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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 proiect. City Of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 s. p Transmittal Letter TIGARD13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tieard-or.eov TO: Allyson Armstrong DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: CUONG NGUYEN SEP 1 2021 COMPANY: SWEET HOME DESIGN LLC CITY OF 71G��"++Fly PHONE: (503)442-7535 BUILDING DIVIS104 . EMAIL: PDXSWEETHOMEDESIGN@GMAIL.COM RE: 14170 SW 100 TH.AVE.TIGARD OR.97224 rv131-20 2 I- 29 (Site Address) (Permit Number) ADULT FOSTER CARE HOME-TAXLOT ID#2S111 BA00802 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: I Copies: Description: I Copies: I Description: 3 Additional set(s) of plans. 0 Revisions: 3 Cross section(s) and details. 0 Wall bracing and/or lateral analysis. 3 Floor/roof framing. 0 Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. 3 Other(explain):RESPONSE THE PLAN EXAMINER'S QUESTIONS REMARKS: • / FOR.OFFICE USE ONLY Routed to Permit Technic' i3: Date: 9 f QI/2, Initials: Mk- Fees Due: ❑ Yes I7No Fee Description: Amount Due: I $ Special Instructions: I Reprint Permit(per PE): ❑ Yes I IX1 No ' I ❑ Done Applicant Notified: Date: /// I Initials: I:\Budding\Forms\TransmittalLetter-Revisions 073120.dac 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. rlCnCI\I D niL_ JL1 v 1. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT AUG 17 2021 ' 2.71 Transmittal Letter CITY OF TIGARD BUILDING DIVISION TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiear -or.gov TO: DIANNA L. ORNELAS DATE RECEIVED: DEPT: BUILDING DIVISION FROM: CUONG NGUYEN COMPANY: SWEET HOME DESIGN LLC n PHONE: (503)442-7535 I By: EMAIL: PDXSWEETHOMEDESIGN@GMAIL.COM RE: 14170 SW 100 TH.AVE. TIGARD OR.97224 /137-Z(JZt' -/Zaq9 (Site Address) (Permit Number) ADULT FOSTER CARE HOME-TAXLOT ID#2S111BA00802 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: I Copies: I Description: I Copies: I Description: . 3 Additional set(s) of plans. 3 Revisions: REVISED THE FLOOR PLAN 3 Cross section(s) and details. o Wall bracing and/or lateral analysis. 3 Floor/roof framing. o Basement and retaining walls. 0 Beam calculations. 0 Engineer's calculations. Other (explain): REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: fro-- ��Z��7�J Initials: Fees Due: ❑ Yes ` No I Fee Description: Amount Due: i )N) 0 t-i $ c25 I $ $ - Special I Instructions: I Reprint Permit (per PE): n Yes Irovo n Done Applicant Notified: Date: Initials: 1.16u i Iding\Forms\Transm ittalLetter-Revisions_073I 20.doc CITY OF TIGARD MASTER PERMIT I ■ Permit#: MST2021-00299 COMMUNITY DEVELOPMENT TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2021 Parcel: 25111 BA00802 Jurisdiction: Site address: 14170 SW 100TH AVE Subdivision: Lot: Project: Wamala Project Description: Convert 510 sf garage&remodel for adult foster care. NO FINAL INSP UNTIL WATER METER UPSIZED.See workflow notes for scope of work.Trade&fire sprinkler permits obtained separately. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 3 First: 510 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 3 Second: 0 sf Garage: 0 sf Front: 0 Smoke Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 510 sf Value: $66,595.80 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 Bcktlw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywall-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''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: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ADD SF VB R-3 510 Owner: Contractor: WAMALA,RONALD&ELIZABETH RUBI CONSTRUCTION SERVICES Required Items and Reports(Conditions) 14170 SW 100TH AVE PO BOX 4302 TIGARD,OR 97224 TUALATIN,OR 97062 PHONE: PHONE: 503-431-9399 FAX: Total Fees: $3,023.27 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 oc ..n 11Jln1 rl thrnunh(1CR QF9_0n1-nnon Vni,may nktain a nnm,of fha rulee nr dirn&ni mefinne to(lI JMC by Tallinn Fill 919 1Q117 nrp1'Anf1^11,9 9'3dd Issued By: X; IL) b 0 g Permittee Signature: oft �7�1►V O+"4\ Call 503.639.4175 by 7:DD 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. e Building Permit Application4ECEIVED B -77/47 z,, Residential JUL 13 2021 FOR OFFICE:USE oNLY Received City of Tigard Date/B : 7 4,0 permit • I A - /i q% a 13125 SW Hall Blvd.,Tigard OR 97 ITY OF TIGARD ga Plan Review/r I Other Perm / i t Phone: 503.718.2439 Fax: 503.598, N DateB J �� � �'��2� TIGARD Inspection Line. 503.639.4175 � Date Ready/By: ,/J ) RI See Page 2 for Internet: www.tigard-or.gov Notified/Method:�7�.,``/ 21 NO O` Sapplemental Information . / � 9 L /W"/ 61A-0A.1 f • 9� ^ _ TYPE o '€ • •, ' +1",�, -' ^b ,a D2 FASIILY 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 0: Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CA'ULGORY OF CONS-FRI CTION work indicated on this application. 