Permit CITY OF TIGARD MASTER PERMIT
11911 2 COMMUNITY DEVELOPMENT Permit#: MST2022-00292
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/07/2022
Parcel: 2S106DA13900
Jurisdiction: Tigard
Site address: 16644 SW FRIENDLY LN
Subdivision: RIVER TERRACE EAST Lot: 139
Project: Vasdez
Project Description: Solar photovoltaic system 6.935 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: $4,343.00 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
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
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srve/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
Mid 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 6.935 kW Ecom P 9:asin N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
VASDEV,MEHER MOHAN&ELENA TML INTERNATIONAL LLC Required Items and Reports(Conditions)
16644 SW FRIENDLY LN 6405 E MILL PLAIN BLVD
BEAVERTON,OR 97007 VANCOUVER,WA 98661
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $356.19
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 r uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
a'9-nMJIMn thrill inh rl R9-nnt-n n v may nhtain a r w a nilac nr rlirart nucctinne In cm INC.by rallinn Rill 999 10R7 nr 1 Rnn 139 9144
r �, ,n
Issued By: i/ Permittee Signature: e— .% ,/ 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 lob site at the time of each inspection.
r. I,
Building Permit Application' ECEIVEt
Residential T. se — FOR OFFICE USE ONLY
2022
- City of Tigard �=�j Received .- •7 Q j
Dete "o
13125 SW Hall Blvd.,Tigard,OR 9722£IN OF TIGARD y � Z 1'
Plan Review ,
Phone: 503ine: 539 Fax:.4 503.598i BUILDING DIVISION Date./ey' J �'2- der Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/13y / Iuds Pi See Page 2 for
Internet. www.tigard-or.gov NotiSed/Method: I!ZZ> Supplemental Information
Mal J 111
TYPE OF WORK REQUIRED ATA:1-AND 2-FAMILY DWELLING
❑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
El Addition alteration replacement ❑� Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
01-and 2-family dwelling 0 Commercial/industrial Valuation: $4343
ElAccessory 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:16644 SW Friendly Ln New dwelling area: square feet
City/State/ZIP:Beaverton, OR 97007 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solarinstall-EVasdev Covered porch area: square feet
^' Cross street/directions to job site: Deck area: square feet
,1 Other structure area: square feet
"'D REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I 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.
�1 Installation of 19 solar panels in 2 array(s)on a roof mounted 6.935kW PV System Valuation: $
�` Existing building area: square feet
New building area: square feet
ry+ ® PROPERTY OWNER 0 TENANT Number of stories:
`v\ Name:Elena Vasdev Type of construction:
°s Address:16644 SW Friendly Ln Occupancy groups:
City/State/ZIP:Beaverton, OR 97007
Existing:
Phone:( )(541)908-9030 Fax:( )
New:
IN APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
1>\�j Business name:TML International LLC (Ptease.efe.m fee schedule)
Contact name:Mary Dinsmore-Smith Structural plan review fee(or deposit):
Address:6405 E Mill Plain Blvd FLS plan review fee(if applicable):
City/State/ZIP:Vancouver,WA 98661 Total fees due upon application:
Cv Phone:( )(360)326-0650 Fax::( ) Amount received:
r�C E-mail:permit@infinityd2d.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
V CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
t- Business name:TML International LLC Submit two(2)sets of roof plan with connection details
Address:6405 E Mill Plain Blvd and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP:Vancouver,WA 98661 Permit Fee(includes plan review $180.00
and administrative fees):
1 Phone:( )(800)818-0598 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Iic.:22360
Total fee due upon application: $201.60
Authorized signature: 1,k
. This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Mary Dinsmore-Sm' 1,,,,„„, I Date:7/12/2022 I *Fee methodology set by Tri-County Building Industry
J Service Board.
I:\Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
• e RECEIVE -
Electrical Permit Application AUG p i q �jq FOR OFFICE USE ONLY
City of Tigard AUG 3 1 2022 Received
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rev Permit
I Phone: 503.718.2439 Fax: 503.598.1960CITY OF TIGARD Plan Review
Date/By: Related Permit d:
TIGARD Inspection Line: 503.639.4175 BUILDING DIVISION Ready DateBy: - ,arts: la See Paget for
Internet: www.tigard-or.gov 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):
❑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.
ID 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder 0 Other: ❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address:16644 SW Friendl Ln ❑Addition of new motor load of system.
y I00HP or more. ❑"A" "E" "1 2" "1-3"
City/State/ZIP:Beaverton, OR 97007 ❑Six or more residential units. occupancy.
CI Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solarinstall-EVasdev El Hazardous 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 Qty. 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 I
DESCRIPTION OF WORK Limited energy,residential
Installation of 19 solar panels in 2 array(s)on a roof mounted 6.935kW PV System
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
IN PROPERTY OWNER 0 TENANT Renewable Energy ❑ See Page 2
Services or feeders installation,alteration,and/or relocation
Name:Elena Vasdev 200 amps or less 100.70 2
Address:16644 SW Friendly Ln 201 amps toaooamps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Beaverton, OR 97007 601 amps to 1,000 amps 301.04 2
Phone:( )(541)908-9030 Fax:( ) Over 1,000 amps or volts 552.26 2
Email:cogurik@gmail.com
Temporary services or feeders installation,alteration,and/or
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
Branch circuits—new,alteration,or extension, r panel
•
® APPLICANT ® CONTACT PERSON
A.Fee for branch circuits with
Business name:TML International LLC above service or feeder fee,
each branch circuit 7.42 2
Contact name:Mary Dinsmore-Smith B.Fee for branch circuits without
Address:6405 E Mill Plain Blvd service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Vancouver,WA 98661 Each add'l 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
Address:6405 E Mill Plain Blvd Signal circuits)or limited-energy ❑ See Page 2 2
panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP:Vancouver, WA 98661
Additional inspection(1 hr min) 66.25/hr
Phone:( )(800)818-0598 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:permit@inflnityd2d.com Industrial plant(Ihrmin) 78.18/hr
Inspections for which no fee is
CCB Lic.:223690 Electrical Lic.:C1556 Suprv.Lic.:6210S specifically listed(vr hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:Scott LeDuc Subtotal.
Print name:Scott LeDuc Date:7/12/2022 CIPlan Review Required(25%of permit fee):
ik
State surcharge(12%of permit fee):
Authorized signature: goat,. TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Mary Dinsmore-S h Date:7/12/2022 days after it has been accepted as complete.
Number of inspections allowed per permit.
I:1Burlding1 Permits 1ELC_PertnitApp_ELR_ERE.doc Rev 06/17;2015 440-4615T(I I/05/EOM/WEB
imuk
a
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 Qty. I 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
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:
Each additional inspection is 66.25/hr
El Other: charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed(''i hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1):
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
❑ 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
IaBuilding\PermitslELC Perm0App_ELR_ERE.d0e Rev 06/17/2015