Permit CITY OF TIGARD MASTER PERMIT
• 1 . COMMUNITY DEVELOPMENTN
Permit#: MST2019-00447
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/24/2019
TIG \R. 9 Parcel: 2S102CA00210
Jurisdiction: Tigard
Site address: 13235 SW ASH DR
Subdivision: VIEWCREST TERRACE Lot: 8
Project: COOK
Project Description: Converting a portion of the existing garage to a new bathroom, laundry room, and a bonus room.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 196 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0 Detectors:
Total: 196 sf Value: $14,695.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 1 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 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: 1 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
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF 196
Owner: Contractor:
COOK,LORI LEA&RONALD SR OWNER Required Items and Reports(Conditions)
13235 SW ASH DR LORI COOK
TIGARD,OR 97223 13235 SW ASH DRIVE
TIGARD,OR 97223
PHONE: PHONE: 541-390-0792
FAX:
Total Fees: $971.73
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. T is permit will expire if work is not started within 180 days of issuance, or if work is suspended fo more the 180
days. ATTENTION: Ore.•• law requires y. ,i to follow •- rules adopted by the Oregon Utility Notification Center. Those .r. -s are : forth in OAR
952-001-0010 throug *AR• 2-0/0,,,,„%:::-.•0. Yo• -y 0. to, opy o>. rules or direct questions to OUNC by calling 503.232.1•;7 or 1.80'. 3 .2344.
Issued By: � A ''� Permittee Signature: •, , . `,
Call 503.639.4175 by 7:00 a.m.for the next available inspection:.t@.. ,
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.
Building Permit Application
Residential e ,,1, i,l 1 1, 1 1 ,.1 ,,v 1 ,,
IIICity of Tigard Received
y_ �'\' Date/B : ,f J, Vd Permit No.:
M V Air,'l !. • �f- U
13125 SW Hall Blvd.,Tigard,OR 97223 .— Plan Review
ir
Phone: 503.718.2439 Fax: 503.598.1960 Date/B ; Z / Other Permit:
.d'I
i 1 IInspection Line: 503.639.4175 ,� 1 2 20 Date Ready/By: / r4 See Page 2 for
Internet: www.tigard-or.gov Notified/ ethod: i'_ A LM I Supplemental Information
',ARD AP /7
TYPE OF WORK DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
4-
❑0
New construction 0 Demolition Pet-n.14 tees*bre lased on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
IrAdditiontdlteratiolt placement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
141-and 2-family dwelling 0 Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms: -may,. -
❑Master builder 0 Other: Number of bathrooms: /
JOB SITE INFORMATION AND LOCATION Total number of floors: /
Job site address: / 3 2.. 3 5S A c A O ie New dwelling area: t9 c square feet
City/State/ZIP: T.-t C� e 9-7 2-2- 3 Garage/carport area: yst� square feet
Suite/bldg./apt.no.: ` Project name: Ce9c e. ./ r Covered porch area: square feet
Cross street/directions to job site: '( Deck area: square feet
44.1 LtJr i( /1-74X)7 ZJ -''1s.%1.C-..,../ Other structure area: square feet
/� -e--L.,rte. rel,a /lK-,✓ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1,, t,l- w�wA-� U
� _ v„V T,t_
- . Permit fees*are based on the value of the work performed.
