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Permit FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter 13125 SW Hall Blvd. •Tigard, Oregon 97223 •503.718.2439• www.tigard-or.gov TO: .A t( s 6y.,A r'yyt 5 (7'O DATE RECEIVED: DEPT: BUIL1ING DIVISION RECEIVED FROM: R` 6,✓f'at ��4. f.7 2 2 2021 COMPANY: an;8 E zwi-t e ‘Se-r-Uis. cif CITY OF TIG D PHONE: 563 -�'� '-Bl$3 BUILDING DM fi \V RE: (Site D5" Sl,- �?tin Yvle'- - 6-t- /t'�$ 2D?!J — ciazzer Addre(P M ie ca) r su ivlsion name and b lumber) tr ATTACHED ARE THE FOLLOWING ITEMS:Copies..: Description: Co i .F:�4 'r b,_ y �ryj• ,h}ru},»gy it}": 8Tr y }•a Additional set(s)of plans. >4.__ Revisions: 1p ;,( Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: 4-c pat-- E 9;It" -4-0 Trob .C,j va -j 503- 706_ .„2s3 Axis vt:t.6.e 5 c4-6 c1 n r r s rn1 tr1/ [i L S ' Nv reri-td WAS pot jre'cQ1-ccfprnvQ -fX4 RrOFFICjE USE ONLY Routed to Permit Technician: Date: � 22/ 21 Initials: Fees Due: El Yes EI No Fee Descry tion: l Amount Due: $ � Special Instructions: Reprint Permit(per PE): [] Yes tgNo ❑ Done Applicant Notified: Date: Initials: 1:1Building\Forms\Transmittall.ener-Revisions.doe 0525t2012 , RECEIVED r___1__-57__94\s2_\tN APK2 1l32' pRo. CITY OF TIGARD ��� - Fss> BUILDING DIVISION '� • •Vn.S 1 Z-DZD — 00225 4 ti,i 123bS SW S)NA,ra-�r SIT- ' 4 9'2 Of D. I EXPIRES: DEC 31,2013+ PLYWOOD, SEE NOTES&PLAN 2x WALL,SEE ARCH &SW SCHEDULE N 5/8"0 X 7'EMBED w/2"HOOK (2) 16d,SEE SW Cr\\ ANCHOR BOLT©6'-0"o.c.TYP. SCHEDULE U.N.O.,SEE SW SCHEDULE FOR _I. ' SPACING FOR SHEARWALLS 2x T&G DECKING' rs ..ter.rFi,;,ii` SEE PLAN BEAM POCKET,USE POCKET FORM&FELT STEMWALL REINFORCING: PAPER (2)#4 HORIZ. IN STEM WALL 7 FLOOR BEAM PER PLAN #4 @ 4'-0"o.c..VERT.,STD (MAY RUN IN EITHER HOOK INTO FTG(2'-0"EACH DIRECTION) SIDE OF HOLDOWN) _ il... 2— FINISH GRADE- g SLOPE AWAY 2% \ z = STEM / PROVIDE APPROVED ra. THICKNESS • '4 VAPOR BARRIER 11 0'_6" Q LI_ix t2a0 LL Q O ' • \ 1.S /7 PROVIDE 3"CLEAR FTG.WIDTH BOTTOM&SIDES (3)#4 CONT. 1'-0" t. PROVIDE 8"LEG ON OFFICE COPY ALL VERTICAL BARS SUBGRADE PER AS SHOWN GENERAL NOTES (ALTERNATE LEGS) AND GEOTECHNICAL REPORT i-F1�\ TYP. FOOTING SECT. wl BEAM POCKET 3/4"= 1'0" City of' `og - Apprimied PIa oy �n1-Pir Date Lf qs_. 74 CITY OF TIGARD MASTER PERMIT a. ' COMMUNITY DEVELOPMENT Permit#: MST2020-00229 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: Aug 24 2020 12:00AM T I 'AA 9 Parcel: 1S134CB00900 Jurisdiction: Tigard Site address: 12305 SW SUMMER ST Subdivision: SUMMER HILLS PARK Lot: 7 Project: Bergen Project Description: Remodel& 1,100 sf addition of master bed/bath, kitchen, laundry,family room&3/4 bathroom. All trade permits obtained separately. WATER METER UPSIZE REQUIRED PRIOR TO FINAL. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 0 First: 1100 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 15 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 1100 sf Value: $134,706.00 Rear: 15 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 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Wafer Lines: 0 Drains: 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 SrvclFeeders 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 Ecompasing: N Other: N Other Description: P 9 BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 1 100 Owner: Contractor: BERGEN,RICHARD D UNIQUE HOME SERVICES Required Items and Reports(Conditions) 12305 SW SUMMER ST 12305 SW SUMMER ST 1 Ersn Cntrl 503-639-4175 TIGARD,OR 97223 TIGARD,OR 97223 PHONE: PHONE: 503-888-8183 FAX: Total Fees: $5,983.32 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 you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 thro OAR 952-0 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued B . ��N1- ��d� Permittee Signature: del/ t9'7ape+, 69-7-70il,� 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. vBtlild era Permit Application -./Ag' Residential RECEIVE r FOR OFFICE l Sl u\L 1 City of Tigard JUL 0 6 2020 Dae/B 7/7II/ �QZ� Pennallo./157--20/0 -dp<2,2' • 13125 SW Hall Blvd.,Tigard OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARDPLin Revie✓ ,,,�d Date/By: it tit Cb �µ Inspection Line: 503.639.4175 BUILDDINGDIVISIO 1 DateReadyBy: has: I El See Page 2for TIGARDNotifed/method:a ''o Supplemental Information Internet www.tigard or.gov TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING Demolition Permit fees*are based on the value of the work performed. New construction Indicate the value(rounded to the nearest dollar)of all OAddition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the p ofiftafor the work indicated on this applica on. 3 /Q CATEGORY OF CONSTRUCTION C�Valuation: $ 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms:❑Accessory building 0 Multi-family0 Other Number of bathrooms: ❑Master builder JOB SITE INFORMATION AND LOCATION Total number of floors: bhp New dwelling area: ��� square feet Job site address: / 05 0'� 5, pX s p Garage/carport area: square feet City/State/ZIP: -11ga,rj /d4, 7 �7 77 3 �VJ Project name: ©© � """" / Covered porch area: square feet Suite/bldg./apt.no.: ISerse�. 1��AcE2( Cross street/directions to job site: Deck area: square feet O hst-.Io(cc two(-Aft. -A J o t ayj,1 Other structure area: square feet i1/4I 41 `l s.J ram ' a REQUIRED DATA:COMMERCIAL-USE CHECKLIST Lot no.: Permit fees;are based on the value of the work performed. ubdivision: p� p ,,,'f Indicate the value(rounded to the nearest dollar)of all i ax map/parcel nd.:�//¢ /y 7. !(ieLes equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK Pl 67Zr7r� work indicated on this application ii /��- - aValuation: $ r _ — A- "l i.6)�5 en,_ /ki 5 t ��°-0 sf square feet A —n' v ry t�i J ?A/ 4.I Existing building area: q 1'�a 'r ij t. -: oote.,"�J��JSY�� 41'E /,New building area: square feet �/iL �t�'H ,u73! 'PROPERTY OWNER 0 TENANT Number of stories: Name:Rt,r.hct.lrl a Me-'9e..ev Type of construction: Address:12.30S- c5e- ,3 u-M 114,2-r 57 Occupancy groups: City/State/ZIP:-r/ Q,J.,i /c.i /Q.707i3 Existing: Phone:(5 3) ®6tii -eifilt3 Fax:( ) New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedulee Business name:am t [4' .y„q Z.a-Yl/t Cs�f Structural plan review fee(or deposit): "J'i,:f", 2_. Contact name: i cret4,4€ (), 6 LPr2i}„.... FLS plan review fee(if applicable): Address: `S Q, ,, 0.S r OV a Total fees due upon application: City/State/ZIP: Amotun received: Phone:(5173) $S 8 8183 I Fax .( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail:r Z Q 1a 0 CA 5 ire fNx Ou EA e call", 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: L i Lt e 04.1y y, ss P,�Vt GQS- and fire department access,along with the 2010 Oregon Address: Solar Installation Specialty Code checklist. 