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13375 SW HOWARD DRIVE
CITYOF TI CARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWP2003-00200
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/26/03
PARCEL: 2.S 103CA-00600
SITE ADDRESS; 13375 SW HOWARD DR
SUBDIVISION: WOODCRES] ZONING: R-4.5
BLOCK: LOT:_ JURISDICTION: fic;
TENANT NAME:
USA NO: FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks. sewer reimbursement district No. 22
$6000 paid on receipt 2731
Owner: _FEES
MAY, WILLIAM A Description Date Amount
13375 SW HOWARD DRIVE
TIGARD, OR 97223 [SWUSA;Swr Connect 6/26/03 $2,300.00
[SWUSA] Swr Connect 6/26/03 $0.00
Phone: [SWINSP]Swr Inspect 6/26/03 $3500
[SWINSP)Swr Inspect 6/26/03 $0.00
Contractor: — Total $2,335.00
Phone:
Reg#:
Required Inspections
Sewer 'nspection
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions '.rom the distance given. If not so located,the installer shall purchase a "Tap and Side Sewer" Perm
Issued h Permittee Signature:
Call (503) 63 -4175 by 7:00 P.M.for an inspection needed the next business day
CITY OF
TI G,ARD _ SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT#: SWR2003-00200
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/26/03
PARCEL: 2S103CA-00600
SITE ADDRESS; 13375 SW HOWARD DR
SUBDIVISION: WOODCRFS'l ZONING: It-•1.�
BLOCK: LOT: _ JURISDICTION: II(
TENANT NAME:
USA NO: FIXTURE UNI-(S:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE.
Remarks: sewer reimbursement district No, 22
$6000 paid on receipt 2731
Owner: _ FEES
MAY, WILLIAM A Description Date Amount
3:375 SW HOWARD DRIVE
TIGARD, OR 97223 IS W USA]Swr Connect (3/26/03 $2,300.00
1 S WUSA]Swr Conncct 6/26/03 $0.00
Phone: ISWINSP]Swr Inspect 6/26/0' $35.00
[SWINSP] Swr Inspect 6/26/03 $0.00
Contractor: Total $2,335.00
Phone:
Reg #:
Required Inspections
Sewer Inspection
This Applicant agrees to comply with all the rules and regulations of the Clean Water Services. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located,the installer shall purchase a"Tap and Side Sewer" Perm
Issued b Permittee 'Signature: CA_jL
+ _
Call (503) 639J-4175 by 7:00 P.M. for an inspection needed the next business day
Hullcling 1' Ixtures
Pilam,17i Permit Application Received *eft
`� � Dale/By: _ _ Permit No.: O BOO
Plr,nning Approval Sewer
City of Tigard Date/By: Permit No.:
13125 SW Hall Blvd. Plan Review Other
Permit No.:
Tigard,Oregon 97223
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use
- � Date/B�. Case No.:
Internet: www.ci.tigard.or.us Contact Jutis.: sce Page 2 for
24-hour Inspection Request: 503-639-4175 Name/Melhod' _ Supplemental Information.
