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Permit (2) CITY OF TIGARD MASTER PERMIT t ' COMMUNITY DEVELOPMENT Permit#: MST2023-00064 Date Issued: 08/02/2023 l Blvd. Tigard OR 97223 503.718.2439 TfGARD 13125SWHa g D01500 Parcel: 251036 Jurisdiction: Tigard Site address: 12025 SW CARMEN ST Subdivision: CARMEN PARK Lot: 16 Project: BABALAI Project Description: 2,189 sq.ft.addition for adult foster care.WATER METER UPSIZE REQUIRED.TRADE PERMITS TO BE PULLED SEPARATELY. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 6 First: 2189 sf Basement: 0 sf Left: 0 Parking Spaces: 0 Height: 0 Bathrooms: 7 Second: 0 sf Garage: 0 sf Front: 0 Smoke Yes Dwelling Units: 0 Third: 0 sf Right: 0 Detectors: Total: 2189 sf Value: $421,557.62 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 N SecurityAlarm: N Vaccuum System: N Garage Opener: N All Audio&Stereo: N HVAC: 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 2189 Owner: Contractor: BABALAI,AURELIAN S&DANIELA OWNER Required Items and Reports(Conditions) 1543 NE 137TH AVE 1 Ersn Cntrl 503-639-4175 PORTLAND,OR 97230 PHONE: PHONE: FAX: Total Fees: $13,888.36 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 oc9-nni_nnln rhryy inh OAR or.9 - on vn„may nhtnin a rnnv of tha nine nr dlrcrr ni iectinnc rn r11 INC by roilinn Sill 919 1017 nrr�1 Ann YZ9 T AA Issued By: '/ ,..„2r.....„.7 ,.Permittee Signature: ` 'I/+ ' w�` " 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. Building Division One & Two-Family Dwelling TIGARD Fees Checklist PERMIT INFORMATION: Application Date - FEE VERSION J J U.( 2,0271-- Permit#: / 7Z — /C D(R Plan#: Floors: I Valuation: Covered Porch: Basement Bedrooms: .' ( , Deck: 1"Floor Z I (6'�, WC (toilets) t 1 Deck Cover: 2nd Floor Lavatories i —7 Patio Cover 3rd Floor Tub/shower fi 2 Accessory Struct. R-3 Total Laundry Tray Water Heater Garage Exhaust Vents S Gas Flue Vents Total for Elec. Backflow Prey. Furnace / Heat Pump / AC # for Electrical BBQ Gas Fireplace #Fuel Lines K.:1-e (,vs-n s):,A4-- i W c...JbL c-1 oar-T-c-r r 1 FEES: Description: Fee Applies: Fee Entered: DC Prov Revw: Planning N. Z. Info Proc/Arch: Lg$2.00 (over 11x17) Info Proc/Arch- Sm $.50 (up to 11x17) l Metro CET: Residential Use School CET: District: \ Tigard CET: Admin Tigard CET: ODHCS Tigard CET: AH Electrical Permit: Permit Fee: Limited Energy: 12% State Surcharge Mech. Permit: Permit Fee: 12% State Surcharge Plumbing Permit: Permit Fee: 12% State Surcharge Erosion Contro : w/Permit-Ping R e��rS b-c.. lab1J � - Cr, Notes: 1> a-5 � � �Cc„-� ra 0,11 c.t, ,. - CZZ-0^1 " c,v/ �S Go�-- U0 J-- ��-1--en,� ~o p p t.►' • ? �ii1i 1 . I O >A-04.� - 'c ham- r.-o �. p d +i,e, 1 I:\Building\Forms esP anChe kFees. oc 1 13/22 t` Page r l� e ��k U 1svVl �(�n`�c a� t361. ttS on_ky ia/ G v-R.....r eAcf .was• ra� S) kr"- r1/2-er,o(4- I rvt.;\--- p,) 1 ste US A e_ Z, 1,0 \c3x,\-% ? `yclJ��l-r`S t ) fi.a0 rcoststc-52- paAS 12 3 l a. 2.2 . S� l l h•e..,�-SL•�-. City of Tigard 11/1 " COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Review - Residential TIGARD Building Permit #: /-1.57-0)a-31 Ooacati Site Address: t -dae> sVj C A 5 • ��Verified in Accela Project Name: 1i4,Y 1' ' �F��S CJ•e V-ci tU / AMA'co Lot/Unit #: Proposal (include housing type): Acts t new PS CAST i 1iti to 5F R. Zone: Rei — t Re/q_uired Site Plan Elements: 44" .dam 5id�ct�a'�.-Rs,- �'j` k SS'i ra 3 dies of site plan on max 11x17" 15prawn to standard scale ees, rip irie%'tree protection SD orth arrow ite address, project name, lot # Y 21Street names (NLA for SFR) d pplicant name and phone # i app Ica Lot and setback dimensions e ❑ Existing structures & square footage • I 'lit, locations 8c easPmantc lF ootprint of new structure and FFE ❑ P *�Y- ��"�'_*" 2' idewalk drivew d LIDA >1 000 bance)�' J • Lot area and lot coverage percentage, Erosion contro I iQ sw-R Required Elevation Plan Elements: . IL tte0(11°5 For S R: calcs needed only on street-facing) Summa le with ns