1 e230� SI.J LtWt tn�r 5t Permit Fee(includes plan review $180.00 City/State/ZIP: 7't`gQ,re �41�/Q7-ZZ3 and administrative fees): Phone:(583)855JJ -8/83 I Fax:( ) State surcharge(12%of permit fee): $21.60 CCB lic.: I 9-A9it/ '7/17 1.,a 24/ Total fee due upon application: $201.60 I �' 1 '- This permit application aft on expires if a permit is not obtained Authorized signature: within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building industry Print name:R6�ar� 0 LA p„rQp�j-� I Date: 7e .a� Service Board. 1:g3uilding\Permits\BUP-RESPermitApP.doc 02J2/24/2011 440-4613T(I 1/02/COM/WEB) r $uildsng Permit Application 7A., Li I I V Residential rrii,r>i l le i i `si ervl , Cityof Tigard J U L U i .221 13125 SW Hall s>va,Tigard,OR 9na3 welly:.//z i/ �Qb �1 Na 'l. `.070-D1 a Phone: 503.718.2439 Far 503.598.1960 CITY OF Tl t, =By "�i(�f A 1 Or' p it i _.i u 1 inspection lane: 503.639.4175 c'1l 1,/..DWG❑��{*t r., Date ,/B� /// #w .kris: ag see PaeZ Sur INernet www.tigasdu.gov ¢�{ SnPpkmmld Iafornadsn aq 1 TYPE OF WORK AUG 2 I x REQNRED DATA:1-AND 2-FAMDYDWELLING ❑New construction C3 Demolition I-1 TY �fl fl Permst fists*are based on the value of the work performed. - Indic to the value(sounded to the nearest dollar))of all SKAddition/alteratlonhzplacement 0 Other: aUI flF TIuARD L QIN equipment,materials,lair,overhead,and the• ,fit for the CDIVISIOi\ work indicated on thisappli•:,,1:, 3 70(f _ CATEGORY OF CONSTRUCTION pi 1-and 2-family dwelling ❑ Valuation: $ r y t j� Number of bedrooms: ❑Accessory building ❑Multi-family 0 Master builder 0 Other Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of flocs: Uth,e, Job site address: t.2c3(" ow cS ri42 f d/ � New dwellingerarea: i f//ev square feet CityiStaorizP: -Tv ( /Ide- 9.F22-3 : square feet SuitelbldgJapt.no.: Project name:$ems,.Ra/itieid2( Covered porch area: square feet Cross sreeldirections to job site: Deck area: square feet o Ka-b(oCk o.l o 441-, arse( b to i F-e1Yh Other structure area: square feet Atrrr l h Ot2k[t 4- /21 z j ,} i€..5 t REQUIRED DATA:COMMEBCIAL•USE CHECKLIST Subdivision: Lot rra: Permit fees`are based on the value of the work performed. Tax mepipucel .: -X �.y y � 4 J6 r D Mara the value(mended to the nearest dollar)of all DESCRIPTION OF WORK I t_hr41 � _ ` work equipment,materials,tut plior,overhanon.ad and the profit far the S1u"r0woetk indicatedm this appGcatitm. Ph s 6,i+z — A `k�Nrsr s ,- s: C.R.m M ,e) /If ,. Valuation: $ �' f't7-s'►u2 14 `1 f tv Existing building aces: square feet. 4.12'4; � /0&"Jf�'fxJ r 7 pe4o tf� -S s rs•1 New bfidbdirg area: square feet PROPERTY OWNER 0 TENANT Number of stotiet: Name:gi CJnd-iroti )s ( - 4," Type of construction: Address:,2.,30.5 c51+4,.1 .5 Lem fr 4 d : Occupancy groups: City/State/EP:Ti a,ae eae ' 02-3 Existing: Phone:(, es3)8 --8(3 Fax:( ) New: APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* Business name: .b'i_i u d7-re.a s�J+�}^Vi .f ( creferWer * Contact name:eg r ee D._13 ea..,� Structural plan review fee(or deposit): '/���tr. (Q� FLS plan review fee(if applicable): Address: _S4.iA,.4. 