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Permit
'IIIa CITY OF TIGARD MASTER PERMIT a= COMMUNITY DEVELOPMENT Permit#: MST2020-00065 Date Issued: 02/26/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 L Zr Zct /QG) Parcel: 2S104AA00500 Jurisdiction: Tigard Site address: 12475 SW 127TH AVE Subdivision: BELLWOOD Lot: 54 Project: FEDERIUK Project Description: New bathroom and bedroom egress window relocation. 12/18/2020: REPRINT permit to add(2) additional branch circuits for radiant floor heat and recessed lights. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 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: Yes Total: 0 sf Value: $5,070.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 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: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Natural Gas 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: 5 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 Ecompasing: N Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 0 Owner: Contractor: FEDERIUK,ISAAC&NAOMI OWNER Required Items and Reports(Conditions) 12475 SW 127TH AVE ISAAC FEDERIUK TIGARD,OR 97223 12475 SW 127TH AVENUE TIGARD,OR 97223 PHONE: PHONE: 503-840-8003 FAX: Total Fees: $544.36 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 952-001-0010 t gh OA �,2 00,1-0009900.. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued � • ! d Pe rmittee Signature: e,A1 r /VU T70 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 job site at the time of each inspection. E- 12.18 Electrical Permit Application FOR OFFICE USE ONI,I' City of Tigard RECEIVE .- Tea G p Permit# • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review iL� �o�p� "'_®_ 1 II. Phone: 503.718.2439 Fax: 503.598.1960 DEC 0 8 2010 Date/By: Related Permit g: T I G A It q Inspection Line: 503.639.4175 Ready DateBy: pG lurk ® See Page 2 for Internet: www.tigard-or.gov CITY OF TIGAR I Notifted/Method/L//a/"1 1 IG Supplemental Information TYPE OF WORISUILDING DIVISION 4 r/L /109e PLAN REVIEW - ❑New construction 'Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. E Demolition 0 Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. al 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 commercial-use agricultural ampgs. ❑Multi-family D Master builder ❑Other: for all other installations, btaa ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived //� Job site address: ��r ❑Addition of new motor load of system. Job#: n /d7TJ $W 1.27*/¢l/e I00HP or more. ❑"A","E••, , ❑Six or more residential unite. occupancy. City/State/ZIP: 14.-4, oR 97�13 ❑Health-care facilities. 0 Recreational vehicle parka. Suite/bldgfapt.#: JA//4 I Project name: /ieri.14 -rtfcaa".n td dish/S ❑�rdous locations. 0 Supply voltage for more than J 0 Service or feeder 600 amps or more. �volts nominal. Cross street/directions to job site: FEE SCHEDULE S�/nAsp+- D+S Dacriptica I Qty. I Each I Total I • /f— / H/ 7' New residential single-or multi-family dwelling unit. Subdivision: I Lot#: Includes attached garage. 1,000 sq.ft,or leas 168.54 4 Tax map/parcel#: a5/p5',lic9050o Ea.add'I500 sq.ft.mportion 33.92 1 DESCRIPTION OF WORK Limited energy,residential !Y1 fA (with above sq.ft.) 75.00 2 el�A/�✓I a o.4, iXRAch Char.f q4c/ iaov 6000 ✓A is 'f.IA r qa Limited energy,multi-family ' 1 ,�o / residential(with above sq.ft.) 75.00 2 •-k X Jnp f�Ge3 /4A> v/ei ioie e'uf,6/ 4•�On o7 Girez4i 1, Renewable Energy 0 See Page 2 PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: '�cetgc /,Jeri Kh. 200 amps or less 100.70 2 Address: ! q $u or*Aver 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: -7-7.q Fop, oe 9 Ada 3 601 amps to 1,000 amps 301.04 2 Phone:(563 ) i3O.p9p 3 Fax:( ) Over 1,000 amps or volts 55226 2 Temporary Email: 7 k .- c/C 1 relocation services or feeders installation,alteration,and/or mu. f©. Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,/ r exxcc)lang according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 . 2 Owner signature: Date: 5 'az soap 401 amps to 599 amps 168.54 2 X APPLICANT I ❑ CONTACr PERSON Branch circuits-new,alteration,or extension,per panel , A.Fee for branch circuits with Business name: A/.4 above service or feeder fee, / each branch circuit 7.42 2 Contact name: S3`At[e P- /e('t u ItL (AOi47 e e'a,n er) B.Fee for branch circuits without ay ct /a Ave service or feeder fee,first f Address: g branch circuit 56.18 S6 2 City/State/ZIP: qrs id/ pie q aa3 Each add'I branch circuit / 7.42 yN' 2 J i Miscellaneous(service or feeder not included) Phone:(cp/ ) Fax:: g'�!0 �603 ( ) Each manufactured or modular 67.84 2 // dwelling,service and/or feeder Email: Ik oe P .l2Rr 10/I'/ Reconnect only 67.84 2 CONTRACTOR L Pump or irrigation circle 67.84 2 Business name: N/A - I.,Jo rh I5ei4t y C „3,,,, G/wf/ J� //Om e O cJ/I