for: _ tio c_iiAAtn.,S to at Ou''''I' erf Drawn to standard scale ❑ Total f ar 0444* _{3,cit pg(a ohs Building height dimen—�oni,, al window and door a ,wed�e no s�{--•Pac�n oA ?WV. P'ldr;,t �'i e 1�o JT , l5� Niv - In49w.5-aad dorrs dlmencicu T �" V Required Floor Plan Elements: (Not required for SFR) CJJ Summary table that includes Each story dimensioned El/Total floor area erEach story floor area calculated Floor area per story Planning Review cjAesc, }-a wo„=a s• re -- 4,0i4ID^ i5 "Sn IS' "'p 'I/ Li.t The following standards ha etmet: / A Setbacks Front: \ 5 Rear: I S Side: 5 Min/Max Street Side: 1/ / l' 4 Garage: o°s� -e) Height 4Max. Height: 3 Proposed Height 11 cerYes ❑ N/A Landscape Periciiiy (011ie' Res) c ❑ N/A Acresswr/Structure Standarrk L7'!r?s�i to —Qualifying pr® existing unitPXempt from standarrLc (G t trnit only) •tional standards for Courtyard U • s, Cottage Clusters, Rowhouses, and Quads: ❑Yes ❑ 't Count: ❑ Yes ❑ N/A I Size ❑ /A Pathway dditional standards for Courtyard Units and Cottage Clusters only: Unit Area: ❑ Yes 0 N/A rea (per story) ❑ Yes ❑ Courtya s 0 N/A Fence �� L41 Yes 0 No ON/A Clean Water Services - Service Provider Letter (lot platted prior to 9/10/1995) ❑ Yes 0 No I /A Public Facilities Improvement (PFI) Permit: Regaiied. 12-1`es 0-N-c Applied Fui: 0 Yes----❑-)lo, stop-intake 2"Sensitive Lands: 0 Yes IS No 1E1-Plain Land Use-Case-ors: 0 Conditions met • Approved By Planning:, Date: _S1a/2 Notes gout®( We -Cp 4r� LA/04,+t/ .21AiY-0N Ao(dtrSf_ Revision 1: 0Approved Not Approved Date): (v/21/23 Revision 2: 0 Approved 0 Not Approved Date: Building,Permit Submittal Original Submittal Date: ?In123 Site Plans #: 3 Building Plans #: ;? Building Permit #: la-Kuililding permit # entered on page 1 Workflow Routing: 9'Pa ningineering B-ermit Coordinatorng Workflow Sign-off: PI-Sign-off for Planning (include notes from planning review) Route Documents: ineering: (1) copy of permit application, (1) site plan, (1) building plan and on inal plan review routing form. aiding: original permit application, site plans, building plans, engineer and beam calculations and trust details, if applicable, etc. Permit Technician: ^,L, — Date: 3/101,7 Notes: Engineering Review IPFI Permit: i111A L Slope at building pad: .2 [3-CConditions met prior to issuance of permit ,®'€asements (encroachments) per engineering conditions of approval and plat ®-Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: 0 Yes ❑ No LIDA Facility on lot: O'Yes ❑ No Add Fee: ❑ Yes ❑ No nal Plat Recorded NOT Approved: (1,5# re Date: as--�2.3 Notes: 11(s.�.7 ww^r�.,�tc+2 %Tom. 14 $wu„ l rcTht.4(a SfavW �.,.o-r:� �a I.f•y —1411.a Approved By Engineeriqgg: Date: 6. /2_8 "2D2 1. Revision 1: ('Approved 0 Not Approved Tr 5f h Date: Revision 2: 0 Approved 0 Not Approved Date: Permit Coordinator Review conditions met prior to permit issuance ❑ Approved, NOT Released: Date notified applicant: • NG Revisions Required: �p `Q.vCr‘ Date notified applicant: I1-Z(1•2-3 k ,r.+ DC Exemption: 0 Applied for 0 Received 7d Does not apply uDC Fees Entered: Wash Co Trans Dev Tax: Cl Yes th N/A Tigard Trans SDC: Cl Yes N/A ❑ Deferred Parks SDC: ❑ Yes N/A ❑ Deferred LIDA ❑ Yes 1 ` N/A yOK to Issue/Approved by Permit Coordinator: �6\ \�.. Date: I O,2 Revision 1: 0 Approved ❑ Not Approved Date: Revision 2: ❑ Approved 0 Not Approved Date: ANST v2-3--aocsGY CleanWater�r Services SENSITIVE AREA PRE-SCREENING SITE ASSESSMENT Clean Water Services File Number 23-001418 1. Jurisdiction: Washington County RECEIVED 2. Property Information(example: 1S234AB01400) 3. Owner Information Gv Tax lot ID(s): Name: Sam Babalai /7N1 I Z an Company: Address: 12025 SW Carmen Street CITY OF TIGARD OR Site Address: 12025 SW Carmen Street City, State,Zip: Tigard,OR,97223 t�1.IILDING DIVISION City, State,Zip: Tigard,OR,97223 Phone/fax: 971-570-7228 Nearest cross street Email: samdana13@comcast.net • • 4. Applicant Information 4. Development Activity(check all that apply) ❑x Addition to single family residence(rooms, deck,garage) Name: Mike Montgomery Company: Simpl Home Designs ❑ Lot line adjustment ❑ Minor land partition ElResidential condominium ❑ Commercial condominium Address. 