0.S move Total fees due upon application: City/Stater/P: Phone:(503) 8$0-8(83 Fax::( ) Amount received: E-mail:r kka..rI c (0 Cot S irEmdclel .caws-, OVOLTAIC SOLAR PANEL SYSTEM FEES" CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Business name: 1._i s,[t.P LIcsvr.a SGr{/i car Submit two(2)seb ofroof plan with connection details 1 'V and fire department access,along with the 2010 Oregon Address• /.230- Sw L_oviisv9-Y :ST_ Solar Instalk#ionSpecialty Code checklist City/State/ZIP: 7",5a_rd ale_ 97-2-Z3 Permit Fee(includes plan review $180.00 t and administrative tees]:_ Phone (e713)BB8 —.g/83 Fax ( ) State surcharge(12%of permit fee): $21.60 CCB lie.:[-�9I/! 7/ 7 Zt/ T Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained q aa Wilda 18D days loner 9tllas been accepted as complete. ` Print name: T¶F_ 5� P� �j Fee methodology set by Tri County Building Industry • _ Service Board 1:1BuildingWermitslBUP-RESPumitApp.doc 02/24/2011 440-4613T(1l/02/COM/WEB) City of Tigard illCOMMUNITY DEVELOPMENT DEPARTMENT INC TICARD Building Permit Review — Residential Building Permit #: t 1 S T Zoi — 00 sac] Site Address: V2305 SW SlAMMIT S}-. Project Name: ICA(1. Lot #: Planning Review l 11 / / L /� �j�� Proposal: i" I i-tlw• t MC .zk,Oi lA it) .94aO L/�4- v/r/_" , . Verify address/suite# active in Accela. - In River Terrace: /'J No ❑ Yes,River Terrace Review Addendum Site Plan Elements: rosion Control copies of site plan on 8-1/2"x 11"or 11 x 17"paper etained trees with drip line and tree protection measures brawn to scale(standard architect or engineer scale) ►Ei4 ootprint of new structure(including decks)and FFE orth arrow 11 1 itility locations&easements(required for new and additions) ite address,project or subdivision name and lot number �`;idewalk/driveway approach 11 v'pplicant information(name and phone number) Ih ocation of wells/septic systems •t dimensions and building setback dimensions Li treet tree size,type and location I='.quare footage of buildings to be demolished '..Street names 1... :listing structures on site X.Comer elevations(2'contours if more than 4'differential) yt '� of area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑No ��yYlmpervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? es No ,X Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: Yes,applicant was notified ❑ No Received: ❑ Yes .No . Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs Required: 1X-Yes,applicant was notified ❑ No Received: ``I Yes No A SDC Exemption for ADU applied for: ❑ Yes %No Received: ■ Yes ❑ No Public Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified VNo Applied For: ❑ Yes ❑ No,stop intake VJA and Use Case#: g Zoning. Q-L{.S N- Required Setbacks: Front: Rear: I.S Side: 5 Street Side:L /- Garage:?-D ❑ Building Height: Max. Height: 30 Actual Height: - Landscape Area: °o 1/1 -Lot Coverage Max: Entrance Set bac no m re than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows Minim 12° of., a of all street-facing facades Garage arage oor' be i. 1 widest street-facing wall ❑ Yes ❑ No,one of the following is met: D or e ten.' , .ore than 5'from wall and there is a covered porch extending beyond garage. D or e ten L al, more than 5'from wall and there is a 12 sq ft.window above garage on 2"d floor. Gara e oor id.' is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following. ❑ ver d p.'ch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire s gles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection 0 Balcony Visual Clearance Urban Forestry Plan . Sensitive Lands: ❑ Yes jY(No Type: conditions met prior to issuance of building permit Hates: //�� � 'Approved By Plan 'ng: K-�' Date: 111ti(20 Revisions (after B ' ing Submittal only) ..Rev g ie , to Revision 1: Approved ❑ Not Approved . Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 7/6/11 Site Plans: # Building Plans: # _3 Building Permit#: LkEnter building permit#above. Workflow Routing: LkPlanning I1 g neering O1rmit Coordinator �'l�uilding Workflow Sign-off: [-Sign-off for Planning(include notes from planning review) Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. 2 Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: ��fj�LE ��.�— Date: /Z /Zd Engineering./ Review LI Slope at building pad: 2!d.ry Q�Conditions "Met"prior to issuance of building permit ✓1 l 1 Easements (encroachments)per engineering conditions of approval and plat 171 Vater Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yeso Assess Water Quantity Fee in-lieu: ❑ Yes aiNo LIDA Facility on lot: N Yes i No d Final Plat Recorded: n [ NOT Approved by Engineering: Date: 7/a7126 Zo Notes: hiemtS * show uDA ❑ Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: Z.....-Approved ❑ Not Approved T7,Ne-4.f4yy 9�1o�21+2L/ Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review AW-Conditions "Met"prior to issuance of building permit ,- 117O ❑ Approved,NOT Released: eAkt ited 0t Q?r`w„,4'd - reAft&h � • Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received Does not apply (DC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes AU N/A Tigard Trans SDC: ❑ Yes /N/A ,,, Parks SDC: ❑ Yes 1�N/A LIDA ..Yes ❑ N/A WOK to Issue Permit Approved by Permit Coordinator: Date: C ((I I:\Building\Forms\BldgPermitRvw_RES_122419.docx I. Sr .2 p2� 9/l�1 � ao o � / 220s j 4) JXa r-iE7 f% Dianna Ornelas From: UB Online Sent: Monday, July 27, 2020 8:03 AM To: Dianna Ornelas; richard@uhsremodel.com Subject: RE: MST2020-00229 - Bergen - 12305 SW Summer St Attachments: SKM_C36820072707030.pdf Good Morning, Attached is the corrected and approved Meter Worksheet. The meter will need to be upgraded to a % inch size. Kind Regards, Jill Jill 71 --4 City of Tigard-Utility Billing m. Senior Accounting Asst ,, , ,==l (888)825-7211 Payments (503)718-2460 UB Main jllb@tgard-or..gov (503)718-2494 13125 SW Hall Blvd. Tigard, OR 97223 From: Dianna Ornelas <Dianna@tigard-or.gov> Sent: Friday,July 24, 2020 12:14 PM To: richard@uhsremodel.com Cc: UB Online<UBOnlinepay@tigard-or.gov> Subject: MST2020-00229 - Bergen - 12305 SW Summer St Hello Richard, This permit has been approved by planning and the plan review submittal fee due is$498.62 (see attached invoice). The fees can be paid online at https://aca-prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2020-00229 under the Building tab. Once the fees are paid, the plans will be routed offsite for plan review. Due to the current remote working conditions, we are experiencing significant delays in processing permits. Please allow 4-8 weeks for processing. It is not necessary to contact us regarding the status of your permit as this will further delay the process. Please know that the permit technicians will contact you at each step necessary to collect fees due and when the permit is ready to issue. I have also copied our utility billing division so that they can review and approve of the attached water meter fixture worksheet that you provided. Thank you and we appreciate your patience during this time. