Permit CITY OF TIGARD MASTER PERMIT
IN N
ts< COMMUNITY DEVELOPMENT Permit#: MST2022-00295
Date Issued: 09/06/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S135CC03200
Jurisdiction: Tigard
Site address: 10030 SW TIGARD ST
Subdivision: GREENBURG HEIGHTS ADDITION Lot: 11
Project: Trujillo
Project Description: Solar photovoltaic system 8.395 kW, 200 Amp panel upgrade,2 circuits..
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: $9,051.00 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 Tvpes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn4100K: 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: 2
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 8.395 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:
TRUJILLO,BERNARDINO&EVA C TML INTERNATIONAL LLC Required Items and Reports(Conditions)
10030 SW TIGARD ST 6405 E MILL PLAIN BLVD
TIGARD,OR 97223 VANCOUVER,WA 98661
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: 5485.59
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 uires you to f w the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: - Permittee Signature: 7.--.05/7° ( A
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 lob site at the time of each inspection.
At.
Building Permit Application
Residential RECEIVE FOR OFFICE USE ONLY
- City of Tigard Receives
III 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 01 2022 neleB : /1
Plan Review ^
Phone: 503.718.2439 Fax: 503.598.1960 ,e i / Other Permit:
Inspection Line: 503.639.4175 CITY OF}IGARD DateB : ION!
T I G A R Date ReadyBy: Jags ® See Page 2 for
Internet. www.tigard-or.gov BUILDING DIVISIONNo[ified/Method:
Suppkmental Information
TYPE OF WORK REQUIRED DATA:l-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 ID Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑� 1-and 2-family dwelling ElCommercial/industrial Valuation: $9051
❑Accessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10030 Sw Tigard St New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
b Suite/bldg./apt.no.: Project name:Solarinstall-ETrujillo 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 23 solar panels in 2 array(s)on a roof mounted 8.395kW PV System Valuation: $
Main Panel Upgrade 200 amps or less Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Eva Trujillo Type of construction:
Address:10030 Sw Tigard St Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( )(503) 680-7958 Fax:( )
New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:TML International LLC (Please relertu lee scpednk)
Structural plan review fee(or deposit):
Contact name:Mary Dinsmore-Smith
Address:6405 E Mill Plain Blvd FLS plan review fee(if applicable):
City/State/ZIP:Vancouver,WA 98661 Total fees due upon application:
Phone:( )(360)326-0650 Fax::( Amount received:
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 signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Mary DII1Sm0 a-S h Date:7/1/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
1:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB)
Electrical Permit ApplicatiEG'E�V E ' FOR OFFICE USE ONLY
City of Tigard JUL 01 2022 Received
,� aDate/B : Permit d:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
U Phone: 503.718.2439 Fax: 503.598.1960 Date/B . Related Permit#:
.1 I A ,p Inspection Line: 503.639.4175 CITY OF TIGAI{U Ready Date/By: funs ® See Page 2 for
1p 1ah Notified/Method:
Supplemental Information www.[igard-or.gov lVI�INGulv
TYPE OF WORK PLAN REVIEW
0 New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stones.❑Demolition ❑� Other:Solar
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps al 150 volts or ❑Floating buildings.
ID 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder ❑Other:
❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job 4: Job site address:10030 Sw Ti and St ❑Addition of new motor load of system.
9 100HP or more. ❑ A" "E' "1.2" "1-3"
City/State/ZIP:Tigard, OR 97223 El Six or more residential units. occupancy.
0 Health-care facilities. ID Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solarinstall-ETrujillo 0 Ilazardous locations. 0 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 Pty. I Each I Total I. •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.R.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRH'TION OF WORK Limited energy,residential
Installation of 23 solar panels in 2 array(s)on a roof mounted 8.395kW PV System (with above sq.ft 75.00 2
Limited energy,multi-family 75.00 2
Main Panel Upgrade 200 amps or less residential(with above sq.ft.)
® PROPERTY OWNER 0 TENANT Renewable Energy See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Eva Trujillo 200 amps or less I 100.70 2
Address:10030 Sw Tigard St 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)680-7958 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:Etwanttogohome1@gmail.com 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 125.08 2
Owner signature:Authorized VIA Contrail Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
IN APPLICANT ® CONTACT PERSON
A.Fee for branch circuits with
Business name:TML International LLC above service or feeder fee,
each branch circuit 2 7.42 2
Contact name:Mary Dinsmore-Smith B.Fee for branch circuits without
Address:6405 E Mill Plain Blvd service or der
fee,first
branch circuit56.18 2
t
City/State/ZIP:Vancouver, WA 98661 Each ada'1 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.eom 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(I 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 Lic.:C1556 Suprv.Lic.:6210S specifically listed(v,hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:Scott LeDuc Subtotal:
Print name:Scott LeDuc Date:7/1/2022 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: Ilk
1 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name:Mary Dinsmore-Sf
Date:7/1/2022 days after it has been accepted as complete.
' Number of inspections allowed per permit.
ttBuilding\Permas''rELC_PermitApp_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
Description I Q7. I Each 'total I •
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
5 kva or less 100.70 2
Check Type of Work Involved:
5.01 to 15 kva 1 133.56 2
n 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
❑ 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(Yo hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
$75.00 Subtotal(Enter on Page 1):
Fee for each commercial system: Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
n 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
C\Building\Permits\ELC_PermilApP_ELR_ERE.doc Rev 06/17/2015