Permit CITY OF TIGARDIN i . . MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2021-00361
Date Issued: 09/16/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S112BC04800
Jurisdiction: Tigard
Site address: 14840 SW 83RD AVE
Subdivision: LA MANCHA ESTATES Lot: 1
Project: Horman
Project Description: Installation of(19)solar panels in(1)array(s)on a roof mounted 5.89kW PV 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: $4,281.00 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 Drains: 0 Storm Sewer: 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
Other Fixtures: 0
Drywell-Trench Drain: 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
Fumy=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 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 N
Other: Y Other Description: Roof Top Solar PV System 5.89 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
HORMAN,COLIN D&LINDA A TML INTERNATIONAL LLC Required Items and Reports(Conditions)
14840 SW 83RD AVE 6405 E MILL PLAIN BLVD
TIGARD,OR 97224 VANCOUVER,WA 98661
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $357.69
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
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Issued By: }h'ritY VcuvaeJWege Permittee signature: OlvAppL(.CA VAM
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 iob site at the time of each inspection.
Building Permit Application:ECEIVE E-4I11121
Residential SEP 1 AZ FOR OFFICE USE ONLY
City ofTigard y R/� /2/ 4O Permitr>�- T,p< 7A ,,Op3k,i
13125 Receiv
SW Hall Blvd.,Tigard,OR 97223OP(OF TIGAHU paned Review
9
m Phone: 503.718.2439 Fax: 503.598.1 UateJs : Other Permit:
TIGARD
Inspection Line: 503.639.4175 49ILDINGDIVISION DateReady/By. 1 ® See Page 2 for
Internet: www.tigard-or.gov Noti ethod: A
Supplemental Information
TYPE OF WORK REQUIRED DA A: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 I Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $4281.00
ED I-and 2-family dwelling ❑Commercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
iM
`1J Job site address:14840 SW 83rd Ave New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solar Install-CHorman 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: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of 19 solar panels in 1 array(s) on a roof mounted 5.89kw PV System Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:Cohn Horman Type of construction:
Address:14840 SW 83rd Ave Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:( )(503)684-9294 Fax:( ) New:
0 APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:TML International LLC (Please refer to fee scaedule)
Structural plan review fee(or deposit):
Contact name:Maggie Ludden FI.S plan review fee(if applicable):
Address:6405 E Mill Plain Blvd •
Total fees due upon application:
City/State/ZIP:Vancouver,WA 98661
Amount received:
Phone:( )(360)836-1729 Fax: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
E-mail:permit@infinityd2d.com
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TML International LLC Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6405 E Mill Plain Blvd Solar Installation Specially Code checklist.
Permit Fee(includes plan review
City/Slate/ZIP:Vancouver,WA 98661 and administrative fees): $180.00
Phone:( )(800) 818-0598 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:22360 Total fee due upon application: $201.60
Authorized signature:C.+729e.....Th_________
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Maggie Ludden Date:9.1.21 *Fee methodology set by Tri-County Building Industry
99 Service Board.
L\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
RECEIVED
Electrical Permit Application SEP IOU OFLI( I1 I Oyl.,
1 �Q`Zf Received I1STZD --0 r 3
City of Tigard oate/B Permit a: ,
114 • 13125 SW Hall Blvd.,Tigard,OR 9T22���',I Plan Review
= Phone: 503.718.2439 Fax: 503.598.. OF TIGARU Date/B : Related Permit#:
Inspection Line: 503.639.4175 j(JILDING DIVISIOn1 Ready Date/By: Janis: El See Page 2 for
T 1GARD Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW,.
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
['Service or feeder 400 snips or more 0 Building over three stories.
❑ Demolition I]Other:Solar
where the available fault current 0 Marinas and boatyards.
. :CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
0 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building less to ground,o exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: '❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION,AND LOCATIONIk. 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:14840 SW 83rd Ave 100HP or more. ❑"A","E","I-2","I-3",
City/State/ZIP: 9 Tigard, OR 97224 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
0 hazardous locations. 0 Supply voltage for more than
Sui[e/bldgJapt.#: Project name:Solar Install-CHorman600 volts nominal.
El Service or feeder 600 amps or more.
Cross street/directions to job site: FEE SCHEDULE
Description I QN. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add'l 500 sq.ft.or portion 33.92
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft,) 75.00 2
Installation of 19 solar panels in 1 array(s) on a roof mounted 5.89kW PV System Limited energy,multi-family •
residential(with above sq.ft.) 75.00 2
I Renewable Energy 0 See Page 2
A:ll PROPERTY OWNER J . ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name:Colin Horman 200 amps or less 100.70 2
201 amps to 400 amps 133.56 2
Address:14840 SW 83rd Ave 401 amps to600amps 200.34 2
City/State/ZIP:Tigard, OR 97224 601 amps to 1.000 amps 301.04 2
Phone:( )(503)684-9294 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:01cinder@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 accord',, to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature:Authorized VIA Contract ir 24 _ _ Date: 9.1.21 401 amps to 599 amps 168.54 2
01 APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:TM L International LLC above service or feeder fee,
each branch circuit 7.42 2
Contact name:Maggie Ludden B.Fee for branch circuits without
Address:6405 E Mill Plain Blvd bra t h circe orcuider fee,firstt 56.18 2
City/State/ZIP:Vancouver,WA 98661 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )(360)836-1729 Fax::( ) Each manufactured or modular
67.84 2
dwelling,service and/or feeder
Email:permit@infinityd2d.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:TML International LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address:6405 E Mill Plain Blvd panel,alteration,or extension.
City/State/ZIP:Vancouver, WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25!hr
Phone:( )(800)818-0598 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:permit@infinityd2d.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.:223690 Electrical Lie.:C1556 Suprv.Lie.:6210S specifically listed('i hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:S cott LeDuc Subtotal:
Print name:Scott LeDuc Date:9.1.21 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:‘12eale TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Maggie Ludden Date:9.1.21 days after it has been accepted as complete.
' Number of inspections allowed per permit.
11BuildingiPermrts\ELC_PernulApp_ELR_EREdoc Rev 06/I72015 440-4615T(11/05/COM/WEB
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:
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 to25 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 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)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 SubtotallowedperpermtEnter Page i):
y * Number of inspections allowed 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
l\BaildinglPermits\ELC_Perrtdt App ELR ERE.doc Res 55017/2015