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Permit ill „ CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2015-00039 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/19/2015 Parcel: 2S109DB06600 Jurisdiction: TIGARD Site address: 13212 SW HAZELCREST WAY Subdivision: SEQUOIA HEIGHTS Lot: 14 Project: Purohit Project Description: Installation of 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: $8,000.00 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 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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 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 Fum>=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: LENNAR NORTHWEST INC SOLARCITY CORPORATION Required Items and Reports(Conditions) 15060 SW 133RD AVE 6132 NE 112TH AVE TIGARD,OR 97224 PORTLAND,OR 97220 PHONE: PHONE: 503-894-6903 FAX: 866-445-7459 Total Fees: $356.19 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 Ce ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may tain a copy4 the rules or direct questions to OUNC by calling 503.28 or 1.800. ' 2.2344. Issued By: a--Aris---,G-C-- Permittee Signature: ��_ II 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 Applicat' Residential ICEIVEP FOR OF1 It 1. 1 s,1 i IN i 1 City of Tigard BEILVIR111111M11 Permit No.: Mf1; c j3 • 13125 SW Hall 13lvd.,Tigard,OR 97223 1 7 2015 �j g Phone: 503.718.2439 Fax: 503.598.1960 JIRES® Oilier Permit: I I e,A R 1 i Inspection Line: 503.639.4175 Dare Rea:"y: > I ms H See Page 2 for Internet: www.tigard-or.gov WV OFTIGARD Notified/MethL ���, d: Supplemental Information i L I it ,- r--7,,,... 4.4_ f•-+r.1:l<Si,i P∎r Z _.t "t - REQUIRED DATA:1-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. ® 1-and 2-family dwelling El Commercial/industrial Valuation: $ 8000 ❑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: 13212 SW Hazelcrest Way New dwelling area: square feet City/State/ZIP: Tigard OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: J Project name: PUROHIT 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: f 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. 1W ROOF MOUNT , PRESCRIPTIVE Valuation: S Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Srikanth Purohit Type of construction: Address: 13212 SW Hazelcrest Way Occupancy groups: City/State/ZIP: Tigard OR 97224 Existing: Phone:((812)236-3645 Fax:( ) New: : APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES* Business name:SOLAR CITY flYsasc/K/krrerltxscheehcly Structural plan review fee(or deposit): Contact name:MELISSA BENTLEY T" 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: mail:ABENTLEYa7501,ARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:6132 NE 112T"AVE Solar Installation Specialty Code checklist. City/State/Z1P:PORTLAND OR 97220 Permit Fee(includes plan review and administrative fees): $180'00 Phone:(503)894-6903 Fax:(1866)445-7459 State surcharge(12%of permit fee): $21.60 CCB tic.: 180498 — _ Total fee due upon application: $201.60 Authorized signature: i ` �,j, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. " *Fee methodology set by'Fri-County Building Industry Print name:A. MELISSA t TIE i Date: 3/9/15 Service Board. 1:1Building1Permits1BUP- P itApp.doc 02/24/2011 440-46131(11/02/COM/WEB) 0.e. -- u `- , , Electrical Permit Application+CE 1 ED , City of Tigard Date/By: 3 /-7 /5 Permit No.: Nix;5-©003(/ 13125 SW Hall Blvd.,Tigard,OR 972i' R 1 1 2015 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: , Inspection Line: 503.639.4175 Ready/By: ® luris See Page 2 for FTIGARD Internet: www.ligard-orgov TTY 0 Notified/Method: Supplemental Information v+�yN . 143 Frig 'ft P oi'�bl k ~ PLAN REVIEW ❑New construction ®Addition/alteration/replacemcnt Please check all that apply(submit z sets of plans se/items 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 exceeds 10,000 amps at 150 volts or ❑Floating buildings less to ground,or exceeds 14.000 ❑Commercial-use agricultural ® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for all other installations buildings ❑ Multi-family ❑ Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of ❑"A" "E""I-2" "1-3" Job no.:9722505 Job site address: 13212 SW Hazelcrest Way IOOHP or more. occupancy. ❑Six or more residential units ❑Recreational vehicle parks_ City/State/ZIP: Tigard OR 97224 ❑Health-care facilities. ❑Supply voltage for more than ❑Hazardous locations. 