11-November (10) CITY OF TIGARD MASTER PERMIT
111
'r COMMUNITY DEVELOPMENT Permit#: MST2023-00582
Date Issued: 11/09/2023
T t GA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 09/202 8300
Jurisdiction: Tigard
Site address: 13169 SW CHIMNEY RIDGE ST
Subdivision: MORNING HILL NO.4 Lot: 112
Project: Boyum
Project Description: Rooftop solar PV system. 10.935 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: $9,317.00 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 Tvpes 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 SrvcfFeeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add9 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
y Audio&Stereo:
N HVAC: N Securit Alarm: N Vaccuum System: N Garage Opener: N All N
Other: Y Other Description: Rooftop solar array 10.935 kW Ecompasing:
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
BOYUM,GERALD&DANIELLE TML INTERNATIONAL LLC Required Items and Reports(Conditions)
13169 SW CHIMNEY RIDGE ST 6405 E MILL PLAIN BLVD
TIGARD,OR 97223 VANCOUVER,WA 98661
PHONE: PHONE: 800-364-0470
FAX:
Total Fees: $361.19
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 yo follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
oc2 nn1-nnln thrnil AR eF9-nnl-nnon vn„1112U in loin a n,i of the:.nduc nr,Vircrt nii>efinne fn ell IMr.by rallinn cm 9'39 1ga7 nr 1 AAnnnn 12,?IAA
y ,J
Issued By: Permittee Signature: 4 k9 r - // II Ceti d-, LI
Call 503.639.4175 by :00 a.m.for the next available inspection date. / /
This permit card shall be kept in a onspicuous 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 RECEIVE ,
D Received
DaleBy ,`,�1 W V q�,�t W PZyk PermitNo.:MS1VV'I/ •005%1,
�• P
14 II u 13125 SW Hall Blvd.,Tigard,0 Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: i ) • 7 •2111.r�
6 2023 Date Ready/By: !� Jam I HI See Page 2 far
1.I�,y�t Ct Inspectionerne: Line'. 503.or.gov75 NOVI`t r Notified/Method tut(((///������iTTT/////////,��� Supplemental Information
Internet www.tigazd-or.gov
ire OF TIGARD 4D (A,
TYPE OFBf t iNGDIVISION REQUIRED ATA:1-AND 2-FAMILY DWELLING
VVVIIl Demolition tl q,/' Permit fees*are based on the value of the work performed.
❑New construction ❑ — ~ 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
work indicated on this application.
CATEGORY OF CONSTRUCTION
Valuation: S 9317.00
0 1-and 2-family dwelling 0 Commercial/industrial
Number of bedrooms:
❑Accessory building ❑Multi-family
Number of bathrooms:
0 Master builder ❑Other:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13169 Chimney Ridge St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg/apt.no.: Project name:Solarinstall-GDBoyum 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.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:2S104AB08300 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $
Installation of 27 solar panels in 3 arrays on a roof-mounted 10.935kW PV System
Existing building area: square feet
New building area: square feet
II PROPERTY OWNER 0 TENANT Number of stories:
Name.Gerald Boyum Type of construction:
Address:13169 Chimney Ridge St. Occupancy groups:
City/State/ZIP:Tigard, OR 97223 Existing:
Phone:( )503-939-0684 Fax:( ) New:
ltil APPLICANT IJ 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 tee(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.
Submit two(2)sets of roof plan with connection details
Business name:TML International LLC and fire department access,along with the 2010 Oregon
Address:6405 E Mill Plain Blvd Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
CitylState ZIP:Vancouver,WA 98661 and administrative fees):
Phone:( )(800)818-0598 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie:223690 Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: 77 8,�--5 within 180 days after it has been accepted as complete.
// *Fee methodology set by Tri-County Building Industry
Print name:Mary Dinsmor mith Date:11/3/2023 Service Board.
1:\Building\Permits\BUP-RESPennitApp.doc 02/24/2011 440-4613T(1 1/02/COM/WEB)
•
• Electrical Permit Application RECEI • E
FOR OFFICE USE ONLY
City of Tigard tlOr1� PlanRy; jiij OO OWL
NOVtt IJ ` ` RDateBBy: Permit k
13125 S W Hall Blvd.,Tigard,OR 97223 Review
Er
Phone: 503 718.2439 Fax: 503.598.1960 -n/t1 DateBy: Related Permit#:
TIGARD Inspection Line: 503.639.4175 CI t 7 uJi^DIGARL/+; Ready DateBy orris I gl See Page 2 for
Internet. www_tigard-orgov BUILDING ` '+ I `Notified/Method: Supplemental Information
TYPE OF WORK PLAN REVIEW
❑New construction ❑� Addition/alteration/replacement Please check all that apply(submit 2 sets of plans wgteins checked):
0 Service or feeder400 amps or more 0 Building over three stories.
❑ Demolition 0 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 ❑Master builder 0 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:13169 Chimney Ridge St. loofP or more ❑"A",«E•' "I-2","Ia",
City/State/ZIP:Tigard, OR 97223 0 Six or more residential units, occupancy.
