Permit �� CITY OF TIGARD MASTER PERMIT
� COMMUNITY DEVELOPMENT Permit#: MST2022-00511
� � 13125 SW Hall Blvd., Tigard OR 97223 503.7182439 Date Issued: 12/27/2022
Parcel: 2S112BD13900
Jurisdiction: Tigard
Site address: 7611 SW CORNUTT ST
Subdivision: ELDERBERRY RIDGE Lot: 35
Project: Siddavanahalli
Project Description: Rooftop solar PV system 4.56 kW
BUILDING
FloorAreas RepuiredSetbacks Reauired
Stories� o Bedrooms�. 0 First: � sf Basement�. � sf Left�. 0 Parking Spaces: �
Height � Bathrooms�. � Second: 0 sf Garage: � sf Front 0 Smoke
Dwelling Units: 0 Third: � sf Riqht: 0 Detectors�.
Total: 0 sf Value�, $3,192.D0 Rear: �
PL11M81NG
Sinks: � Water Closets: � Washing Mach: � Laundry Trays�. � Rain Drain: � Urinals: �
Lavatories: � Dishwashers�, � Roor Drairs: 0 Sewer Lines�. � SF Rain Drains: Storm Sewec �
0
Tubs/Showers: � Garbage Disp�. � Water Healers: 0 Water Lines�. � Catch Basins�. �
Bckflw Prevntr: �
Footing Drain: � Ice Maker. 0 Hose Bib: 0 Backwater Value�, �
Drywell-Trench Drain: � Olher Fixtures �
Other Fixture Units:
MECHANICAL
Fuel Tvpes Air Conditioning� N VeN Fans�. � Cbthes Dryers: �
Heat Pump: N Hoods�. � Other Units: �
Fum<100K�. � Vents: � Woodstoves: � Gas Outlets: �
Furn>=100K: �
ELECTRICAL
Residential Unit Service Feeder Temo Srvc/Feeders 8ranch Circuits
1 D00 sf or less� � 0-200 amp: � 0-200 amp�. � W!Svc or Fdr: �
Ea add'I 500 sf�. � 201-400 amp: 0 201-400 amp�. 0 W/0 Svc/Fdr: 1
Mfd Home/FeededSvc D 401-600 amp: � 401-600 amp�. �
601-1000 amp: 0 601+amp-1000v. �
1000+amp/volt �
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo� N HVAC� N Security Alarm: N Vaccuum System: N Garage Opener. N All N
Other Y Other Description� Roof top solar array 4.56 kW Ecompasing�.
BUILDING INFO
Class of Work: Type oF Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
SA71SH,PRABHU EBBADI ION DEVELOPER LLC Required Items and Reports(Conditions)
SIDDAVANAHALLI,SHWETHA 3214 NORTH UNIVERSITY AVE
7611 SW CORNUTT ST 503
TIGARD,OR 97224 PROVO. UT 84604
PHONE�. PHONE (888)781-7074
FAX:
Total Fees: $412.31
This permit is issued subject to the regulations contained in Ihe Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in acwrdance with approved plans. This permit will expire if wo-�k 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 Notifcation Center. Those rules are set forth in OAR
__.
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Issued B �� �1� ermittee Signature: " " " —�—.-.-----
c__
. 39.4175 by 7:00 a.m.for the next available inspection date.
This permit tard shall 6e 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 r1EC�����
Residential DEC 14 2D22 �
a«<����
City of Tigard ����,,,��„ ; • �
���-:¢,:
� 13125 SW Hall Blvd,Tigard;OR 97223 CITY OF TIGARI� lan Rz�iew t � �
� vno„e sos.�is.za39 raa soss�s.i9�ogU�LDINGDIVlS10 ���;e- 2� �Z /�.� o�,����m,���, �
Inspect�ou Line: 503 639 4175 Datc Rcad��Bv , � !�����_�. � gcc pagc 2 fur
InlCmet wWw.tigutd ol';oV NolSfiul Melhod �,/i ��:'J��j Supplemen[al informalion
�,� '�' -i-..�("..
7'1'PE OF �V'ORK HF.QGIRH;DDATA:1-AND2-FA�IILYDWELLING
❑ New constmclion
❑Demolftion Pecmil fecs*are based on the value of tl�c work performed.