4931 SW 76th Ave PMB 211 ❑ Residential subdivision 0 Commercial subdivision City, State, Zip: Portland,OR,97225 ❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 503-515-6495 Other Single story addition to back of the house. Email: mike©simplhomedesigns.com 6. Will the project involve any off-site work? Dyes [I No 0 Unknown Location and description of off-site work: 7. Additional comments or information that may be needed to understand your project: LIDA will be required by city of Tigard.2277 sqft addition. This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site Development Permits, DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and completed under applicable local,state, and federal law. By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am familiar with the information contained in this document, and to the best of my knowledge and belief,this information is true, complete,and accurate. Print/type name Mike Montgomery Print/type title Owner Signature ONLINE SUBMITTAL Date 5/10/2023 FOR DISTRICT USE ONLY ❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also be required. ❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local, State and federal law. ❑ Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19.5, Section 3.02,1, as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable local,state and federal law. ❑ THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS CWS APPROVED SITE PLAN(S)ARE ATTACHED. ❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE PROVIDER LETTER/��� IS� LREQUIR/ED. Reviewed by /�4¢� . Lt, Date 5n0/2023 On complete,email to:SPLReview@cleanwaterservices.org • Fax: (503)681-4439 OR mail to: SPL Review, Clean Water Services,2550 SW Hillsboro Highway, Hillsboro, Oregon 97123 Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p:503.681.3600 f:503.681.3603 cleanwaterservices.org lat, ,� y , Residential Energy Additional Measure Selection RECEIVED ^��` ,c -- REC V G .: Department of Consumer&Business Services Building Codes Divisionklr FEB $ 202 `� 1535 Edgewater St.NW, Salem, Oregon Phone: 503-373-1268•Fax: 503-378-2322 CITY OF TIQARD oregon.gov/bcd BUILDING DIVISION RESIDENTIAL INFORMATION Date:02/27/23 Building permit number: Owner's name: DAN IELA BABALAI & AURELIAN S BABALAI Job address: 12025 SW CARMEN ST., City:TIGARD State:OR zIP:97223 INSTRUCTIONS Select the type of construction. If the project is an addition, select the applicable addition type and enter the selected measures accordingly;print and sign your name. Submit this form with your permit application or your project will be placed on hold until the required information is provided. ❑ New construction.All conditioned spaces within residential buildings shall comply with Table N1101.1(1)and one additional measure from Table N1101.1(2). Q Additions.Additions to existing buildings or structures may be made without making the entire building or structure comply if the new additions comply with the requirements of this chapter. [See ORSC Section N1101.3] x❑ Large additions.Additions that are equal to or more than 600 square feet in area are required to select one measure from Table N1101.1(2). Enter the selected Table N1101.1(2)additional measure 2 E Small additions.Additions that are less than 600 square feet in area are required to select one measure from Table N1101.1(2)or select one measure from Table N1101.3. ❑ Selected Table N1101.1(2)additional measure ❑ Selected Table N1101.3 additional measure ❑ Exception: Additions that are less than 225 square feet in area are not required to comply with Table N1101.1(2)or Table N1101.3. For reference Tables N1101.1(2)and NI 101.3 are included in this form below. Note:Depending on