Permit (120) CITY OF TIGARD MASTER PERMIT
`' a . COMMUNITY DEVELOPMENT Permit#: MST2023-00506
T I GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2023
Parcel: 2811101314100
Jurisdiction: Tigard
Site address: 15748 SW 87TH AVE
Subdivision: MILLMONT PARK Lot: 18
Project: Leopold
Project Description: Rooftop solar system 8.505 kW with 200 amp panel and(5)branch 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 sl Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 0 sf Value: $5.240.00 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: D 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: 5
Ea add!500 sf: 0 201-400 amp: 0 201400 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: N Other Description: Ecompusing.
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
LEOPOLD,JERROD N&CARLYSSA D TML INTERNATIONAL LLC Required Items and Reports(Conditions)
BAILEY,CARLYSSA DIANE 6405 E MILL PLAIN BLVD
15748 SW 87TH AVE VANCOUVER,WA 98661
TIGARD,OR 97224
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $505.52
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. ATT N: Oregon law 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: +P Tf j t C4 D
all 503.639.4 7:00 a.m.for the next available inspectIon date.
This permit card shall be kept In/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.
}
Building Permit Application RECEIVED
Residential OCT U 4 2023 FOR OFFICE USE ONLY
City of Tigard Received
- • 13125 SW0 Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD1114
Date/By: Pe111 iT�� 3 CO Svb
Plan Review /J n LPh : 037182439F5035981960SUILDING DIVISIO .Date/By: `� L.� tA,
Other Permit:
Inspection Line: 503.639.4175 Date Ready/By:
TIGARDI ® ar
Internet: www.tigard-orgov Notified/Method: 44 0)-� SupSee ra.¢l plementalPaget Ifnformation
TYPE OF WORK REQUIRED DATA!1-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 El Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $5240.00
El 1-and 2-family dwelling ElCommercial/industrial
❑Accessory building ❑Multi-family Number of bedrooms.
O Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15748 Sw 87th Ave New dwelling area: square feet
City/State/ZIP:Tigard OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solarinstall-CJLeopold 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 21 solar panels in 3 arrays on a roof-mounted 8.505kW PV System Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Carlyssa Leopold Type of construction:
Address:15748 Sw 87th Ave Occupancy groups:
City/State/ZIP:Tigard OR 97224 Existing:
Phone:( )503-841-7377 Fax:( ) New:
® APPLICANT NI CONTACT PERSON BUILDING PERMIT FEES*
Business name:TML International LLC dba Infinity Solar USA (Please rtferm fee schedule)
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*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TML International LLC dba Infinity Solar USA 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:( )360-326-0650 Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lie.:223690 Total fee due upon application: $201.60
Authorized signature: �7 This permit application expires if a permit is not obtained
12%y2 [ Ll L2,L11.62.Q,—3 within 180 days after it has been accepted as complete.
��ff(ii *Fee methodology set by Tn-County Building Industry
Print name:Mary Dinsmore- Ith Date:10/2/2023 Service Board.
I:1Building\Perm its\BUP-RESPermitApp doe 02/24/2011 440-4613T(I I/02/COM/WEB)
i ` .
l Electrical Permit Application BEGET r FOR OFFICE USE ONLY
City of Tigard OCT 0 4 2QY3 Received Pe :4TXss3 00,50.E
• 13125 SW Hall Blvd., Fax:Tigard, CIT11111
Y OR 97223 DateBy:
IIIPhone: 503.718.2439 QF'I"IGAR PlDanate RevBy:iew Related Permit µ:
TIGARD Inspection Line: 503.639.4175 BUILDING Ready Date/By: tads
See Page 2 for
,, Internet: www,tigard-orgov �IVISI Mon fied'xtethod: 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 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 P 0 Floating buildings.
1-and2-family dwelling ❑Cornmercial/industrial ❑Accessory building
less to ground,or exceeds 14,000 ❑Commercial-use agricultural
❑Multi-familyamps for all other installations. buildings.
