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Permit CITY OF TIGARD MASTER PERMIT " COMMUNITY DEVELOPMENT Permit#: MST2014-00082 Date Issued: 06/05/2014 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S109DA11900 Jurisdiction: Tigard Site address: 12922 SW KOSTEL LN Subdivision: SUMMIT RIDGE NO.2 Lot: 108 Project: PILLA 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: $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 0 Storm Sewer: 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 Drywell-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 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp SrvclFeeders 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 All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: OTR SF VB R-3 0 Owner: Contractor: GANDHAM,SRAVANTHI SOLARCITY CORPORATION Required Items and Reports(Conditions) PILLA,RAM VITAL 6132 NE 112TH AVE 12922 SW KOSTEL LN PORTLAND,OR 97220 TIGARD,OR 97224 PHONE: PHONE 503-894-6903 FAX: 866-445-7459 Total Fees: $324.38 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 throu OAR 952-001-00.0. 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: Permittee Signature: (r/L7 ���� �� 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. I 4 Building Permit Application Residential RECEIVED � i , 1 1, City of Tigard D Fwl�,/1 V 7 m» 13125 Phone: 503.7182439 3.718Z�TF�503.598.1960 c tdg Revi'In�J=Et _ _ / i,, , I Inspection Line: 503.639.4175 MAY 2 8 2014 D • - 0 See Page 2 fir Internet www.tigard-or.gov ln�CCTT��nn••nnnn Notified/Method: S.�le.ewtldertiMlea Tee et . -.-OF VlL3{tll DATA 1-AND 2-FAMILY D*►UJJNG • ' o , fly iJtON Permit fees*are based on the value of the work performed. ❑New construction � �.., � lion Indicate the value(rounded to the nearest dollar)of all ®Addition/alteration/replacement ❑Other. equipment,materials,labor,overhead,and the profit for the caraway or catamaran work indicated on this application. ® 1-and 2-family dwelling ❑ConmerciaVindustrial Valuation: s 3,750 ❑Accessory building ❑Multi-family Number of bedrooms: ❑Master builder ❑Other: Number of bathrooms: .JOB SHE =MUTATION ANN LOCATIIIr.; Total number of floors: Job site address: 12922 SW Kostel Ln, New dwelling area: square feet City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet Suitelbldgfapt.no.: I Project name Pilla, Ram Covered porch area square feet Cross strect/daectians to job site: Dark area: square feet Other structure area: square feet llmQITIRDD DATA:CONUERCIALVIII CHECKLIST Subdivision: I Lot no.: Permit fees'are based on the value of the work performed. Tax map/patcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OP WORK work indicated on this application. PV ROOF MOUNT 3.57 KW Valuation: S Existing building area: square feet New building area: square feet ® lR1DlFRIY(ri1MlJlt I 0 TTif4ANT Number of stories: Name: Pills, Ram Type of construction: Address: 12922 SW Kostel Ln, Occupancy groups: City/Stae/ZIP:Tigard OR 97224 Existing: " Phone:(859 ) 619-6295 Fax:( ) New: ® APPLICANT ® CONTACT P11R8ON >M1Nl Business name:SOLAR CITY D1halsaeAr Structural plan review fee(or deposit): Contact name:MELISSA BENTLEY Address:6132 NE 112Th AVE FLS plan review fee(if applicable): City/StalelZlP:PORTLAND OR 97220 Total fax due upon application: Phone:(503)894 6903 I Fax::(1866)445-7459 , Amount received: E-mail:ABENTLEY©SOLARCITY.COM lHIOROVOI.TAIC80iJIRUANi1.iYl7EMIli�' (,I Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details and lire department access,along with the 2010 Oregon Address:6132 NE 112Th AVE Solar Installation Speciahy Code checklist. City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review 5180.00 and administrative fees): Phone:(303)894-6903 I Fax:(1866)445-7459 State surcharge(12%of permit fee): $21.60 CCB lic.: 180498 Total fee due upon application: 5201.60 Authorized signature: This permit apNiatdaa expires if a permit Is eat obtained within 1ST days after it has been accepted as complete. I Print name:A. MELISSA I Date: 05/27/14 I "Fee methodology set by Tri-County Budding Industry Service Bard. I:\Buildineermits\BUP-RFSPcrmiiApp.doc 02124/2011 440-4613T(I I/O2/C;OM/WEB) • Building Permit Application Checklist One- and Two-Family Dwelling rr>it tirFtr t. USE ONLY City of Tigard Pooh No 13125 SW I101 Blvd.,Tigard,OR 97223 • Phone: 303.718.2439 Fax. 503.598.1960 Assoc d 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plwnbing (3 Mechanical i I ^.:::? Internet: t4ww.ligard Ayr.gov ❑ Orin. THE FOLL()‘\ ls;(; I I F.