Permit CITY OF TIGARD MASTER PERMIT
Il COMMUNITY DEVELOPMENT
Permit*: MST2022-00421
T t I.;A I 17 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1 012 5/202 2
Parcel: 2S106DB03700
Jurisdiction: Tigard
Site address: 13251 SW AUBERGINE TER
Subdivision: RIVER TERRACE NORTHWEST Lot: 37
Project: Gupta
Project Description: Rooftop solar PV system 7.2 kW and storage 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: $25,000.00 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 Drains: 0 Storm Sewer 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Bckflw Prevntr: 0
Drywell-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
Fum<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: 1 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 Al
Other: Y Other Description: Roof top solar array 7.2 kW Ecom P 9 asin N
BUILDING INFO
Class of Work: Type of Use; Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
GUPTA,SACHIN TESLA ENERGY Required Items and Reports(Conditions)
CHAKRABORTY,INDRANI 6132 NE 112TH AVE
13251 SWAUBERGINE TER PORTLAND,OR 97220
SHERWOOD,OR 97140
PHONE: PHONE: 503-894-6903
FAX:
Total Fees: $484.97
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
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Issued By: n" tn C
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t Permittee Signature:
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.
T
.Building Permit Application
Residential RECEIVE FOR OFFICE USE ONLY
City of Tigard Received Aw�_
2 Date/By: Permit No.:II6t�Z��r�.�C/�7/
13125 SW Hall Blvd.,Tigard,OR 97223 OCT `4 4 202 Plan Review J A W 1�[
Phone: 503.718.2439 Fax: 503.598.1960 P[patB : I�� 22 }�►t Other Permit:
QIGARD Inspection Line: 503.639.4175 F TIGA f
CITY 0 ��IyBy .7 �� uris S See Pane 2 for
Internet' vvww.tigard-or.goV NINGIENGIN oted/Method: (a vttr Z Supplemental Information
PIA _n.",) 11y� (. r F.' •
r_
TYPE OF WORK REQUIRED DATA:I-,AND 2-FAMILY:DWELLING
0 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I-and 2-family dwelling ❑Commercial/industrial Valuation: $25000
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION "` Total number of floors:
a
ob:,itcaddress: 13251 Southwest Aubergine Terrace New dwelling area: square feet
City/State/ZIP: Sherwood, OR 97140 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Gupta PV+ESS 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.
Installation of rooftop PV array 7.2kW and energy storage system. Valuation: $
Existing building area: square feet
New building area: square feet
VI PROPERTY OWNER El TENANT, ; _ Number of stories:
Name.Sachin Gupta Type of construction:
Address:13251 Southwest Aubergine Terrace Occupancy
p y groups:
City/State/ZIP:Sherwood, OR 97140
Existing:
Phone:( )(401)218-2577 Fax:( )
New.
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:Testa Energy Operations !lib `Cl (P/enae refer tn fee s'<kedula)
Contact name: Structural plan review fee(or deposit):
Carter McBride
Address:6132 NE 112th Ave FLS plan review fee(if applicable):
City/State/ZIP:Portland, OR 97220 Total fees due upon application:
Phone:( )7838232104 Fax::( ) Amount received:
rnitS fesla.co171 PHOTOVOLTAIC
E-mail:portlandper
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Testa Energy Operations Submit two(2)sets of roof plan with connection details
Address:6132 NE 112th Ave and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Portland, OR 97220 Permit Fee(includes plan review
and administrative fees): $180.00
Phone:( )7838232104 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:180498
Total fee due upon application: $201.60
Authorized signature: ezuteA, 7..rK� This permit 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:Carter McBride Date:10/24/22
Service Board.
I`1Building1Pennits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(1 I/02/COM/WEB)
Pudding Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE USE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Permit No
Phone: 503.718.2439 Fax: 503.598.1960 Associated fated permits:
24-Hour Inspection Line: 503.639.4175 D Electrical 0 Plunthin
I f'.A R D8 0 Mechanical
Internet www.tigard-or.gov ❑ Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW les No :VA
I Land use actions completed. See jurisdiction criteria for concurrent reviews. El 0 0
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. 0 ❑ 0
3 Verification of approved plat/lot. 0 0 ❑4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity 0 ❑ 0
6 Sewer permit. ❑ 0 ❑7 Water district approval. 0 ❑ 0
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 El 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑
basin protection,etc.
10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ 0 ❑building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ ❑
there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements
and driveway;footprint of structure(including decks);location of wells/septic systems;utility locations;direction
indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ El furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- 0 ❑ 0
floor,wall construction,roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation,stairs,fireplace construction,thermal insulation,etc.
