Permit 11111 CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00270
Date Issued: 06/21/2023
T I C,A It f_) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DA05300
Jurisdiction: Tigard
Site address: 10506 SW NAEVE ST
Subdivision: ERICKSON HEIGHTS Lot: 14
Project: McCamish
Project Description: Rooftop solar system 16.2kW.
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: $7,290.00 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
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 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 Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'l 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 Y
Other: Y Other Description: Roof top solar array 16.2 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:
MCCAMISH,JEREMY&AMY TML INTERNATIONAL LLC Required Items and Reports(Conditions)
10506 SW NAEVE ST 6405 E MILL PLAIN BLVD
TIGARD,OR 97224 VANCOUVER,WA 98661
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $430.98
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 accordant- 'h 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. ATTEN • ''9 egon law re • 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: SQL rApplir u on.
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 T RECEIVE® FOR OFFICE USE()NIA
Cityof Tigard Received /
g �IUN 1 3 2023 DateBy: l0 Pe 6F�� —bo�7o
r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ✓''
i Phone: 503.718.2439 Fax: 503.598.19 0 Date/By: 2 Other Permit:
T I G A R D Inspection Line: 503.639.4175 CITY
p Date Ready/By: clA kris H See Page 2 for
Internet: www.tigard-or.gov CI I i �F�IGAr1D Notified/Method: to • Supplemental Information
BUILDING DIVISION E Hv ,va,I-) D•
TYPE OF WORK REQU1REIWDATA:I-AND 2-FAMILY DWELLING
0 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.
❑ 1-and 2-familydwellingValuation: $7290.00
0 Commercial/industrial
❑Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
C JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:10506 SW Naeve St New dwelling area: square feet
City/State/ZIP:Tigard, OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solarinstall-JMccamish 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 40 solar panels in 4 arrays on a roof-mounted 16.200kW PV System Valuation: $
Existing building area: square feet
New building area: square feet
El PROPERTY OWNER ❑ TENANT Number of stories:
Name:Jeremy Mccamish Type of construction:
Address:10506 SW Naeve St Occupancy groups:
City/State/ZIP:Tigard, OR 97224 Existing:
Phone:( )408-499-6321 Fax:( ) New:
a APPLICANT IN CONTACT PERSON BUILDING PERMIT FEES*
Business name:TML International LLC
(Please refer to 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
City/State/ZIP:Vancouver,WA 98661
Total fees due upon application:
Phone: Amount received:
( )(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 lie.:22b0 AM to p U `�I01 NIA Total fee due upon application: $201.60
Authorized signature: YI 7� / This permit application expires if a permit is not obtained
Z7ut2�it 2 82 —�J� within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Print name:Mary Dinsmor mith Date:6/7/2023
Service Board.
1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
Electrical Permit Applicati ECEIVE® Received FOR OFFICE t'SE ONLI
Cityof Tigard DateB : Pe ,i1. •..•Q-O a-710
41 13125 SW Hall Blvd.,Tigard,OR 97223 Plan INReview
■ Phone: 503.718.2439 Fax: 503.598.19 PI N 1 3 2023 Date/B : Related Permit#:
Inspection Line: 503.639.4175 Ready Date/By: Suns iZi T 1( A R U Internet: www tl and-or ov Notified/Method: See Page 2 for
g g CITY OF TIGARD Supplemental Information
TYPE OFBJ kkING DIVISION PLAN REVIEW
0 New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑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 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 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
❑Addition of new motor load of system.
Job#: Job site address:10506 SW Naeve St 100HP or more. ❑''A",°°E", '1-2","1-3",
City/State/ZIP:Tigard, OR 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. ❑Recreat onal vehicle parks.
Suite/bldg./apt.#: Project name:Solarinstall-JMccamish ❑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 40 solar panels in 4 arrays on a roof-mounted 16.200kW PV System
(with above ft.)i-family
75.00 2
Limited energy,sq.mult 75.00 2
residential(with above sq.ft.)
OE PROPERTY OWNERRenewable Energy 31 ee Page 2
0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Jeremy Mccamish 200 amps or less 100.70 2
Address:10506 SW Naeve St 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:( )408-499-6321 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:jeremymccamish@gmail.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—new,alteration,or extension,per panel OE APPLICANT ® CONTACT PERSON
A.Fee for branch circuits with
Business name:TML International LLC above service or feeder fee, 7.42
each branch circuit
Contact name:Mary Dinsmore-Smith B.Fee for branch circuits without
Address:6405 E Mill Plain Blvd service t feetfee,first
branch circui 56.18 2
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
Signal circuit(s)or limited-energy
panel,alteration,or extension.
Address:6405 E Mill Plain Blvd ❑ See Page 2 2
City/State/ZIP:Vancouver, WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(l hr min) 66.25/hr
Phone:( )(800)818-0598 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:permit@infinityd2d.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.:223690 Electrical Lic.:C1556 Suprv.Lic.:6210S specifically listed(''a hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:'ceet/.�Puc
Subtotal:
Print name:Scott LeDuc Date:6/7/2023 ElPlan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: Z7z;yy¢iryl��-5eit61 TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Mary Dinsmor mith..
Date:6/7/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1:\Building'Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(II/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:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01to15kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 1 200.34 200.34 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
with OAR 918-309-0040) 552.26 2
❑ 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/hr
specifically listed('/z hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Fee for each commercial system: $75.00 Subtotal(Enter . Paget):
y * Number of inspections allloweowedd per permiti.
(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
h\BuildingVPermits\ELC_Perm¢AppELR_ERE.doc Rev 06/17/2015