10 0 I-and 2-family dwellit ❑(-onuncrcialiinduslrial Valuation: S 5'l9sLL(1(l 151 5 ❑Accessory building El Multi-familyNumber bedrooms:of "9 3 [4 Master huilder D Other- Number of bathrooms: -I" 3 JOB SITE INFORMATION \D LOCATION Total number of floors: ONE AND BASEMENT Job site address: 14170 SW 100 TH. AVE. •9- ti,l -•/ -4.4 New dwelling area:510(GARAGE square feet // CONVERSION) Ciryistate/_1P: TIGARD/� OR. 97224 / arage/carport area: square feet �w St •�tr� b. my,] o e Sj /e j/I/�- 4° Covered porch area: EXISTING square feet �. t s Qjdir ,e,J B f�[eb&Oi/� //�(, ��fb� A5� " Deck area E. EXISTING 1 square feet ��74 _L_Ie j'A _� TC:./`ti gin/1/e-5 %� e.: .b s u �/� itM re feet _ ��� O� � �Eff � 1 ] ��tiSNII:HCLtI l SC Cfil;('RLISf 6 h. subdivision: A fri÷ //LE 4=7.41E7z Od�&r•�Q e p milt ees'are based on the value of the Iaor!c performed //s Q'd7-4 P'Tl . I,\map pal eel no° y/t.�" ,' dwate the value(rounded to the nearest dollar)of all 1 ,t� -- .E d c1r4 -K-- equipment,materials,labor,overhead,and the profit for the �C ele'— fi DE S P7 PI1V F :1 Oli ' -sirs ry��I work indicated on this application. '14_. /'1..' ''t} .x., vA‘ er,/. � ..� / � y�V Valuation: $ hASLME N 1 RLMODEL EXISTING LIVING ROOM TO I[AVI;A 13E ROOM AND OFFICE/te REMODEL EXISTING BEDROOM AND ADD A STORAGE I L Existing building area: square feet MAIN FLOOR:CONVERT 0')GARAGE'CO 2 BEDROOMS AN A HROOM/ALTERATION I t 1 lit?C,UNI IGUR!'ME M Ai I'tt2 hl-DROc)M TO I I AV I'ANO T I1Fk III' Tj,E1C)J I New building area: square feet C Y1-r $- t r��v c.,. .v . —[T r� i].2C'0 M -- Dv I' I Number of stories: tame RONALD WAMALA Type of construction: Address: 14170 SW 100TH.AVE. Occupancy groups: City/State/ZIP: TIGARD OR.97224 Existing: Phone ( 503 1 333-4171 I'ax ( ) N — cyv ® APPLICANT 0 CON'I sC 7 PERSON BUILDING PLRMIT FEES* SPlentu refer or fee,r cheduOL, Business name SWEET HOME DESIGN LLC. fe Contact name CUONG NGUYEN Structural plan review (or deposit): '/ /` . !f Address: 16]25 SE HAWTHORNE CT FLS plan review fee(if applicable): City/State/ZIP: PORTLAND OR.97233 Total lees due upon application: Amount received Phone:( 503 ) 442-7535 Fax: : ( ] L-runt. PDXSWEETHOMEDESIGN@GMAIL.COM $' ] ¢"5 i}/}*{ OLAR PANEL s\Si ENl FEES I- CON"aItACI'O12 Commercial and residential prtscriptivc installation of roof-top mounted PhotoVollaic Solar Panel System. / Address: P.O.BOX 4302 Business name: RUBI CONSTRUCTION SERVICES Submit two(2)sets of roof plan with connection details I and fire department access,along with the 2010 Oregon Solar Ins/-illation Se.esicry Code checklist. Cit)lState/LIP: TUALATIN OR. 97062 Permit Fee(includes plan review $180.00 .___ and administrative fees): ____ Phone:( 503 )431-9399 Fax:( ) State surcharge(12%of permit fee): $21.60 CCBlic.. 216419 Total tee due upon application: $201.60 Authorized signature. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: CUONG G EN Date: 07/09/2021 ' Fee methodology set by Tri-County Building Industry Service Board. 1.113uilding\Permits t BOP-RI SPermiiApp.doc 02 - 011 440-46t31'(t l/02/COM/WEB) • 1 _ Building Permit Application Checklist One- and Two-Family Dwelling FoR owlet: FsE °NIA' City of Tigard ReceivedDate/By. Permit No.. II • 13125 SW Hall Blvd.,Tigard,OR 97223 Associate)permits . Phone 503.718 2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 ❑ Electrical ❑ Plumbing ❑ Mechv,cal 11GARD Internet: www.tigard-or.gov 0 Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A I Land use actions completed. See jurisdiction criteria for concurrent reviews. • ❑ El 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑x 3 Verification of approved plat/lot. ❑ 0 4 Fire district approval required. Name of district: . ❑ ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity _ 0 0 x❑ 6 Sewer permit. 