the additional measure you have selected, there may be sub-options that you will have to specify. Check the appropriate box, if provided. Applicant's printed name:MIKE MONTGOMERY Applicant's signature: r�--) BCD I O own aceneu—end BIaMs3 services 440-4854(8/21 COM) 1 TABLE N1101.1(2)—ADDITIONAL MEASURES HIGH-EFFICIENCY HVAC SYSTEMa ❑ 1 a. Gas-fired furnace or boiler AFUE 94 percent,or b. Air-source heat pump HSPF 10.0/14.0 SEER cooling,or c. Ground-source heat pump COP 3.5 or Energy Star rated HIGH-EFFICIENCY WATER HEATING SYSTEM a. Natural gas/propane water heater with minimum UEF 0.90,or 0 2 b. Electric heat pump water heater with minimum 2.0 COP,or c. Natural gas/propane tankless/instantaneous heater with minimum 0.80 UEF and Drain Water Heat Recovery Unit installed on minimum of one shower/tub-shower 3 WALL INSULATION UPGRADE Exterior walls—U-0.045/R-21 conventional framing with R-5.0 continuous insulation ADVANCED ENVELOPE Windows—U-0.21 (Area weighted average),and ❑ 4 Flat ceilingb—U-0.017/R-60,and Framed floors—U-0.026/R-38 or slab edge insulation to F-0.48 or less(R-10 for 48";R-15 for 36"or R-5 fully insulated slab) DUCTLESS HEAT PUMP ❑ 5 For dwelling units with all-electric heat,provide: Ductless heat pump of minimum HSPF 10 in primary zone replaces zonal electric heat sources,and programmable thermostat for all heaters in bedrooms El 6 HIGH EFFICIENCY THERMAL ENVELOPE UAa Proposed UA is 8 percent lower than the code UA ❑ 7 GLAZING AREA Glazing area,measured as the total of framed openings is less than 12 percent of conditioned floor area 3 ACH AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION D 8 Achieve a maximum of 3.0 ACH50 whole-house air leakage when third-party tested and provide a whole-house ventilation system including heat recovery with a minimum sensible heat recovery efficiency of not less than 66 percent. For SI: 1 square foot=0.093 m2, 1 watt per square foot=10.8 W/m2. a. Appliances located within the building thermal envelope shall have sealed combustion air installed.Combustion air shall be ducted directly from the outdoors. b. The maximum vaulted ceiling surface area shall not be greater than 50 percent of the total heated space floor area unless vaulted area has a U-factor no greater than U-0.026. c. In accordance with Table NI104.1(1),the Proposed UA total of the Proposed Alternative Design shall be a minimum of 8 percent less than the Code UA total of the Standard Base Case. it : TABLE NI 101.3 -SMALL-ADDITION ADDITIONAL MEASURES (SELECT ONE) ❑ 1 Increase the ceiling insulation of the existing portion of the home as specified in Table N1101.2. ❑ 2 Replace all existing single-pane wood or aluminum windows to the U-factor as specified in Table N1101.2 Insulate the existing floor,crawl space,or basement wall systems as specified in Table N1101.2 and install 100 percent of 0 3 permanently installed lighting fixtures as CFL,LED,or linear fluorescent,or a minimum efficacy of 40 lumens per watt as specified in Section NI 107.2. O 4 Test the entire dwelling with a blower door and exhibit no more than 4.5 air changes per hour @ 50 Pascals. ❑ 5 Seal and performance test the duct system. O 6 Replace existing 80-percent AFUE or less gas furnace with a 92-percent AFUE or greater system. ❑ 7 Replace existing electric radiant space heaters with a ductless mini split system with a minimum HSPF of 10.0. ❑ 8 Replace existing electric forced air furnace with an air source heat pump with a minimum HSPF of 9.5. Replace existing water heater with a water heater meeting: ❑ 9 Natural gas/propane water heater with minimum UEF 0.90,or Electric heat pump water heater with minimum 2.0 COP. 440-4854(8/21 COM) 2 Branden Taggart From: Mike Montgomery <mike@simplhomedesigns.com> Sent: Thursday, March 9, 2023 4:05 PM To: Branden Taggart Subject: RE: Building Permit for Adult Foster Care: MST2023-00074 - 9095 SW North Dakota St. Attachments: PLMF_PermitApp.pdf Let me know