Permit ..-
FOR OFFICE USE ONLY—SITE ADDRESS:
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Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ Transmittal Letter
TIGARD, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Building Codes Division DATE RECEIVED::
DEPT: BUILDING DIVISION RECEIVED
FROM: Shannon O'Leary for TML International LLC JUL 18 2022
CITY OF TIGARD
COMPANY: TML International LLC BUILDING DIV SION
PHONE: (800)928-4785 By: j��l�
EMAIL: permit@infinitysolarusa.com
RE: 9705 Sw Pembrook St MST2021-00522
(Site Address) (Permit Number)
S o l a r l n sta I I-C Be a s ley
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. X Revisions: See remarks below
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: The changes that were made are as follows: Panel layout change
FO OFFICE USE ONLY
Routed to Permit Technic' Date: g�3 t/ y� Initials: M'
Fees Due: ❑ Yes No(...,-Yee Description Amount Due:
"b $$ ?0
Special
Instructions:
Reprint Permit(per P ❑ Yes No ❑ Do/g
Applicant Notified: Date: �IICC �L Initial
CITY OF TIGARD MASTER PERMIT
1,1
I. COMMUNITY DEVELOPMENT Permit#: MST2021-00522
Date Issued: 01/03/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111BD02300
Jurisdiction: Tigard
Site address: 9705 SW PEMBROOK ST
Subdivision: CLOUD CAP Lot: 5
Project: Beasley
Project Description: Rooftop Solar PV 8.06 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: $5,160.00 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
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Bckflw Prevntr: 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
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: 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 8.06 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:
BEASLEY,CHARLEEN RENAE TML INTERNATIONAL LLC Required Items and Reports(Conditions)
9705 SW PEMBROOK ST 6405 E MILL PLAIN BLVD
TIGARD,OR 97224 VANCOUVER,WA 98661
PHONE. PHONE: 800-364-0470
FAX:
Total Fees: $359.19
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 Center. Those rules are set forth in OAR
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Issued By: Edgardo-Ma.t.dovt4.. 4o- Permittee Signature: sew arr-L` " `^'
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'RECEIVED iill
Residential FOR 01F!f'I: l SE ONI,Y
City of Tigard NOV 3 01021 Received /2 2• �'�I, Permito.:N
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:Plan Review NI rz,0Z(-00 5Z2.
: g Date/By:Phone: 503.718.2439 Fax: 503.598.196o- OF TIGARD ! (o Z Other Permit:
TIGARD Inspection Line: 503.639.4175 3UILDING DIVISION Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov otified/M od: /72
Supplemental Informafion
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
El Addition/alteration/replacement ID Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $5,160.00
❑■ I-and 2-family dwelling ❑Commercial/industrial
ElAccessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
\,4 Job site address:9705 Sw Pembrook St New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solar Install-CBeasley 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.
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 26 solar panels in 2 array(s)on a roof mounted 8.06kW PV System Valuation: $
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:Charleen Beasley Type of construction:
Address:9705 Sw Pembrook St Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:( )(503)502-3801 Fax:( I New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer Voice schedule)
Business name:TML International LLC
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:( )
State surcharge(12%of permit fee): $21.60
CCB lic.:22360 Total fee due upon application: $201.60
Authorized signature:(17d,e„......\.....„....... This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Maggie Ludden for TML International LLC Date:11.30.21 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-46 13T(1 1/02/COM/WEB)
•
RECEIVED
Electrical Permit Application rtllz tlrrl( I.: l Sh:()NIA
City of Tigard NOV 3 01011 Received
DateB Permit#:
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
1: Phone: 503.718.2439 Fax: 503.598.19 I�OF TIGARU Date
: Related Permit#:
Inspection Line: 503.639.4175 BUILDING DIVISION Ready Date/By: Juris: fa See Page 2 for
T 1 G A R D Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
E New construction ❑Addition/al lerat ion/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 ❑■ 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.
El 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
❑Multi-family ❑Master builder ❑Other: amps for all other installations. nstdings.
❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address:9705 Sw Pembrook St El Add 100HPHP o of new motor load of system.
or more. ❑"A","E","I-2","1-3",
City/State/ZIP:Tigard, OR 97224 0 Six or more residential units. occupancy.
El Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solar Install-CBeasley 0 Hazardous locations. 0 Supply voltage for more than600 volts nominal.
0 Service or feeder 600 amps or more.
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: 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 1
DESCRIPTION OF WORK Limited energy,residential 75.00 2
Installation of 26 solar panels in 2 array(s)on a roof mounted 8.06kW PV System (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Charleen Beasley 200 amps or less 100.70 2
Address:9705 Sw Pembrook St 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard, OR 97224 601 amps to 1,000 amps 301.04 2
Phone:( )(503)502-3801 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: charleen17@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:Authorized VIA Contract Date: 11.30.21 401 amps to 599 amps 168.54 2
• APPLICANT V 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]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.
Each additional inspection over allowable in any of the above
City/State/ZIP:Vancouver, WA 98661 Additional inspection(1 hr min) 66.25/hr
Phone:( )(800)818-0598 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:permit@infinityd2d.eom Inspections for which no fee is
CCB Lie.:223690 Electrical Lie.:C1556 Suprv.Lie.:6210S specifically listed('/hr min) 90.00/hr
Suprv.Electrician signature,required:S cott L eDuc ELECTRICAL PERMIT FEES
Subtotal:
Print name:Scott LeDuc Date:1 1.30.21 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 or TML International LLC Date:11.30.21 days after it has been accepted as complete.
r Number of inspections allowed per permit.
I\Building\Permits\ELC_PermitApp_ELRERE.doc Rev 06/17/2015 440-4615T(1 I/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. 1 Each 1 Total I "
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
❑ 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
n Vacuum 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('/hr min)
vas
COMMERCIAL WORK ONLY: I ct�cmL,> °>
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
y " Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ A• udio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
n F• ire Alarm Installation
❑ HVAC
n Instrumentation
n Intercom and Paging Systems
n L• andscape 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_PermilApp_ELR_ERE.doc Rev 06/17/2015
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