ f Dr. Occ 5 5 �! . wcY groups: City/State/ZIP: P6 r_l (a.N a O.4_ 41?2 7-t4 Existing: Phone:( ) Fax:( ) New: RD A.> Ps > Business name: t� Wass iu4rtalos�atierlel$ . �vi (/ j C✓01''}t t'�`5 r L(.'C-' Structural plan review fee(or deposit): Contact name: c �r o..+- L i..a s k-c_i Address: ,QU Rum & - `J FLS plan review fee(if applicable): City/State/ZIP: 01— 47c°4 Total fees due upon application: ty ��e�utlGf'e-" Phone:(J ) t,e v ST1 co Fax::( ) Amount received: trifOTEE-mail: 8C',r, e sok J-1-t c. -O✓,tr&.'—s OL IPC... TAI BL,9YS1 .. Commercial and residential prescriptive installation of UfRAC£(lt roof-top mounted PhotoVoltaic Solar Panel System. Business name: ev\ �rvt G,.v S V L L Submit two(2)sets of roof plan with connection details Address: p o h I and fire department access,along with the 2010 Oregon 1 K B$ L. Solar Installation Specialty Code checklist. City/State/ZIP: ( e4au�t� bit.- Permit Fee(includes plan review °I Oil y and administrative fees): S180.00 Phone:(co-5 ) (o jU_ 3 4-t 8 Fax:( ) State surcharge(12%of permit fee): S21.60 CCB lie.: moo 2 Total fee due upon application: S201.60 Authorized signature: 6 Thispermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. •Fee methodology set by Tri-County Building Industry Print name: fur,R. y c,1 S Date: (O,l Z 7_r zo Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2 I 1 440-4613T(11/02/COM/WEB) r- At, Electrical Permit Application 1 till ill ll11 1N1 0\11 City of Tigard ya��^� 13125 SW Hall Blvd.,Tigard,OR 972234 y..� E t\E a ih 7 ' ' ?,,„ 3�.. Plan Review rzz t`- r Phone: 503.718.2439 Fax: 503.598.19 Related Permit#. Dale/B i t; v I.( Inspection Line: 503.639.4175 Reedy Date/e Internet: www.ttgard-or.gov n,i T lZ .j 70 It 1 Notlfied/Method: 1116. Supplemental sae Page 2 for Supplemental Information ❑New construction gAdditionIalteration/replacement f{V ICJ i 4:"6y rr apply m( : Please check all that PP Y(submit 2 sets of plans w/Ilene checked): ❑Demolition ❑Other: - 0 Service or feeder 400 amps or more 0 Building over three stories. where the available fault cement 0 Marinas and boatyards. IrA -and 2-Entail dwellingexceeds 10,000 amps at 150 volts or ❑Floating buildings. Y d Commercial/industrial 0 Accessorybuildingless to ground,orexeeeds 14,000 0 Commercial-rue agricultural ❑Multi-family 0 Master builder 0 Other: amps for all other installations. buildings. 0 Fire pump. 0 Installation of KVA or ► F- 1. - ...... 0 Emergeay system larger separatelyly derived derived Job#: Job site address: tr7 Hq z 'Addition of new motor load of system. n Si,...)S ,Su nMef l)le.sJ IOOHP or more. City/State/ZIP: poi},�ti� a. -2- ❑Six or more residential units. occupancy. Suite/bld /a t.#: � ❑Health-care facilities. 0 Recreational vehicle parks. g• p I Project name: No- - , l i ❑Hazardous locations. 0 Supply voltage for snore than 0 Cross street/directions to job site: ❑Service or feeder 60o saps or more. 600 volts nominal aesr'1 °a ( thy. 1 Each I Total I • New residential sin or multi-family dwelling unit Subdivision: I Lot it: 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 //77 .. '..' - Iamited energy,residential "l. 1 ,,k ef4-SC-;e4,J.t SdIh. (with above sq.ft.) 75.00 2 t n_c l I Limited energy,multi-family Q'\ 1n o'^'u- No F i residential(with above sq.ft.) 75.00 2 .1t1 {9WfV1IR [ Renewable Energy 0 See Page 2 Name: � ` '/ - . Services or feeders installation,alteration,and/or relocation C�t�K t 4 - ;01"1"-h14 200 amps or less 100.70 2 Address: I S L{4-L Sw 17r. 201 amps to 400 amps 133.56 2 City/State/ZIP: ! Or}(mod S V r�w,t,,v;c v 401 amps to 600 amps 200.34 2 Phone:( ) I ei- 2-1-9 601 amps to 1,000 amps 301.04 2 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or Owner installation:This installation is beingpropertyrelocation made on that Iown which is not 200 amps or less 59.36 I 