Permit p CITY OF TIGARD MASTER PERMIT
• COMMUNITY DEVELOPMENT Permit#: MST2014-00033
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/25/2014
Parcel: 2S109DA12500
Jurisdiction: Tigard
Site address: 12969 SW KOSTEL LN
Subdivision: SUMMIT RIDGE NO.2 Lot: 114
Project: Shinde
Project Description: Installation of solar photovoltaic
BUILDING
Floor Area 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
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 Tvoes 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: 1 0-200 amp: 0 W/Svc or Fdr 0
Ea add/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: N Other Description: 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:
SHINDE,HARSHAVARDHAN C SOLARCITY CORPORATION Required Items and Reports(Conditions)
SHINDE,SHARMISHTHA H 6132 NE 112TH AVE
12969 SW KOSTEL LN PORTLAND,OR 97220
TIGARD,OR 97224
PHONE: 503-956-2083 PHONE: 971-201-5278
FAX: 866-592-2249
Total Fees: $332.88
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
. — --
! _it " _ ■ _� Permittee Signature: .. , - `
II •.6 9.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• -- f
Building Permit Application ,ECEivE
Residential 1 1 2014 IOIt Ol l It I I •.l ()NI.)
City of Tigard MA� Received 7
• 1 3125 S W Hall Blvd.,Tigard,OR 97223 v DAle/B / I'cnnir No: /\-/ �■0 �j?j Tic k
`� I ''hone: 503.718.2439 Fax: 503.598. ` OF 1.--,rR flan Review��e �
I C.A R 1)
Inspection Line: 503.639.4175 D1NO DIVI$IO ei See Page 2 for
Internet: www.tigard-or.gov $UIL Supplemental Information
TA PF: OF WORK REQUIRED DATA:I-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. ^
® I-and 2-family dwelling ❑Commercial/industrial Valuation: S 5250 1�`
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12969 SW Kostel Ln, New dwelling arca: square feet
City/Stale/ZIP: Portland OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: Shinde Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
.1
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE('HE('K1.1 /,;•.„..
Subdivision: 1 Lot no.: Permit fees'arc 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 a
DESCRIPTION OF WORK work indicated on this application.
PV ROOF MOUNT -5.25 KW Valuation: S
et
Existing building area: square feet
New building arca: square feet
® PROPERTY OWNER ❑ TENANT Number of stories: F..
Name: Shinde,Harshavardhan Type of construction:
Address: 12969 SW Kostel Ln,
Occupancy groups:
City/Stale/ZIP: Existing:
Phone:(503 )956 2083 Fax:( )
New: 4
® APPLICANT ® CONTACT PERSON Btl1.DING PERMIT FEES*
Business name:SOLAR CITY
(Please refer to fee sckedul� 'g
Structural plan review Ice(or deposit):
Contact name:MELISSA BENTLEY
rx FLS plan review fee(if applicable):
Address:6132 NE 112 AVE
Total fees due upon application:
City/State/ZIP:PORTLAND OR 97220
Phone:(503)894 6903 Fax::(1866)445-7459 Amount received:
E-mail:ABF,NTLFY(a�SOLARCI'fl'.COM11 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
Commercial and residential prescriptive installation of n
CONTRACTOR .,..,
roof-top mounted I'holoVoltaic Solar Panel System.
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details
112TH and fire department access,along with the 2010 Oregon
Address:6132 NE 112 AVE Solar Installation Specially Code checklist.
City/State/7_IP:PORTLAND OR 97220 Permit Fee(includes plan review
- — and administrative fees): 5180.00
Phone:(503)894-6903 Fax:(1866)445-7459
State surcharge(12%of permit fee): 521.60
CCB lie.: 180498
` Total fee due upon application: 5201.60
)
Authorized signature:, • ' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:A. MELISSA a TLE Date: `fee methodology sex by Tn-County Building Industry
03/12/14 Service Board.
1:113uilding\Permits\13UP-RESPcrmitApp.doe 02/24/2011 440.4613T(11/02/COM/WEB)
Electrical Permit Annlia1jon EIVED
City of Tigard ma 3 17 1,1 PennitNo.: ilsryp/ 6603
IN .q 13125 SW Hall Blvd.,Tigard,OR 97223 ' 2014 Parr Review
r. Phone: 503.718.2439 Fax: 503.598.1960 Date/fly: Other Permit:
I!GAR[) Inspection Line: 503.639.4175 Date Ready/By lads-' ® See Page 2 for
Internet: www'tigard-ergoCITY OF TIGARD No ified`Mctlnd. Supplemental Inforraattoa
i • 4AIVISION PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit j sets of plans writems checked below)
❑Service or feeder 400 amps or more ❑Building over three stories
❑ Demolition ❑Other: where the available fault current ❑Marinas and boatyards
CATEGORY OF CONSTRUCTION cow&10,000 amps at 150 volts or ❑I.loafing buildings.
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
0 I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Oilier: El Fire pump ❑Installation of 150 KVA or
JOB tiTI'E INFORMATION AND LOCATION ❑Emergency system larger separately derived system
❑Addition of new motor load of ❑"A""E" "1 2' "t 3"
Job no.:9721867 I Job site address: 12969 SW Kostel Ln IOUHP or more ccupancy.
❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: PORTLAND OR 97224 ❑Health-care facilities. ❑Supply voltage for more than
❑lirv.ri ous locations. 600 volts nominal
Suile/bldgJapt.no.: Project name: Shinde ❑Service or feeder 600 amps or more
FEE SC'HEDI'LE
Cross street/directions to job site: Description, I Qtr. I Fee. I "IOW I •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I.ot no.: 1,000 sq 0.or less 168.54 4
Fa.add'l 500 sq.n.Or portion 33.92 1
'Fax map/parcel no.: Limited energy,residential
75.00 2
DESCRIPTION OF WORK (with above sq.R.)
Limited energy,multi-family 75.00 2
PV ROOF MOUNT -5.25 kw residential(with above sq fi) _
r Renewable Energy EKtiee Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNF:R I— ❑ TENANT 200 amps or less 100 70 2
201 amps to 400 amps 133.56 2
Name: Shinde,Harshavardhan 401 amps to 600 amps 200.34 2
Address: •12969 SW Kostel Ln 601 amps to 1,000 amps 301 04 2
Over 1.000 amps or volts 552.26 2
City/State/ZIP: PORTLAND OR 97224 Temporary services or feeders installation,alteration,and/or
Phone:(503 ) 503 956 2083 r Fax:( ) relocation
200 amps or less 59.36 h—
intended Owner installation:This installation is being made on property that I own which is not
201 amps to 400 amps 125.08 for sale.lease,rent,or exchange,according to ORS 447,449,670,and 701. q01 amps to 599 amps 168.54
Owner signature: Date: _ Branch circuits-new,alteration,or extension,per panel _
® APPLICANT I ® CONTACT PERSON A.Fee for branch circuits with
above service or feeder fee.
7.42
Business name:SOLAR CITY each branch circuit
B.Fee for branch circuits without ~
Contact name:MELISSA BENTLEY service or feeder fee,first
branch circuit 56.18 2
Address:6132 NE 1121/1 AVE Each add'l branch circuit 7.42 I 2
City/State/ZIP:PORTLAND OR 97220 Miscellaneous(service or feeder not included)
Each manufactured or modular
Phone:(503)894-6903 Fax: :(1866)445-7459 dwelling,service and/or feeder 67 84 2
Reconnect only 67 84 2
E-mail:ABENTLEY @SOLARCITY.COM Pump or irrigation circle 67.114 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:SOLAR CITY Signal crrcuit(s)or limited-energy See
panel,alteration,or extension, Page 2 2
Address:6132 NE 1121/1 AVE Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66 25/hr
City/State/ZIP:PORTLAND OR 97220 Investigation(I hr min) 66.25!hr
Phone:(503)894-6903 f Tax:(188)445-7459 Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.: 180498 Electrical Lic.: C562 Suprv. 1.ic.: 5201S specifically listed(14 hr min) 90.00/hr
ELE(TRICAI. PERMIT FEES
Suprv.Electrician signature,requited: Illit� ,�+'
��Jst Subtotal:
Plan review(25%of permit fee):
Print name: DEREK CROPP Date: 03-12-14 Pe
_ _ State surcharge(12%of permit fee):
Authorized signature: ��I TOTAL PERMIT FEE.:
—
'. This permit application expires if s permit is not obtained within 180
Print name: A. MELI 'A : y Date: 03-12-14 days after it has been accepted as complete.
• Number of inspections allowed per permit
I Wuildir 5PermirsiEL(_Pcr net App_FIR FRE floc Rev 05/2112013 440-461571 I I/05.K.OM/wt:li
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RES.A3 L ORK ONGY.. >e 5t'[t tx it
Fee for all residential systems combined........ $75.00 Dewirew 1 aly. I Fec I r.rd I •
Renewable electrical energy systeatis:
Check Type of Work Involved: 5 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
❑ Burglar Alarm Wind generation systems in excess of 25 kvs:
25.01 to 50 kva 301.04 2
I I Garage Door Opener* 50.01 to 100 kva 552.26 2
100 kva(fee in accordance with 55136 2
❑ Heating,Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems In excess of 25 kva:
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 lir min)
J
Inspections for which no fee is r hr
specifically listed Ili in min) ��'
tOMMERCIAL WORK ONLY;
Fee for each commercial system .__ $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of pennit fcc):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT PEE:
❑ This permit appticatlen expires If a wreath Is net obtained within 1110
Audio and Stereo Systems daycafer•ie has bees ateei led asexeplete.
• Number of inspections allowed per permit.
[] Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
licenses are required. Licenses are required
for all other installations
I.VfuiditsVormBstlil.0 Yandidop_ELR_FRIi doe Rte 45/21ROI3
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12969 SW KOSTEL LN, TIGARD, OR, 97224
Residential - Master Permit
199 Electrical final
PASS
April 30, 2014 at 11:52:00 AM
MST2014-00033
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12969 SW KOSTEL LN, TIGARD, OR, 97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
April 30, 2014 at 11:51:40 AM
MST2014-00033
Jeff Grove
Violation Summary:
Inspector Contractor