-- Indicate tlie value(roundad to the nearest dollarl of all
❑ Additionialteratfon/replacement �och�r: pV Solar equipmen[,mamrials,labor,overhead,and Ihe profit for the
CATEGORY OF CONSTRUCTIOri wurk indicalcd on this application.
Valuation: $ 3,192
� 1-and2-familydwelling ❑CommeroiaVindus[rial
❑ Accessory building ❑b9ulti-funily Nwnber of bedrooms:
❑Master Uuilder NumUer of bathrooms:
❑Other:
�� .10B SITE INFORMATION AND LOCATIOS Total numbcr of floors:
Job site 2ddress: 7611 SW ComUtt St Ncw dwcliing arca_ square feet
City/State/Z1P: Tig2rd, OfegOn 97224 Garage/carport area: square feet
Suiteibldg.�api.no.: Project name: Siddavanahalli Solar Install Covered porch arca: square fect
Q�oss street/directions to job sile: Deck area: squarc fect
Other stmchue area�. squarc fcct
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Eldefbefry Ridge Lot no.: 35 Permit fees*are based on thc v�luc of thc work performed.
Tax mapiparcel no.� ZS112BD13900 1 R2208512 ���dicate the value(rounded to the nearest dollnr)of all
I equipme�t,matenals,IaUor,overhead,and the proCrt for lhe
DESCRIPT[On OF WORK work indicated on this a lication.
Installation of solar panels on existing residential roof. � �'°�Ad�1Otl �
„� 4.56 kW.Addition of 1 0-30A cirCUit. � F,xisting building area: square teet
� � New building area: square feet
� PROPERTY OWNER ❑ TENANT Number of stories�.
Name: Shwetha Siddavanahalli Type of construction:
Address: 7611 SW Comutt St Occupancy groups:
CiryiStace/7.tP: Tigard, Oregon 97224 Ex;scing_
Phone:(908 )305-4873 Fax:( ) �e�,
� APPI,ICANT ❑ CONTACT PERSO\ BUILDINC PER117IT FEES*
13usinessname: ��N pgV@�Op2f �LC. (Plensereerrn eesc/redule)
Stmctura]plun review fee(or dcposil):
Contacrname: Dustin Davidson
FLS plan review�fee(ifapplicable):
aaa�es,:4801 N University Ave#900
CityiState/ZIP: PfOVO, UT 84604 Total fces dne upon application:
Phone:( 888) 781-7074 Fax: :( )
Amount recci�ed�
E-s�lA�t: permits@ionsolar.com PHOTOVOLTAIC SOI.AH PANb:I,SYSTF.M FEES*
Coum�ercial�nd residential prescriptive inslallalion of
COVTRACTOR roof-top mounted Pl�o[oVoltaic Solar Pane]System.
Business name: �p�J DBV0IOp2f LLC Submit two(2j sets ofroof plan with connection details
-- and firc department access,along with the 2010 Oregor�
Aaa«��: 48D1 N University Ave#90D Sulurbrslullulion S ecialrn Coc3e checklist.
City.%State/ZLP: Permit Fee(includes plan review
Provo, UT 84604 �ixo.00
and adnunistrativc fces):
Phone:( $$g) 7$1-7074 Fax:( ) Statesuroharge(12%ofpennitfee): $21.60
CCB lic.: 230394 Total fee due upon applicatioi�: $201.60
Authorized signamre: 1 , This permit application expires if a permit is not obtained
/ �,��, � within 180 days after it has been accepted as complete.
*Fee methodology sel by Tri-County Buildi�g Industry
Print name: DUStin DavidsOn Dalc: 12-09-2022 Scrvice Board.
I:ABuilding\Pcnnits\BiIP-RESPermitApp.doc U2/24/20L1 440-0GI3T(ll/02iCOMlWEB)
Document Ref:YORoR-AAMAM-R?PVV-AZNV3 Page 1 of S
Electrical Permit Application ���EiVE ,
Cl� Of Tlg`dl'd Received pennit ft '�
■ 13125 SW Hall Blvd.,Ti�ard,OR 97223 ��� � 4 `���`� DatciB�: -��(�.�(�Z�/ '(�'� � (
b Plnn Rcview Reletul Permit#:
Phone: 503.718.2439 Fas: 503.59R.1960 Datei6y:
Inspection Line: SO1.639.4175 ��������A O Ready Date,�Dy: �����' � Sce Pupe 2 Sur
[ntemet www.tigatd-or.gov ��� tificd/Mcthod_ Supplemental Informatimi
TYPE OF WORK PLAN REVIEW'
❑I�ewconstruction ❑ A�dition/alteratlon�repl8cement PleascchceKallrha[apply(subinfr2setsofplansw/i[emschecked):
❑Service m'feeder 400 amps or more ❑Ruilding over[hice stAnes.
