Permit CITY OF TIGARD MASTER PERMIT
7 2 COMMUNITY DEVELOPMENT Permit#: MST2022-00296
Date Issued: 09/06/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 25103AD04700
Jurisdiction: Tigard
Site address: 12900 SW 107TH CT
Subdivision: PATHFINDER Lot: 37
Project: Wilcoxen
Project Description: Solar photovoltaic system 5.92 kW, Panel upgrade 200 amp,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: $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
Bckllw 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
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 addl 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 VP R-3 0
Owner: Contractor:
WILCOXEN,DORIS M&MICHAEL J TML INTERNATIONAL LLC Required Items and Reports(Conditions)
12900 SW 107TH 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: Oregon law r uires 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: ` //
1 -7
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.
Building Permit Application
Residential RECEIVED FOR OFFICE USE ONLY
Cl of Tigard ReceivedDat ,�` ,,' �
13125 SW Hall Blvd.,Tigard,OR 97223 JUL 1 ZO22 Plan eRe new /q / ' o u�'j
S Phone: 503.718.2439 Fax: 503.598.196p,I�OF TIGANCi DateBy: / �! 7iZ ' Oder Permit:
T 1 G A R p Inspection Line: 503.639.4175 l�/ Date Ready/By: Q / inn,: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION N Iitied/Method: 1� IZ2 Supplemental Information
>It,l
TYPE OF WORK REQUIRE DATA: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
❑Addition/alteration/replacement 0 Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $4984
❑I I-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
YO JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12900 Sw 107th Ct New dwelling area: square feet
City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solarinstall-DWilcoxen 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: $
PA ALA V Ph i 2 C.L rc Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Doris Wilcoxen Type of construction:
Address:12900 Sw 107th Ct Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( )(503)488-0485 Fax: ( ) New:
® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(P7eare refer to fee schedutef
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
Phone:( )(360)326-0650 Fax::( ) Amount received:
E-mail:permit@infinityd2d.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR 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 Dlnsmo -S Date:7/1/2022 *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits1BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Electrical Permit Applicati V�":-
�ECEI FOR OFFICE USE ONLY
City of Tigard Received
EIMMIIIII
C^q Date/B :
liq4 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 1 ��
Plan Review
= Phone: 503.718.2439 Fax: 503.598.1960 y (� Date/13
Inspection Line: 503.639.4175CITY I i Vtmi'r�.• Date/By: El See Page 2 for
TIGARD OF ReadySuns:
Internet: www.tigard-or.gov _3U1LnING DhlISlf` Notified/Method: Supplemental Information
TYPE OF K t11 7 PLAN REVIEW
❑New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/itcros checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
ElDemolition A 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 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other:
❑Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION ❑Emergency system larger separately derived
Job#: Job site address:12900 Sw 107th Ct ❑Addition of new motor load of system.
100HP or more. ❑"A","E","1-2","1-3„
City/State/ZIP:Tigard, OR 97223 ❑Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solarinstall-DWilcoxen 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
Descriplion I Qrv. 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'1500 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.)
Renewable Energy 121 See Page 2
0 TENANT
® PROPERTY OWNERServices or feeders installation,alteration,and/or relocation _
Name:Doris Wticoxen 200 amps or less I 100.70 2
Address:12900 Sw 107th 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)488-0485 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:mike_wilcoxen@comcast.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: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel® APPLICANT ® CONTACT PERSON
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:Mary Dinsmore-Smith B.Fee for branch circuits without
Address:6405 E Mill Plain Blvd service or feeder fee,first branch 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
Email:permit@infinityd2d.com dwelling,service and/or feeder 67.84 2
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:6405E Mill Plain Blvd Signal terat(s)orlimited-energy ❑ See Paget 2
panel,allteration,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(I hr min) 90.00/hr
Email:permit@infinityd2d.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is y0 OOi hr
CCB Lie.:223690 Electrical Lie.:C1556 Suprv.Lie.:6210S specifically listed(Vm hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:S cott L eDuc Subtotal
Print name:Scott LeDuc Date:7/1/2022 0 Plan Review Required(25%of permit fee):
g
State surcharge(l2°/n of permit fee):
Authorized signature: 4 y{j+\ TOTAL PERMIT FEE:
�^^� This permit application expires if a permit is not obtained within 180
Print name:Mary Dinsmore-S ith Date:7/1/2022 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I1Building\Pernuts\ELC_PernvlApp_ELR_ERE.doe Rev 06/17/2015 440-4615TO 1105/COM/WBB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
FEE SCHEDULE 4`
RESIDENTIAL WORK ONLY: Description I Qty. I Each I 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
❑ 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 1
❑ Other: charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('/a 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:
D 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
0 Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I lauildingtPermits\ELC_Permi1App_ELR_ERE.doe Rev 06/17/2015
Julie Drinkwater
From: Julie Drinkwater
Sent: Wednesday, August 31, 2022 1:04 PM
To: Permit Email
Subject: RE: Solar Permit Application-12900 Sw 107th Ct
Importance: High
Hello Mary
When you have a chance, could you please forward the plans to me so that I can print them and make it a complete
submittal.
Thank you!
Julie Drinkwater
Permit Technician
City of"Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
Due to an increased demand for services, please expect longer wait times for responses to emails,voice messages and building
inspections. Requests for permit status may not be responded to until the permit is ready to issue. Other requests deemed non-
essential,such as fee estimates, may take longer to respond. In the meantime,please view this quick guide on how to submit
common service requests.
From: Permit Email <permit@infinitysolarusa.com>
Sent: Wednesday,August 31, 2022 8:47 AM
To:Julie Drinkwater<JulieD@tigard-or.gov>
Subject: Fwd: Solar Permit Application-12900 Sw 107th Ct
Permitting Department
Phone: (800) 928-4785 ext. 1
Email: permitCa�infinitvsolarusa.com
6405 E Mill Plain Blvd
Vancouver, WA 98661
In Office Hours: 7am-3:OOpm M-F
t
infinity so or
Forwarded message
From: Permit Email <permit@infinitysolarusa.com>
Date: Fri,Jul 1, 2022 at 8:09 AM
Subject: Solar Permit Application-12900 Sw 107th Ct
To:#Building Permit Technicians<tigardbuildingpermits@tigard-or.gov>
Hello,
Please see the below attached for the building application and Residential Photovoltaic Checklists along with the site
plan which includes the equipment list and specifications for the address above.
Please let me know if there is anything else you may need from us!
Permitting Department
Phone: (360) 326-0650
Email: permit aninfinitysolarusa.com
6405 E Mill Plain Blvd
Vancouver, WA 98661
In Office Hours: 7am-3:OOpm M-F
infinity solar
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