Permit CITY OF TIGARD MASTER PERMIT
IN Ri
'; COMMUNITY DEVELOPMENT Permit#: MST2022-00293
TEGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09I07/2022
Parcel: 2S 111 CB04700
Jurisdiction: Tigard
Site address: 10358 SW LADY MARION DR
Subdivision: MARION ESTATES Lot: 20
Project: Fowler
Project Description: Solar photovoltaic system 5.92 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: $5,108.00 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
Bckfw 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
Fum<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'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 N
Other: Y Other Description: Roof top solar array 5.92 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:
FOWLER FAMILY TRUST TML INTERNATIONAL LLC Required Items and Reports(Conditions)
BY FOWLER,BRYAN T& 6405 E MILL PLAIN BLVD
FOWLER,SUSAN R TRS VANCOUVER,WA 98661
10358 SW LADY MARION DR
TIGARD,OR 97224
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $356.19
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work
will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
the 180 days. ATTENTION: Oregon la requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: Permittee Signature: L ,/"//J/G
Call 503.639.417-5 by 7:00 a.m.for the next available Inspection date. L% // 2,-t
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the fob site at the time of each inspection.
Building Permit Application
Residential r E C E IV E L FOR OFFICE USE ONLY
City of Tigard Received ,' �) �r�
- JUN 2 7 2022 Date/By: 3ci3 //1� �fCj(/�_/, �( 77
111
• 13125 SW Hall Blvd.,Tigard,OR 97223 X /) "� Y-,z,J
Plan Review „ 2�
Inspection Phone: 50Line$ 503963Fax: 503.598.196Q,1..�OF TIGARD Date/By: `!/ Ocher Permit
TIGARD P Date Ready/By: ]uris: ® See Paget for
Internet: www.tigard-orgov BUILDING DIVISION Notified/Method: I////7/?/ Suppkmental Information
47"4,41-y I 9�411•,,,sr,
TYPE OF WORK REQUIRED 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 ❑■ Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
■ 1-and 2-familydwellingValuation: $5108
❑ 0 Commercial/industrial
❑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:10358 Sw Lady Marion Dr New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
,O Suite/bldg./apt.no.: Project name:SOIarinstall-SFowlef 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 5.92kW PV System Valuation: S
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name:Susan Fowler Type of construction:
Address:10358 Sw Lady Marion Dr Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:( )(503)330-6083 Fax:( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business name:TML International LLC (Pfusa refer to sc6edale)
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 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 lie.:22360
Total fee due upon application: $201.60
Authorized signature: 5.47.„, /1i D i - _ , This permit application expires if a permit is not obtained
�[�/(tJ.IT� within 180 days after it has been accepted as complete.
Print name:Shannon O'Leary Date:6/27/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building1Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
•
Electrical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Date/By: Permit#:
• 13125 SW Hall Blvd.,Tigard,OR 97223
aeBy:
11111 = Phone: 503.718.2439 Fax: 503.598.1960 Dan B Related Permit a:
Inspection Line: 503.639.4175 Ready Date/Fly: orris: HI See Page 2 for
T'GARR 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)
0 Demolition Other:SDlar ❑Service or feeder 400 amps or more 0 Budding over three stories.
where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑� 1-and 2-family dwelling ❑Commercial/industrial 0 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:10358 Sw Lad Marion Dr ❑Addition of new motor load of system.
y I00HP or more. ❑"A" "F' "1-2" "1-3"
City/State/ZIP:Tigard, OR 97224 ❑Six or more residential units. occupancy.
0 Health-care facilities. ID Recreational vehicle parka
Suite/bldg./apt.#: Project name:Solarinstall-SFowler ❑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 1
DESCRIPTION OF WORK Limited energy,residential
Installation of 16 solar panels in 2 array(s)on a roof mounted 5.92kW PV System
(with above sq.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
® PROPERTY OWNERRenewable Energy 0 See Page 2
r I 0TENANT Services or feeders installation,alteration,and/or relocation
Name:Susan Fowler 200 amps or less 100.70 2
Address:10358 Sw Lady Marion Dr 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard, OR 97224 601 amps to 1,000 amps 301.04 2
Phone:( )(503)330-6083 Fax: ( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:susanrogersdesigns@yahoo.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
Branch circuits—Dew,alteration,or extension,per panel® APPLICANT 0) CONTACT PERSON
A.Fee for branch circuits with
Business name:TML International LLC above service or feeder fee, 742 2
each branch circuit
Contact name:Shannon O'Leary 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'I 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 6784 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 circuit(s)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(I hr min) 66.25/hr
Phone:( )(800)818-0598 Fax:( ) Investigation(I hr min) 90.00/hr
Email:permit@infinityd2d.com Industrial plant(1 hr mm ) 78.18/hr
Inspections for which no fee is
CCB Lic.:223690 Electrical Lic.:C 1556 Suprv.Lic.:6210S specifically listed(14 hr min) 90.00/hr
�� L ' ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: Subtotal:
Print name:Scott LeDuC Date:6/27/2022 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature:S hannon,0 fLeatry TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name:Shannon O'Leary Date:6/27/2022 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:1Bailding\Permits$ELC_PernutApp ELR_ERE.doc Rev 06r17/2015 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 Qty. I Each 1 'I'olal 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
❑ 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
❑ 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:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00,E hr
specifically listed(''1 hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PE IT FEES
Subtotal(Enter on Page I):
Fee for each commercial system: $75.00 Number of inspections allowed per pe nit.
(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
I-.\Building\Permits\ELC_PemntApp_ELR_ERE.doc Rev 06/17/2015