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
III rig
I Transmittal Letter
F R i r;R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 4 1l�,5 DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: ip C04,,til (1,7 61.,t 4Cloc, JUN 2 8 2022
ARD
CITY OF TIG
COMPAN BUILDING DIV!SI N
vim
PHONE: °� ^ 2 1 BY"
EMAIL: 62-1 7.- ® j W'''.`rt I I. , C
9111
RE: IS I) /''' tw-pL,r.L( h ( '9-oa-24--lam 10
(Site Address) (Permit umber)
0 i4 q.✓-1
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. 3 Revisions: -Jo✓ pL 'i
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): ( ) /p f r y J
REMARKS:
FOROF ICE USE ONLY 9 /
Routed to Pe a ician: Date: -7 [ ?ice Initials: 41
Fees Due: [✓ YY ❑ No Fee Descripti n: Amount Due:
I $
$
Special
Instructions:
Reprint Permit(per PE): Ye 0 Done
Applicant Notified: _ Date: 7l 49No
_ z Initials: —%�%
I:\Building\Fonns\TransmittalLetter-Revisions_073120.doc
Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs
Please complete the following information:
Customer Name: Fi o G ip
Service Address: Street/Suite#: c5�j�j , 1V1.. {-
City: -rile 1 State: Of,1 C1 Zip 7-7 7
Phone Number: 5 �_ - / t'S Email:
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 I =
Clothes washer 1 x 4 = ii x 4 =
Dishwasher I x 1.5 = 14 x 1.5 =
1°Outside Water Spigot I x 2.5 = x 2.5 =
Water Spigot,each add'I x 1 ( ft.„." of fri x 1 =
Kitchen sink 1 x 1.5 = I,l" x 1.5 =
Laundry sink x 1.5 — x 1.5 =
Lavatory(bathroom sink) Li x I = H X I =
Water closet,1.6 GPF(toitet) IA x 2.5 = `0 - x 2.5 =
Bathtub/whirlpool x 4 = x 4 =
Shower stall . x 2 = IQ a 2 =
Bath/shower combo x 4 = x 4 =
Current Points: ay. Proposed Increase: tit
‘t
Current Points+Proposed Increase= 5 =New Total Points =Required Meter Size !"1
Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3A" 37.5 and over points= 1"
tt (45
New Meter Size Needed for New Total Points: 4 Cost: $ 16 '1. 1
O (see page 1)
pp
Current Meter Size per Utility Billing: I$ Cost: S (I a 3-5, (see page 1)
New Meter Size Cost minus Current Meter Size Cost= $ /1,O
(This is Your Cost to Increase Meter Size Due to Additional Fixture Units)
FOR OFFICE USE ONLY Meter will be required to increase to 3/4 inch.
Current Meter Size Confirmed with UB J Bentley 07/13/2022
Signature of UB Representative Date
I:/Building/Forms/waterMeters_07o121Jtdd.doCx Page 2
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.
i 1 III City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T I L'i AR D 13125 SW I lall Blvd. •Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.uov
TO: Allyson Armstrong DATE RECEIVED:
DEPT: BUILDING DIVISION
_
FROM: Dan Cammack
COMPANY: DC Quality Builders
PHONE: 971-218-6606 By
EMAIL: dan62177@gmail.com i
_
RE: 9555 sw Murdock MST2022-00109
(Site Address) (Permii Number)
Omekara
(Project name 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.
Other(explain):
REMARKS: Removing(1)water spiget in in back south side of house.In order to keep in the 314 water meter system regulations
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
Fees Due: 1-1 Yes II]No Fee Description: Amount Due:
S
S
--
S
S
Special
Instructions:
Reprint Permit (per PE): 0 Yes 0 No Done
Applicant Notified: Date: Initials:
CITY OF TIGARD MASTER PERMIT
N . . COMMUNITY DEVELOPMENT Permit#: MST2022-00109
Date Issued: 05/09/2022
T l i;A ii L) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111 BD00405
Jurisdiction: Tigard
Site address: 9555 SW MURDOCK ST
Subdivision: DARMEL NO.3 Lot: 20
Project: Omekara
Project Description: Splitting (1)family room into(2)bedrooms. Trade permits to be obtained separately.