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 1 503-718-2430 Direct j 503-718-2439 Permits DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 2 " /7Si 2-0 Zo - 420,2_ --7 Water Meter Fixture Unit Worksheet for Additions/Ranoodels/A Us Please complete the following information: ((,,�� (I Customer Name: c �� ,1 6 JUL 13 2020 ��Service Address: Street/Suite#: 12.305 CI F TIGARD C5 MINI G DIVISION Cit . 7y State: 0 A.. Zip: 93223 Phone Number: v)3-888-8 153 Email: d' adgIV "reipaile,I ,C.6YVN Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add. Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at totaL the proposed total. Fixture Unit Current Point Current Proposed Point Proposed Quantity Value Total Addition Value Total Bar sink x 1 = 1 x 1 = Bidet x 1 = x 1 — Clothes washer / x 4 = # x 4 = Dishwasher / x 1.5 = b; S x 1.5 Hose bib 2. x 2.5 = S x 2.5 = Hose bib,each x 1 = x 1 = Kitchen sink / x 1.5 = Jr 5 x 1.5 = Laundry sink x 1.5 = i x 1.5 = ,/i 5 Lavatory x 1 = ,;a. _ x 1 = _Z Water closet, 1.6 GPF x 2.5 = 5. j , x 2.5 = „Z s Y Bathtub/whirlpool 4,: x 4 = l x 4 = 4L Shower stall x 2 = 2 x 2 = Bath/shower combo / x 4 = 4 x 4 = Current Points: Proposed Increase: r 4 3Y r, Current Points+Proposed Increase= L�'7'� =New Total Points =Required Meter Size Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points='/<" 37.5 and over points= 1" q New Meter Size Needed for New Total Points: 3/4 Cost: $ 13i %.2S, 00 (see page 1) Current Meter Size per Utility Billing: Cost: $ q 466, d 0 (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ if) 0 / ( ,Oa (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************************************************* FOR OFFICE USE ONLY Current Meter Size Confirmed with UB Signature of UB Representative Date l:/Building/Forms/WaterMeters_070119 Add.dOCX Page 2 I r i ( I b I 7 Se . Cy Tt .-7"--1./-Th 112111-7.. >11-611 9 t RI y i Elevation Benchmark •rl ". Efavetlon Benchnadc IF 10 — — — — — — — — — _ — — — — 19�4 E IREE•fA �— — j J — j` she6( -- • I Ab>aa 4reuM • PSI t , 1.7 \ 1 tee' �) \J\J j l9Yo t �¢�5h'� j \0 i I. � ''' High Efficiency Measures: �' Hgh Egclency Envelope: J Exterior Walls-UA,g59Jf2-21 Intamredrele Framing,and �� dpe��� � �� J II ��� VeatedCaiil a- ii, nit UA.033/R1 into end ! 2 Flat Ceilings-U-0.025/R49,and f i Framed Flown•U-0.025/R.lB.and Windows-U-0.30,end I. �` l- i' Doors.M Doors U-.020,Or jiI L Additional 15 percent oipermane�y installed lighting'fixture as high efficacy lamps or Consecration Measure D and E � bill'if // Hlgh afidency HVACsystem1 a4 Closed• mace orbolter with minimumAFUE W 90%a.orAir-source heat pump with minimum HSPF of 805 or• �' / loop ground source heat pump with minimum COP of 3.0 ' / litr • �' / r 1 �" illoorof ��4,4043 8'-5i112' it: p o e` L t EX15T/N4 i I — � sec." 1 r /� i' 7a i , ;�� rw�ni�xe ,,�« e h \ arg-n ,.2,.xx."�„Krwx R ic��ti d �, 8 c Qa 2I.a..xoe«mwowe E�ddre Sos-888-8183 O_p ` ILO& Site Address: 12306 SW Summer St wexoxexwN ss.0 h� ' ;s:d3477'w:BaRoohiln229::75-,4,,,,..vs .lJ1U,M , 4�9C9tgMXWit • /, „ .