11-November (7) CITY OF TIGARD MASTER PERMIT
! Permit#: MST2023-00576
a COMMUNITY DEVELOPMENT Date Issued: 11/09/2023
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC12800
Jurisdiction: Tigard
Site address: 17112 SW JEAN LOUISE RD
Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 128
Project: Nguyen
Project Description: Rooftop solar PV system.8.0 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: $7,013.00 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
0 Water Heaters:
Tubs/Showers: 0 Garbage Disp: Bckfiw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0
Drywall-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
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!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 8 kW Ecompasing:
BUILDING INFO
Type of Work:
T e of Use: Type of Constr: Occupancy Group: Square Feet:
0
OTR
SF VB R-3
Owner: Contractor:
NGUYEN,QUYEN M
TML INTERNATIONAL LLC Required Items and Reports(Conditions)
17112 SW JEAN LOUISE RD 6405 E MILL PLAIN BLVD
SHERWOOD,OR 97140 VANCOUVER,WA 98661
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $357.19
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. ATTENTION: Oregon law requires ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
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Issued By: l Permittee Signature:
Call 503.639.4175 ye7:00 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.
i
Building Permit Application `®
Residential ECEI Y : FOR OFFICE USE ONLY
City of Tigard DateB :Received r1 ' _ I
1114 • 13125 SW Hall Blvd.,Tigard,OR 97223 OCTC1 202. Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/B : a IFOther Permit:
Inspection Line: 503.639.4175l `Fate Ready/By: fads 21 See Page 2 for
„��t;I, P CITY OFp� TIGA
Internet: www.tigard-orgov BUILDING
' IL DIIVG DIVIS i fiedr'Method: / ��� Supplemental information
TYPE OF WORK /W l l eT 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 ElOther:Solar equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $7013.00
❑l I-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
0 Master builder ❑Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:17112 SW Jean Louise Rd New dwelling area: square feet
City/State/ZIP:Tigard OR 97140 Garage/carport area. square feet
Suite/bldg./apt.no.: Project name:Solarinstall-QNguyen 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 20 solar panels in 2 arrays on a roof-mounted 8.000kW PV System Valuation: S
Existing building area: square feet
New building area: square feet
II PROPERTY OWNER 0 TENANT Number of stories:
Name:Quyen Nguyen Type of construction:
Address:17112 SW Jean Louise Rd Occupancy groups:
City/State/ZIP:Tigard OR 97140 Existing:
Phone: ( 1503-201-4766 Fax:( ) New.
0 APPLICANT It CONTACT PERSON BUILDING PERMIT FEES*
(Please refer m 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: :( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:permit@infinitysolarusa.com
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 tic.:223690 Total fee due upon application: $201.60
Authorized signature: 7 This permit application expires if a permit is not obtained
( G�'L4-0f-e>..—<5' within 180 days after it has been accepted as complete.
Date:10/23/2023 *Fee methodology set by Tri-County Building Industry
Print name:Mary Dinsmore- ith Service Board.
I,\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
• Electrical Permit Application FOR OFFICE I'SE ONLY
City of Tigard Received
�I$ Date/B : t y(�ljiYIY Illi1+
• 13125 SW Hall Blvd.,Tigard,OR 97 7�J Plan Review
III Phone: 503.718.2439 Fax: 503.598 60' e' DateB : Related Permit#.
Inspection Line: 503.639.4175 Ready DateBy: inns: 0 See Page 2 for
TIGARD Internet: www.tigard-or.gov Non bed/Method: Supplemental Information
TYPE OF WORK , _ PLAN REVIEW
❑New construction ❑Addition/alterationlreplacement Please check all that apply(submit 2 sets of plans w/items checked):
El Demolition ID Other:
Solar ❑Service or feeder 400 amps or more 0 Building over three stories.
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 ❑Commercial/industrial 0 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: ❑Fire pump. ❑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:17112 SW Jean Louise Rd 100HP or more. ❑"A","E","I-2","1-3",
City/State/ZIP:Ti and OR 97140 0 Six or more residential units. occupancy
g 0 Health-care facilities. 0 Recreational vehicle parks.