0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#: Job site address:15748 Sw 87th Ave ❑Addition of new motor load of system.
10OHP or more. ❑"A","E","1-2","13",
City/State/ZIP:Tigard OR 97224 0 Six or more residential units. occupancy.
❑Health-care tzcilities- 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solarinstall-CJLeopold 0 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
DESCRIPTION OF WORK Ea. sq.ft.or potion 33.92 1
Limitedited ener enera,residential
New 200 amp meter main and 4 solar circuits, 1 generator circuit (with above sq-ft.) 7s oo 2
Limited energy,multi-family
residential(with above sq.ft.) 75,00 2
Renewable Energy ❑ See Page 2
4 PROPERTY OWNER I 0 TENANT
Services or feeders installation,alteration,and/or relocation Name:Carlyssa Leopold 200 amps or less 1 100.70 2
Address:15748 Sw 87th Ave 201 amps to 400 amps 133.56 2
City/State/ZIP:Tigard OR 97224 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Phone:( )503-841-7377 Fax:( ) Over 1,000 amps or volts 552.26 2
Email:missyscarlet@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 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: Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
III APPLICANT III CONTACT PERSON
A.Fee for branch circuits with
Business name:TML International LLC dba Infinity Solar USA above serviceor feeder fee, 5
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
Phone:( )360-326-0650 Fax::( ) Miscellaneous(service or feeder not included)
Each manufactured or modular
Email: ermlt ty dwelling,service and/or feeder 67.84 2
p @infini solarusa.com
Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84
2
Business name:TML International LLC dba Infinty Solar USA Sign or outline lighting 67,84 2
Address:6405 E Mill Plain Blvd Signal circuit(s)or limited-energy
panel,alteration,or extension. 0 See Page 2 2
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:( )360-326-0650 Fax:( ) Investigation(I hr min) 90.00/hr
Email:permit@infinitysolarusa.com Industrial plant(Ihrmin) 78.18;hr
Inspections for which no fee is
CCB Lic.:223690 Electrical Lic.:C1556 Suprv.Lie.:4434S specifically listed('/,hr min) 90 00/hr
Suprv.Electrician signature,required: ',' , o ELECTRICAL PERMIT FEES
/B'c
Subtotal:
Print name:Todd Rouse Date:10/3/2023 0 Plan Review Required(25%of permit fee):
�( State surcharge(12%of permit fee):
Authorized signature: /�w ��N.Q.�JL622—'�{3LGLlG TOTAL PERMIT FEE:
((.�$/� This permit application expires if a permit is not obtained within 180
Print name:Mary Dinsmore mith Date:10/3/2023 days after it has been accepted as complete.
' Number of inspections allowed per permit.
I.\Building:ermits I.C_Pem iApp ELR_ERE.doe Rev 06/17/2015 440-4615T111/05/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 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 1 133.56 133.56 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
n Garage Door Opener* >100 kva(fee in accordance 55226 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 66251 hr 1
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed()/hr min)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: Subtotal(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
n 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
El Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
IiiBuilding,Permits'\ELC PermitApp_ELR_ERE.doe Rev 0607/2015
City of Tigard RECEIVED
�� OCT 04 2023
Building Division
' 13125 SW Hall Blvd,Tigard, OR 97223 CITY OF TIGARD
Phone: 503.718.2439 Fax: 503.598.1960 BUILDING DIVISION
TIGARD Inspection Line: 503.639.4175
www.tigard-or.gov
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 15748 Sw 87th Ave
City: Tigard Zip: 97224
Owner's Name:Carlyssa Leopold Date: 10/2/2023
Contractor's Name:TML International LLC dba Infinity Solar USA CCB #: 223690
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Area Located in a flood prescriptive path, follow
plain/flood way? 0 No OSSC or ORSC for
design requirements.
Is the wind exposure ❑� Yes If"Yes", qualifies for
Wind Exposure «C"or less?
