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5313 W Henderson Pl - Plan
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6/6/2025 1:22:33 PM
Creation date
6/6/2025 1:22:11 PM
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Plan
Permit Number
20184540
Full Address
5313 W Henderson Pl
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<br /> <br /> <br /> <br /> <br /> <br /> <br />This Verification is for the exclusive use of Intertek's client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms <br />and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this <br />Verification. Only the Client is authorized to permit copying or distribution of this Verification. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, <br />product or service must first be approved in writing by Intertek. The observations and test/inspection results referenced in this Verification are relevant only to the sample tested/inspected. This <br />Verification by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. <br /> <br /> <br /> <br />Intertek Page 1 of 8 GFT-OP-11a (22-August-2019) <br /> <br /> <br />Test Verification of Conformity <br />Verification Number: 104514208CRT-001VOC <br /> <br /> <br />Applicant Name & Address: <br /> <br />Tesla Inc. <br />3500 Deer Creek Road, Palo Alto, CA 94304 <br /> <br />Product Description: <br /> <br />Energy Storage System Grid Support Utility Interactive & Standalone Inverter <br /> <br />Ratings & Principle <br />Characteristics: <br /> <br />See Appendix 2 <br />Models/Type References: <br /> <br />1707000- followed by two numbers; followed by -; followed by one letter. <br /> <br />Brand Names: <br /> <br />Tesla <br />Relevant Standard(s) / <br />Specification(s): <br /> <br />See Appendix 1 <br />Verification Issuing Office Name <br />& Address: <br /> <br />Intertek Testing Services NA, Inc. <br />3933 US Route 11, Cortland, NY 13045 USA <br />Date of Tests: <br /> <br />9/15/2022 to 4/23/2024 <br />Test Report Number(s): 104514208CRT-001, 104514208CRT-001RRF, 104514208CRT-001TRS, <br />104514208CRT-010, 104514208CRT-012 <br /> <br />Additional information in Appendix. <br /> <br />Signature <br />Name: Mukund Rana <br />Position: Sr. Staff Engineer <br />Date: 10th May 2024 <br />On the basis of the tests undertaken, the samples of the below product have been found to comply with the <br />requirements of the referenced standards at the time the tests were carried out. This verification is part of the full <br />test report and should be read in conjunction with it. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />This Verification is for the exclusive use of Intertek's client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms <br />and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this <br />Verification. Only the Client is authorized to permit copying or distribution of this Verification. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, <br />product or service must first be approved in writing by Intertek. The observations and test/inspection results referenced in this Verification are relevant only to the sample tested/inspected. This <br />Verification by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. <br /> <br /> <br /> <br />Intertek Page 2 of 8 GFT-OP-11a (22-August-2019) <br /> <br />Appendix 1: Relevant Standard(s)/Specification(s) <br />Inverters, Converters, Controllers and Interconnection System Equipment for use with Distributed Energy Resources <br />[UL 1741:2021 Ed.3] <br /> <br />Grid Support Utility Interactive Equipment - Supplement SA to UL 1741:2021 Ed.3 - Inverters, Converters, Controllers <br />and Interconnection System Equipment for use with Distributed Energy Resources [UL 1741:2021 Ed.3 (Supplement <br />SA)] <br /> <br />Grid Support Utility Interactive Inverters and Converters Based Upon IEEE 1547:2018 & IEEE 1547.1:2020 - <br />Supplement SB to UL 1741:2021 Ed.3 - Inverters, Converters, Controllers and Interconnection System Equipment for <br />use with Distributed Energy Resources [UL 1741:2021 Ed.3 (Supplement SB)] <br /> <br />Energy Storage Systems and Equipment [ANSI/UL 9540:2020 Ed.2+R:09Apr2021] <br /> <br />Photovoltaic (PV) DC Arc-Fault Circuit Protection [UL 1699B:2018 Ed.1+R:18May2021] <br /> <br />Software in Programmable Components [UL 1998:2013 Ed.3+R:24Sep2018] <br /> <br />Tests For Safety-related Controls Employing Solid-state Devices [UL 991:2004 Ed.3+R:09Jun2010] <br /> <br />Batteries for Use in Stationary, Vehicle Auxiliary Power and Light Electric Rail (LER) Applications [ANSI/UL 1973:2018 <br />Ed.2] <br /> <br />IEEE 1547:2018 - IEEE Standard for Interconnection and Interoperability of Distributed Energy Resources with <br />Associated Electric Power Systems Interfaces <br /> <br />IEEE 1547a:2020 - IEEE Standard for Interconnection and Interoperability of Distributed Energy Resources with <br />Associated Electric Power Systems Interfaces <br />Amendment 1: To Provide More Flexibility for Adoption of Abnormal Operating Performance Category III <br /> <br />IEEE 1547.1:2020 - IEEE Standard Conformance Test Procedures for Equipment Interconnecting Distributed Energy <br />Resources with Electric Power Systems and Associated Interfaces <br /> <br />Source requirements document UL 1741 (SRD) v2.0 – HECO <br /> <br />Electric Rule No.21-2020 Generating Facility Interconnections <br /> <br />Default New England Bulk System Area Settings Requirement <br /> <br />PRC-024-3 Frequency and Voltage Protection Settings for Generating Resources <br /> <br />GOVERNMENT OF PUERTO RICO PUBLIC SERVICE REGULATORY BOARD PUERTO RICO ENERGY BUREAU, Generating <br />Facility and Microgrid Interconnection Regulation (“Regulation”), July 2021 <br /> <br />Power Conversion Equipment [CSA C22.2#107.1:2016 Ed.4+U1] <br /> <br />Interconnection of Distributed Energy Resources and Electricity Supply Systems [CSA C22.3#9:2020 Ed.2] <br /> <br />Photovoltaic Rapid Shutdown Systems [CSA C22.2#330:2023 Ed.2] <br /> <br />Safety Functions Incorporating Electronic Technology [CSA C22.2#0.8:2019 Ed.4] <br /> <br />5313 W Henderson <br />Pl2/5/2025
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