�M e"®rcvwxnwieea.0 q• •" Judstliwion: f araw.e.woa o V , ` � ��xsaw a.mbe.enar County:a-eenw-.. �, ��``�-draiiiir ��``\ Property ID:cexwcrouwuAM,xrxrw,o-e.aaxwneemmmcw+°ciwrm Tax Lot lD: a nit 1t. cw r«nuL.w 10«w, eun vn'w".,°nev`w°" avuaa•2201roro� '�T {e R-S „Art r w„„nw;uavwiwuv.mwxw.w onmew.me,Ne.MwnwNwvn.s.n 1 �, 15'-0' S. mw1wn wurem wMavJeNEnaewCo T Building Summary: Year Butt 1966 wWc1REMITULoICn,./:.W[Q«nNs•paid eoNYONe.wt.Pxne..ew.wx xO oman w.nuuronexn,®,u.mmnuwrom,ewewewuw 5 Foundation Type: Concrete Mean.. mNea y meuucann.":,ne..ua Eepwew..e,AYm.iNewwN.N.w„m�xw«m ` 1 r1�E Roof CoverT ' awaxaweau.mun+ec mnrwwaretirewrpwiemw,..caomxa. lillig Type: Composition °"'"nn wae'i x wnm`0isi1eor.2.1.0pwvwAoasueee,«x,�..s.uunors MPARCOMEMPOS r Qa! , 'f�.� Healing/AC Typo: °" Atr Woop mw+v„anmxana+wavwu,m021.0.a,w°emameoxecwneRw Il. I �/V>" u,v.nxn�soww.nxoemwnw.ens:mo ewrin“swamw..u.re ° 4. A.a'w"°`w.E°TAR ALLIPE.E w•OOE�niw Memo° ocoismcnnia,'�`Qawaorati u revs. 1 ✓\' `� �� Existing Living Space: 1220 Sq.Ft • eawwwmnn.mrmID. \ 0 '\ o2�f7/a125p�._ �e,e�waxwxxp� w,22aar2Fie.x,w�n.A,one24,.xx�pme,,.ee°«xrtn. N.Eseweu..w.exwowE2.1141122.111102. rarw \ f6leMmxxEB CCWeWR^NOW..24eMN.Eff AVHF MOpxLCNYIIEVLLW,W .we.uwwipn muuw,xc.sewee.anxae«nwu,w oww.Minnrunrovu".wev+`re \ Applicable Code .741,2=.en,efe.i«xtlw ewuueuuoapwue.wo,re.,weium<ewme»eweue.mu+nepp+ 2011 Oregon Residential S 2 All Fan emu.ge?«fofMNme,aOWwp. Oregon Specialty Code wnw,wwrowweom1E Wen=wrOMROwmm 2014 Oregon Energy Efficiency SC deity Code ,. MWwxa,artffam«mr.uwero,erveawvm„Nma.nvexx.aeww .mm..Twc.e.x„wxu.nxAv,nex.N p 2011«' �\ Oregon Electrical Specialty Code „uyp, „w „yymN.x,.gA,m,,,.w.eew f ; C� n (E)Corlc.Driveway 20140regon Plumbing Specialty Code crge. w(eem mw..iN.wwxew._ 2013 Oregon Mechanical Code n2•TM9GweCdWtp Rp«lfD.eLLfew2p NO RAWi M fAVC,rCwmM 6,NV W wWY ' My wr•,.a, \ br flP/A a' ,.warm Auwwewxwcnrorwwcaw... weaw..ev..,„N+eu.o.ree. `'/1ZEE p y y� p '' Nonce Mrauiwo222,2 C.M raar,everA7•wiwm rpro exxre x.eamro �/� ` u� V - i�R`"f V . E. ("�iv:.e,.un.,x.a,Exnxne. i Projed Cade Summery; wwcnc awu Eewreneew wuaMac.c,Nps,n e,m.mwnwaww cow N ' cnarr.nn.,e a.wN.0 s.ir.Oww.cna WA tannin Perscriptive Design PeroR5C 2011 w.w...Aww.rxmvwoszeawa,rveemmnu.xe re.u.oawn ` l pproved y Chepter3-Foundg Planning x oiwwo«un.raww Ew.e2.217 .2 w.srnx.Nw.o OwaaneearR wM„e:.wawne•x...wwNecwa+wm,+ c®. Chapter 4-Foum�tione •upnvC4n0«"e,eie.wu.eeEwv«wwnr. 0 i w.m«,Aca,..xxaww � Chapter 6-Floors F limit„MaexNek.ewwNewuaewasc.awnewcm......r.wve \ �`� Date: Chap(er8-Well ConsWGion ...o.mewwmNr.wwn wapeoieneuewr«wx j \ I Chaplar9-Roof Assemblies wxa.w.wNNxeeaMmrOrtG ww«m, NM / niti�l$-': .o.e«.w.w..wn,. _` . _ Chapter11-Energy Eftiidancy x ALL SIL226220 E...nx.ow..pwme en'x�aeeE,M,Ox«w W.n.....«owe «mA .2pnC A Zµ'biA 9 I. en•xNmoa,,.xMum.,,.Mwnauun Nun w•ocvrs,mcwa.we.s®,aeEameuw �x'r n«Miw,wwwewuar.mw.owwarw.x.oaawuamNww , >. w " %r�,� q � ewR ,6« en Project Summary. r,411 REB 1REE Eb Sendn' Elevation� �* (N)addition to(E)residence to include: .Muecewonwmonmanwrwxrw,u,eonnau,e«nurxmn w,wxm EIeVOtierl Banc�hmarlc �' —_.— —.—.—.—.--.—.— - rreaenwmwNoucn,ewwA...,+ma..p«e,.x«.pwu*«•.nvv.m,•xmw..wna,.ro /L Elevation Benchmark. — .+ E move and inlarg(E)q[coo aa,•e.Mu xumA.Aiw2.241R ,euA CIr 9.. - .a. i i1 .�. 