Permit CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2020-00085
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/30/2020
Parcel: 2S103AB00800
Jurisdiction: Tigard
Site address: 11345 SW WALNUT ST
Subdivision: None Lot: None
Project: WINDER
Project Description: Adding a 470 sf family room, pantry, laundry room and nook. Original laundry in existing house
being converted to a bathroom and mechanical room.Trade permits to be pulled separately.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 470 sf Basement: 0 sf Left: 20 Parking Spaces: 0
Height: 14 Bathrooms: 1 Second: 0 sf Garage: 0 sf Front: 20 Smoke
Dwelling Units: 0 Third: 0 sf Right: 20
Detectors: Yes
Total: 470 sf Value: $94,000.00 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
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 Tvoes Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Fum>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srve/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:
ADD SF VB R-3 470
Owner: Contractor:
WINDER,SARAH THERESE 4M CONSTRUCTION Required Items and Reports(Conditions)
WINDER,REX NORMAN PO BOX 611
11345 SW WALNUT ST MARYLHURST,OR 97068
TIGARD,OR 97223
PHONE: PHONE: 503-290-6053
FAX: 503-557-0377
Total Fees: $3,746.46
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: 0 on law requires ou to follow he rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 952- -0090. Yo y obtain opy e rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: _ 1,4%4C. G1
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.
Building Permit Application
Residential / ► I �+ � FOR OFFICE USE ONLY
�p Received �y
. City of Tigard Date/By: 3'I 'or7 Permit No.:M�o�de_GCt rg
13125 SW Hall Blvd.,Tigard,OR 97223 MAR Il (, Plan Review
ry �"�V Date/By: Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 ��
TIGARD Inspection Line: 503.639.4175 CITY�� I Date ReadyBy. )� tads: 0 See Page2 for
internet: www.tigard-orgov r.t ,ir ,�„g,;,-� '`--I/",t t4,� Noti et d.3 ram/ ^}+ Supplemental Information
}
TYPE OF WORK 14171RED DATA:1-AND 2-FAMILY DWELLING
El New construction ❑ Demolition Permit fees-are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
® Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑. -1-and 2-family dwelling IDCommercial/industrial Valuation: $ l,' COO. **
ElAccessory building El Multi-family Number of bedrooms:
ElMaster builder ❑Other: Number of bathrooms:
JOB SITE INFOR"IATION AND LOCATION Total number of floors: I
Job site address: 1134'5 Si / trait I A V't-- ..S4r-rve t+ New dwelling area: it"!0 square feet
City/State/ZIP: 'r'I3 o.rk Ore. ors 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: kI (Lr- kZestcip eQ Covered porch area: square feet
Cross street/directions to job site: _ /jam Deck area: square feet
�f4//e'l iorO joe/ r(�'c7(,/ &e PI i fiWU✓K& G1 4W Other structure area: square feet
W ik y9r4�v )' Sit ,I D4/.. 12 rori i/r/'�� . 1 i . .:I a : °i. a li '
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: # 2 5lb; As DeSpO PAr+e E L7 l I jq Gj 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.
4,: .1'ranr'u.x o"C 4/Of•7/' 12, /lens- e-4- ax-e,: 7f'7 /etrelence. Valuation: $
- i/V I ✓GI ) 4^,e4 t.,,w.k�rr.1. re 72,/U Existing building area: square feet
\ ` \ \ • -, I P. '` r-^ 1 : ' New building area: square feet
N.