R
Suite/bldg./apt.#: Project name:Solarinstall-GDBoyum 0 Health-care Facilities. 0 Supply
voltageal vehicle parksth
0 Hazardous locations. ❑Supply for inure than
❑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 I
DESCRIPTION OF WORK Limited energy,residential
Installation of 27 panels in 3 arrays on a roof-mounted 10.935kW PV system
(with above sy.ft.) 75 00 2
Ltmrtcd energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy I I See Page 2
® 0 TENANT PROPERTY OWNERServices or feeders installation,alteration,and/or relocation
Name:Gerald Boyum 200 amps or less 100.70 2
Address:13169 Chimney Ridge St. 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: ( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Email:
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 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
Branch circuits-new,alteration,or extension,err panel II APPLICANT 0 CONTACT PERSON
A.Fee for branch circuits with
Business name:TML International LLC dba Infinity Solar USA above service or feeder fee, 7.42 2
each branch circuit
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
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 dba Infinity Solar USA 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
City/State/ZIP:Vancouver WA 98661 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.251 hr
Phone:( )360-326-0650 Fax:( ) Investigation(1 hr min) 90.00/hr
Email:permit@infinitysolarusa.com Industrial plant(1 hr min) 78.18 hr
Inspections for which no fee is 90.00/ sr
CCB Lic.:223690 Electrical Lie.:C1556 Suprv.Lic.:4434S specifically listed(/)hr min)
Q� ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: �B /91 � Subtotal:
Print name:Todd Rouse Date:11/3/2023 0 Plan Review Required(25%of permit fee).
�./ State surcharge(12%of permit fee):
Authorized signature: � �UZemte.4.,—�1'yLLL/G TOTAL PERMIT FEE
Print name:Mary Dinsmore mith Date:11/3/2023
This permit application expires ifa permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
11BuildingtPermitstELC_PermitApp_ELR_ERE.doe 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
Deuriphon 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
❑ 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
n Vacuum Systems* >100 kva-no additional charge 0.0 3
Each additional inspection over allowahle in any of the above:
❑ Other: Each additional inspection is 66.25'hr l
charged at an hourly(I hr min)
Inspections for which no fee is 90.00/hr
specifically listed(1.,hr mini
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Pagel)�
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
n Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:1Building\Permi[stELC_PermaApp ELR_ERE.doe Rev 06i17/2015
,
111
1111
City of Tigard
Building Division RECEIVED
• 13125 SW Hall Blvd,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 NOV s 2023
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD
www.tigard-or.gov BUILDING DIVISION
2010 Oregon Solar Installation Specialty Code
Check List for Prescriptive Installation of Roof-Mounted
PhotoVoltaic Solar Panel System
Property Information
Installation Address: 13169 Chimney Ridge St.
City: Tigard Zip: 97223
Owner's Name:Gerald Boyum Date: 11/3/2023
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? Q 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 • 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-I 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. ❑ If"Yes", qualifies for
Yes the prescriptive path.
❑ No
Is the combined weight ❑■ 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
with Section 305.4(3) of If"Yes", qualifies for
Elthe 2010 Oregon Solar No the prescriptive path.
Code?
❑ Metal
Single layer If roofing material is
Roofing Check the type of ❑ of wood
g yp 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
If"Yes", qualifies for
the solar assembly connected to roof ❑ No the prescriptive path.
to the roof framing or blocking
directly?
2
IJBuilding/Forms/Photovoltaic-Checklist02-01-I I.docx
t I
❑ Yes If"Yes", qualifies for
Is the gauge 26 or less?
❑ No the prescriptive path.
115 lbs for 60 inch
spacing or less'?
111 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? l 8 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.
n No
Is the roof decking of
WSP min. V2" 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/PhotoVoltaic-Checkl ist02-0I-I I docx
4
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:ZNSH I NE
Model Number:ZXM7-SH 108-405 M
Listing Agency: U L 61730
4
I:/Building/Forms/PhotoVoltaic-Checklist02-0I-I I.docx