\I' ARE: RLQI.IRED FOR PLAN REVIEW' les No ,:a I Land use actions completed. See jurisdiction criteria for coneum nt reviews. ❑ ❑ • 2 Usti Flood lain,solar balance •ints,seismic soils dcsi: aion,historic district.etc. ❑ 0 ❑ 3 Verification of approved plat/tot. Iii ❑ 0 4 Fire district approval required. Name of district: Q ❑0 5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ 6 Sewer permit 0 ❑ ❑ 7 Water district approval. _❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. [� 9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fatoe design and location of catch- • basin protection,etc. 10 3 Complete sets of legible plans. Must he drawn to scale.showing conformance to applicable local and state ❑ ❑ ❑ 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. I I 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-fl.elevation differential,plan must show contour lines at 2-ft.intervals);location of casements and driveway;footprint of structure(including decks):location of wells/septic systems;utility locations:direction indicator lot arca;building coverage urea;percentage of coverage;impervious armor;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, ❑ 0 ❑ 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- ❑ ❑ ❑ floor,wall construction,toot 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. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-else sheet addendum showving_foundation elevations with cross references me acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysispxovidc specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing.spacing,and bearing ❑ ❑ ❑ locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ - ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. El ❑ ❑ 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 on and shall be shown to be a licable to the ro' t under review. 23 Three 3 site 'tans are -.uired for Item I I above. Site .lens must be 8-12"x I I"or 11"x 17". 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. • • 0_ 2.5 Building plans shall not contain red lines or tape-ons. "Mirrored"buiidingplans will not be accepted. ❑ rJ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document . 0 ❑ ❑ scale""Drawn to ale"indicates standard architect or engineer scale. ❑— 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driptinec, ❑ ❑ 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 ❑ 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. 1:1Building1Pcnnits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(I l/021COM/WFI3) ./ • Electrical Permit ADD" EIVE `' SiCity of Tigard Aft' V ,�� . , 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7111.2439 Fax: 503. i1�618 8 2014 Other Permit: Inspection Line: 503.639.4175 y� r�� Date Ready/By: B See Page 2 for Irnteraee wrww.tigard or.iyov kin Q TJG�R�1 FCi�7• SupPkseetal lnfersarha iO '-DO1� SIAM v w ❑New construction ®Addi rats replacement Plea Bred all that apply(submit j sets aphis w/ilema Misdeed below) Demolition ❑Service der e or fee 400 amps a more ❑Bead*over three stories. D 0 Other: wham de available fault carom ❑Marinas sad boatyards. CATEGORY OF(Iill4l'RU(C170N exceeds 10,000 amps at 150 volts or ❑Floating buildings. ® I-and 2-farmil dwelling less to'mid,or exceeds 14,000 ❑Commercial-sae agricahural 2-family g ❑Commercial/industrial 0 Accessory building amps for all other imtallmions. buildings. ❑Multi-family ❑Master builder ❑Other. El Fite pomp_ ❑Installation of 150 KVA or MT INFORMATION AND LOCATION ❑F,.a�cy " larger separately derived syaem. JOS ❑Addition of new motor load of 1:1"A",,"E","1-2".-1-3 7, Job no.:9721970 I rob site address: 12922 SW Kostel Ln, 1t10HP or mare. oocuprion ❑Six a mom residential mw:. ❑Recreatiaml vmhick pats. City/State/ZIP: Tigard OR 97224 ❑Herat-care tiaeauies. ❑Supply voltage for more gm ❑Hazardous locations. 