f'/" Sign or outline lighting 67.84 2 J rr Signal t(s)or limited-energy 0 See Page2 2 panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 6625/hr Phone:( ) I Fax:( ) Investigation(1 hr min) 90.00/hr Email' Industrial plant(1hrmin) 78.18/hr ' Inspections for which no fee is 90.00/hr • CCB Lic.: ElectricalLic.: I Suprv.Lie.: specifically listed('hhrmin) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: # /p3.60 Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): 1 763 TOTAL PERMIT FEE: ", Authorized signature: `� a3 This permit application expires H a permit is not obtained within 180 Print name: �i76c , pQ/er;;,,,4 Date: 0819S-G doh days after it hu been accepted as complete. e Number of inspections allowed per permit. I:\Buidag\PermitsuELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(I IStS/COM/WEB i Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE DeurlpHon • Fee for all residential systems combined: $75.00 Renewable I Bub I raw w I I y Renewable ekctricsl energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01to1Skva 133.56 2 E Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >I00 kve(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in an of the above: El Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr I • Inspections for which no fee is 90.00/hr specifically listed('/a hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): y • Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: I I Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems E Data Telecommunication Installation n Fire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations l Eailding/PermdslEL.C-PermeApp_EL.R_ERE.doc Rev D6/172015 I Dianna Ornelas From: Isaac Federiuk <ikefed@hotmail.com> Sent: Thursday, December 17, 2020 8:44 PM To: #Building Permit Technicians Subject: Re: 12475 SW 127th Ave - Federiuk Categories: Dianna Caution!This message was sent from outside your organization. Hi Dianna, Thank you for reaching out. I am new to the permitting process and did not know you could amend a permit and add additional circuits to it.That sounds like a good idea. Let's amend the existing permit by adding these two additional branches to it. Thank you! Isaac On Dec 17, 2020, at 6:55 PM, #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> wrote: Hello Isaac, I am processing your electrical permit application and I see that you have an active building permit MST2020-00065 that also contains electrical work for (3) branch circuits. I just want to clarify that this new application for(2) branch circuits is in addition to the other(3) circuits applied for under the MST permit, is that correct? If so, I would recommend that we just amend the existing MST permit and add these (2) branch circuits to it, which will save you about$50.00. It is also much easier to track and schedule inspections for just one permit. Please let me know how you would like me to process the additional branch circuits. Add to existing permit, or create a separate permit. Thank you and have a good evening. Dianna L. Ornelas Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct I 503-718-2439 Permits 1 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2020-00065 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/26/2020 Parcel: 2S104AA00500 Jurisdiction: Tigard Site address: 12475 SW 127TH AVE Subdivision: BELLWOOD Lot: 54 Project: FEDERIUK Project Description: New bathroom and bedroom egress window relocation. BUILDING Floor Areas Required Setbacks Required Stories: 0 Bedrooms: 0 First: 0 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: Yes Total: 0 sf Value: $5,070.00 Rear: 0 PLUMBING Sinks: 0 Water Closets: 1 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Fooling Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 2 Clothes Dryers: 0 Natural Gas 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 SrvclFeeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea addl 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 3 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-800 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+ampNolt: 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 VB R-3 0 Owner: Contractor: FEDERIUK,ISAAC&NAOMI OWNER Required Items and Reports(Conditions) 12475 SW 127TH AVE ISAAC FEDERIUK TIGARD,OR 97223 12475 SW 127TH AVENUE TIGARD,OR 97223 PHONE: PHONE: 503-840-8003 FAX: Total Fees: $527.74 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 pe -it will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oreg�.. • requires you to ,.low the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0'- .101-0r'• ou may n a co•F the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �' i Issued By: 01111( w Permittee Signature: Call 503.639.4176 by 7:00 a.m.For the next available inspection date. ----721 /� 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 FOR OFFICE USE ONLY City of Tigard 3 �+..) ° Received / Date/By: Permit No.: , _i61371.Ch, 13125 SW Hall Blvd.,Tigard,OR 97223 `r Plana Review /4 ; Phone: 503.7182439 Fax: 503.598.1960 FEB 2 4 20LU Date/By: Zy���'��'=���6/ Other Permit: I I i ,1 I:I t Inspection Line: 503.639.4175 V Date Ready/By i/ huffs: S See Page 2 for Internet www.tigard-ocgov E rl�-v li: Notifie ettwd: �� Supplemental Information d / 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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. D I-and 2-family dwelling ❑Commercial/industrial Millillit $ 5 G�7C Accesso buildin Number of bedrooms: ' ❑ ry g ❑Multi-family El Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: /;)yes• sl,,; j ul i'4'r V.e. New dwelling area: square feet City/State/ZIP: a,-/ o,�� 9/))3 Garage/carportarea: square feet Suite/bldg./apt.no.: FPel ii'cr Elk Covered porch area: square feet Cross street/directionsti� to job site: �/ L / 9 / Deck area: square feet iv6�1 /�'t z,7'7/' \e it r� Zf.$cT 4dkt k.. ,4 'lit- Other structure area: square feet �c ( /4r,i�r 74l /1. k f er. REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: 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 DESCRIPTION OF WORK work indicated on this application. Valuation: $ Aim (`7 rz.4 VYI //1-c+f L.,/, lP�r/LJ / c er/ ,- £a`) 111 �.c H✓IA,V. / tJ Existing building area: square feet /C J New building area: square feet Li PROPERTY OWNER 0 TENANT Number of stories: Name: . yc.r.c f pC/e-rt�i(' Type of construction Address: /0y75 S I•-1 /9 77,4 e_ Occupancy groin City/State/ZIP: .j ff 4-,ci cxr 47.7,o3 Existing: Phone:( v3) '1t lfjt.:S Fax:( ) New: ❑ APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: (Please refer re fee schedule) ��"' x/vv c,r> .li'l/LT Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: .l f t Toaees due upon application City/State/ZIP: c 1 � Phone: Amount received: ( ) Fax::( ) E-mail: /Ae 1E'0I6/!0/0ktjco/yJ PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: ., r.. 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. City/State/ZIP: Permit Fee(includes plan review $180.00 and administrative fees): Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60 CCB tic.: y� Total fee 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. Pcq#i na tle: SS�i4 c FPcl:-r,,, k Date: r�`/ F�16�C,A *Fee methodology set by Tri-County Building Industry Service Board. I:\Build ng\Pemrits1BUP-RESPermitApp.doc 02/24/2011 4404613T(I l/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE o'l 1 City of Tigard Received •� Date/B : Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing 0 Mechanical 7 I G AR D Internet: www.tigard-or.gov 0 Other: THE FOLLOWING 11'EMS ARE REQUIRED FOR PLAN REVIEW' 1'es \D \'k 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑ 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ 0 0 3 Verification of approved plat/lot. ❑ 0 ❑ 4 Fire district approval required. Name of district: • 0 0 0 5 Septic system permit or authorization for remodel. Existing system capacity . 0 0 0 6 Sewer permit. ❑ 0 0 7 Water district approval. ❑ 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 ❑ ❑ 9 Erosion control 0 plan ['permit required. Include drainage-way protection,silt fence design and location of catch- D 0 0 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. . 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if ❑ ❑ 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 0 0 0 and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ 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 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 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 ❑ 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 ❑ 0 0 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 ❑ 0 ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. 0 0 0 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 ❑ 0 0 architect licensed in Ore on and shall be shown to be a Iicable to the ro'ect under review. 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 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ 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 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 ❑ 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\Pemtits\BUP-RESPernitApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY � ��i+ ti F city of Tigard )"P xip S Received ��•n - Permit No.: Date/By: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.19602 Other Permit: Inspection Line: 503.639.4175 FEBF C}j 4 LJ c' Date/By:Ready/By:G A R U Date Ready/By: Ririe: ® See Page 2 for Internet: www.tigard-or.gov t j-)-V t j 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 ❑Addition/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* ❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: /)` 76 Si..) 1:)4144,//✓L Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: `j t-,)kce/ c)f 77,))3 Furnace 100,000+BTU(ducts/vents) 54.91 I Heat pump 61.06 Suite/bldg./apt.no.: Ilhhjiaat.nalne: /C/ /t,ik. 