Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2022-00086
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/12/2022Parcel: 1 S133DD05600
Jurisdiction: Tigard
Site address: 12753 SW WINTERLAKE DR
Subdivision: VILLAGE AT SUMMER LAKE PARK NO.3 Lot: 95
Project: Issacs
Project Description: Rooftop Solar PV 5.475 kW
BUILDING
Floor Areas Required Setbacks Reauired
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: $3,885.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals0
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 Bckflw Prevntr: 0 Catch Basins 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 Tvpes 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 addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/0 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+8mp/volb 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 5.47 kW Ecompasing.
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF V6 R-3 0
Owner: Contractor:
ISAACS,MICHAEL A AND CHERYL A TML INTERNATIONAL LLC Required Items and Reports(Conditions)
12753 SW WINTERLAKE DRIVE 6405 E MILL PLAIN BLVD
TIGARD,OR 97223 VANCOUVER,WA 98661
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. Those rules are set forth in OAR
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Issued By:41y4adzam
/rnn n Isermittee Signature: N
503.639.4175 by 7:00 a.m.for the next available Inspection data.
This permit card shall be kept in a conspicuous place on the Job site until completion of the pro fret.
Approved plans are required on the job site at the time of each inspection.
3
Building Permit Application
Residential �EGEIVEE) FOR OFFICE I SL ON LY
City of Tigard Received A�--� m
MAR ti 1022 Date/By: Pe m t No: "an�2_
13125 SW Hall Blvd.,Tigard,OR 97223 Plan BReview
Phone. 503.718.2439 Fax. 503.598.1960 I Datey: ZZ /Y 1\ mer Permit:
Inspection Line: 503639.4175 -1I Y OF list/- HL' `D-atte Ready,'By 1 ® See Paget for
Internet: www.tiprd-or.gov lUII I ING nit rlgJ0N1 fied/Method: Supplemental Information
TYPE OF WORK iV'a J V l/ REQUI ATA:1-AND 2-FAMILY DWELLING
E]New construction El Demolition I Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
❑Addition/alteration/replacement a Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑� I-and 2-family dwelling ❑Commercial industrial
Valuation: $3,885.00
❑Accessory building ❑Multi-family I Number of bedrooms:
❑Master builder I ❑Other: I Number of bathrooms:
JOB SITE INFORMATION AND LOCATION I I Total number of floors:
Job site address:12753 Sw Winter Lake Dr I New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 I Garage/carport area: square feet
Suite bldg./apt.no.: Project name: ,Tlofw�-*S I Covered porch area: square feet
Cross street/directions to job site: I Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
V 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 15 solar panels in 2 array(s) on a roof mounted 5.475kW PV System I Valuation: $
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT I I Number of stories:
Name:Mlchael Isaacs I Type of construction:
Address:12753 Sw Winter Lake Dr I I Occupancy groups:
City/State/ZIP:Tigard, OR 97223 I I Existing:
Phone:( )(503)475-4052 Fax:( )
New:
❑ APPLICANT ❑ CONTACT PERSON I I BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:TML International LLC I Structural plan review fee(or deposit):
Contact name:Maggie Ludden I FLS plan review fee(if applicable):
Address:6405 E Mill Plain Blvd
Total fees due upon application:
City/State/ZIP:Vancouver, WA 98661
I Phone:( )(360)836-1729 I Fax::( ) Amount received:
I
I E-mail:permit@infinityd2d.com I
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
;f, roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TML International LLC I Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:6405 E MITI Plain Blvd I Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98661 I 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 signatu 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 I Date:3.29.22 Service Board
C\Building\Permits\BUP-RESPennitApp.doe 02/24/2011 4404613T(I1/02/COM/WEB)
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Electrical Permit ADDlication C E I �/pp` ,
E LFOR OFFICE USE ONLY
City of Tigard MAR 2 9 1022 1 Received permit#:
IlateBy.
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan new Re
Phone: 503.718.2439 Fax: 503598190JI IY OF rIUARL) Dale ReRelated Permit 4!; tA5r20Z?i dy)&f)I
Inspection Line503 639 4175 Ready LBy: tan: ® See Page 2 for
Internet' www.tigard-or.gov 1'. III fll^,I(, Alli l(w NotifiedMeilroid I Supplemental Information
TYPE OF WORK I ( PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(subudt 2 sets ofplans w/items checked)
❑Service or feeder 400 amps or more [:1Building over three stories
F-1 Demolition N Other:Solar
where the available fault current ❑Marinas and boatyards.
I CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑<! I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground or exceeds 14,000 ❑Commercial-use agricultural
Multi-family Master builder amps for all other installations. buildings
❑ y ❑ ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 1 ❑F4riergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:12753 Sw Winter Lake Dr I 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard, OR 97223 ❑Six ormore residential units occupancy.
_____ I ❑Health-care facilities. ❑Recreational vehicle parks.
❑Hazardous locations ❑Supply voltage for more than
Suite/bldg./apt.#: Project name:Solar Install-Mlsaacs I C]Service or feeder 600 a 600 volts nominal.
Cross street/directions to job site: I amps or more.
I Description I Otv. I Erich I Tata] I I
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: I Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: I Ea add'1500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) I 75.00 2
Installation of 15 solar panels in 2 array(s)on a roof mounted 5.475kW PV System Limited energy,multi-family 75.00 2
residential(with above sq,ft.)
n I Renewable Enerey ❑ See Pape 2 I I
❑ PROPERTY OWNER //Vc ENANT
� I Services or feeders installation,alteration,and/or txlocatiot i
Name:Michael Isaacs Z V\- 1200 amps or less 10070 I 2
Address:12753 Sw Winter Lake Dr 1201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 I 2
City/State/ZIP:Tigard,OR 97223 I 601 amps to 1,000 amps 301.04 2
Phone:( )(503)475-4052 I Fax:( ) I Over 1,000 amps or volts I 55226 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps I I 125.08 2
Owner signature:Autbod-d VIA contract Date: 401 amps to 599 amps I 168.54 2
® APPLICANT I ® CONTACT PERSON I Branch circuits—new,alteration,or extension,per panel I
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 I B.Fee for branch circuits without
Address:6405 E Mill Plain Blvd I service or feeder fee,first 56.1 B 2
branch circuit
City/State/ZIP:Vancouver,WA 98661 I Each add'l branch circuit 7.42 2
Phone: :( I Miscellaneous(service or feeder not included)
( )(360)8361729 Fax: ) Each manufactured or modular 6284
Email:permit@infinityd2d.com dwelling,service and/or feeder 2
Reconnect only 67.84 1 —_ 2
CONTRACTOR I Pump or irrigation circle 67.84 I 12
Business name:TML International LLC I I Sign or outlme lighting 67841 12
Address:6405 E Mill Plain Blvd I I Signal er tor limited-energy panel,altfteration,or extension ❑ See Page 2 I 2
on
City/State/ZIP:Vancouver,WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/hr
Phone:( )(800)818-0598 I Fax:( ) I Investigation(1 hr out 90.00/hr
Industrial plant(1 hr min) 1 78.18/hr
Email:permit@infinityd2d.com I Inspections for which no fee is
CCB Lic.:223690 Electrical Lic.:C1556 Suprv.Lia:6210S
specifically listed('/2 hr min) I 90.00/hr
Suprv.Electrician signature,required: I ELFk`T2IC.4L PERMIT FEES
Scott L eDuc I Subtotal:
Print name:Scott LeDuc Date:3.29.22 I ❑Plan Review Required(25%of permit fee): 1
State surcharge(12%ofpermit fee): 1
Authorized signature~ TOTAL PERMIT FEE:
This s permit application expires if a permit is not obtained within 180
Print name:Maggie LUd`c�en Date:3.29.22 I days after it has been accepted u complete.
• Number of inspections allowed per permit.
11Buddnio!R mtlslELC Permit App FLR.ERE doe Rev O&IV2015 440-461 5T(I 1/05/COMAVEB
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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 Dcsctiptian I Otv. I Each Total
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less I 100.70 2
5.01 to 15 kva �01 I 133.56 2
❑ Audio and Stereo Systems* 115.01 to 25 kva 1 200.34 2
Wind generation systems in excess of 25 kva: I
❑ Burglar Alarm 125.01 to 50 kva 301.04 I 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) I 552.26 I 2
❑ Heating, Ventilation and Air Conditioning I Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 I 7.42 13
❑ Vacuum Systems* I >100kva-no additional charge 0.0 13
Each additional inspfctiyn ov r allowable in an of the above: I
F] Other: Each additional inspection is 66.25/hr 1
charged at an hourly(I hr min)
Inspections for whmh no fee is 90.00/hr
specifically listed('/hr min)
COMMERCIAL WORK ONLY: I ELECMCAL PFJtM r FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1).t
(SEE OAR 918-309-0000) Number of inspections allowed per permit
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
I\Budding�Perculs\ELC_PernptAppELR ERE don Re,06/17/2015