Permit CITY OF TIGARD MASTER PERMIT
11 ' COMMUNITY DEVELOPMENT Permit#: MST2022-00089
Date Issued: 04/12/2022
T r G.A.R j7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S110CB08200
Jurisdiction: Tigard
Site address: 12476 SW AUTUMNVIEW ST
Subdivision: MOUNTAIN VIEW ESTATES Lot: 7
Project: Domogalla
Project Description: Rooftop Solar PV 8.76 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: $5,210.00 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
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>=10OK: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 at 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 8.76 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:
DOMOGALLA FAMILY TRUST TML INTERNATIONAL LLC Required Items and Reports(Conditions)
BY DOMOGALLA,DAVID P&LYNDA 6405 E MILL PLAIN BLVD
R TRS VANCOUVER,WA 98661
12476 SW AUTUMN VIEW ST
TIGARD,OR 97224
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $361.69
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. 4.,.e rules are set forth in OAR
oc,_nrn-nnln thrniinh(lAR oc ..nn1-nnon vni,mat n w rnn, nine nr 1irprt ni ipctinne fn(ii IAIf:Ku Tallinn Srri T39 10R7 nr •/f17 71dd
'_iIssued By: Permittee Signature: L. •
.639.4175 by 7:00 a.m.for the next available inspection .ate.
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 a
Residential r ECEIVED FOR OFFICE USE ONLY
City of Tigard Receives eteari 2...-re
,,�68€7 7: O •
?n9; DateBy: I Permit No.:f,,,fy•,fCl/ hfy\�G
• 13125 SW Hall Blvd.,Tigard,OR 97223 9F116 - , Plan Review n Z 't �`JLf�- V t""� t
Phone: 503.718.2439 Fax: 503 598 196Q, Date/By: (/ Other Permit:
.r I t_^t I� Inspection Line: 503.639.4175 `..:I I Y OF .f i(.7AHf Date Ready/By: //q " ' ® See Page 2 for
Internet: www.tigard-or.gov .i�11�`!'11ht/� DIVISION', o[iSed/Meth /lL- ' lie' Supplemental Information i
TYPE OF WORK/l i V\ REQ :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
❑Addition/alteration/replacement Other Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
0 1-and 2-family dwelling 0 Commercial/industrial Valuation: $5,210
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12476 Sw Autumn View 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-LDDomogalla Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
V REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 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 24 solar panels in 2 array(s)on a roof mounted 8.76kW PV System Valuation: S
Existing building area: square feet
New building area: square feet
0 PROPERTY OWNER 0 TENANT Number of stories:
Name:Linda and David Domogalla Type of construction:
Address:12476 Sw Autumn View St Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:( )(503)317-8912 Fax:( ) New:
E APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:TML International LLC Meese refer to fee schedule)
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
and administrative fees):
Phone:( )(800)818-0598 Fax:( ) State surcharge(12%of permit fee):
CCB tic.:22360 Total fee due upon application:
Authorized signatur This permit application expires if a permit is not obtained
��� within 180 days after it has been accepted as complete.
Date:3/30/22 *Fee methodology set by Tri-County Building Industry
Print name:Maggie Ludden Service Board.
l:lBuilding\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(l1/02/COM/WEB)
I
Electrical Permit Application -w L , L i N 'L FOR OFFICE USE ONLY
.� City of Tigard Received Permit#:
• 13125 SW Hall Blvd.,Tigard,OR 97223 AAR Date/B JO2'% Date :
Plan Review
' Phone: 503.718.2439 Fax: 503.598.1960 Date/B : ' : `�� h '
Inspection Line: 503.639.4175 !1' OF I IGAH t� Ready Date/By: nuts: ® See Page 2 for
T I GA RI) Internet: www.tigard-orgov NotifiedMethod: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whtems checked).
O Service or feeder 400 amps or more ElBuilding over three stories.
❑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.
0 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground or exceeds 14,000 0 Commercial-use agricultural
amps for all otherinstallations. buildings.
Multi-family 0 Master builder 0 Other:
0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived
AddJob#: Job site address:12476 Sw Autumn View St ❑100H on of new motor load of system.
OOHP or more. ❑"A","E","I-2","1.3",
City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solar Install-LDDomogalla ❑Hazardous locations. ❑Supply voltage for more than
O 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 t
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#: En.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Installation of 24 solar panels in 2 array(s)on a roof mounted 8.76kW PV System Limited energ
y,multi-family 75,00 2
residential(with above sq.ft.)
0 PROPERTY OWNER • ` 0TENANT: Renewable Energy 0 See Page 2
s Services or feeders installation,alteration,and/or relocation
Name:Linda and David Domogalla 200 amps or less 100.70 2
Address:12476 Sw Autumn View 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)317-8912 Fax:( ) Over 1,000 amps or volts 552.26 2 '
Temporary services or feeders installation,alteration,and/or
Email:
relocation
Owner installation:This installation is being made on property that town 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: 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, 742 2
each branch circuit
Contact name:Maggie Ludden B.Fee for branch circuits without
servAddress:6405 E Mill Plain Blvd branch or feederfee,first
_ branch circuit 56.18 2 it
City/State/ZIP:Vancouver,WA 98661 Each sari'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 circuil(s)or limited-energy ❑ See Page 2 2
Address:6405 E Mill Plain Blvd panel,alteration,or extension.
Each additional inspection over allowable in anyof the above
City/State/ZIP:Vancouver,WA 98661 Pe
Additional inspection(1 hr min) 66.25/hr
Phone:( )(800)818-0598 Fax:( ) Investigation(1 hr min) 90.00/hr
•
Industrial plant(I hr min) 78.18/hr
Email:permit@infinityd2d.eom Inspections for which no fee is
•
specifically listed(Va hrmin) 90.00/hr
CCB Lic.:223690 Electrical Lic.:C1556 Suprv.Lic.:6210S ELECTRICAL PERMIT FEES 1
•
Suprv.Electrician signature,required:s cott L eDuc Subtotal:
Print name:Scott LeDuc Date:3/30/22 0 Plan Review Required(25%of permit fee):
(17g6, _ 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:3/30/22 days after It has been accepted as complete.
Number of inspections allowed per permit.
l:\BuildingtPermitstELC_PernsitApp ELR ERE,doc Rev 06/17/2015 4404615T(I 1105/COM/WE.B
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 Renewable Qty. Each Total
y Renewable electrical energy systems:
Check Type of Work Involved: 5 kva orless 100.70 2
5.01 to 15 kva 01 133.56 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
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
•
>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 additiial 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('i hr min)
COMMERCIAL WORK ONLY: ELECTRICAL. PERMIT FEES
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:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ C• lock Systems
❑ D• ata Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n 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.1BaldingtPermils1ELC_PernsitApp ELR_ERE.doc Rev 06/17/2015