0 ❑ ❑x 7 Water district approval. 0 0 ❑x 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ 0 9 Erosion control ❑plan Cl permit required. Include drainage-way protection,silt fence design and location of catch- 0 0 x basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state 0 0 ❑ building codes. Lateral design details and connections must he incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. I I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ 0 there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway; footprint of structure(including decks); location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ _ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, 0 0 0 furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ® ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,rooting,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. 0 0 0 Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- 0 0 El prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing x❑ 0 0 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ 0 0 systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 x❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20Manufactured floor/roof truss design details. 0 El_ El 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 x❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ 0 architect licensed in Ore on and shall be shown to he a licable to the rro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x I I"or 11"x 17". 0 0 0 24 Two(2)sets each are required for Items 16, 19,20 and 22 above, 0 0 0 25 Building plans shall not contain red lines or tape-oils. "Mirrored"building plans will not he accepted. 0 0 0 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 ❑x _27 "Drawn to scale"indicates standard architect or engineer scale. El CI Cl 28 Site plan to include tree size.type and location per approved project street tree plan(if applicable),and City of Tigard 0 0 0 Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ 0 and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-S'creeningSite Assessment form is required for all building additions, 0 0 0 including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9. 1995. fU3uilding\Perm its\BUP-RES Perm itApp.doc 02/24/201 I 440-46I3T(I I/02/COM/WEB) — ' City of Tigard .74 . .o COMMUNITY DEVELOPMENT DEPARTMENT p . T1cnuD Building Permit Review — Residential Building Permit #: r-i 5 -r-7 p .2-, - o n.R9 g Site Address: IN I9-0 Ski /O0171 Ali Project Name: _ WA M ALA Lot #: Planning Review QpMp i Proposal: AlVtiteer filffEr210e geAipaEL, con Xer 6/42Alos 11, f2DQoo1^-. E Verify address/suite #active in Accela. 0 In River Terrace: 0 No ❑ Yes,River Terrace Review Addendum Site Elements: 0 Erosion Control �opies of site plan on 8-1/2"x 11"or 11 x 17"paper Re ed trees with drip line and tree protection measures Ai_Djawn to scale (standard architect or engineer scale) ootprint of new structure(including decks) and FFE JGrN rth arrow S �ty locations&easements (required for new and additions) j'address,project or subdivision name and lot number idewalk/driveway approach Applicant information(name and phone number) Location of wells/septic systems XLot dimensions and building setback dimensions o� Street tree size,type and location Op 47 are footage of buildings to be demolished S eet Ames Existing structures on site Corner elevations(2'contours if more than 4'differen; ) • t [w ]Lot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes No opI" { impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes No J YJ Clean Wate_r_S/c�ces-Service Provider Letter(lot platted prior to 9/10/1995): 5equired: I Yes,applicant was notified 0 No Received: 0 Yes 0 No Water Meter Fjac{ure Unit Worksheet-Additions,Remodels and ADUs equired: Yes,applicant was notified 0 No Received: Yes 0 No YJ SDC Exemption for ADU applied for: ❑ Yes Id No Received: ❑ Yes ❑ No Public Facilities Improvement (PFI)Permit: .IK Required: ❑ Yes,applicant was notified 0 No Applied For: 0 Yes ❑ No,stop intake PA and Use Case#: _ ❑ Zoning R 3 Required Setbacks: Front: ft.' Rear: E S Side: .5- Street Side: 2 0 Garage: Z 0 0 Building Height: Max.Height: 3 0 Actual Height: LA ❑ Landscape Area: rn % 0 Lot Coverage Max: /UA Entrance J7...Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows 'Minirnum 12°/0 of area of all street-facing facades Garage Garage door is behind widest street-facing wall 0 Yes ❑ No,one o owing is met: extends no more than 5'from wall and there is a covere extending beyond garage. 0 Door exten s e than 5'from wall and th sq ft.window above garage on 2°a floor. 0 Garage door width is 0 12'or /°or less of facade ❑ 60%or less and includes 7 of following: El Covered porch ssed entrance Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire s ' ❑ Lap Siding 0 Roof pitch ble,hip,or gambrel roof ❑ Dormer ccent siding El Window trim ❑ Window recess w projection ❑ Balcony Visual Clearance 0 Urban Forestry Pl 0 S skive Lands: ❑ Yes No Type: [ ' Conditions met prior to issuance of building permit Note 'i 6 (ZGlwtf261). IF %CArir Wlu. Gonruetr TO 5o Approved By Planning: Date: "rr8/Z I Revisions (after Building Submittal only Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Building\Forms1BldgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 7/3// Site Plans: # 3 Building Plans: # Building Permit#: 0--Enter building pe9ie#above. Workflow Routing: Er"Planning Engineering l em it Coordinator 0—trading Workflow Sign-off: 12—S -off for Planning(include notes from planning review) Route Application Documents: NW-Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. .-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 0ac o--/ Date: -7/ -a-/ Engineering Review O Slope at building pad: O Conditions "Me "prior to issuance of building permit t ' ❑ Easements (encro•chments)per engineering conditions of approval and plat �v7 0 Water Quality/Qua :ty Facility: Assess Water Qu.1.14 Fee in-lieu: 0 Yes 0 No Assess Water Quanti Fee in-lieu: 0 Yes 0 No LIDA Facility on lot: 0 Yes 0 No f ❑ Final Plat Recorded: �(/ ❑ NOT Approved by Engineer : Date: Notes: ‘\.( . 0 Approved by Engineering: , Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approve. Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permi ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to A.plicant: Revision Notice 2: Date Sent to pplicant: ❑ SDC Exemption: 0 Recei -d ❑ Does not apply ❑ SDC Fees Entered: Wash . Trans Dev Tax: 0 Yes 0 N/A Tiga Trans SDC: 0 Yes ❑ N/A P.. s SDC: 0 Yes 0 N/A IDA 0 Yes 0 N/A 0 OK to Issue Perm' Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_RES_122419.docx Water Meter Fixture Unit Worksheet for Additions/Remodels/A1IVED Please complete the following information: SEP 1 4 2021 Customer Name: RONALD WAMALA CITY OF TIGAR.o Service Address: Street/Suite#: 14170 SW 100TH AVE BUILDING DIVISION City: TIGARD State: OR Zip: 97224 Phone Number: (503) 333 -4171 Email: ronaldwama1a222@gmail.com 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 = x 1 = Bidet x 1 = x 1 = Clothes washer 2 x 4 = 8.0 1 x 4 = 4 Dishwasher 2 x 1.5 = 3.0 x 1.5 = l st Outside Water Spigot x 2.5 = x 2.5 = Water Spigot,each add'l x 1 = x 1 = Kitchen sink 2 x 1.5 = 3.0 x 1.5 = Laundry sink x 1.5 = x 1.5 = Lavatory(bathroom sink) 6 x 1 =6.0 3 x 1 =. 3 Water closet,1.6 GPF(toilet) 6 x 2.5 = 15.0 3 x 2.5 = 7.5 Bathtub/whirlpool x 4 = x 4 = Shower stall 5 x 2 = 10.0 3 x 2 = 6 Bath/shower combo 1 x 4 = 4 x 4 = Current Points: 49.0 Proposed Increase: 20.5 Current Points+Proposed Increase= 69.5 =New Total Points =Required Meter Size 1" Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4" 37.5 and over points = 1" 1" 26,487.00 New Meter Size Needed for New Total Points: Cost: $ (see page 1) Current Meter Size per Utility Billing: 5/8 10,095.00 Cost: $ (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ 16,392.00 (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************************************************* FOR OFFICE USE ONLY Current Meter Size Confirmed with UB Jill M. Bentley 09/14/21 Signature of UB Representative Date t:/Building/Farms/WaterMeters_070121_Add.dOCx Page 2 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT " Water Meter Fixture Unit Worksheet TIGARD For Additions /Remodels /ADUs 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov LOCATION: City of Tigard —City Hall WATER METER SALES: Utility Billing By Email Only. Please contact 13125 SW Hall Blvd. ubonlinepaya,tigard-or.gov Tigard, OR 97223 to discuss sending documents