S PROPERTY OWNER ❑ TENANT -`-) Number of stories:
Name: ,Sgr.wk 14 J1 hdt,.... Type of construction:
Address: //3¢55 S7,1 A/a/av-f- cfi-.r[
g..f- Occupancy groups:
City/State/ZIP: 7 j(9a,„if 192 9 722
3 Existing:
Phone: (5jb;) .Si 1 — 171 Q' fax: ( ) New:
a APPLICANT /� ❑ CONTACT PERSON BUILDING PERMIT FEES*
(PleasBusiness name: Ort qems. Su(merry Ai-ee-4:4e4-�v� Pt.. review fee(ordftr to eeosit): to
r/ Structural plan fee(or deposit):
Contact name: S„yt,e 122q 4tr
Address: FLS plan review fee(if applicable):
Pe p, - ge,36{
City/State/ZIP: far �tZ 17 2$a Total fees due upon application: C
Phone:(503) 22Is--1i'?7 Fax: :(Gj67i)Itg. -5/Z)
Amount received:
E-mail: @c:9 6 ( 7 . a, PHOTOVOLTAIC SOL4R PANEL SYS'LEM FEES*
Tits0Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Rosiness name: 4,M PLS. f-VL-kaW Submit two(2)sets of roof plan with connection details
�1 � and fire department access,along with the 2010 Oregon
Address: 30 c b Z.) 1 di t>S O Cdr. Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review
e� (� 1 �� 7 66S and administrative fees): $180.00
Phone:(C707,)IA 0„ 809 3 Fax:(503)55 7-0 17 State surcharge(12%of permit fee): $21.60
co?.lie.: I Cb"1 Cl 15 s l� Total fee due upon application: $201.60
Authorized signature: N�'.ta�pn —f This permit application expires if a permit is not obtained
jfYW v x within 180 days after it has been accepted as complete.
Print name:"'� Q�ae,I-. Date:3 �2,Q *Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-RESPerm tApp.doc 02/24/2011 440-4613T(i 1/02/COM/WEB)
City of Tigard
14 4 COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Residential
Building Permit #: /77>--dproir�—
Site Address: 1345 SA) WA In vti g1-eeA-
Project Name: \N mole e r A-M,th i Lot #:
Planning Review
Proposal: MAt-h,,,, 1-0 ho-
XVerify address/suite# active in Accela. A In River Terrace: L .No ❑ Yes, River Terrace Review Addendum
Site Plan Elements: Wrosion Control
,1 3 copies of site plan on 8-1/2"x 11"or 11 x 17"paper NORetained trees with drip line and tree protection measures
.raven to scale(standard architect or engineer scale) ❑Footprint of new structure(including decks) and FFE
iNorth arrow Utility locations&easements(required for new and additions)
ZSite address,project or subdivision name and lot number / 'Sidewalk/driveway approach
�0pplicant information(name and phone number) TI.ocation of wells/septic systems
Lot dimensions and building setback dimensions N( Street tree size,type and location
4.'quare footage of buildings to be demolished JRStreet names
, xisting structures on site .Corner elevations(2'contours if more than 4'differential)
p``L-ot area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? Yes&to
impervious area (applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑Yes No
.kr Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995):
Required: -k-Yes,applicant was notified ❑ No Received: .lSrYes ❑ No
.1Er Water Meter Fixture Unit Worksheet-Additions,Remodels and ADUs
Required: 'Yes,applicant was notified ❑ No Received: -Yes ❑ No
NA SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes E No
-Er Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified ,No Applied For: ❑ Yes ❑ No,stop intake
*Land Use Case#: U Zoning: 2--1.s
'Required Setbacks: Front: 2.0 Rear: 16 Side: 20' Street Side: ►f/l- Garage: 1")/A-
O-Building Height: Max.Height: 30 Actual Height: 14
Aq—Landscape Area: % f1Lot Coverage Max:
Entrance 7 Set back no ore than 8'from street-facing wall 0 Parallel to street or offset 45 degrees or less
Windows II Minimum 12'°of are of. treet-facing facades
Garage II Os arage doo•is behin wide- treet-facing wall ❑ Yes ❑ No,one of the following is met:
W Door -xtends o mor . 5' om wall and there is a covered porch extending beyond garage.
O MI oor extend no mo - •:. 1.'from wall and there is a 12 sq ft.window above garage on 22d floor.