❑ No the prescriptive path.
Installations on detached Is the Ground Snow
single/two-family Load 70 psf or less?
dwelling/single/two- If"Yes", qualifies for
family townhomes 0 Yes the prescriptive path.
and/or their accessory
Ground structures. ❑ No
Snow Load Is the Ground Snow
Installations on all Load 50 psf or less?
structures other than If"Yes", qualifies for
❑ Yes the prescriptive path.
above
❑ No
1
1/Building/Forms/PhotoVoltaic-Checklist02-0I-1 I docx
Is the construction
material wood and does • Yes
Type of If"Yes", qualifies for
the construction qualify
Construction as"conventional light ❑ No the prescriptive path.
frame" construction?
Is the spacing 24 inches
or less?
Pre-engineered trusses. ❑ Yes If"Yes", qualifies for
the prescriptive path.
■❑ No
Roof framing
members Is the spacing 24 inches
or less?
Nominal lumber. 1-1 Yes
"Yes", qualifies for
Yes the prescriptive path.
❑ No
Is the combined weight n Yes
of the PV modules and If"Yes", qualifies for
racking less than or ❑ No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation
layout in accordance ❑■ Yes
If"Yes", qualifies for
with Section 305.4(3) of ❑ No the prescriptive path.
the 2010 Oregon Solar
Code?
❑ Metal
Single layer If roofing material is
Roofing Check the type of ❑ of wood one of the three types
material roofing material shingle/shake checked, qualifies for
Max. two layers the prescriptive path.
■❑ of composition
shingle.
Is the roof mounted • Yes
Connections of solar assembly
the solar assembly connected to roof No If epes p for
❑
to the roof framing or blocking the pree scripttivee p path.
directly?
2
1Building/Forms/PhotoVoltalc-Checklist02-01-11.docx
• e
❑ Yes If"Yes", qualifies for
Is the gauge 26 or less?
❑ No the prescriptive path.
115 lbs for 60 inch
spacing or less?
If"Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
Minimum Uplift rating
of Clamps? 75 lbs for 48 inches
spacing or less?
If"Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
Attachment of
roof mounted If the spacing falls
solar systems Spacing of clamps? Minimum 24 inches within 24 inches and 60
directly to inches inches, qualifies for the
Maximum 60 inches
standing seam prescriptive path.
metal panels Width of roofing If the width of the panel
panels? 18 inches or less is less than 18 inches,
inches qualifies for the
prescriptive path.
Minimum#10 at 24
inches o/c?
Size and spacing of If"Yes", qualifies for
fastener? ❑ Yes the prescriptive path.
❑ No
Is the roof decking of
WSP min. %"thickness, ❑ Yes
decking connected to If"Yes", qualifies for
framing members ❑ No the prescriptive path.
w/min. 8d nails @
6"/12" o/c?
Is the height less than or
Maximum 18 inches equal to 18 inches?
Height of the from the top of the If"Yes", qualifies for
solar modules module to the roof Yes the prescriptive path.
surface. ❑ No
3
1/Building/Forms/PhotoVoltaic-Checklist02-01-11 docx
1 t
Submittal Documents required for Prescriptive Installations
Show the location of the PV system in relation to buildings, structures,
property lines, and, as applicable, flood hazard areas.
Site Plan Details must be clear and easy to read.
Minimum size of the plan is 8.5 x 11 inches.
Attach a simple structural plan showing the roof framing (rafter size,type, and
spacing) and PV module system racking attachment.
System must be shown in sufficient detail and clarity to assess whether it
Structural Plan meets the prescriptive construction requirements as listed earlier above in the
matrix.
Minimum size of the plan is 8.5 x 11 inches.
PV Modules
Manufacturer:ZN S H I N E
Model Number:ZXM7-SH 108-405M
Listing Agency: UL 61730
4
I:/Building/Forms/Photo Voltaic-Checklist02-01-I I.docx