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 / (41) `4 r!/[y�y C'1C G-,<,i,�ji � 4' Ate., J fireplace 23.32 1 16N ` Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 14 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: "-r—ic;,c ( ram(.(: iorle' Range hood/other kitchen equipment 33.39 Address: l,)2 ptf SyJ /J 7#d"ive, Clothes dryer exhaust 33.39 City/State/ZIP: '1—IJ,i el r C Q t1.7»3 Single-duct exhaust(bathrooms, toilet compartments,utility moms) a 23.32 Phone:("x ,) iNC.. goo- Fax:( ) Attic/cmwlspace fans 23.32 0 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: Fuel piping: �� — e'-S r' evr_ $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: QLt.i/".-rG4.,— Other: MECHANICAL PERMIT FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( ) Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: .' - / Fee days after it has been accepted as complete. !/ • methodology set by Tri-County Building Industry Service Board Print name: iJ c r—i3c16rr +4 UMW fcSoft.Jt) I:\Building\Per mite\MEC_PermitApp 040113.doc 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$100.00 or fraction thereof Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 Electrical Permit Application FOR OFFICE USE ONLY { ` t 'City of Tigard �i� R Date,Received Permit#: 13125 SW Ball Blvd.,Tigard,OR 97223 Plan Review � g Phone: 503.718.2439 r=iB 2 4 2 Date/B : Related Permit#: Email: TigardBuildingPermits@Tigard-or.gov Ready Date/By: lads: ® See Page 2 for (,AEI) Inspection Line: 503.639.4175 Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF WORK �ti p �,t; PLAN REVIEW D New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): O Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. ❑ 1-and 2-family dwelling ❑Commercial/industrial ElAccessory building less to ground,or exceeds I4,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family ❑Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: site address: f)1-/75 s t�2 id 71'r 4,.� 100HP or more. ❑"A","E","1-2","I-3" (Ylty/$tattIP: ��.d_i ,�( j. 3 ❑Six or more residential units. occupancy. J0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name: /C•i:„t 0 Hazardous locations. 0 Supply voltage for more than - ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCHEDULE Description I Qty. I Each I Total I New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'I 500 sq.ft.or portion 33.92 I DESCRIPTION OF WORK Limited energy,residential ( 1 (with above sq.ft.) 75.00 2 .3) �j n tt G./ice...,+I Jr /lJ s L 1.7—AM Limited energy,multi-family 75.00 2 residential(with above sq.ft.) Renewable Energy 0 See Page 2 0 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: ;_-e{4%C_ / de l s•-/C 200 amps or less 100.70 2 Address: /e/7 j 5t,./ /,�7 t��, 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 :City/State/ZIP: T ,,d r c f e'-1-4 3 601 amps to 1,000 amps 301.04 2 Phone:(5 ) Rtyo _ ;pc Over 1,000 amps or volts 552.26 2 ` / / J. Temporary services or feeders installation,alteration,and/or entail: i ke teCl cYY ti�f (U/?'1 relocation Owner installation: is installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to400 amps 125.08 2 Owner signature: .....------/>/:---7 Date:o91/r:C ,,.)C,av 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension, ,er panel 0 APPLICANT ❑ CONTACT PERSON A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 each branch circuit Contact name: B.Fee for branch circuits without Address: service or feeder fee,first branch circuit 1 56.18 2 City/State/ZIP: Each add'l branch circuit .2,branch 2 Miscellaneous(service or feeder not included) Phone:( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Address: Signal circuit(s)or limited-energy ID See Page 2 2 panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.25/hr Phone:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lie.: specifically listed('/z hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit I:IBuilding\Permits\ELC_PamitApp_ELR_ERE.doc Rev 10/26/2017 440-4615T(11/05/COM,WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 ❑ Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other Each additional inspection is 66.25/hr charged at an hourly(1 br min) Inspections for which no fee is 90.00/hr specifically listed('hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): y * Number of inspections allowed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:00uilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 10/26/2017 Plumbing Permit Application . -y --' 1- Building Fixtures r "'P FOR OFFICE USE ONLY City of