Loading...
Permit CITY OF TIGARD MASTER PERMIT E ` COMMUNITY DEVELOPMENT Permit#: MST2020-00059 T[GAR.l, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03l03/2020 Parcel: 2S102AB00912 Jurisdiction: Tigard Site address: 12125 SW 92ND AVE Subdivision: KIMBERLY ADDITION Lot: 12 Project: LAWSON Project Description: Adding new bathroom and patio roof cover. Electrical and plumbing permits to be submitted separately. BUILDING Floor Areas Required Setbacks Required Stones: 1 Bedrooms: 0 First: 96 sf Basement: 0 sf Lek: 5 Parking Spaces: 0 Height: 12 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 15 Smoke Dwelling Units: 0 Third: 0 sf Right: 5 Detectors: Yes Total: 96 sf Value: $35,280.00 Rear: 15 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 0 Storm Sewer: 0 Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0 Bckfw 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 Fum<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'I 500 sf. 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-800 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 VB R-3 96 Owner: Contractor: LAWSON,KAREN L DREAM HOME SERVICES Required Items and Reports(Conditions) 12125 SW 92ND AVE 4130 SW 117TH AVE PMB 337 TIGARD,OR 97223 BEAVERTON,OR 97005 PHONE: 503-502-3620 PHONE: 971-303-5726 FAX: Total Fees: $1,267.35 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 ' 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 yo o follow the rules adop d by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 2-001-0090 You t ' a co rul direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503. 39.4175 by 7:00 a.m.for the next available inspec' n date. This permit card shall be kept in a conspicuous place on the job site until completion of project Approved plans are required on the job site at the time of each Inspection. Building Permit Application Residential 1OR OFFICE USE ON IN City of Tigard E C E I V E C? DateiDate/Byd �" p/� /�',/�� 6457)4225, • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1 E 1 3 2020 Date/By: J 2 2 26 Other Permit: l_i,, .,I,1 t Inspection Line: 503.639.4175 Date Ready/By: f 1/) kv� . See Page 2 for Internet: www.tigard-or.govTIGARD2/citified/Method.,TY OF / ei Supplemental Information 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 4ddition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. El 1-and 2-family dwelling Elm Comercial/industrial Valuation: $35l 2 TO C4:9 jELAccessory building El Multi-familyNumber of bedrooms: ❑Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address:/2_ 5 r.J ?2..wd /IVQ- New dwelling area:% r0.o square feet q/ City/State/ZIP: i� R rdl d A. K? 2 2_3 Garage/carport area: square et S'Suite/bldg./apt.no.: Project name: L ejorj le c-oue _- Covered porch. 1j►-N _ '` square feet /C�rrooss street/directions to job site: Deck area: square feet 1'A //!t �(G/Z`c/ fiefs) tI . _2,/j '/l 1. G� b� Other structure area: square feet i d e44. -7 Ar 11 0 ei � jtii t /C/ J'/S d 4eG ?P r, REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: / Lot no.: Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. fit' 84,r4 ea:wea t 9G _Sp;-7� Valuation: $ f.r:o ce�.1 6'/C o V B✓, /36 Sz, rr,.. ' t Existing building area: square feet -e-c-.Ar.COI. A�r.� P�JM o t'I .3k `D ks r:\t .534.,lnGlt4.�-14 New building area: square feet PROPERTY OWNER '- 0 TENANT ! Number of stories: Name:Rick L a r-SO I^ Type of construction: Address: /2 i 2,3 S cr1 et 2 H d ,14,.,C. Occupancy groups: City/State/ZIP: /t3 r d f U/R ey ! z 2-3 Existing: Phone:( 0)�c,.2._-362_0 Fax:( ) New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: ,,// (Please refer to fee schedule) --N. . ry 6/ta4t.e S der L., i Gts /.,L,t`, Structural plan review fee(or deposit): Contact name: /- , .,k,s AtedWsoh Address: L///3 p z ‘,l 1/�1T aft.