BUILDING
Floor Areas Required Setbacks Required
Stones: 0 Bedrooms: 2 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: $8,000.00 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 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:
ALT SF VB R-3 0
Owner: Contractor:
OMEKARA,FLORENCE U DC QUALITY BUILDERS Required Items and Reports(Conditions)
9555 SW MURDOCK ST 1430 SHADY LN NE
TIGARD,OR 97224 KEIZER,OR 9303
PHONE: PHONE: 971-218-6606
FAX:
Total Fees: $346.33
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 Earth in OAR
oc9_nn1_nnin thrniirh nGp ncl_nnl_nncn vn,i mw nhfain o rnn,of fhc n,lnc nr dirnrt n„cefinnc to ni INr cn1 919„Qa7 nr 1 a 44
Issued By: HO-LLj VO4v Pe-Wegr. Permittee Signature: ref///!4
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 lob site at the time of each inspection.
1 J
Building Permit Application RECEIVE
Residential FOR OF FICI I.F Ovl.v
Cityof Tigard APR 19 2022 Received / e „;
g Date/13 : _ �I. •,. • - _
111 • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
= CITY OF TIGARD D 'J� Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date By: 2 ��
Inspection Line: 503.639.4175 ate Ready/By: Juris: ® See Page 2 for
T,C,:1RI? tJILDING DIVISION
Internet: www.tigard-or.gov tified Method. Ai /� Supplemental Information
t.wivL✓
TYPE OF WORK 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 ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
X1-and 2-family dwelling ❑Commercial/industrial Coo 1 bQ
❑Accessory building ❑Multi-family Number of bedrooms: z
❑Master builder ❑Other: Number of bathrooms: O
qJOB SITE INFORMATION AND LOCATION Total number of floors: '
��
Job site address: 6� M� ci OR..
b a S+- New dwelling area: O square feet
City/State/ZIP: r-- o Y-d V R cj. 1 a a,6i Garage/carport area: O square feet
Suite/bldg./apt.no.: A Project name: A t f`bac Covered porch area: O square feet
Cross street/directions to job site: S No OI 10 1At Avt,"T ; cy.fici OR Deck area: Q square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: l 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
f DESCRIPTION OF WORK 1,,,, �j work indicated on this application.
c-cpte1 760 i- FQh/1 e J9 roor t (A,r AD
Valuation: $
h a( ` (�J Existing building area: square feet
�C New building area: square feet
0 PROPERTY OWNER ❑ TENANT Number of stories:
Name: Flo rex,r1 0 vyl,e kArtk Type of construction:
Address: Ct 5s /n(A dc...lc Eyt . Occupancy groups:
City/State/Z1P: 1 1 art;! a Q . q, as q Existing:
Phone:(S03) Li(.4 .-&_I$5 Fax:( ) New:
❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule
Business name: { ,
��lV`�_ ��� C"� �`,a`-'l'/ Structural plan review fee(or deposit): .ID
Contact name:
FLS plan review fee(if applicable):
Address:
Total fees due upon application:
City/State/ZIP: ud.
Phone:( ) Fax::( ) Amount received: LiQ1
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: /+� l gj u 1 1 t91,e,r Submit two(2)sets of roof plan with connection details
. Qu0.l 1and fire department access,along with the 2010 Oregon
Address: ((� 3 o sh d tA JLN Solar Installation Specialty Code checklist.
City/StateJZIP: k,� my-- G11.303 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(411) 2.1 D —(43(p 06;) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: a 'a g(.1 0 („ Total fee due upon application: $201.60
Authorized signature: `f' This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 0 o, ` 1. e/v.,,f44 Date: l ZS *Fee methodology set by Tri-County Building Industry
ww C c �' ►� Servic6'Board.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling FOR OFFICE 1'.F ONLY
Tigard Recei,ed
- City of Ti g Date/By: Permit No.:
IIIq 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits.
Phone: 503.718.2439 Fax: 503.598.1960
TIGARD 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical
Internet: www.tigard-or.gov D Other:
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Y"es No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. i ❑ ❑
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0
3 Verification of approved plat/lot. ❑ ❑
4 Fire district approval required. Name of district: _ • ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑
6 Sewer permit. ❑ 0
7 Water district approval. ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑
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 be 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.
' II Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if p ❑ 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 ❑ ❑ ;l
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑
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- 4 ❑ ❑
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,roofing,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 ❑ N1
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- ❑ ❑ 14
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 ❑ ❑ )?:1
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 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 ❑ ❑
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. ❑ ❑ t ,
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑
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 ❑ ❑
architect licensed in Ore t on and shall be shown to be a,•licable to the 'm'eet under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 :1
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 0 i
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. i 0 ■
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. g 0 0
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ,]
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑
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-Screening Site Assessment form is required for all building additions, 0 0 k'
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.
I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)