Tigard FEB 24 132:- Received Date/By: Permit No.: IIIII • 13125 SW Hall Blvd.,Tigard,OR 97223 plan Review Phone: 503.718.2439 Fax: 503.598.1960 'I' ,jr •: Date/By: Other Permit No.: I I t Ali Il Inspection Line: 503.639.4175 Date Ready/By: AXIS gl. See Page 2 for Internet: www.tigard-or.gov Nolified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE El New construction ❑Demolition For special information use checklist Description I Qty. I Ea. I Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 El1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 ElAccessory building El Multi-familySFR(3)bath 500.32 Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler(_sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: / y75 Si.. 0.7 i Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 Y �7 Gad ()� �a� Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: PvProject name: f edP`/"u 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: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 Clothes wash 25.02 li� 175/ t (IS.-S T T l .4,. ( ri _, ^, j Dishwasher 25.02 l tl� ,kee,. t r`w/N rc. Drinking fountain 25.02 Ejectors/sump 25.02 0 PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: r / Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: /)y 175- 5',,,) f 74,44.... Garbage disposal 25.02 City/State/ZIP: q are/ eve 9?o 3 Hose bib 25.02 Phone:(5;;) t(p _ gL�2 Fax:( ) Ice maker 12.51 El i ''' IA ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: //_� Medical gas(value:$ ) Page 2 o u 4 xn Primer 12.51 Contact name: Roof drain(commercial) 12.51 Address: Sink/basin/lavatory123 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Fax::( ) Tub/shower/shower pan i 12.51 E-mail: Urinal 25.02 )` ' ,u*-, 45' .4•'C ,}i- „"'•+ V w• zvy Water closet I 25.02 °`. . " » °°; Water heater 37.52 Business name: O?A��„..--- Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: Subtotal Phone:( ) Fax:( ) Minimum permit fee: $72.50 CCB Lic.: Plumbing Lic.no.: Plan review (25%of permit fee) State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: // L Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. IdBuildng\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(10/02/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-1"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' 62.54 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 Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to p 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 ❑ 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 ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thru Cuspidor/Water Aspirator 0 Medical gas and vacuum systems for health care facilities. ❑ Any multipurpose fire sprinkler system. Dishwasher: -Commercial Domestic 0 Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Dram 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: -Lev/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_Permi tApp.doc 08/04/2011 2 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Ill 4' Water Meter Fixture Unit Worksheet Tit ,\ < l> For Additions /Remodels /ADUs cc ccn 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigardREC CIVCI..t FEB 2 6 2020 LOCATION: City of Tigard—City Hall WATER METER SALES: CITY OF TIGARD • Utility Billing By Appointment Only: 503-731U ING DIVISION 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. 1s/suiidmg/Forms/WaterMeters_070119_Add.docx Page 1 Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs Please complete the following information: Customer Name: . "--Saac FcYer/e.44 Service Address: Street/Suite#: . /a`/ 5I—) f 714 AVe, City: T,rre l State: Die Zip: ?7.V3 Phone Number: So3 - Si/0-foo3 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 = t/ x 4 = Dishwasher / x 1.5 = /..5 x 1.5 = Hose bib / x 2.5 = S x 2.5 = Hose bib,each / x 1 = I x 1 = Kitchen sink / x 1.5 = /. 5 x 1.5 = Laundry sink x 1.5 = x 1.5 = Lavatory / x 1 = / Q x 1 = a Water closet, 1.6 GPF / x 2.5 = a, 5 i x 7.5 = a. Bathtub/whirlpool x 4 = x 4 = Shower stall x 2 = / x 2 = a Bath/shower combo / x 4 = </ x 4 = Current Points: 1$ Proposed Increase: G-5 Current Points+Proposed Increase= ay 5 =New Total Points =Required Meter Size 6h Meter Sizes: 1 to 30 points= 5/8" 30.5 to 37 points=3/4" 37.5 and over points= 1" New Meter Size Needed for New Total Points: 5/ I r g Cost: $ c),goo (see page 1) Current Meter Size per Utility Billing: 5/61, r Cost: $ 9 4/0 (see page 1) New Meter Size Cost minus Current Meter Size Cost= $ C, (This is Your Cost to Increase Meter Size Due to Additional Fixture Units) ************************************************************************************* FOR OFFICE USE ONLY Current Meter Size Confirmed with UB ./i- i�4 402,,/,,,,0 Signature of UB. presentative Date I:/Building/Forms/WaterMeters_070119_Add.docx Page 2