❑U0ll10�]Y]OII � o�her: PV Solar where tlie evailablc fiult cui�ent ❑Mminm and boalyurdr.
CATEGORY OF CONSTRUCTION cxceeds' 10,000 amps al 150 vohs or ❑Ploaiing buildines.
� �-e[1c�Z-�'dtlll� [jIVC��]I1' (.'011]Il10LC1T��lt1C�l1S�Y10� less m y�onr�d,Or exeecdy 14,000 ❑COmmCrCial-Uee agnGuln�ral
y (� ❑ ❑AGC05SOTy bull(�Ill� amps for all other installations. hoildings
❑MUlll-f8tl1i�y ❑ M�5t0I buildei ❑nthCr: ❑Fim pump. ❑Installation o1 150 KVA or
JOB S1TE INFORMATION AND LOCATIOS ❑F.mergency.rystem. lacgerseparatclydcrived
JOh N: Job site addl'e5S' ❑Addilion ufnew rnolo�load of syatam.
7611 SW Cornutt St inoH��or�„or�. ❑ n",,°F,..i-z,, •i-s",
CltyiState/ZIP: Tlgal'd, Oregon97224 ❑Sixormorcresidcntialunits. occupuncy.
❑Hcal�h-care faeiliries. ❑Recreatioual vchicle�arkF.
Suite/bldg./apt.ii: Project name: Siddavanahalli Solar Install ❑�a����o����^����s. ❑s���iy�oi�axz r��,nore ch2»
❑Sc�vicc or fccdc[6UU smps or mo�a 600 volh��ominnL
Cross streeUdirections to job site: FEE SCHEDULb:
Descrirtian 11h�. FacM1 'I'Wxl
New residential single-or multi-family dwelline unit.
Subdivision: Elderberry Ridge Lot�': 35 Includcs attached Karage.
I,000 sq.ft.or Icss 168.54 4
Tax map/parcel,�' 25112BD13900/R2208512 Ba.add'I 5Uo sq.fl.or ponion 33.92 1
DF.SCRIPTIOS OF WORK Lfmftedenergy,residential
(w¢h above s .ft.) 75'�� �
Installation of solar panels on existing residential roof. L. ,;rea�1e
rgY,multi-hmily 75.00 2
4.56 kW.Addition Of 1 0-30A circuit rosidential(with abovc sq.F�)
Reneh�able Ener ° ❑ See Pa e 2
� PROPERTY OWNER ❑ TENANT Services or feeders installation,altcra6on,and/or relocxtion
Name� Shwetha Siddavanahalli zoo amps or�ess ioo_�o z
201 ampc m 400 vvps l3i.SG 2
Address: 7611 SW Cornutt St
40l amps to 600 amps 200.34 2
Ciry,%State/ZIP: Tigard, Oregon 97224 boi emp;io i,000amps 3oi.a� z
Phone:(Q08 �05-4$73 Fax:( ) Orer I,000 umps or volts 552.2G 2
Temporary services or feeders insMllauon,altcration,and/or
EmaiL shwetha575@gmail.com relocafion
Owner installation: This installatio�is being made on property that I own which is not 200 ampa or lese 593v 1
intended for salc, Icasq rent,or excha�ge.according to ORS 447,449,670.and 701. 20l amp;rn 4nn amps 125.ox 2
Owner signature� Date: 401 amp;co 599 amp, t68S4 2
� APPLiCANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee 1or braneh circuits mith
BuSincaSnxma ��N �@VQ�Op@YLL�', aboveserviceorfeedertee, 742
each bcanch dreuf[ -
COnt3Cf nAme: pUStifl �8VId50f1 I3.Pee for b�ancLt circuits without
4801 N Universit Ave#900 scrvicc or fccdcr fcc,first ,
Address: � sF.ia 56.18 -
y branch circuit
City/S�ate/ZIP: PrOVO, UT$46�4 Eadi addl brz�ch cirwit 7A2 7,42 2
Miscellanenux(service or feeder not induded)
pl1017C:( $8$ � 78�-7Q7Q F'2Xf : ( � EadtmanuCacttlredormodnla�'
dwellin�,;ervice and/m�Yeeder G7.A4 2
�p�a�� permits@ionsolar.com Rcconnc;tonly 6784 2
_ CONTRACTOR p�unp or inigatio��circle 67.84 2
BUSinCSSt78�ne: �Q�f peVB�Op@f LL�. Sigi�oruutlinelighting 67.84 2
Addi"255: 4$�'� N �JY11V@fSlty AV2#9�� Si�,mel circuit(s)or limited-ener�� � Scc Pagc 2 2
unel,ul�eraUon.oi cxtcns�on.