Tax map/parcel no.: ,- 7' /VI/� 7C``q �p Indicate the value(rounded to the nearest dollar)of all
4.0 equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
c1 A,!;5 4 IA. 5. 12.040- S 'i',C,0 4 Valuation: $
PR e VialAs 4, /vExisting building area: square feet
>,(,t'rn,t,k ,,,,, � Ca>n(/ l �s n� ‘,2(...i9 ni i 61,�/�Q.( New building area: square feet
In P PER OWNER 0 TEANT Number of stories:
Name: d-t��! t_,6a ,q- 77 Type of construction:
Address: i 3 2„ 3 5„ 5 c. .) t, 0/2.. Occupancy groups:
City/State/ZIP: 7"7 O c/e,- 9 7 2 3 Existing:
Phone:(641 ,7 cm `cr--)e/ 2.. Fax:( )
New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: g ,-do, ei e
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
y
City/State/ZIP: Total fees due upon application: r /`�� , v i
Phone:( ) Fax::( )
Amount received:
E-mail: Vse'l �;/�cS.,yr C lk;U)/C, cbc 1 PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name: ® Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
t ity/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature: This permit application expires If a permit is not obtained
,....-0.-014----eV'\:/� within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
]Print name: t!. t e 4 ren..-�- 7 - - Date:12./f 2.,j r 5, Service Board:
1:1Building•\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(lf 1/02/COM/WEB)
! i
I
Building Permit Application Checklist
One- and Two-Family Dwelling i (w. (), i l E i I l „v I ,
City of Tigard Received
oaten : Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits:
Phone: 503.718.2439 Fax: 503.598.1960
R, 24-Hour Inspection Line: 503.639.4175 0'Electrical/4/1.4 d',Plumbing 0 Mechanical
Internet: www.tigard-or.gov 0 Other: .s'7-0/tleG'to
I till 1 OLI.t)\\ \(
I ; I I it is+ ..RE Rl;Qt IRU1) FOR 1'1„V\ RLN 11;N\ '1 c,, vo vk
—1 Land use actions completed. See jurisdiction criteria for concurrent reviews. I ® ll ❑
_2 Zoning. Flood plain,solar balanceioints,seismic soils designation,historic district,etc. 12I U 0
3 Verification of approved plat/lot. Pr 0 [d
._4 Fire district approval required. Name of district: j !9 1 0
_5 Septic system permit or authorization for remodel. Existing system capacity0
_6 Sewer permit. P_;
0 0
_7 Water district approval. I'ri 0 0
_8 Soils report. Must carry original applicable stamp and signature on file or with application. ►,i 0 0
9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- PA 0 0
® basin protection,etc.
1Z9 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state j$( 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.
11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if FE 0 fig
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;jdirection
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 0 0 Di
_ and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, Vi 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- 0 0 Ti-
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 0 51
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;forinon- 0 0
prescriptive path analysis provide specifications and calculations to engineering standards. ,
7 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 0 CA
_ locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 0 E
_ systems,see item 22,"Engineer's calculations.”
1.9 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists 0 0 (23
over 10 feet long and/or any beam/joist carrying a non-uniform load.
20 Manufactured floor/roof truss design details. 0 0 E;f`
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required 0 0 i
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 0 El
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
II
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
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-ons. "Mirrored"building plans will not be accepted. 0 0 0
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. 0 0 0
27 "Drawn to scale"indicates standard architect or engineer scale. 0 ■ 0
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 0 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-Screening Site 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. -
I:\Building\Permits\BUP-ItESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1
Mechanical Permit Application FOR OFFICE USE ONE 1
City of Tigard Received
`.r g Date/By: f P
NWIMffbill
3111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ 4 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
TI C;A R D Inspection Line: 503.639.4175 Date Ready/By: luris: Fd See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ` -.1kddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
*®T and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: /3A 35"" sto 1 a' Furnace 100,000 BTU(ducts/vents) . 46.75
City/State/ZIP: - ?,'. o 2 2.2d Furnace 100,000+BTU(ducts/vents) 54.91
I Z QQ''�� Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) . 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fd Cl) 4ic, f% Ce.R.) '? fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Aoft- ce:76)(< Range hood/other kitchen
equipment 33.39
Address: 5-4,, ,5 Gs 6 Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Fuel piping:
5�wi Z S Q Gvrt $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
— Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
— Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: oW,,,rf MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/Z1P: Minimum permit fee($90.00) .
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
A days after it has been accepted as complete.