„,, r37.5 33 FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: ye...,Fah / C3k. °f` .DG S Phone:(?'i)3 a3_.57.2 Fax:: :( ) Amount received: E-mail:c,/rCA «otie..„.Sry ,_ ' i'c.es/i/G rM°.i 1 • co PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR g Commercial and residential prescriptive installation of roof-top mounted PhotoVoltaic Solar Panel System. Submit two(2)sets of roof plan with connection details Business name: Y eq h //au°r✓ v e!/c GS L G G and fire department access,along with the 2010 Oregon Address: [ll/3Cj S.W S.W. //y /ftlB PM 33,3 7 Solar Installation Specialty Code checklist. City/State/Z1P: 44 ve v.To ,.,1t of , .,,,„js Permit Fee(includes plan review �i $I80.00 Phone:(??,,r)3 03 _ 7 Z G Fax:( ) and administrative fees): State surcharge(12%of permit fee): $21.60 CCB lic.: z.2 ..Z. I3 3 Total fee due upon application: $201.60 Authorized signature: a-r' 'F L'-`-- -.., _ Thispermit application expires if a permit is not obtained - PP P --� -- w ithin within 180 days after it has been accepted as complete. Print name:1 S ���✓X t7 Date: / ( r a. *Fee methodology set by Tri-County Building Industry ^� Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T I1/02/COM/WEB) a. Building Permit Application Checklist -,, FOR OFFICE USE ONLY One- and Two-Family Dwelling `" City of Tigard Received PermitNo.: Date/B13125 S W Hall Blvd.,Tigard,OR 97223 y ,� � • g Associated permits: s Phone: 503.718.2439 Fax: 503.598.1960 24-Hour Inspection Line: 503.639.4175 0 Electrical 0 Plumbing Mechanical l 1 t i:1 I:n Internet: www.tigard-or.gov ❑ Other: 111E FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No Nit 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ 0 3 Verification of approved plat/lot. 0 0 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 6 Sewer permit. 0 ❑ ❑ 7 Water district approval. 0 0 0 8 Soils report. Must carry original applicable stamp and signature on file or with application. 0 0 0 9 Erosion control 0 plan 0 permit required. Include drainage-way protection,silt fence design and location of catch- 0 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 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 0 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 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 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 ❑ ❑ ❑ 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 ❑ 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 ❑ 0 0 for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore•on and shall be shown to be applicable to the ,ro'ect under review. .IURISDICI'IONAI. SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". 0 0 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 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 0 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 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-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY Y City of Tigard Received g Date/By: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Jens: ® 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 ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. El Demolition El Other: Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: IZ/23 S c^/ ' ') [I /9�se Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:'y i to MI e)� t�`r7`r_ 3 Furnace 100,000+BTU(ducts/vents) 54.91 7— Heat pump 61.06 Suite/bldg./apt.no.: Project name: la:if1Al )`,I 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 Oth Subdivision: Lot no.: er' 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 „_. -4_,,, raw DESCRIPTION OF WORK Gas fireplace/insert 33.39 / / ;., Flue vent for water heater or gas 45 L f/1/IDoi i. Ex/.c ce c i t e-T i t f tiGvt.