TYPE OF WORK FEE*_SCIIED.;LE for special information use checklist
New construction rip
Demolition uesction_-H -- I �?b'• Pcetce.) Total
Addition/alteration/re lacement Other: New I-&2-family dwellings
(includes 100 ft.for each utlliitconnection
CATEGORY OF CONSTRUCTION SFR 1 I bath _--� 249.21
J &2-Family dwelling Commercial/Industrial SFR 2 hath v 350.00
Accessory Building Multi-Family SFR 3 bath 399.00
Master Guilder Other: Each additional bath/kitchen 45.00
_ JOB SITE INFORMATION and LOCATION Fire sprinkler-sq. ft.: Pae 2
Job site address: 1�75s� Hbwa�� (Jr Site Utilities _
Suite#: I Bld ./A t.#: Catch basin/arca drain 16.61
D ell/leach line/trench drain 16.60 _
Project Name: Footing drain no.linear ft. Pae 2
Cross street/Directions to job site: Manufactured home utilities 110.00
S w (ez f a F Manholes 16.60
Rain drain connector 16.60
Sanitary sewer no.linear ft. Pae 2
Subdivision: Lot#: Storm sewer no,linear_ft.) _ Pae 2
Water service no. linear ft. Page 2
Tax map/parcel #: Flxture or Item _
UESCRIYTION OF WORK Abso tion valve - 16.60
Backflow preventer Pae 2
Backwater valve 16.60
-- - Clothes washer _ 16.60
----- - --- --- Dishwasher 16.60
Drinking fountain 16.60
OPERTY OWNER TENANT - E'cctors/sum 16.60
Name: M-t _ Ex ansion tank 16.60
Address: 13 3 7 S 5 w o w•rd Dr. _ Fixture/sewer ca _ 16.60
Floor drain/floor sink/hub 16.60
Cit /State/Zip: Ti 'erel 0 2 '17 2 -a 3 Garbage disposal 16.60
Phone: S-o3 S?o -qz__-o-rax: ----_ 16.60
Hose bib
"..7PLICANT CONTACT PERSON_ Ice maker 16.60
Name: Interce tor/ rease trap 16.60
Address: - i Medical gas-value: S Page 2
-------- - - Primer 16.60
Cit /Stat%: _-_ Roof draintcommercial� _ 16.60
Phone: Fax: _ Sink basin/lavato 16.60 _
E-mail: Tub/shower/shower an 16.60
CONTRACTOR - Urinal 16.60
`- `- Water closet 16.60 _
Business Name: _ - __- Water heater 16.60
Address: Other:
City/State/Zip: _ Other:
Phone: �Fay. Plumbin Permit Fees*
CCB Lic. #: ic.# subtotal $
Minimum Permit Fee$72.50 S
Authorized kcsidential Backflow Minimum Fee$36.25
Signature: _ __ Date: G-24-03
_2`-_ 3 Plan Review 25%of Permit Fee 5
L..r r 11 t ibw. f1 {N)attt( v _- State Surchar a S%o'Permit Fee 5
(Please print name) TOTAL PERMIT FEE _5 __.
Notice: This permit application expires If a permit Is not obtained within All new commercial buildings requlre 2 sets of pians with isometric or
IRO days arae-it las been accepted as complete. riser diagram for plan review.
*Fee methodology set by Tri-County haildine Industry Service Board.
i.\Dsts\Permit FonnsV'ImPermitApp.doc 01/03
r
Plumbing Permit Application -City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Sup ression Systems:
Site Utilities Qty. Fee(ca) Total Square Footage: Permit Fee:
Footing drain- I" I(x)' — --�- �ori 0 to 1,,000 _ $115.00
Footing drain-each additional 100' 46.40 2,001 to 3,600 $160.00___----------
3,601 to 7,200 $220.00 _
Sewer-I st 100' 55.0 7,201 and greater $309.00
Sewer-each additional 100' 46.40
Water Service-Ist 100' 55,0 Medical Gas Systems:
Water Service-each additional 10' 46.40 Valuation: Permit Fee:
Storm&Rain Drain- Ist 10' 55.0 $1.0 to$5 00.0 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 46.40 $5,01.00 to$10,00.0 $72,50 for the V,st$5,000.00 and$1.52 for each
additional:10.0 or fraction thereof,to and
Fixture or Item Qty. Fee(to) Total_ including$10,000.00.
Commercial Back Flow Prevention Ikvicc 46.40 $10.01.00 to$25,00.0 $148.50 for the first$10,00.0 and$1.54 for
Residential Backflow Prevention Device each additional$10.0 or fraction thereof,to
minimum permit fee$36.25 27.55 and including$25,00.0.
Rain Drain,single family dwelling 65.25 $25,001.00 to$50,00.0 $379.50 for the first$25,00.0 and$1.45 for
each additional$10.0 or fraction thereof,to
Inspection of existing plumbing or and including$50,00.0.
speciallyipecially requested inspections-per hour 72.50 $50,01.0 and up $742.00 for the first$50,00.0 and$1.20 for
Subtotal: each additional$100.0 or fraction thereof.
Fixture Work:
Are you capping,moving or replacing existing fixtures? If
"yes",please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*.