600 volts nominal Suite/bldgJapt.no.: I Project name: Pilla, Ram OS (051or600 aispi or more. PIM 8 IIIIMP LIC Cross street/directions to job site: ttasnnatl.a I Qtr.T tie. I Tar 1 • New residential single-or multi-family dwelling gait. Includes attached garage. Subdivision: I Lot no.: 1000 sq.R.or less 168.54 4 Tax map/parcel no.: En.add'I 500 sq.11.or portion 33.92 1 Limited erg,residential 75.00 2 MEICIIIPTION OF WORK , (with above so.11.) Limited mama multi-family 75.00 2 PV ROOF MOUNT 3.75 KW residential(with above sq R.) �/ lirewsik Calera ed•See Page 2 Services or feeders installation,alteration,and/or relocation ® PROPERTY OWNER I ❑ mom 200 amps or less 100.70 2 -Name: Pilla, Ram 201 ampsio400amps 133.56 2 401 amps to 600 amps 200.34 2 Address: 42922 SW Kostel Ln, 601 amps to 1.000 amps 301 04 2 Over 1.000 amps or volts 552.26 2 City/State/ZIP:Tigard OR 97224 Temporary services or feeders Installation,alteration,and/or Phone:( ) Fax:( ) rs�tion 859 619-6295 200 amps or less 5936 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 turps 125.08 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: Brands Circuits-new,alteration,or extension,per panel El Nguema I a CONTACT" MON A.Fee for branch circuits with above service or feeder tbe. 7.42 2 Business name:SOLAR CITY each bunch circuit B.Fee for branch circuits without Contact name:MELISSA BENTLEY service or feeder fee.lira 56.18 2 branch circuit Address:6132 NE 112 AVE Each add'I branch circuit 7.42 _ 2 CityfStale/ZIP:PORTLAND OR 97220 Misedlaneotts(service or feeder not included) Fxh mmmufactured or modular 6784 2 Phone:(503)894-6903 I Fax::(1866)445-7459 dwelling service and/or feeder Reconnect only 67.84 2 E-mail:ABENTLEY@SOLARCITY.COM Damp or irrigation circle 67.84 2 CONTRACTOR Sip or outline lighting 67.84 2 Business name:SOLAR CITY Snout circuit(s)or limited-energy See pmeel,alteration.or extension. Page 2 2 Address:6132 NE 112114 AVE Each additional inspection over allowable in any or the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:PORTLAND OR 97220 Investigation(1 hr min) 66.25/hr Phone:(503)$94-6903 I Fax:(188)445-7459 Industrial plant(1 M min) 78.18/hr CCB Lie.: 180498 I Electrical Lie.: C562 Suprv.Lie.: 5201S Inspection for which r fee is 90.00/hr p specifically listed(S4 hr min) A PM S tp rv.[lectrician signature,n,roq uirod Subtotal: Print name: DEREK CROPP Date: 05/27/14 Plan (25%of permit fee): - Stale surcharge(12%of permit fee): Authorized signature: 1 TOTAL PERMIT FEE: This permit appYnaen expires ifs penult is net obtained within 1110 Print name: A. MELT`l : N 1 I Date: 05/27/14 days after It has bees accepted as emplane. • Number of inspections allowed per permit. I S&Ola emi LC HrmtApp_EUt_ERE doc Ram 05/3112013 440-46157(11/0SICOtetrrES • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Acil raps It Fee for residential systems combined........ 575.00 T.Q. I Fee 1 Thal I • Renewable electrical energy systems: Check Type of work Involved: 5 kva ot less 1 100.70 $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 caress of 25 Ws: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 ▪100 kva(fee in accordance with 552-26 3 El Heating,Ventilation and Air Conditioning OAR 018-309-00401 System* Solar generation systems in excess of 25 kva: Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 Iva noadditionalcharge 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' specifically listed 05 hr min) ...'.-,. . .. .. .`:'����....::�..` Fee for each commercial system ... $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review.if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit applicatfen esp'rcr if a permit Is not obtained within 150 nA• udio and Stereo Systems days after it has been accepted as campkte. • Nur fiber of inspezimns allowed per permit ❑ Boiler Controls ❑ Clock Systems n Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ instrumentation ❑ Intercom and Paging Systems ❑ Landscape irrigation Control* ❑ Medical n N• urse Calls n O• utdoor Landscape Lighting* n P• rotective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 111Au1d ngPcrn iteELC_Mn.IApp_LLIt_ERE due ar R5/210011 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 12922 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 299 Final inspection PASS - No C of O MST2014-00082 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 12922 SW KOSTEL LN, TIGARD, OR, 97224 Residential - Master Permit 199 Electrical final PASS MST2014-00082 Jeff Grove Violation Summary: Inspector Contractor