`r est+�! . r fireplace 23.32 1�✓'+r t'( Log lighter(gas) 23.32 TA"0"��S c 7 c . v, i- .. Wood/pellet stove 33.39 �1 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 OthPROPERTY OWNER 0 TENANTS' 23.32 Environmental exhaust and ventilation: Name: -t. 1- I /1,4 v'c*� i. e c✓vim Range hood other kitchen Address: fzlZTj S C-✓ .Zue� 4 Cl°t es di pment 33.39 L Q /�t✓� Clothes dryer exhaust 33.39 City/State/ZIP: T/ Y.G( OZ C 7 7 7 ? Single-duct exhaust(bathrooms, 3� Phone: �l l ✓�raw toilet compartments,utility rooms) I 23.32 Z3. J) Sow— 36,Zei Fax:( ) Attic/crawlspace fans 23.32 "" 0 "Al4L'ICA1 0 CONTACT PERSON Other: 23.32 Business name: acv J / Fuel piping: / � S $14.15 for firs[four;$4.03 for each additional Contact name' I..Cl c,S f cede�,,AS Furnace,etc. Address: T/3o SA,...), l i t- Hue. pelf ?��7 Gas heat pump City/State/ZIP:2 � L1 J r Wal/suspended/unitheater !Y_ci Lie t/''-ems til r),. 9 7 C( Water heater Phone:(?`7' ')3f_4-? / f ax::( ) Fireplace E-mail: T� Range Barbecue CONTRACTOR Clothes dryer(gas) Business name: /�r, r /�/p y Other: (� It�(� J/: ea.Q µ' f I . E.t'L� y�:._7.t/t i_trJ ILF� _ VC� V tJ /n� MECHANICAL PERMIT FEES* , Address: /f(30 SL.J.- l/:-� ,,e. Subtotal City/State/ZIP: �,,"�e� µ j C D_ (?moo)r' Minimum permit fee($90.0e) Phone:(? )�30 3 7. /_ I Fax:( / )`" 7 Plan review(25%of permit fee) f [v State surcharge(12%of permit fee) CCB lie.: e��/ 5 .3 TOTAL PERMIT FEE ff This permit application expires if a permit is not obtained within 180 days after it bas been accepted as complete. Authorized signature: `--' l'aa methodology set by Tri-County Building Industry Service Board Print name: aes LiDate: f(//12,0I:\Building\Permits\MEC_PemitApp_040113.doc 4r(1I/01/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:\Buildingwermits\MEC_PermitApp_040113.doc 2 City of Tigard IliCOMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: ,,,„/„.. -T� rZ 0 S9 Site Address: 12-1/5 S a `j 2 `l Ave Project Name: L A" fa G,— F ?‘4l\f-fd(h Al-ki\yam Lot #: Planning Review( 1 1 [ 1 I Proposal: t.) Lr�norx c4WtiUn 'u Q+ �w fIdM c J Sint ( h Kd' Verify address/suite# active in Accela. L r In River Terrace: No ❑ Yes, River Terrace Review Addendum Site Plan Elements: rosion Control 04 opies of site plan on 8-1/2"x 11" or 11 x 17"paper SUP' tamed trees with drip line and tree protection measures :wn to scale(standard architect or engineer scale) �1.1s[ ootprint of new structure(including decks)and FFE , IP arrow r i a'ty locations&easements(required for new and additions) Iti ite address,project or subdivision name and lot number I Sidewalk/driveway approach 1i .plicant information(name and phone number) lOtocation of wells/septic systems ,�IE g,�.t dimensions and building setback dimensions 'Lk. .=-t tree size,type and location R4�' .re footage of buildings to be demolished P.'. --t names 111 :sting structures on site C omer elevations(2'contours if more than 4'differential),,,..- II! .t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes' o impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes ❑No Lid' Clean Water_Sces—Service Provider Letter (lot platted prior to 9/10/1995): equired: l-G1 Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No Water Meter tare Unit Worksheet—Additions,Remodels and ADUs �� ._( Required: ® Yes,applicant was notified El No Received: ❑ Yes Ly No III�Jk SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No (Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified ❑ No Applied For. ❑ Yes ❑ No,stop intake F and Use Case#: 0 Zoning g.._ l/. uired Setbacks: Front: i S Side: S Street Side: Garage:�eq (,� Rear: [ B l ding Height: Max.Height: 3 j'-- Actual Height: It',S at/Landscape Area: 7.1) % Lld'Lot Coverage Max: ym % ntrance ❑ Set back no more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows ❑ Minimum 12%of area of all street-facing facades y Garage ❑ Garage door is behind widest street-facing