Each additional ins ecfion over allowable in an of lhe above
y
City/STale/ZIP: PfOVO, UT 84604 Additional inspccliun(1 hr minl 66.25/hr
Phonc:($$$) ]$�-7�74 Fax:( ) Investigatfon Q hr min) 90.00/hr
Elnail: Induxuialplant(thrmi��) 7R.1R�hi
permits@ionsolar.com
Inspcctions Porwhidi no fcc is
sied�ically Fstad('/:Nrmi�i 90_00!hr
CCI3 Lic.: 230394 Electrical Lic.: C1524 Suprv.Lia: 6D98S � �
6LECTR[CAL PERMIT FEES
Suprv. Electrician signature,required: Subtotal: 164.30
Print name: paVld $ COIlf2d Date: 12-�9-2022 ❑Plan Rcview Required(25"/o of pennil tee):
State surcharfie(]2%of permit fee): 19.72
Aathorized signature: ���,���,�, TOTAL PBRYII"I'FEE� 184.02
This permit application expires if a permil is not obtained��ithin INO
Print name: DUStlll DevidSOn UatC: �2-�9-2�2Q daya after if has been accepted as eomplete.
* NombcrofuispcotionsaLlowedperparmiL
li�6uildine`Ccnni�s`.GLC_F7mitAp��_GLR FRE-doc Ro�0611'QDIS 440-061gT(IIi05/COIvL'WE6
Document ReC YORQR-AAMAM-R4PVV-AZNV3 Page 3 of 8
Electrical Permit Application—City of Tigard
Page 2—Supplemental lnformation
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Dcscrip[ion Qty. EacM1 To1T1
Fee for all residenlial systeros combined: $75.00 Re�r�ae�e�i���ri�,i energy,�,ek�ms:
CheckTypeofWorklnvolved: s�eor�ess 1 ioo.�o 900Jo z
5.0]to IS kva 13J56 2
❑ Audio and Stereo Systems* is.oi io zs x�a zoo.3a z
Wind eneration svstems in cxcess o(25 kva:
❑ Burglar Alarm ss.oi rosox�a 3o�.na a
50.01 ro 100 kva 55226 2
� �iaTabTO�OOT�pC210T'�` :100 kva(fcc in accordancc
with OAR 918-309-0040) 552.26 2
� � H03tlrig, Vent111t1Ot1 alld A1C COnd1t10n1Rg Solar generatiun systems in excess nf 2,5 kva:
�ySCCTYI'� ,
Each addinonal kva ovcr 25 � 7A2 a
❑ V2�CLlUII1.Sy5T011]S* >IOOkvo—noadditionalclierae 0,0 "�
F.ach aAditional ins ecfion over allowable in any of Ihe above:
� Each nddfnonal inspectio¢is
nt}10T: 6625/hr I
char-ed et an hood p hr ntn�)
lnspactions for u-hSch no fce is 90.00/hr �
s�ccificallylisted(%hrm9n)
COMMERCIAL WORK ONLY: �►.Ecrxrcnr� PEaviiT �Es
Fee for cach commercial system: $75.00
Subtota](Enter on Pagc 7): 100.70
(S��O.AR91R-309-4000) * h,�,nn��or�„�p��c�o����n��-�ap������ran.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Dala Telecommunication [nstallation
❑ Fire Alan�l Installation
❑ HVAC
❑ Instrumentation
❑ I�itercom and Pa�ing Systcros
❑ Landscape Irrigation Control''�
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighling*
❑ Protective Signali�g
❑ Other:
Total number of commercial systems: _
*No licenses are required. Licenses are required for all
olher installafions
CL3uildfne`.Pcmilie�PLC_ParinnApp[LLA I'RFAuu RocOGi17�]015
Document Ref:YORQR-AAMAM•R4PVV-AZNV3 Page 4 of 8