Quantity b Fixture Work Performed Comments rega. cling fixture work:
Fixture Type: Replace
New Moved Elliflng Cared -- ---
Ba tistr /Font
Bath -Tub/Shower
-Jacuzzi/Whirlpool
Car Wash -Each Stall
-Drive Thru
Cuspidor/Water Aspirator `--- -
Dishwasher -Commercial ---
-Domestic
Drinking Fountain
Eye Wash —____...------ -_._-----
Floor Drain/sink -2"
4„ --
('or wash Drain *Note: If the fixture work tinder(Itis permit results in an
Garbage -Domestic _ —,
Disposal -Commercial _— increase of sewer EDtJs,a sewer permit will be issued and
-Industrial fees assessed for the sewer increase must be paid before the
Ice Mach./Rerriit,Drains _ plumbing permit can be issued.
Oil separator Gas Station
Rec.Vehicle Dump Station
Shower -Gang
-Stall
Sink -Bar/Lavatory
-Bradley
-Commercial
-Service
Swimming Pool Filter _
Washer-Clothes
Water Extractor
Water closet-Toilet
Urinal
Other Fixtures: _
is\Dsts\Permit Forms\PlmPcrmitAppPg2.doc 01/03
r
CITY OF TIGARD, OREGON
RESOLUTION NO. 02- D
A RESOLUTION FINALIZING SANITARY SEWER REIMBURSEMENT DISTRICT NO. 22
(HOWARD DRIVE)
WHEREAS, on March 12, 2002, the City Council approved Resolution No. 02-18 to form Sanitary Sewer
District No. 22 to construct sewers in SW Howard Drive in accordance with TMC Chapter 13.09; and
WHEREAS, Resolution No. 02-18 included the City Engineer's Report that included an estimated
construction and total project cost; and
WHEREAS, construction of the sewer improvements has completed, final costs have been determined and
the City Fngineer's Report has been revised to includrthe final coy is as required by TMC 13.09.105 (1);
and
WHEREAS,these property owners have been notified of an informational hearing in accordance with TMC
13.09.060 and an informational hearing was conducted in accordance;with TMC 13.09.105; and
WHEREAS, the City Council has determined that the proposed revisions to the City Engineer's Report as
recommended by the City Engineer are appropriate.
NOW,THERErCORE, BE IT RESOLVED by the Tigard City Counc,l that:
SECTION 1 The revised City Engineer's Report titled "Sanitary Sewer Reimbursement District
No. 22", attached hereto as Exhibit A, is hereby approved.
SECTION 2 Resolution No. 02-18 is hereby amended to add the revised City Engineer'.,, Report
SECTION 3 The City Recorder shall cause a copy of this resolution to be filed in the office of the
County Recorder and shall mail a copy of this resolution to all affected property
owners at their last known address.
EFFECTIVE DATE: This resolution shall be effective immediately.
PASSED: Phis th
_day of "OP e z 2002.
M yor- City of Tig ----__. _------
ATTE)ST:
City Recorder-City of Tigar
RESOLUTION NO. 02-
Page I
Exhibit A
City Engineer's Report
oanitary Sewer Reimbursement District No. 22 (Howard Drive)
Background
This project was cone,i►ucied -,ind funded under the City of Tigard Neighborhoo
Sewer Extension Program (NSEP). Under the program the City of Tigard installs
public: sewers to each lot within a project area. At the time the property owner
connects to the sewer, the owner would pay a connection fee of $2,335.00 and
reimburse the City for a fair share of the cost of the public sewer. There is no
requirement to connect to the sewer or pay any fee until connection is made. In
addition, property owners are responsible for disconnecting their existing septic
systern according to Washington County rules and for any other modifications
necessary to connect to the public sewer.
Protect Area - ;Zone of Benefit
Existing sanitary sewer lines are located in SW Fonner Street and 121st Avenue
as shown on Exhibit Map B. The line from Fortner Street was extended south
through a proposed easement then continued along Howard Drive and James
Court serving thirty-three lots. The three remaining lots on Howard Drive were
served from a line extended from SW 12.1" Avenue. The three lots between
13470 and 13350 Howard Drive are currently served by a line from Terrace
Trails Drive: and arP not included in the proposed district.
Cost
The final cost for the sanitary sewer construction is $259,156. Purchase of the I
required easement cost $3,520, $2,800 for the land and $720 appraisal and
negotiation services. Engineering and inspection fees amount to $34,986
(13.5% of construction cost) as defined in TMC 13.09.040(1). The final total
project cost is $297,662. This is the amount that should be reimbursed to the
sanitary sewer fund as properties connect to the sewer and pay their fair share of
the total amount. However, the actual amount that each property owner pays is
subject to the City's incentive program for early connections.