II Garage . ...r wid is 0 12'or 1-.s ❑ 50%or less of facade 0 60%or less and includes 7 of following:
0 Covered p rch ❑ Recessed entrance 0 Wall offset 0 1'Roof eave ❑ Roof offset
O Fire shin es ❑ Lap Siding ❑ Roof pitch 0 Gable,hip,or gambrel roof 0 Dormer
O Accent s ding ❑ Window trim ❑ Window recess 0 Window projection 0 Balcony
'Visual Clearance Urban Forestry Plan
Sensitive Lands: 0 Yes , No Type:
MConditions met prior to issuance of building permit
Notes:
Z." Approved By Planning: Date: 3/91120
Revisions (after Building Submittal on y) Reviewer Date
Revision 1: 0 Approved D Not Approved
Revision 2: 0 Approved 0 Not Approved
I:/Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: trylp-7)
Site Plans:
Building Plans: #
Building Permit#: .building permit# ove.
Workflow Routing: [ Planning ngineering rnvt Coordinator t uig
Workflow Sign-off: L,_.�,.-S_�tgn-off for Planning(include notes from planning review)
Route Application Documents: LJ�Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
� original plan review routing form.
EL. i11lding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: /,
Engineering Review
C"Slope at building pad: %
Er-Conditions "Met"prior to issuance of building permit fi/w
C Easements (encroachments) per engineering conditions of approval and plat n /4-
a Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes
Assess Water Quantity Fee in-lieu: ❑ Yes ErNo
LIDA Facility on lot: ❑ Yes Dr-No
0 Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:[ �a'Approved by Engineering: T � �� Date: 3h T/2i`?e
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
N
Permit Coordinator Review
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 Does not apply
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: 0 Yes Vi N/A
LIDA ❑ Yes ZJ N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 31181
I:\Building\Forms\B 1dgP emritRvw_RES_122419.docx
tiECEIVED
MAR 9 2020
tt. C1eanWaterr Services
SENSITIVE AREA PRE-SCREENING SITE ASS I i grON
Clean Water Services File Number 20-000639
1. Jurisdiction: Tigard
2. Property Information(example: 1 S234AB01400) 3. Owner Information
Tax lot ID(s): Name: Sarah Winder
2S103AB00800 Company:
Address: 11345 SW Walnut Street
OR Site Address: 11345 SW Walnut Street City,State,Zip: Tigard, Oregon,97223
City, State,Zip: Tigard,Oregon,97223 Phone/fax: 503-812-9718
Nearest cross street: SW 114th Terrace Email: sarahwinder2003@yahoo.com
4. Development Activity(check all that apply) 4. Applicant Information
El Addition to single family residence(rooms,deck,garage) Name: Jamey Reeder
❑ Lot line adjustment ❑ Minor land partition Company: Oregon Business Architecture, PC
❑ Residential condominium ElCommercial condominium Address: p O. Box 80301
❑ Residential subdivision ❑ Commercial subdivision City, State,Zip: Portland,Oregon,97280
❑ Single lot commercial ❑ Multi lot commercial Phone/fax: 5032281477
Other Email: jr@orbizarch.com
6. Will the project involve any off-site work? ❑yes 0 No 0 Unknown
Location and description of off-site work:
7. Additional comments or information that may be needed to understand your project:
Adding a 470 s.f.livingroom,laundry, pantry&nook to an existing 1,092 s.f.single family residence at back of house.
This application does NOT replace Grading and Erosion Control Permits,Connection Permits,Building Permits,Site
Development Permits,DEQ 1200-C Permit or other permits as issued by the Department of Environmental Quality,
Department of State Lands and/or Department of the Army COE. All required permits and approvals must be obtained and
completed under applicable local,state,and federal law.
By signing this form, the Owner or Owner's authorized agent or representative, acknowledges and agrees that employees of Clean Water
Services have authority to enter the project site at all reasonable times for the purpose of inspecting project site conditions and gathering
information related to the project site. I certify that I am familiar with the information contained in this document,and to the best of my
knowledge and belief,this information is true,complete,and accurate.
