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Permit (142)
CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2016-00461 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 11/29/2016 TfC;;�It.f� 9 Parcel: 2S109DA09800 Jurisdiction: Tigard Site address: 15288 SW OAK VALLEY TER Subdivision: SUMMIT RIDGE NO.2 Lot: 87 Project: BALAKRISHNAN Project Description: Solar photovoltaic system. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement sf Left: Parking Spaces: Height: Bathrooms: Second: sf Garage: sf Front Smoke Dwelling Units: Third: sf Right: Detectors: Total: sf Value: $12,973.00 Rear: PLUMBING Sinks: Water Closets: Washing Mach: Laundry Trays: Rain Drain: Urinals: Lavatories: Dishwashers: Floor Drains: Sewer Lines: SF Rain Storm Sewer Tubs/Showers: Garbage Disp: Water Heaters: Water Lines: Drains: Catch Basins: Footing Drain: Ice Maker: Hose Bib: Backwater Value: Bckflw Prevntr: Drywell-Trench Drain: Other Fixtures: Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: Clothes Dryers: Heat Pump: N Hoods: Other Units: Furn<100K: Vents: Woodstoves: Gas Outlets: Furn>=100K: ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 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 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 Owner: Contractor: BALAKRISHNAN,SRIDHAR&LESLIE BLUE RAVEN SOLAR LLC Required Items and Reports(Conditions) 15288 SW OAK VALLEY TER 1220 S 630 EAST,STE 430 TIGARD,OR 97224 AMERICAN FORK,UT 84003 PHONE: PHONE: 385-498-4408 FAX: Total Fees: $373.69 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 952-001-00 I ro.= OAR 9 2-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 32.1987 or 1.800.332.2344. Issued -y. /. / I i Permittee Signature: ,•_c: , !�—� Call 503.639.4175 by 7:00 a.m.for the next available inspection• te. 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 Application Residential FOR OFFICE USE ONLY' City of Tigard Received / g Date/By: `l '/n PermitNo.: yV1C��!/ .�4 ' r 13125 SW Hall Blvd.,Tigard,OR 97223 'p'., Plan Review / /r s� G iv L _ Phone: 503.718.2439 Fax: 503.598.1960jOther Permit: ry i . A Date/By: / / — /� 01k ifi,�_�) T 1 G A R D Inspection Line: 503.639.4175 .14, ?F ," '" Date Ready/By: / /01._ 7u S See Page 2 for Internet: www.tigard-or.gov , ,, Notified/Method:i f /�� Supplemental Iuformatiou e .%."''''''..r, t 1 t I xo t $ I ❑New construction 0 Demolition ,':1',1 15', a "'Pe "'t fees*are based on the value of the work performed. t Indicate the value(rounded to the nearest dollar)of all 2 Addition/alteration/replacement ❑O4.1.40J- r, t j A ., `." equipment,materials,labor,overhead,and the profit for the ••: p = t 4- E t, -'' ' work indicated on this application. ❑� 1-and 2-family dwelling 0 Conur►ercial/industrial Valuation: $12,973 ❑Accessory building 0 Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: r { tel" Total number of floors: site address:15288 Southwest Oak Valley Terrace New dwelling area: square feet Job City/State/ZIP:Tigard ,Oregon 97224 Garage/carport area: square feet Suite/bldg./apt.no.: I Project name:Leslie Balakrishnan Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet 901! 0 1° 1 I ! tIPnPlifratfgEOFC,MTLWAIWI2' '41 Subdivision: 1 Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.:2S 109DA09800 Indicate the value(rounded to the nearest dollar)of all t k, �, 3 equipment,materials,labor,overhead,and the profit for the r i .M t 6 = c e I ' _ work indicated on this application. PV Solar Panels 6.38 kW valuation: $ Existing building area: square feet New building area: square feet s_`:'3 at ° '— 'ar'''ks i C x.5.1. . �n ,• a+ »: ;tel.! An lt, ' : � ,i Number of stones: Leslie Balakrishnan Type of construction: Address:15288 Southwest Oak Valley Terrace Occupancy groups: City/State/ZIP:Tigard ,Oregon 97224 Existing: Phone:( )5036208422 Fax:( ) New: til rOgarR.NaregiMV.aWfrAgar..410WW_„. 7.7.77-5,,.,nbyrr 1.1.,L max: Business name: Blue Raven Solar _ 'T xj/ ;rn .® et BrittanyGardner Structural plan review fee(or deposit): Contact name: Address: 1220 S 630 E STE 430 FLS plan review fee(if applicable): City/State/ZIP: American Fork,UT 84003 Total fees due upon application: Phone:( 855 ) 205-2530 I Fax::( ) Amount received: E-mail: Permitting@blueravensolar.com t +A � t i e' F k 1 ` ..- _ Commercial and residential prescriptive installation of ,, , .404.17:1M::::,.:77.7:7'7.4'",,,,.} _ _.. . `• , *:L11'15 X14 roof-top mounted PhotoVoltaic Solar Panel System. Business name: Blue Raven Solar ( � Submit two(2)sets of roof plan with connection details Address: 1220 S 630 E/4 S7� jf O and fire department access,along with the 2010 Oregon Solar Installation Specialty Code checklist. City/State/ZIP: American Fork,UT,84003 Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) 9 9i.- yEf Ltl Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lie.: #210112 `l/k/1i; Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Jeffery Lee Date:10/27/2016 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) electrical Permit Application ab'N FOR OFFI('1: ISI: 0\1.1 f ) .:. City of Tigard a Received 13125 SW Hall Blvd.,Tigard,OR 97223 - `,, Date/By: Permit#: gV(V Plan Review1,1 Related Permit#: Phone: 503.718.2439 Fax: 503.598.1960 ,` /� Date/By: Inspection Line: 503.639.4175 V t ' `•'ad Date/By: .Inns: 1 I G A R D `7 , Y ® See Page 2 for Internet: www.tigard-or.gov .