Permit CITY OF TIGARD MASTER PERMIT
�~ N Permit#: MST2022-00294
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/06/2022
Parcel: 25103DA06600
Jurisdiction: Tigard
Site address: 10975 SW MIRA CT
Subdivision: MIRA PARK Lot: 4
Project: Collett
Project Description: Solar photovoltaic system 5.840 kW,200 Amp panel,2 circuits.
BUILDING
Floor Areas Requ lred 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: $4,984.00 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
Drywall-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: 1 0-200 amp: 0 W/Svc or Fdr: 2
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
Other: Y Other Description: Roof top solar array 5.840 kW Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
COLLETT,FRANK R&ALICE NADINE TML INTERNATIONAL LLC Required Items and Reports(Conditions)
10975 SW MIRA CT 6405 E MILL PLAIN BLVD
TIGARD,OR 97223 VANCOUVER,WA 98661
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $485.59
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: Orego law requires u to fol ow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: � Permittee Signature: r��-y!✓ ,�rr�y/1
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 job site at the time of each inspection.
w
1 tiilding Permit Application
Residential K EC E IVE L FOR OFFICE USE ONLY
City of Tigard ReceivedAl.
1,11 Date/By: � y
• 13125J
SW Hall Tigard,OR 97223 JUN 2 8 202Z1Z P % �
Plan Review 61 Phone: 503.718.2439 Fax: 503.598.}2( patty_ try
t f Other Permit:
Inspection Line: 503.639.4175 �+I 1 ' OF TIG/AI"�L) Date y: dali f�� ® See Page 2 for
TIGARD P g BUILDING DIVISION Notified/Method: I (� �g Supplemental Information
Internet: www.tigard-or.govL
ery‘e
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 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.
■ 2-family1-anddwellingValuation: $4984
❑Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
ID Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10975 Sw Mira Ct New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solar Install-FCollett 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 16 solar panels in 2 array(s)on a roof mounted 5.840kW PV System Valuation: S
UPGRADE TO NEW 200A MAIN BUSS/W NEW 200A MAIN BREAKER Existing building area: square feet
New building area: square feet
II, PROPERTY OWNER ❑ TENANT Number of stories:
Name:Frank Collett Type of construction:
Address:10975 Sw Mira Ct Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( )(503)620-7314 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:TML International LLC (wease refer ro fee scaedalJ
Structural plan review fee(or deposit):
Contact name:Shannon O'Leary
FLS plan review fee(if applicable):
Address:6405 E Mill Plain Blvd
City/State/ZIP:Vancouver,WA 98661 Total fees due upon application:
Phone:( )(360)768-1215 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 Installalion Specially 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 lie.:22360
Total fee due upon application: 5201.60
Authorized signature:c5ileutfLB/Ti O/ This permit application expires if a permit is not obtained
.c...rcev within 180 days after it has been accepted as complete.
a Fee methodology set by Tri-County Building Industry
Print name:Shannon O'Leary Date:6/28/22
Service Board.
I:1Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
•
Electrical Permit Application FOR OFFICE USE ONLY
City ofq Received
.� Date/B : Permit i,`
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 Date/B Related Permit
Inspection Line: 503.639.4175 ReadyDate reds
T ICARD !Bo: See Page for
Internet: wwrov.tlgard-Or.gov Foti tied'Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wiitems checked):
0 Service or feeder 400 amps or more ❑Building over three stories.
0 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.
N 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other:
❑Fire pump. El Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of system.
Job#: Job site address:10975 Sw Mira Ct 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard, OR 97223 El Six or more residential units. occupancy.
El Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solar Install-FCollett 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more_ 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qtr. I Each I Total I *
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'l 500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
ith . . 75.00 2
Installation of 16 solar panels in 2 array(s)on a roof mounted 5.840kW PV System Li m(itedw everabove
gy sq,muftlti)-family 75.00 2
UPGRADE TO NEW 200A MAIN BUSS/W NEW 200A MAIN BREAKER residential(with above sq.ft.)
® PROPERTY OWNER El TENANT Renewable Energy QSee Page 2
Services or feeders installation,alteration,and/or relocation
Name:Frank Collett 200 amps or less I 100.70 2
Address:10975 Sw Mira Ct 201 amps to400amps 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)620-7314 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:Collett@norwesters.net 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 Contract Date: 6/28/22 401 amps to 599 amps 168.54 2
ill APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension, r panel
A.Fee for branch circuits with
Business name:TML International LLC above service or feeder fee, 2 7.42 2
each branch circuit
Contact name:Shannon O'Leary 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'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )(360)768-1215 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 circuit(s)or limited-energy
panel,alteration,E Mill Plain Blvd 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(1 hr min) 90.00/hr
Email:permit@infinityd2d.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lie.:223690 Electrical Lie.:C1556 Suprv.Lie.:6210S specifically listed('/2 hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: r' o t Z7ts /J/6, Subtotal:
Print name:Scott LeDuc Date:6/28/22 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:5144,445,0,.. D TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ta0
Print name:Shannon O'Leary Date:6/28/22 days after it has been accepted as complete.
• Number of inspections allowed per permit.
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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
Descriplion I Qlv. Each i Total
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
❑ 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 •
with OAR 918-309-0040) 552.26 2
El 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:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which na fee is 90.00 hr
specifically listed(`t hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal
otal(Enter on Page I):
Fee for each commercial system: $75.00 • Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
El HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
El Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
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