Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2023-00264
Date Issued: 06/21/2023
T r C;A I,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 104AB 13600
Jurisdiction: Tigard
Site address: 12414 SW 134TH AVE
Subdivision: MORNING HILL NO.7 Lot: 164
Project: Anderson
Project Description: Rooftop solar system 5.67kW.
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: $2,910.00 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
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: 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 5.670 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:
ANDERSON,KAREN L LIVING TRUST TML INTERNATIONAL LLC Required Items and Reports(Conditions)
12414 SW 134TH AVE 6405 E MILL PLAIN BLVD
TIGARD,OR 97223 VANCOUVER,WA 98661
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. ATTENTIO • regon 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: Stt apoicaliOn
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 ApplicatioFiECEIVED
Residential FOR OFFICE 1'SE ONLY
City of Tigard JUN 0 8 2023 ReceivedDate/By. ' ol-3 Pen5�T�)-3 -oo�'t
'I 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review !�.,�"
Phone: 503.718.2439 Fax 503.598.19 Date/By: 3l Z, Apr-
' ° Other Permit:
CITY OF TIGARD
Inspection Line: 503 639 4175 Date Ready/By: turfs El See Page 2 for
TIGARD BUILDING DIVISION (I-- Q/{ '�({� /��J��/� g
Internet www ttga[d-o[goV IVotifiedt</ L[J�W��•''` Supplemental Information
TYPE OF WORK REQ IREID DATA:1-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 ID Other:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $2910.00
I1 I-and 2-family dwelling ❑Commercial/industrial
❑Accessory building ID Multi-familyNumber of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
.\O JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:12414 SW 134th Ave New dwelling area: square feet
City/State/ZIP:Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Solarinstall-KAnderson 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 14 solar panels in 2 arrays on a roof-mounted 5.670kW PV System valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER 0 TENANT Number of stories:
Name:Karen Anderson Type of construction: •
Address:12414 SW 134th Ave Occupancy groups:
City/State/ZIP:Tigard OR 97223 Existing:
Phone:( )503-754-6088 Fax:( )
New:
® APPLICANT LIB 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 Photo Voltaic Solar Panel System.
Business name:TML International LLC dba Infinity Solar 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): $21.60
CCB lie.:2a$'6�.ti31�10 . V1113di�attl� Total fee due upon application: $201.60
Authorized This permit application expires if a permit is not obtained
e 1;1.d4'N.d2Q:—cS/2:6i/ within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name:Mary Dinsmore- ith Date:6/5/2023 Service Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Electrical Permit Applicatitim Received FOR oFFICI.1sH:ONE).
City of TigardDate Pe , . r�,—j -,O
Iiiiii
Plan B v
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
a Phone: 503.718.2439 Fax: 503.598.19 jJ N 0 8 2023 Date/B : Related Permit 4:
Inspection Line: 503.639.4175 ReadyDate/By: Soris.
T 16 A R Q Y See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
TYPE OF ING DIVISION PLAN REVIEW
❑New construction 0 Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked).
❑ ❑■Demolition 0 Service or feeder 400 amps or more 0 Building over three stories.
Other:Solarwhere 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 ElCommercial/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 ❑Other:
❑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:12414 SW 134th Ave 100HP or more. ❑"A","E","t-2","t-3",
City/State/ZIP:Tigard OR 97223 0 Six or more residential units. occupancy.
0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Solarinstall-KAnderson 0 Hazardous locations. ❑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 14 solar panels in 2 arrays on a roof-mounted 5.670kW PV System
(with above sq.ft.) 75.00 2
Limited energy,multi-family
residential(with above sq.ft.) 75.00 2
Renewable Energy CISee Page 2
Mil PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Karen Anderson 200 amps or less 100.70 2
Address:12414 SW 134th Ave 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:( )503-754-6088 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:katigard@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
® APPLICANT MI 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'1 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
Address: Signal circuit(s)or limited-energy
6405 E Mill Plain Blvd 0 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(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
CCB Lie.:223690 Electrical Lie.:C1556 Suprv.Lie.:6210S specifically listed('/hr min) 90.00/hr
Suprv.Electrician signature,required: Seett�eT�c�
ELECTRICAL PERMIT FEES
Subtotal:
Print name:Scott LeDuc Date:6/5/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: ` 774 ,�_-,'yy TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name:Mary Dinsmore mith Date:6/5/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
I.\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 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 I Total
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
❑ 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(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
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:
❑ 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.\Brnldrng\Permss\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015