Permit INCITY OF TIGARD MASTER PERMIT
.ffi~'.y Permit#: MST2022-00297
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/06l2022
Parcel: 2S104AB15200
Jurisdiction: Tigard
Site address: 11999 SW REDBERRY CT
Subdivision: PROGRESS LANDING Lot: 10
Project: Jensen
Project Description: Solar photovoltaic system 4.01 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: $3,427.00 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>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add,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 array 4.01 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF V 3 R-3 ..
Owner: Contractor:
JENSEN,CAMILLE ELIZABETH TML INTERNATIONAL LLC Required Items and Reports(Conditions)
JENSEN,TRAVIS FRANKLIN 6405 E MILL PLAIN BLVD
11999 SW REDBERRY CT VANCOUVER,WA 98661
TIGARD,OR 97223
PHONE: PHONE: 800-364-047D
FAX:
Total Fees: $319.38
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: Permittee Signature: eI�LG eeir--
/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 fob site at the time of each Inspection.
Building Permit Application
Residential 'RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
Date B : U NO`S-i►J1f�� AI P�
• 13125 SW Hall Blvd.,Tigard,OR 97223 Z
JUL 2 7 zoo
Plan Rev cw
Phone: 503.718.2439 Fax: 503.598.196 G TiTi i 4 Other Permit:
Inspection Line: 503.639.4175 OF TIGABU Date Re
T I G A R D CI Date Ready/By: Mr- loos: ® See Page 2 for
Internet www.tigard-or.gov BUILDING DIVISION Notified/Method: -I (�f LZ /-��'r
(jam 1 f Supplemental Information
-4 IN Ll
TYPE OF WORK REQUIRE DATA:I-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.
El1-and 2-family dwelling 0 Commercial/industrial Valuation: $3427
0 Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION • Total number of floors:
Job site address:11999 SW Redberry Ct New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solarinstall-CTJensen 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.
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 11 solar panels in 1 array(s)on a roof mounted 4.015kW PV System Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Camille Jensen Type of construction:
Address:11999 SW Redberry Ct Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( )(503)758-9653 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES"
(Please refer roles schedule)
Business name:TML International LLC
Structural plan review fee(or deposit):
Contact name:Mary Dinsmore-Smith
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)326-0650 Fax::( )
E-mail:permit@infinityd2d.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
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 signatur w+^7 1r1 This permit application expires if a permit is not obtained
` within 180 days after it has been accepted as complete.
Print name:Mary Dinsmore-S Ith Date:7/27/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPermitApp.doe 02/24/2011 440-4613T(1 I/02/COM/WEB)
, Electrical Permit ApplicatiBECEIVED FOR OFFICE USE ONLY
City of Tigard JUL 2 7 2022 Received
;. • 13125 SW Hall Blvd.,Tigard,OR 97223�� Plan Review
I Phone: 503.718.2439 Fax: 503.598.0 I'Y OF TIGARD DateB :
Inspection Line: 503.639.4175 1 r� I rr�� Ready Date/By: runs: El See Page 2 for
I('A I 1-). Internet: www.tigard-or.gov BUILDING DI,/ISh1`N 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.
❑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.
® I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
AdditJob#: Job site address:11999 SW Redberry 100HP Ct ❑100HP on of new motor load of system.
or more. ❑"A","E","1-2","I.3",
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard, OR 97223 ❑Recreational vehicle❑Healthcare facilities. Parks.
Suite/bldg./apt.#: Project name:Solarinstall-CTJensen ❑Hazardous locations. ❑Supply voltage for more than
0 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 '
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 11 solar panels in 1 array(s)on a roof mounted 4.015kW PV System (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.) _
Renewable Energy ® See Page 2
II PROPERTY TENANT PROPERTY OWNER Services or feeders installation,alteration,and/or relocation
Name:Camille Jensen 200 amps or less 100.70 2
Address:11999 SW Redberry Ct 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:( )(503) 758-9653 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:cjensen851@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: 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:Mary Dinsmore-Smith 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
Miscellaneous(service or feeder not included)
Phone:( )(360)326-0650 Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
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 circuits)or limited-energy Address:6405 E Mill Plain Blvd panel,alteration,or extension. 0 See Page 2 2
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(I hr min) 90.00/hr
Email:permit@inftnityd2d.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(/:hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:S cott LeDuc
Subtotal
Print name:Scott LeDu Datte:7/27/2022 0 Plan Review Required(25%of permit fee):
' goak
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:Mary Dinsmore-S tl1 Date:7/27/2022 days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:IBuilding\Permits/ELC_PerrnitApp ELR_ERE.doc Rev 06/17/2015 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
combined: $75.00 Description I Qb Each I Total I
Fee for all residential systems
Renewable electrical energy systems:
5 kva or less 1 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 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 ho—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ O[heC: Each additional inspection is 66 25/hr 1
charged al an hourly(1 hr min)
Inspections for which no fee is 90.00i hr
specifically listed(`/,hr min)
COMMERCIAL WORK ONLY: ELBCrRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
}' • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
El Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
El Instrumentation
❑ Intercom and Paging Systems
El Landscape Irrigation Control*
❑ Medical
El Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
El Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:1Building\PermitsiELC_PetmilApp_ELR_ERE doc Res O6f17/2015