and payment METER: SIZE: FEE: Pricing effective 07/01/2021 5/8" $9,495.00 Fee includes: 3/4" $13,554.00 water system development charge, 1" $24,886.00 water meter, and 1-1/2" $73,689.00 meter installation fee. 2" $119,333.00 DETERMINING METER SIZE FOR RESIDENTIAL CUSTOMERS City of Tigard Water Service Area uses the American Water Works Association Manual and the Oregon Plumbing Specialty Code to determine the size of meter needed to adequately serve buildings. Due to the variety of home sizes built in the Tigard area, we count the fixture units of all homes to determine the appropriate meter size. Use the worksheet on Page 2 to calculate the current number of fixture units compared to the proposed increased number of fixture units, which will determine whether an increased meter size will be required. Submit this signed worksheet with your building or plumbing permit application submittal. DOCUMENTATION Once you are ready to purchase the new meter, please provide the following items to the Utility Billing counter: • Completed water meter fixture unit worksheet for additions, remodels, ADUs, etc. (on back page). • Copy of building or plumbing permit application date-stamped by building division. • Copy of issued building or plumbing permit. Your fixture count will be verified and your request will be processed upon receipt of these documents. No exceptions. INSTALLATION TIME Once the upgraded meter size has been purchased, most meters are installed within 10-14 business days. I:/Building/Forms/WaterMeters_070121_Add.dOCX Page 1 Dianna Ornelas From: UB Online Sent: Tuesday, September 14, 2021 1:26 PM To: #Building Permit Technicians; Cuong N Cc: Allyson Armstrong Subject: RE: 14170 SW 100th Ave - Adult Foster Care Home Attachments: 14170 SW 100th Ave 091421.pdf The signed fixture sheet is attached. The property will be required to increase their meter size from 5/8 inch to one inch. Utility Billing will also need to know how many sewer EDUs this property will have since they are not currently connected to sewer. Kind Regards, Jill (she/her/hers) A MI.,,:. Jul „ERADil CAI€6E AlfY • City of Tigard-Utility Biding we PI Senior Senior Accounting Asst Ida gt7 (888)826-7211 Payments (503)718-2460 UB Main ji8bOtegard-orgov (503)718-2494 r. 13125 SW Hall Blvd. Tigard, OR 97223 From:#Building Permit Technicians <TigardBuildingPermits@tigard-or.gov> Sent:Thursday, September 9, 2021 1:15 PM To: Cuong N <pdxsweethomedesign@gmail.com> Cc: UB Online<UBOnlinepay@tigard-or.gov>; Allyson Armstrong<AllysonA@tigard-or.gov> Subject: FW: 14170 SW 100th Ave-Adult Foster Care Home Hello Cuong, Thank you for the water meter worksheet. I am forwarding this to our Utility Billing division for approval and determination regarding water meter upsizing. Regarding the fire sprinkler requirement, please complete both pages of the attached fire protection system permit application, including project valuation and submit along with (3) sets of plans to the drop box in the lobby of the Permit Center, Monday-Thursday, 8 am to 5 pm. We are closed on Fridays. No appointment is necessary. Please allow 3-4 weeks for plan review. Thank you. Dianna L. Ornelas Building Division Services Supervisor City of Tigard Community Development 13125 SW Hall Blvd I Tigard, OR 97223 1 Dianna Ornelas From: UB Online Sent: Wednesday, July 14, 2021 4:00 PM To: #Building Permit Technicians Subject: RE: 14170 SW 100th Ave Follow Up Flag: Follow up Flag Status: Completed Categories: Dianna Hi Building Team! The above-mentioned address is not connected to city sewer and has a 5/8 inch meter. Kind Regards, Jill (she/her/hers) . A WG.,� Jill 01ppy CON BEAAY71, City■ Senior f Tigcountnt9'A Billing Nex st -. (888)826-7211 Payments i503)718-2460 UB Main jilib©tigard-or.gov ]tt. �/(` (503)718-2494 iJG R'I\L. SW Flail Tgard, OR97 23d1 From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Sent: Wednesday,July 14, 2021 2:23 PM To: UB Online<UBOnlinepay@tigard-or.gov> Subject: 14170 SW 100th Ave Hi UB Team! Can you please tell me if this property is being billed for public sewer and what size is the water meter? Thanks! Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 5W Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail 1 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