Permit n CITY OF TIGARD MASTER PERMIT
'01 $ COMMUNITY DEVELOPMENT Permit#: MST2021-00474
Date Issued: 01/03/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S134ACO2642
Jurisdiction: Tigard
Site address: 10980 SW 115TH AVE
Subdivision: ENGLEWOOD NO.3 Lot: 208
Project: Campos-Torres
Project Description: Rooftop Solar PV 11.47 kW
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: $7,923.00 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 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
N
Other Y Other Description: Roof Top Solar PV System 11.47 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
TORRES,NANCY TML INTERNATIONAL LLC Required Items and Reports(Conditions)
CAMPOS-TORRES,KIMBERLY 6405 E MILL PLAIN BLVD
10980 SW 115TH AVE VANCOUVER,WA 98661
TIGARD,OR 97223
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $470.97
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: Ed9ou-oLL°-Ma.atc)". 1"9- Permittee Signature: .
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.
Building Permit ApplicatilECEIVE
Residential FOR OFFICE USE ONLY
NOV 12021
Received y�
- City of Tigard r DateBy: �I 02 202/ 'tiff Permit No.Ms`2t2/00 4l
111 • 13125 SW Hall Blvd.,Tigard,OR 97Q2gTY OF I IUARLi Plan Review `� , i
Phone: 503.718.2439 Fax: 503.5 Date/By: Other Permit
TIGARD
Inspection Line: 503.639.4175 ���ING DIVISION Date Ready/By: 3/ i I ® See Page2 for
Internet: www.tigard-or.gov e/Notified/Method: ;, unet Supplemental Information
TYPE OF WORK REQU D ITATA:i-AND 2-FAMILY DWELLING
El 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.Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 I-and 2-family dwelling ❑Commercial/industrial Valuation: $7,923.00
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
AJob site address_10980 Sw 115th Ave New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solar Install-KCTorres 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: I 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.
Installation of 37 solar panels in 3 array(s)on a roof mounted 11.47kW PV System & Valuation: $
a main panel upgrade Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER 0 TENANT Number of stories:
Name:Kim Campos-Torres Type of construction:
Address:10980 Sw 115th Ave Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:( )(971)331-6657 • Fax:( ) New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:TML International LLC (Please rejotojeesc6edYti
Structural plan review fee(or deposit):
Contact name:Maggie Ludden FLS 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 Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98661 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( )(800)818-0598 Fax:( 1 State surcharge(12%of permit fee): $21.60
CCB lic.:22360 ''/2/de,,...,,,,,,,, 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.
*Fee methodology set by Tri-County Building Industry
Print name:Maggie Ludden Date:11.1.21 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/201 1 440-4613T(11/02/COM/WEB)
• RECEIVED
Electrical Permit Application NOV 12021 FOR orrl( I: 1 St:Oy1.1
City Of Tigard CITY OF TIGARD Received Permit#
71 • 13125 SW Hall Blvd.,Tigard,OR �DING DIVISION DateB .
Plan Review
= Phone: 503.718.2439 Fax: 503.5 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Juris: El See Page 2 for
TIGARD 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)
0 Service or feeder 400 amps or more 0 Building over three stories.
El Demolition ID 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.
❑■ 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-tamily ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address:10980 Sw 115th Ave ❑AddI OO HP HP or more o of o motor load of system.
. ❑"A" "E" "1-2""1-3"
City/State/ZIP:Tigard, OR 97223 ❑Six or more residential units. occupancy.
O Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solar Install-KCTorres 0 Hazardous locations. 0 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 Qt6. 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'I 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Installation of 37 solar panels in 3 array(s)on a roof mounted 11.47kW PV System& (with above sq.ft.)
Limited energy,multi-family 75.00 2
a main panel upgrade residential(with above sq.ft.)
Renewable Energy ❑ See Page 2
0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Kim Campos-Torres 200 amps or less 01 100.70 2
Address:10980 Sw 115th Ave 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard, OR 97223 601 amps to 1,000 amps 301.04 2
Phone:( )(971)331-6657 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:halenbec@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
® APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:TML International LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Maggie Ludden B.Fee for branch circuits without
service or feeder fee,first Address:6405 E Mill Plain Blvd branch circuit 56.18 2
City/State/ZIP:Vancouver,WA 98661 Each add'I branch circuit 7.42 2
Phone: Miscellaneous(service or feeder not included)
( )(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 Lic.:223690 Electrical Lie.:C1556 Suprv.Lie.:6210S specifically listed('/hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:S cott L eDuc
Subtotal:
Print name:Scott LeDuc Date:11.1.21 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:
TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Maggie Ludden Date:11.1.21 days after it has been accepted as complete.
Number of inspections allowed per permit.
I\Building\Permits\ELC_PenmitApp_ELR_ERE.doc Rev 06/I 7/2015 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
•
Fee for all residential systems combined: $75.00 Description I �y I Each I Total I
)' Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70
5.01 to 15 kva 01 133.56 2 2
❑ A• udio 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
n G• arage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
n Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System* Each additional kva over 25 7.42 3
n V• acuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n 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('h hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: 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:
1
l ❑ Audio and Stereo Systems
fi ❑ Boiler Controls
' ❑ Clock Systems
)
n Data Telecommunication Installation
ki
it
❑ Fire Alarm Installation
S
,1
ElH• VAC
n Instrumentation
n Intercom and Paging Systems
" n Landscape Irrigation Control*
v
4 n M• edical
❑ Nurse Calls
n O• utdoor Landscape Lighting*
n P• rotective Signaling
N
n O• ther:
I
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitAppELR_ERE.doc Rev 06/17/2015