Authorized signatu . /if,. ,� * Fee methodology set by Tri-County Building Industry Service Board
Print name: ' „461.-1,...7/� &.�%i/ Date: /2/2 cli y
B \ ME
I:\ uildingPermits\ C_PermitApp_040113.doc dam'' 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I.•\Building\Permits\MEC_PennitApp_040113.doc 2
'Plumbing Permit Application
Building Fixtures 10k 011 k 1. I.SE 0yl.1
Received Permit No.:
City of Tigard Date/By: /$757-:ma7 -c.:),,_)`r`Lr 7
li Ili13125 SW Hall Blvd.,Tigard,OR C E IV E p Plan Review
Phone: 503.718.2439 Fax: 503. Date/By: Other Permit No.:
l i t, RI) Inspection Line: 503.639.4175 Date Ready/By: loris: ra See Page 2 for
Internet: www.tigard-or.gov DEC 1 2 2019 Notified/Method: Supplemental Information
TYPE OF WOI TY op TiCARLI F
•
0 New construction D Pkt�id#ftjotu 1V 1 SO PSN For special information use checklist.
Description I Qty. I Ea. I Total
❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
61R + WtJC (ON SFR(1)bath 312.70
Vil 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
SFR(3)bath 500.32
❑Accessory building 0 Multi-family
Each additional bath/kitchen 25.02
o Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2
JDB'Silt vtATIUIV AND ) ATJO Site utilities:
Job site address: 1 3 Z 3 s 5 t✓ lS tt ,� Catch basin or area drain 18.76
Drywell,leach line,or trench drain 18.76
City/State/ZIP: 7 ,9 A"C v co 9 7 2,2 3 Footing drain(no.linear ft.:_) Page 2
Suite/bldg./apt.no.: I Project name: C ac.k, hdfvr e Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear ft.:_) Page 2
Storm sewer(no.linear ft.:_) Page 2
Water service(no.linear ft.:_) Page 2
Subdivision: I Lot no.: Fixture or item:
TaxBackflow preventer 31.27
map/parcel no.:
Backwater valve 12.51
x 4
. Clothes washer_ 25.02,
routs 4 /'Q R- .0 Al 5 7 .-r-ep l0 f Dishwasher 25.02
1" go d l i&i 5 OGAJ Abele- Drinking fountain 25.02
Ejectors/sump 25.02
i, ,. Expansion tank ap 12.51
25.02
Name: -og./ LB Cr rTG g Floor drain/floor
sink/hub 25.02
Address: 13 L .3' S C4) t4-SA 0z Garbage disposal 25.02
City/State/ZIP: 7 I I/ .4) 04 9 7Z Z 3 Hose bib 25.02 I
(��A 'GAO Ice maker 12.51
Phone: ✓® '?� 2, Fax ( )
,, `c� _ , ,,• L t Interceptor/grease trap 25.02
Medical gas(value:$I ) Page 2
Business name: 5,4„.v1/4„ 'fr.,be-ol 'f12.51
Primer
Contact name: Roof drain(commercial) 12.51
Address: Sink/basin/lavatory / 25.02
City/State/ZIP: Solar units(potable water) 62.54
Phone:( ) Fax::( ) Tub/shower/shower pan t 12.51
Urinal 25.02
E-mail:
Water closet 1 25.02
Co Tft*Cr°R` Water heater 37.52
Business name: ell,AjA'7.r Water piping/DWV 56.29
Address: Other: 25.02
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee: $72.50
Plan review (25%of permit fee)
CCB Lic.: Plumbing Lic.no.: u
State surcharge(12%of permit fee)
Authorized signature:Lvlti+1 , -7--tr.- TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180 days
Print name: �t=.j L.w Cook j'r'e e Date: /2,b2lj9 after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
1:\Building\Permits1PLMU-PermitApp.doc 10/01/09 440.4616T(l0/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee:
Footing drain-15'100' 50.03 0 to 2,000 $121.90
Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69
3,601 to 7,200 $233.20
Sewer-1st 100' 62.54 7,201 and greater ! $327.54
Sewer-each additional 100' 37.52
Water Service-1st 100' 6254 Medical Gas Systems:
Water Service-each additional 100' 37.52 Valuation: Permit Fee:
Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50
Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for
Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to
Other Inspections or Fees and including$10,000.00.
Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for
which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to
(minimum charge-1/2 hour) and including$25,000.00.
Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for
hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to
Reinspection Fees 90.00/hr and including$50,000.00.
Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for
(minimum charge-1/2 hour) each additional$100.00 or fraction thereof.
Subtotal:
Commercial Fixture Work:
Are you capping,adding or replacing fixtures? If"yes",
please indicate work performed by fixture. Failure to
accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations
Quantity by Fixture Type Plan review is required for any of the following.
Fixture Type for Replace/ Please check all that apply.
Work Performed: Capped Added Relocate
0 Any new commercial building with water service 2"and
Baptistry/Font greater,except systems designed and stamped by licensed
Bath: -Tub/Shower
engineer.
-Jacuzzi/Whirlpool
Car Wash: -Each Stall 0 New exterior plumbing site utilities for any complex structure
as defined in OAR918-780-0040.
-Drive Thru
0 Medical gas and vacuum systems for health care facilities.
Cuspidor/Water Aspirator
Dishwasher: Commercial El Any multipurpose fire sprinkler system.
Domestic 0 Any complex structure as defined in OAR918-780-0040.
Drinking Fountain
eye wash
Floor Drain/sink: -2"
3" Isometric or Riser Diagram
4"
0 Isometric or riser diagram is required for new buildings
-Car Wash Drain that meet the qualifications above.
Garbage -Domestic non-food
Disposal: -Domestic food related
-Commercial food related
-Industrial food related
Ice Mach./Refrig.Drains Comments regarding fixture work:
Oil Separator(Gas Station)
Rec.Vehicle Dump Station
Shower: -Gang
-Stall
Sink: -Lav/Bar non-food related
-Bradley
-Com/Serv/Util food related
-Service *Note: If the fixture work under this permit results in an
Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and
Washer-Clothes fees assessed for the sewer increase must be paid before the
Water Extractor
Water Closet-Toilet plumbing permit can be issued.
Urinal
Other Fixtures:
1:\Building\Permits\PLMF PermitApp.doc 08/04/2011 2
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
1111 . 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 Appointment Only: 503-718-2460
13125 SW Hall Blvd. Monday—Thursday, 9 a.m. to Noon
Tigard, OR 97223
METER: SIZE: FEE: Pricing effective 7/1/2019
5/8" $9,406.00 Fee includes:
3/4" $13,425.00 water system development charge,
1" $24,645.00 water meter, and
1-1/2" $72,969.00 meter installation fee.
2" $118,163.00
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, please contact Public Works for installation. Their
number is 503-718-2591. Most meters are installed within 10-14 business days.
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Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs
Please complete the following information:
Customer Name:
Service Address: Street/Suite#:
City: State: Zip:
Phone Number: 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 1 =
Clothes washer / x 4 = G-/ d x 4 =
Dishwasher ( x 1.5 = //,S x 1.5 =
Hose bib A / x 2.5 = „'2,5 x 2.5 =
Hose bib, each --- / x 1 = /, 0 x 1 =
Kitchen sink 1 x 1.5 = i. 3– x 1.5 =
Laundry sink — x 1.5 = x 1.5 =
Lavatory 3. x l = / x 1 = /, 0
Water closet, 1.6 GPF a x 2.5 = .5 el / x 2.5 =
Bathtub/whirlpool -- x 4 = x 4 =
Shower stall I x 2 = e,?, v / x 2 = a 0
Bath/shower combo i x 4 = `,y' 0 x 4 =
C //2-a f% //c 7 d-�/r/
Current Points: ,2 3, Proposed Increase: 5 S
Current Points+Proposed Increase= - , =New Total Points =Required Meter Size 5/ 2 //
Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3/4" 37.5 and over points= 1"
/4a/?
New Meter Size Needed for New Total Points: Cost: $ (see page 1)
Current Meter Size per Utility Billing: Cost: $ (see page 1)
New Meter Size Cost minus Current Meter Size Cost= $
(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
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