Most Sincerely 3PkkitdkkAmt\--- Mike Montgomerydba Simpl Home Designs/ EZPermits permit expeditor Residential / Commercial Design Consulting 4931 SW 76th Ave., PMB 211 Portland OR 97225 (Bend, OR office) 320 SW Century Dr. Ste., 405/326 Bend OR 97702 (503)515-6495 Cell (503)-719-4825 Fax mikeCcilsimplhomedesigns.com The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Use disclosure,distribution, or reproduction if this message by unintended recipients is not authorized and may be unlawful. If you received this in error, please contact the sender and destroy any copies of the documents From: Branden Taggart<brandent@tigard-or.gov> Sent:Thursday, March 9, 2023 10:47 AM To: Mike Montgomery<mike@simplhomedesigns.com> Subject: FW: Building Permit for Adult Foster Care: MST2023-00074-9095 SW North Dakota St. Importance: High Mike, The City has had some email issues recently. I was just informed that my email to you was undelivered. Please see my original email below. Thanks, 1 Branden Taggart City of Tigard M.•• Senior Permit Technician Community Development TIGARD 13125 SW Hall Blvd Tigard,OR 97223 (5031718-2449 bra ndenti'tigard-or.gov From: Branden Taggart Sent:Tuesday, March 7, 2023 10:10 AM To: mike@simplehomedesigns.com Subject: Building Permit for Adult Foster Care: MST2023-00074-9095 SW North Dakota St. Importance: High Hey Mike, While your were submitting for the adult foster care Building permit, I forgot to ask you for a completed Plumbing Permit Application to go with the Water Meter Fixture Unit Worksheet. Since new plumbing fixtures will be installed, this permit cannot be obtained online separately. I have attached the application above for you to complete and return to me. Once received, I will route your submittal for plan review. Thank you, Branden Taggart illy City of Tigard • Senior Permit Technician Community Development TEQAKD 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandent@tigard-or.gov 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 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 • LOCATION: City of Tigard—City Hall WATER METER SALES: Utility Billing By Email Only. Please contact 13125 SW Hall Blvd. ubonlinepay(ciltigard-or.gov Tigard, OR 97223 to discuss sending documents and payment METER: SIZE: FEE: Pricing effective 07/01/2022 5/8" $11,258.00 Fee includes: 3/4" $16.094.00 water system development charge, 1" $29,588.00 water meter,and 1-1/2" $87,787.00 meter installation fee. 2" $142,227.00 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 070121Add.dOCX Page 1 Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs Please complete the following information: Customer Name: Sam Babalai Service Address: Street/Suite#: 12025 SW Carmen St. City: Tigard State: OR Zip: 97223 Phone Number: 971-570-7226 Email: samdana13@comcast.net 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 1 x 4 = 4 1 x 4 = 4 Dishwasher 1 x 1.5 = 1.5 1 x 1.5 = 1.5 la Outside Water Spigot 1 x 2.5 = 2.5 x 2.5 = Water Spigot,each add'I 1 x 1 = 1 x 1 = Kitchen sink 1 x 1.5 = 1.5 1 x 1.5 = 1.5 Laundry sink x 1.5 = x 1.5 = Lavatory(bathroom sink) 2 x 1 = 2 6 x 1 = 6 Water closet,I_6GPF(toilet) 2 x 2.5 = 5 6 x 2.5 = 15 Bathtub/whirlpool x 4 = x 4 = Shower stall x 2 = 2 x 2 = 4 Bath/shower combo 1 x 4 = 4 x 4 = Current Points: 21.5 Proposed Increase: 32 pp 53.51" Current Points+Pro Proposed Increase= =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" New Meter Size Needed for New Total Points: 1" Cost: $29,588.00 (see page 1) Current Meter Size per Utility Billing: 5/$ 11,258.00 Cost: $ (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ 18,330.00 (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************************************************* FOR OFFICE USE ONLY Meter will need to be upsized to one (1) inch. Current Meter Size Confirmed with UB J Bentley 04/17/23 Signature of UB Representative Date I:/Building/Forms/WaterMeters_070121 Add.d0IX Page 2