0 Supply voltage for more than
Suite/bldg./apt.#: Project name:Solarinstall-QNguyen 0 Hazardous locations. 600 volts nominal
0 Service or feeder 600 amps or more.
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 ii: 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 20 panels in 2 arrays on a roof-mounted 8.000kW PV system Limited energy,multi-family
_ residential(with above sq.ft.) 75.00 2
Renewable Energy See Page 2
It PROPERTY OWNER - 0 TENANT Services or feeders installation, teration,and/or relocation
Name:Quyen Nguyen 200 amps or less 100.70 2
Address:17112 SW Jean Louise Rd 201 amps to 400 amps 133 56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard OR 97140 601 amps to 1,000 amps 301.04 _
Phone:( )503-201-4766 Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email:justine.v.nguyen@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: Date: 401 amps to 599 amps 168.54 2
Ill APPLICANT Branch circuits—new,alteration,or extension,per panel
� CONTACT PERSON _ 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
serAddress:6405 E Mill Plain Blvd branchce it feederitfee,first 56.18 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
67.84 2
dwelling,service and/or feeder
Email:permit@infinitysolarusa.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 0 See Page 2 2
Address:6405 E Mill Plain Blvd panel,alteration,or extension.
City/State/ZIP: Each additional inspection over allowable in any of the above
ty Vancouver WA 98661 Additional inspection(1 hr min) 66.25/hr
Phone:( )360-326-0650 Fax:( ) Investigation(I hr min) 90.00/hr
Email:permit@infinitysolarusa.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.:223690 Electrical Lic.:C1556 Suprv.Lic.:4434S specifically listed(%hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: / / n
�9Gi/�eLlQ2 Subtotal:
Print name:Todd Rouse Date:10/23/2023 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: Z28.,22,--,5' TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within ISO
Print name:Mary Dinsmore mith Date:10/23/2023 days after it has been accepted as complete.
* Number of inspections allowed per permit.
1'\Building\Permas'ELC PermitApp_E LR_ERE.doc Rev 06/17/2015 440-461 Silt 1/05/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
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to IS kva 1 133.56 133.56 2
❑ Audio and Stereo Systems* Is o1 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
e 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:
❑ Other: Each additional inspection is 66.25,/hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.001 hr
specifically listed(i,hr rain)
ELECTRICAL PERMIT FEES
COMMERCIAL WORK ONLY: subtotal(Enter on Page 1).
Fee for each commercial system: S75.00 * 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\Building\Permds',ELC_PermitApp ELR ERE doe Rev 06/172015
City of Tigard
'' Building Division
- : 13125 SW Hall Blvd,Tigard,OR 97223 RECEIVED
Phone: 503.718.2439 Fax: 503.598.1960
T I GARD Inspection Line: 503.639.4175 OCT 31 2023
www.tigard-or.gov
CITY OF TIGARD
BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 17112 SW Jean Louise Rd
City: Tigard Zip: 97140
Owner's Name:Quyen Nguyen Date: 10/23/2023
Contractor's Name:TML International LLC CCB #: 223690
Design Parameters of the Property/Structure
If"Yes", does not
Flood Hazard Is the installation ❑ Yes qualify for the
Located in a flood prescriptive path, follow
Area plain/flood way? Q No OSSC or ORSC for
design requirements.
El
Wind Exposure Is the wind exposure Yes If"Yes", qualifies for
p "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 ■❑ 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?
If"Yes", qualifies for
structures other than
❑ Yes the prescriptive path.
above ❑
No
1
1`/Building/Forms/PhotoVoltaic-Checklist02-0I-l l docx
L
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. If"Yes", qualifies for
❑ Yes the prescriptive path.
❑ No
s the combined weight ❑■ Yes
of the PV modules and If"Yes", qualifies for
racking less than or El No the prescriptive path.
Solar equal to 4.5 psf?
installation Is the solar installation
layout in accordance ❑■ Yes
with Section 305.4(3) of If"Yes", qualifies for
❑
the 2010 Oregon Solar No the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
RoofingCheck thetype ❑ of wood
yp of shingle/shake one of the three types
material roofing material g checked, qualifies for
Max. two layers the prescriptive path.
❑■ of composition
shingle.
Is the roof mounted ❑■ Yes
Connections of solar assembly
If"Yes", qualifies for
the solar assembly connected to roof ❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
I:/B uilding/Forms/Photo Voltaic-Checklist02-01-11.docx
t ,
❑ 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 Minimum 24 inches If the spacing falls
solar systems Spacing of clamps? within 24 inches and 60
directly to inches Maximum 60 inches inches, qualifies for the
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. Y2"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
I:/Building/Forms/Photo Voltaic-Checkl ist02-0I-I I docx
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:Silfab
Model Number:SIL 400 HC+
Listing Agency: UL 61730
4
I:/B uilding/Forms/PhotoVoltaic-Checklist02-O 1-11.docx