600 yobs nominal. Suite/bldg./apt.no.: Project name:PU ROH IT ❑Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • . New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea.add'1 500 sq ft or portion 33.92 1 Tax map/parcel no.: limited energy,residential s 75.00 2 DESCRIPTION OF WORK (with above q.R} Limited energy,multi-family PV ROOF MOUNT , 8 kW residential(with above sq.ft.) 75.00 2 Renewable Energy I8a See Page 2 Services or feeders installation,alteration,and/or relocation ® PROPERTY OWNER ❑ TENANT 200 amps or less 100 70 2 201 amps to 400 amps 133.56 2 Name: Srikanth Purohit 401 amps to 600 amps 200.34 2 Address: 13212 SW Hazelerest Way 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:((812)236-3645 1 Fax:( ) relocation 200 amps or less 59.36 I Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.0$ 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: _ Branch circuits-new,alteration,or extension,per panel Ell APPLICANT 1 .o CONTACT PERSON A.Fee for branch circuits with above service or feeder fee, Business name:SOLAR CITY CORP each branch circuit 7.42 2 B.Fee for branch circuits without Contact name:A. MELISSA BENTLEY service or feeder fee,first 56.18 2 branch circuit Address:6132 NE 112111 AVE Each add'I branch circuit 7.42 2 City/State/ZIP: PORTLAND OR 97220 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 2 Phone:(503)894 6903 Fax::(1866)445 7459 dwelling,service and/or feeder Reconnect only 67.84 2 E-mail:ABENTLEY @SOLARCITY.COM Pump or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name:SOLAR CITY CORP. Signal circuit(s)or limited-energy See panel,alteration,or extension. Page 2 2 Address:6132 NE 112'"AVE Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr t City/State/ZIP:PORTLAND OR 97220 Investigation(I hr min) 66.25/hr Phone:(503)894 6903 Fax:(1866)445 7459 Industrial plant(I hr min) 78.18/hr Inspections for which no fee is 90.001 hr CCB Lie.: 180498 Electrical Lie.: C562 Suprv.Lie.: 5873S specifically listed(v hr min) ELECTRICAL. PERMIT FEES Suprv.Electrician signature,required: 1/11-1.--•-----..„--0---- --------- - Subtotal: Print name: NICHOLAS ARMSTRONG Date: 3/9/15 Plan review(25%of permit fee): - State surcharge(12°%4 of permit fee): Authorized signature: . 1 f . TOTAL PERMIT FEE: This permit application erpires if a permit is not obtained within 180 Print name: A. MELISSA BENTLEY —1 Date: 3/9/15 days after it has been accepted as complete. Number of inspections allowed per permit I\auilding'Peimits\ELC_PermitApp_P1.R_ERE doe Rev 05/21/2013 440.461ST(II/OS/COM/WEB 0 r r Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ON•Y:. F$ ;scu>etiut k Fee for all residential systems combined $75.00 Description I Utr. i Fee I Tout I • Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 3.01 to 15 kva 1 133.56 2 ❑ Audio and Stereo Systems* 15.01 ta25kva 200.34 2 [1] Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 Garage Door Opener* 50.01 to 100 kva 552.26 2 >l00 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning System* Solar generation systems in eseess of 25 kva: Each additional Lye over 25 7.42 3 ❑ Vacuum Systems* >100 kva no additional charge 0.0 3 CEach additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is COMMERCIAL YORK.ONLY: sroc t. r tfreally listed(Y:hr min) tX1!h ` �1GEGTRK'.A `1PF�RA'tIT FEES 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 pr-.RMrr FEE: This permit application expires if a permit is not obtained within 180 ❑ Audio and Stereo Systems days after it has been accepted as complete. • Number of inspections allowed per permit. El Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations BuildioLIPermiiaLC PcrmitApp ELR ERE doc Roy 05/21/2013