Print/type name Jamey Reeder Print/type title Architect
Signature ONLINE SUBMITTAL Date 2/18/2020
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200'of the site.THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO
ISSUANCE OF A SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural
Resources Assessment Report may also be required.
❑ Based on review of the submitted materials and best available information sensitive areas do not appear to exist on site or within 200'of the
site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if
they are subsequently discovered.This document will serve as your Service Provider Letter as required by Resolution and Order 19-5,Section
3.02.1,as amended by Resolution and Order 19-22.All required permits and approvals must be obtained and completed under applicable
local,State and federal law.
Based on review of the submitted materials and best available information the above referenced project will not significantly impact the
existing or potentially sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to
evaluate and protect additional water quality sensitive areas if they are subsequently discovered.This document will serve as your Service
Provider Letter as required by Resolution and Order 19-5, Section 3.02.1, as amended by Resolution and Order 19-22.All required permits and
approvals must be obtained and completed under applicable local,state and federal law.
THIS SERVICE PROVIDER LETTER IS NOT VALID UNLESS 1 CWS APPROVED SITE PLAN(S)ARE ATTACHED.
The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2).NO SITE ASSESSMENT
OR SERVICE P OV ER LETTER REQUIRED.
Reviewed by / __/—_•_�/ --_ Date 2/27/2020
Once complete,email to:SPLReview@cleanwaterservices.org • Fax: (503)681-4439
OR mail to: SPL Review, Clean Water Services,2550 SW Hillsboro Highway, Hillsboro,Oregon 97123
Main Office • 2550 SW Hillsboro Highway • Hillsboro,Oregon 97123 • p: 503,681.3600 f:503.681.3603 • cleanwaterservices.erg
Julie Drinkwater
From: Dianna Ornelas
Sent: Wednesday, March 25, 2020 1:05 PM \I�®
To: Julie Drinkwater ? µ.�
Cc: #Building Permit Technicians;Jamey Reeder 5 �02j
Subject: RE: MST2020-00085, 11345 SW Walnut, Winder(balance paid) Ok9.
IiCO°
{s�i O ON1910"
90.t.,'j.
Hi Julie,
Jill has signed approve in the email below. That is sufficient approval so please print this email for the permit file.
Thank you.
Dianna L. Ornelas(Howse)
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From:Julie Drinkwater<JulieD@tigard-or.gov>
Sent:Wednesday, March 25, 2020 12:47 PM
To:Jamey Reeder<jr@orbizarch.com>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: RE: MST2020-00085, 11345 SW Walnut, Winder(balance paid)
Hi Jamey
The worksheet will need to have her signature of approval.
Thank you
Julie Drink-water
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
Tigard, OR 97223
503-718-2804
Please note that the Permit Center counter is currently closed. Staff will work remotely by phone and online
to complete permit, planning applications, and design reviews. Inspections will continue to be scheduled
online. We are accepting permit submittals by mail, or if you prefer, you may place your submittal in the box
marked building department, located through the first set of doors as you enter the permit center, between
the hours of 8:00am and 3:00pm Monday through Thursday.
From:Jamey Reeder<ir@orbizarch.com>
Sent: Wednesday, March 25, 2020 12:45 PM
t
To:.lulie Drinkwater<JulieD@tigard-or.gov>
Cc: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Re: MST2020-00085, 11345 SW Walnut, Winder(balance paid)
Warning!This message was sent from outside your organization and we are unable to Allow sender I Block sender
verify the sender.
Hi Julie,
Here is email for Jill approving no need for increase in meter size. (see below)
Thank you for the clarification. Since we are telecommuting as much as possible, please consider this email an
electronic signature that the current meter is 5/8 inch and that with the new addition there is no need for an increase in
meter size.