18" ' i ga S S5'-7 11Y i' OR. or -mlerged(E)bedrooms rooms 6 hen P27.0[0121.1.1.02 VAYRMOOYnMBtMiPW i . Iv rricii E 8,5GN.GEw WNlxllNW 1M1MLt«IXOnU1iNe[[ffi i ,rywr.«oxweN,wroemnnwwn.v w*w —_/'Summer St Family room E. Oft wv Se Owi pNnry .202%1maA4 wNN.,x3. n"n`np wiENu,w•.ens,e,mrtnoec•Nx.Euei.TA9,UNOtt+.CMP'Ux0 Page Index: ' Rita came /I'i. Page 1-Site Plan a:.n, FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter T[CAR n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: Q�'rl'1'I.l ��� te- DATE Trill_ DEPT: BUILDING DIVISION IV, D �I JUL 13 2020 FROM: i � ��'�� BUILD OF TIG DIVISION COMPANY: gin_ •0ams� !ON PHONE: 52,3-'B8 -8( BY: RE: ( Z'Q 5 5 2 .5-l-�17-i/71 pK 5-7L. (Site Address) (Permit Number) ae-4 2. 2�1 ad f/ (Project n e or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. --( X Other(explain): iti_¢ j S rr Q(��` +(,J a.{r pp(t�(r,Gcd�u 5Led REMARKS: Q!.,e.ct e 2 rd/ f`�c.J P'�� Qt-) 'E T FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes n No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes []No ❑ Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05252012 . FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Transmittal Letter r ! ;\is n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 7re4?T 6 ri p DATE RECEIVED: DEPT: BUILDING DIVISION �ff RECEIVED FROM: R r 1 J Bag CITY OF TIGHRD COMPANY: (�if�10 L412 +445w .. f5'vyt/�a�� BUILDING DIVISION PHONE: �'U3 fig i g r 8 3 By: .41-B RE: 14ttz3. ', Su/ <%5.7t7,aml �2251 e rofect or sui mn name an lot rum r ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. I Other(explain):Rev,' 5'-1 a Q( -c - LID A -vre REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes (l No Fee Description: Amount Due: Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No ❑ Done Applicant Notified: Date: Initials: 1:16uilding1Forms\TransmittalLetter-Revisions.doe 05/2 5 20 12 7//0 FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ' _ r Transmittal Letter T i G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: 6u icidi Ill' -12-1/nit f' ' DATE RECEIVED: DEPT: BUILDING DIVISION ED RECEIV FROM: �C04614 Gk D,(32'/ tail -N _ JUL 0 6 2Q20 COMPANY: �� CITY OF TIGARD (.ei't 4 LC�Fi-OWLSL Q—r V(.� E3UIWING DIVISION PHONE: SQL —Qg8 -8/83 By: RE: / ,c 5 I JGGLYt_ l vi-, (bite � Address) AG/�JQ�(� (Permit Number) (Projee n me or su ivisio a and loi numer � ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: 3. Additional set(s)of plans. Revisions: Cross section(s)and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. .3` Engineer's calculations. Other(explain): ' REMARKS: it, '' < - V-etsktor '� /i r 6 41 5T 4T -r .Skc i FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: fl Yes n No Fee Description: Amount Due: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑No n Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions.doc 05/252012 Agnes Lindor From: Agnes Lindor Sent: Tuesday, July 28, 2020 1:03 PM To: richard@uhsremodel.com Cc: Trent Brickey; #Building Permit Technicians Subject: MST2020-00229 Hi Richard- Your permit requires a revision to the site plan. Engineering is requiring that LIDA be shown on the site plan. Please contact Trent (copied on this email with any questions. Thanks, Agnes Lindor I Associate Planner City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 Phone: 503.718.2429 Email: AgnesL@tigard-or.gov 1