°� '? Nptid/Method: Supplemental Information ii4u TYPE OF WORK OA e�`Y� ' PLAN REVIEW 0 New construction ©Addition/alteration/rg 11 Please check all that apply(submit 2 sets of plans w/items checked): ElDemolition ❑Other: 7 �: ElService or feeder 400 amps or more 0 Building over three stories. where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings. 0 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder 0 Other: ❑Fire pump. El Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Job#: I Job site address:15288 Southwest Oak Valle Terrace 0 Addition of new motor load of system. y 100HP or more. ❑"A","E","1-2","1-3", City/State/ZIP:Tigard , Oregon 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: I Project name:Leslie Balakrishnan 0 Hazardous locations. ❑Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty I Each I Total I * New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. Tax map/parcel#:2S 109DA09800 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential PV Solar Panels 6.38 kW (with above sq.ft.) 75.00 2 Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 PROPERTY OWNER 1 0 TENANT - Services or feeders installation,alteration,and/or relocation Name:Leslie Balakrishnan 200 amps or less 100.70 2 Address:15288 Southwest Oak Valley Terrace 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Tigard , Oregon 97224 601 amps to 1,000 amps 301.04 2 Phone:( ) 5036208422 J Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email:leslie.balakrishnan@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 0 APPLICANT CONTACT PERSON Branch circuits—new,alteration,or extension,eer panel A.Fee for branch circuits with Business name: Blue Raven Solar above service or feeder fee, 7.42 2 BrittanyGardner each branch circuit Contact name: B.Fee for branch circuits without Address: 1220 S 630 E STE 430 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP: American Fork,UT,84003 Each add'I branch circuit 7.42 2 Phone: 855 205-2530 Miscellaneous(service or feeder not included) ( ) Fax: :( ) Each manufactured or modular 67.84 2 Email: permitting@blueravensolar.com dwelling,service and/or feeder Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: AP Electric Sign or outline lighting 67.84 2 Address: 1220 S 630E STE 430 Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: American Fork,UT.84003 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( 855 ) 205-2530 Fax: ( ) Investigation(1 hr min) 90.00/hr Email: Permitting@blueravensolar.com gimIndustrial plant(1 hr min) 78.18/hr A -'R Inspections for which no fee is CCB Lic.: 210112 Electrical Lic.: C1214 I Suprv.Lic.: 6097S - specifically listed('h hr min) 90.00/hr 1 11)0, ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Wj .Q Akt Subtotal: Alex Petersen Print name: Date: 10/27/2016 Cdy 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: 17 TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Jeff Lee Date:10/27/2016 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\ELC PermitApp_ELR_ERE.doc Rev 06/17/2015 44 15T(I1/05/COM/WEB ,V a7 17. Sf tlY... 41 SO r r#r A 4J 4 ,�.-IkA2-r/6 -n� Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 5.01 to 15 kva 1 133.56 2 El Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: El Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance 552.26 2 with OAR 918-309-0040) ❑ Heating,Ventilation and Air Conditioning Solar generation systems 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: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed('/hr min) E �. LECTRIG PERMIT � COMMERCIAle WORK?ON Y: _ . Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation El Intercom and Paging Systems El Landscape Irrigation Control* El Medical ❑ Nurse Calls El Outdoor Landscape Lighting* El Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: • „, � �t * g ",e�. 'y tg {-• '3, #'+"..:� .:e.� _�..'} x�:..a".r; ?*.'RA. ...r.i'3'"L�._v.`-x��T�-•• axi_a urrl! ir a „ Emm 1 Description Qty. Each 1 Total 1 * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 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 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 El Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems 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: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr r x 11114A51,14- ' . .+io . s m € §ec1 callylsted '/z hr mm) 1,1,'!2,„ :°r r :`. � .� m � . .:•� �?�m, �� , y M ° P.. L _ F6 : : .::�: . _ ,,,._1,,ITI�• : $75.00 Subtotal(Enter on Page 1): Fee for each commercial system: * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ 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 I:\Building\Permits\ELC_PermitApp_ELR_ERE.doe Rev 06/17/2015 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15288 SW OAK VALLEY TER, TIGARD, OR, 97224 Record Type: Residential - Master Permit Inspection Type: 199 Electrical final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00461 Inspector: Jeff Grove Contractor