Kind Regards,
Jill
Jill
-• City of Tigard-Utility Billing
I Senior Accounting Asst
T ('a A R (888)826-7211 Payments
(5031 718-2460 UB Main
1 .9ov
(503)718-2494
13125 SW Hall Blvd.
Tigard,OR 97223
From:Jamey Reeder<jr@orbizarch.com>
Sent:Wednesday, March 25, 2020 12:30 PM
To: UB Online<UBOnlinepay@tigard-or.gov>
Subject: Re: 11345 SW Walnut-Water meter Fixture Unit Sheet
Hi Jill,
Yes, adding one additional bathroom. New fixtures are (1) toilet, (1) lavatory, and (1) shower stall.
2
Jamey Reeder, Architect
Oregon Business Architecture Pc
t 503.228.1477 f 503.228.5721
On 3/25/2020 12:27 PM, UB Online wrote:
Good Afternoon,
I have reviewed the attached information. Please confirm that you are going from a one bathroom
house to a two bath with no additional fixtures added.
Kind Regards,
Jill
Jill
C
+ City of Tigard-Utility Billing
III Senior Accounting Asst
TIQARD (888)826-7211Payments
(503)718-2460 US Main
plb@itigard-or.gov
(503)718-2494
13125 SW Hall Blvd,
Tigard, OR 97223
From:Jamey Reeder<jr@orbizarch.com>
Sent: Wednesday, March 25, 2020 12:20 PM
To: UB Online<UBOnlinepay@tigard-or.gov>
Subject: 11345 SW Walnut-Water meter Fixture Unit Sheet
Hi,
Attached Water meter Fixture Unit Sheet. City of Tigard needs to have it signed by a utility
billing representative,before they will issue a permit.
Thanks,
Jamey Reeder, Architect
Oregon Business Architecture Pc
t 503.228.1477 f 503.228.5721
On 3/25/2020 11:58 AM,Julie Drinkwater wrote:
Hello Jamey
3
Thank you for your payment. Attached please find the Water Meter Fixture Unit
Worksheet. Please complete this worksheet and return to utility billing at,
UBonlinepay@tigard-or.gov. Any questions regard water meters should be directed to the
utility billing department at 503-718-2460. We will need to have the worksheet, that has been
signed by a utility billing representative, before we can issue this permit.
Thank you
Julie Drinkwater
Permit Technician
Cin- of Tigard Building Department
13123 SW Hall Blvd
Tigard, OR 97223
503-718-2804
Please note that the Permit Center counter is currently closed. Staff will work remotely by
phone and online to complete permit, planning applications, and design reviews. Inspections
will continue to be scheduled online. We are accepting permit submittals by mail, or if you
prefer, you may place your submittal in the box marked building department, located through
the first set of doors as you enter the permit center, between the hours of 8:00am and 3:00pm
Monday through Thursday.
From:Jamey Reeder<jr@orbizarch.com>
Sent:Wednesday, March 25, 2020 11:23 AM
To:Julie Drinkwater<JulieD@tigard-or.gov>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Re: MST2020-00085, 11345 SW Walnut, Winder(balance paid)
Thank you Julie. The balance due has been paid.
Jamey Reeder, Architect
Oregon Business Architecture Pc
t 503.228.1477 f 503.228.5721
On 3/25/2020 11:13 AM,Julie Drinkwater wrote:
Good morning Jamey
The permit for the Winder project is now ready to be issued. The balance due is
$3,056.96. Attached is the invoice for your review.
To pay the fees online, you can go to our website:
https://aca.accela.com/TIGARD/Default.aspx. From there, click on the Building
tab, enter the permit number in the Record Number field, and click Search.
4
Please notify us once the fee has been paid so that we can contact you with
special instructions for pick up, as the permit center is currently closed to
public access.
Thank you and please let us know if you have any questions.
Julie Drinkwatcr
Permit Technician
City of Tigard Building Department
13125 SW Hall Blvd
'Tigard, OR 97223
503-71 H-28(14
Please note that the Permit Center counter is currently closed. Staff will work
remotely by phone and online to complete permit, planning applications, and
design reviews. Inspections will continue to be scheduled online. We are
accepting permit submittals by mail, or if you prefer, you may place your
submittal in the box marked building department, located through the first set of
doors as you enter the permit center, between the hours of 8:00am and 3:00pm
Monday through Thursday.