wall ❑ Yes ❑ No,one of the following is met ��w(t El Door extends no more than 5'from wall and there is a covered porch extending beyond garage. El Door extends no more than 5'from wall and there is a 12 sq ft.window above garage on 2,0 floor. ❑ Garage door width is El 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ Covered porch ❑ Recessed entrance ❑ Wall offset ❑ 1'Roof eave ❑ Roof offset ❑ Fire shingles ❑ Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding Window trim ❑ Window recess ❑ Window projection ❑ Balcony /Visual Clearance Urban Forestry Plan [',Sensitive Lands: 0 Yes ErNo Type: ©/Conditions met prior to issuance of building permit Noes: Approved By Planning: int, ` /" Date: 'I-13 14 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved I:\Bui lding\Forms\BldgPennitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: 7020 Site Plans: # Building Plans: # Building Permit#: nter building ermit#above. Workflow Routing: Planning gineering permit Coordinator nilding Workflow Sign-off: ign-off for P nning(include notes from planning review) / Route Application Documents: ziZrEngineering. (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. Building: original permit application, site plans,building plans,engineer and beam calcul .ons and trust tails,if applicable,etc. Notes: By Permit Technician: Date: Q ( 0 Engineering Review Slope at building pad: gl Conditions "Met"prior to issuance of building permit Easements (encroachments) per engineering conditions of approval and plat g Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ® No Assess Water Quantity Fee in-lieu: ❑ Yes IN No LIDA Facility on lot ❑ Yes 51 No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: 0 Approved by Engineering: Brady Date: 2 -1 S - 202O Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: D Approved ❑ Not Approved Permit Coordinator Review 1\4-Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: SDC Exemption: ❑ Received IX Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes (Xi N/A Tigard Trans SDC: 0 Yes N/A Parks SDC: 0 Yes in N/A LIDA ❑ Yes i4 N/A VI OK to Issue Permit Approved by Permit Coordinator: tAA00a,A-- Date: 24 Lt `2-o I:\Building\Forms\BldgPermitRvw_RES_122419.docx Water Meter Fixture Unit Worksheet for Additions/Remodels/ADUs Please complete the following information:�� RECEIVED Customer Name: / 4v� io/ aS h`wde("Son FEB 13 2020 I,Z CITY BOF UILDING DIVISION Service Address: Street/Suite#: 1�,.,5 �•�..J, �}•,2r.c✓ �✓r- BUILDIDiVISION City:qtoe c State: Cif Zip: , 23 Phone Number: ` ,z)30.3-- 5 24 Email: Ld✓e Lt_cr.,,ti„e,se.ru.c-'S /I e--Efw1xr,/cog^ 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 6 x 1 = a 6 x 1 Bidet (j x 1 = (j © x I = Clothes washer I x 4 = 1-4 0 x 4 = Dishwasher I x 1.5 = t . S ,C) x 1.5 = Hose bib 2 x 2.5 = 5 C) x 2.5 = Hose bib, each x 1 = (j 0 x 18 = Kitchen sink J x 1.5 = 1 , x 1.5 = Laundry sink L x 1.5 = L x 1.5 = Lavatory I x 1 = I I x 1 = Water closet, 1.6 GPF I x 2.5 = ;,, S' I x 2.5 = 2..5 Bathtub/whirlpool 22 rJ x 4 = O C) x 4 = Shower stall ('j x 2 = (°j 0 x 2 = Bath/shower combo I x 4 = I 0 x 4 = Current Points: I l‘e 3 Proposed Increase: S Current Points+Proposed Increase= .5.5 =New Total Points =Required Meter Size .5/0- 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: /^ Cost: $ "-----------(see page 1) Current Meter Size per Utility Billing: 67 Q) Cost: $ i q o to (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 �( �+- jc�Jr �Ia b�11) gnature of U Representative Date 1:/Building/Forms/WaterMeters_070119_Add.dOCX Page 2 /4Siotoav - 00o5-ml yza3 3 91a-' City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT IIPII i ' Water Meter Fixture Unit Worksheet T1c, nun 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. l:/Building/Forms/Water Meter s_070119 Add.doCX Page 1