Permit .11 CITY OF TIGARD MASTER PERMIT
. . . COMMUNITY DEVELOPMENT Permit#: MST2023-00279
TIC;A It Io 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/21/2023
Parcel: 1 S 133DD00800
Jurisdiction: Tigard
Site address: 11703 SW 129TH PL
Subdivision: VILLAGE AT SUMMER LAKE PARK NO.2 Lot: 47
Project: Cuvin
Project Description: Rooftop solar PV system 7.68 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: $3,393.00 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
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: Rooftop solar array 7.68 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
CUVIN,JOSE HILARIO A JR AND TML INTERNATIONAL LLC Required Items and Reports(Conditions)
MARINA A 6405 E MILL PLAIN BLVD
11703 SW 129TH PL VANCOUVER,WA 98661
TIGARD,OR 97223
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. ATTENTIS aregon 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: 4. Permittee Signature: lit � I�W1Ul I'
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.
Building Permit Application
Residential FOR OFFICE USE ONLY
City of Tigard a RDateivyd V (14 ilas
pi y� Permit No.:M\�t •oar 7 q
13125 SW Hall Blvd.,Tigard,OR 97223 Plan R lfJ 6� fif Wl�
g :=; Plan Review Apr-
Other Permit:
i Phone: 503.718.2439 Fax 503.598.1460 :� I <.,,„(;i Date/By: �Q(W���j ��Q
T t G A R D Inspection Line: 503.639.4175 Date Ready/By: 11 lids ® See Page 2 for
Internet. www.tigard-or.gov Cp �+ yO w'I I YP • Notified/Method: , �tuts
�•. I Supplemental Information
t,„+r 3 1'
I "'1NGr
TYPE OF WORK REQUI DATA:I-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 ❑■ Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $3393.00
ID1-and 2-family dwelling ElCommercial/industrial
ElAccessory building El Multi-familyNumber of bedrooms:
0 Master builder ElOther: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:11703 SW 129th pl New dwelling area: square feet
? City/State/ZIP:Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solarinstall-MLCuvin 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: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Installation of 17 solar panels in 2 arrays on a roof-mounteg>reggkW PV System Valuation: $
-1.CDC Existing building area: square feet
New building area: square feet
❑■ PROPERTY OWNER ❑ TENANT Number of stories:
Name:Marina Cuvin Type of construction:
Address:11703 SW 129th pl Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( )503-367-4921 Fax:( )
New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
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
Amount received:
Phone:( )(360)326-0650 Fax: :( )
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.:29g0 MAt 4 "titA31�jtiq Total fee due upon application: $201.60
Authorized/signature: This permit application expires if a permit is not obtained
Z)G;22/91.el-z f9?G(fG within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Mary Dinsmore- ith Date:6/12/2023 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I l/02/COM/WEB)
Electrical Permit Application , : 1,, ',lit FOR OFFI('E I SE ONLY
1,... 3 kip m�.,u,
City of Tigard Received vi n
13125 SW Hall Blvd.,Tigard,OR 97223 '.-1 1 2 23 Date/B : Permit#:fv .�ti3 -f l,�
g ' ' -.''.i Plan Review Related Permit#:
= Phone: 503.718.2439 Fax: 503.598.1960 Date/B
Inspection Line: 503.639.4175 Ready Date/By: Juris BI See Page 2 for
4 I G A R t) Internet: www.tigard-or.gov ) Notified/Method: Supplemental Information
TYPE OF W6.RI�"`-"
�a-,ti ,w.e rr PLAN REVIEW
O New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
O 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.
■❑ 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: 0 Fire pump. 0 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:11703 SW 129th pl 100HP or more.
O Six or more residential units. occupancy.
City/State/ZIP:Tigard, OR 97223 ❑Recreational vehicle arks.
0 Health-care facilities. P
Suite/bldg./apt.#: Project name:Solarinstall-MLCuvin 0 Hazardous locations. 0 Supply voltage for more than
O 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.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'!500 sq.ft.or portion 33.92 1
DESCRIPTION OF WORK. Limited energy,residential
(with above sq.ft.) 75.00 2
Installation of 17 solar panels in 2 arrays on a roof-mounted 6.885kW PV System Limited energ
y,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
® PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Marina Cuvin 200 amps or less 100.70 2
Address:11703 SW 129th pl 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:( )503-367-4921 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:marinaabuancuvin@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
IN APPLICANT ® CONTACT PERSON Branch circuits—new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:TML International LLC above service or feeder fee, 7.42 2
each branch circuit
Contact name:Mary Dinsmore-Smith 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'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( )(360)326-0650 Fax: :( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
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 Address:6405 E Mill Plain Blvd 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(1 hr min) 66.25/hr
Phone:( )(800)818-0598 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:permit@infinityd2d.com Inspections for which no fee is
CCB Lic.:223690 Electrical Lic.:C1556 Suprv.Lic.:6210S
specifically listed('I hr min) 90.00/hr
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:ace Z-0-27icc
Subtotal:
Print name:Scott LeDuc Date:6/12/2023 ❑Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ` D4 y y�44, -�'f� TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Mary Dinsmore mith Date:6/12/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I\Bullding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(1l/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
DescFee for all residential systems combined: $75.00 Renewable
on I Qty. I Each I Total I
R
3' Ren electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 1 133.56 133.56 2
PI 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
n Vacuum Systems* >100 kva—no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
n Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
specifically listed('A hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter on Page 1):
y a Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
n 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\Budding\Permas\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015