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 atrps 125.08 1 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 trieximmu.,� Branch circuits-new,alteration,or extension,per panel Business name: i A.Fee for branch chcuits with • G•n trei-{ So(uA• or c 1 (.Lt. _ above service or feeder fee, Contact name: 6 f t Li, a S Ltd, Feeeeh branch circirc 7.42 2 Address: I B. for branch circuits without l p U x �U' service or feeder fee,first U branch circuit 56.18 2 City/State/ZIP: 3G4.0 vc ram.YL O2- q boo l Each add'l branch circuit 7.42 2 Phone:(503) Gbo, 3a-{(raj I Fax::( ) Miscellaneous(service or feeder not included) Each manufactured or modular Email: Q fGn.� `�C� dwelling,service and/or feeder 67.84 2 .J lu'1-io is-eof, (ci. Reconnect only 67.84 2 Business name: 11 I 1 Pwnp or rtigation ci cle 67.84 2 C `r'G ,_S £ltLTr;L Sign or outline lighting 67.84 2 Address: ' U TSdX Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: �GVGlGrrt� Each additional in(T q Tom inspection lir min) over allowable i2 any of the above Phone:(CO3) b-a,a, Z�{z� I Fax:( ) Additional inspection ) hr min) 9025/hr Investigation(1 hr min) 90.00/hr Email: Le, /1 l ,, Industrial plant(1 hr min) ( t% L l � wc5 -(cc_'-riL, (.Gvt1 78.18hr Inspections for which no fee is 90 00/hr CCB Lie.: 4fo1 it,3 ElectricalLic.: 3.,(oU(,,,_ I Suprv.Lie.: SUut c specificalty listed 04krmin) Suprv.Electrician signature,required: JA .A —�j L'! to . . Print name: �qJ Subtotal: �C o-E.f J(,)1..v S..�r.,-.� Date: 1 ti'- - (Z O 0 Plan Review Requited(25%of permit fee): State surcharge(12%of permit fee): Authorized signatttte!.J/`"�'`M1 TOTAL PERMIT FEE: IPrint name This permit application expires ire permit is sot obtained cabin lg0 /;„,,t'Gri I Date: /0-`Z -ZOtp I aye after is has been accepted as complete. 1!,BaOdiagU'caileVil.C_PermitApp ELRaRE.doc Rev 06/17/2015 a Number of inspections allowed per permit. 4404615T(1 I/05/COM/W Ea .4^ Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: iDeNnitt,WoRK ONLY: • • » Fee for all residential systems combined: $75.00 Renewa ble 1 Earls TotalI Renewable electrical energy systems: Check Type of Work Involved: 5 kva less 100.70 2 5.01 to Is kva 133.56 VIA.5(o 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 501tva 301.04 2 ❑ Garage Door Opener* 50.01 to loofa 552.2e 2 >l00 kva(fee in accordance with OAR 918-309-0040) 552.26 2 Heating, Ventilation and Air Conditioning System* Solar generation system in excess of 25 kva: Each additional kva over 25 I 7.42 I 3 n Vacuum Systems* >100 kva—no additional charge If 0.0 3 ❑ Each additional inspection over allowable in an of the above. Other: Each additional inspection is bb.25/hr charged at an hourly(1 hr min) 1 Inspections for which no tee is 9p.00/hr syecifically listed Q:hr min)COMMERCIAL WORK ONLY: p tYi Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) ' Number of inspections allowed per permit Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation El HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling El Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1 anktiogWermilslEl.CPuaatApp ELR ERE loc Rev 0a/17/2015 Branden Taggart From: Branden Taggart Sent: Friday, November 20, 2020 6:03 PM To: Grant Lindsley Subject: Permit for Edina Nasongkhla: MST2020-00308 - 15492 SW Summerview Dr. Attachments: Invoice.pdf Hi Grant, The solar permit for Edina Nasongkhla is ready to issue now. The balance due is$366.19, and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (MST2020-00308) in the Record Number field,and click Search. Once paid, please notify us at TigardBuildingPermitsPtigard-or.gov, and I will place this permit in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thank you, Branden Taggart 14 v City of Tigard is Senior Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 bran d ent©tigard-or.gov 1