In addition to sharing the cost of the public sewer line, each property owner will
be required to pay an additional $2,335 connection and inspection fee when
connection to the public line is made. All owners will be responsible for all
plumbing costs required for work stone on private property.
Reimbursement Rate
All properties in this area are zoned R-4.5 and have similar lot sizes as can be
seen in Exhibit Map B. Therefore, it is recommended that the total cost of the
project be divided equally among the thirty-six properties included in the
reimbursement district. Resolution 01-46 limits this fee to $6,000 to the extent
that is does not exceed $15,000 per owner for connections completed within
three years of final approval of the City Engineer's Report.
Other reimbursement methods include basing the proportional share upon the
square footage of each property or by the length of frontage of each property.
These methods are not recommended because there is no correlation between
these methods and the cost of providing service to each lot or the benefit to each
lot.
Each praperty owner's fair share of the public sewer line is $8,268. Each
owner's favi- s!iare would be limited to $6,000 to the extent that it does ,:of
exceed $15,000, for connections completed within three years of City
Council approval of the final City Engineer's Report following construction
in accordance with Resolution 01-46 (attached). In addition to paying for
the first,$+6:990, owners will remain responsible for paying all actual costs
that exceed $15,0130.
Annual Fee Adjustment
TMC 13.09.115 states that an annual percentage rate shall be applied to each
property owner's fair share of the sewer line casts on the anniversary date of the
reimhursement agreement. _fhe Finance Director has set the annual interest
rate at 6.05% as stated in City of T igard Resolution No. 98-22.
Recommendation
It is recommended that a reimbursement district be formed with an annual fee
incree se as indicated above and that the reimbursement district continue for
fifteen, years as provided in the Tigard Municipal Code (TMC) 13.09.110(5).
Fifteen years after the formation of the reimbursement district, properties
connecting to the sewer would no longer be required to pay the reimbursement
fee.
Submitted October 29, 2002
Au tin P. Duenas, PE
Cit "ngineer
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CITY OF TIGARID 24-Hour
BUILDING Inspection Line: (503)639-4175
MST _..—.. --.--
INSPECTION DIVISION Business Line: (503) 639-4171 BUP
Received _ Date Requested _a_T7
7_�. AM_ - PM ___ BUF --.-..__--
Location - �� • #�"�-' Suite _- MEC
Contact Person -- -�-- -� Ph( ) �l`, s — PLM
Contractor _ --- .---- - Ph( ) - �SW_W'
BUILDING w TenanUONner �a ` � ELC
Footing ELC
Foundation
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam —
Shear Anchors - - - -- -
Ext Sheath/Shear -- -
Int Sheattv'Shear
Framing --
Insulation
Drywall Nailing - ----- —� -
Firewall
Fire Sprinkler - -- ---
Fire Alarm
Susp'd Ceiling --
Roof
Other: _
Final
PASS PART FAIL
PLUMBING --
Post& Beam
Under Slab -
Rough-In �
Water S�rvicia .� _ -
ari'it ,q(S,��pis3
Rain Drains —
Catch Basin/Manhole G
Storm Drain — --- - - ._ -
Shower P
Other: - -- - —--_ - -------
Fi
'SPA PART FAIL
_)MdHANICAL
Post&Beam —
Rough-In --
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final Hemspection fee of;__ required be'ore next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL.
SITE [� Please call for reinspection RE:_ _ — Unable to inspect-no access
Fire Supply Line
ADA Approach/Sidewalk Date Inspector Ext
-- --_
Other:
Final - DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
A-AFFORDABLE
SEPTIC SERVICE
PO.BOX 1130
WIL ONVILLE, OR 97070
C(503) 682.192P FAX IS031 570-0778
CUSTOMER'S ORDER NO, PHO PATE
NAME
ADDRESS
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SOLD B CASH C.O.D. CHAT IOE ON ACC1.[=O OUT
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DESCRIPTION
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RECEIVED 13YY
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TOTAL i
All claims and r ands MUST he accompnnled by thle hill
ro gore�r THANK Y O U
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