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public
record laws. If requested, e-mail may be disclosed to another party unless exempt from
disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard
in compliance with the Oregon Administrative Rules "City General Records Retention
Schedule."
5
Water Meter Fixture Unit Worksheet for Additions/Remod, h/
Please complete the following information: OR 2 el°
Customer Name: SA la A. AbAp(sr CCCV c <' G1vAst�lV
Service Address: Street/Suite#: /l3 4' SA/ /, /na7`— fiS-ccf— BUI�cI 1ci .
City: Till aeo( State: og Zip: 9'7 223
Phone Number: So3- .rZ - ill* Email: 5atrall to;voter Zoos e) y&k .. ccvv% •
Please fill in the number of each fixture you currently have. Please fill in the number of fixtures you propose to add.
Multiply the quantity by the point value to arrive at the current Multiply the quantity by the point value to arrive at
total. the proposed total.
Fixture Unit Current Point Current Proposed Point Proposed
Quantity Value Total Addition Value Total
Bar sink x 1 = x 1 =
Bidet x 1 = x 1
Clothes washer 1 x 4 = i. x 4 =
Dishwasher ( x 1.5 = 1.c x 1.5 =
Hose bib % x 2.5 = 1.5 x 2.5
Hose bib,each I x 1 = I x 1 =
Kitchen sink 1 x 1.5 = t.; x 1.5 =
Laundry sink % x 1.5 = (.S x 1.5 =
Lavatory t x 1 = 1 1 x 1 = I
Water closet, 1.6 GPF i x 2.5 = 2.4 ( x 2.5 = 2,s
Bathtub/whirlpool x 4 = x 4 =
Shower stall x 2 — I x 2 = 2
Bath/shower combo I x 4 = 4- x 4 =
Current Points: 11.5 Proposed Increase: 5.5
2Vii"
Current Points+Proposed Increase= 5 =New Total Points =Required Meter Size
Meter Sizes: 1 to 30 points=5/8" 30.5 to 37 points=3" 37.5 and over points= 1"
a
New Meter Size Needed for New Total Points: rt. Cost: $ ' r 1'D (see page 1)
Current Meter Size per Utility Billing: Si ,,C Cost: $ I t 4't .4. (see page 1)
New Meter Size Cost minus Current Meter Size Cost= $ C7 4e'
(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
1:/Building/Forms/WaterMeters_070119_Add.dOCX Page 2
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
MiCity of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
l n Transmittal Letter
T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-oov
TO: 4 1.4L y S 0 K) DATE RE VED:
DEPT: BUILDING DIVISION RECEIVED
FROM: ---TAM E/ /2.c2=—firElP--.. JUN 0 4 2020
ARD
COMPANY: O t t ki S i fve g S 4 f CITY N i ViSI
(- O
• BUILDINGLDIG D VISION
PHONE: SO3 - 42 J - 11/ 7 7 By: e/
RE: / i 3 `l S -St-UJ 4/4-tri r ...CT-- M s T 20 ZD -OOOtS
(Site ' .r:- s) (Permit Number)
(Project n. a Ir.subd io ,tv. . d lot number)
ATTACHED ARE TH L : . t 1- ' G ITEMS:
Copies: Description: \ �, Copies: Description:
Additional sill) i ..fit. C Zi) Revisions: IV � ti St, t -�p�
Cross section(s + d de :. Wall bracing and/or lateral analysis.
Floor/roof fr. l'mg. ` Basement and retaining walls.
Beam calcu .tions. Engineer's calculations.
Other(ex, ain):
REMARKS:
FOR 7FFICE USE ONLY
Rout-• to Permit Technic'an: Date: 14qZ02) Initials: Ak
Fe-: Due: ❑ Yes No Fee Description: Amount Due:
, N_ 1 b io -C-
/0
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes [No El Done i
Applicant Notified: �, 'Date: //0j Initials: .%
t:\Building\Forms\TransmittalLetter-Revisions_061316.doc