15 Elevation views. Provide elevations for new construction:minimum of two elevations for additions and remodels. 0 0 ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 0
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 El El locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 ❑
systems,sec item 22,"Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ El ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ 0 0
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore!.on and shall be shown to be applicable to the .ro'ect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x II"or II"x 17". 0 0 ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. ❑ 0 ❑25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard El 0 0
Street Tree List.
29 Site plan to include trees and bee protection measures as required by conditions of approval. Tree locations,driplines, El ❑ El
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ 0 0
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Llectrical Permit Application ��� 2� FOR OFFICE USE ONLY
City Of Tigard ived
T1G e�g��G Permit ft:
114
13125 SW Hall Blvd.,Tigard,OR 97223 v' Or p 1
' I Phone: 503.718.2439 Fax: 503.598.1960 GNtNGIEN(,� Date/By:
rew Related Permit t:
T tt,ARD Inspection Line: 503.639.4175 PLAN Ready Date/By: orris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submi)2 sea,of plans rvHtems cheated):
❑Service or feeder 400 amps or more ❑Building over three stories.
E Demolition ❑Other:
where the available fault current ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
1-and 2-familyless to ground,or exceeds 14,000 El Commercial-use agricultural
® dwelling 0 Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ['Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION El Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address: 13251 Southwest Aubergine Terrace 1001M or more.
❑Six or more residential units. occupancy.
City/stale/ZIP:Sherwood, OR 97140 0 Recreational vehicle❑Health-care facilities. parks.
Suite/bldg./apt.#: Project name:Gupta PV+ESS ❑Hazardous locations. 0 Supply voltage for more than
❑Sen Ica or larder 600 amps or more. 600 Volta nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Earls I Total I
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#: Ea.add'l 500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK ' gP 5,Y.M&"P I}�)pl{ (with above sq.ft.)Limited energy,residential
75.00 2
Installation of rooftop PV array7.2kW and energystorage system. Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
I� PROPERTY OWNER a Renewable Energy la See Page 2
Ilt•l ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name:Sachin Gupta 200 amps or less 1 100.70 2
Address:13251 Southwest Aubergine Terrace 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Sherwood, OR 97140 601 amps to 1,000 amps 301.04 2
Phone:( )(401) 218-2577 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:gupsac@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
❑ APPLICANTBranch circuits—new,alteration,or extension,per panel
0 CON'r "l • '� A.Fee for branch circuits with
Business name:Tesla Energy Operations above service or feeder fee, 742 2
each branch circuit
Contact name:Carter McBride B.Fee for branch circuits wallow'
Address:6132 NE 112th Ave brarch annche cit feet o
fee,first56.18 2
bt
City/State/ZIP:Portland, OR 97220 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )7838232104 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:portlandpermits@tesla.com Reconnect only 67.84 2
'1111 11v1:e ,A 1) I,; CONTRACTOR r ..1.1 I :'I"' !,Ilan Pump or irrigation circle 67.84 2
Business name:Tesla Energy Operations Sign or outline lighting 67.84 2
Address:6132 N E 112th Ave Signal calteration,
(s)on or limited-energy
❑ See Page 2 2
panel,alteration,or extension.
City/State/ZIP:
ri/State/Z[P:Portland, OR 97220 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( )7838232104 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:
portlandpermits@tesla.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 9Q00/hr
CCB Lic.:180498 Electrical Lie.:C562 Suprv. Lic.:5873S enhcalle listed(.,hr nin)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:/t, 48 Subtotal
Print name:Nicholas Armstrong Date:10/24'/22 ❑Plan Review Required(25%of permit fee):
/J ^7,, A State surcharge(12%of permit fee):
Authorized signature: I� lLLQ/_ / 2 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Carter McBride Date:10/24/22 days after it has been accepted as complete.
a Number of inspections allowed per permit.
11Building\ermitslELC PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WED
r
Electrical Permit Application—City of Tigard
Page 2-Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: , FEE SCHEDULE •
Fee for all residential systems combined: S75.00 °e newa" I Qty.em I Each reel
Renewable electrical eneru 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 to 25 kva 200.34 2
❑ Burglar Alarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
n Garage Door Opener* 50.01 to 100 kva ssz 26 2
>100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
n Heating, Ventilation and Air Conditioning generationsystems s stems 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 66.25/hr
charged at an hourly(1 hr min)
- Inspections for which no fee is 90.00/hr
spccitically listed(.5 hr nin)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: S75.00 Subtotal(Wei on 1)*
(SEE OAR 918-309-0000) Number of inspections allowed per permit.
Check Type of Work Involved:
n Audio and Stereo Systems
n Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
n Instrumentation
❑ Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permas'ELC PumitApp_ELR_ERF;doc Rev 06/17/2015