Permit 111: CITY OF TIGARD SEWER CONNECTION PERMIT
' • COMMUNITY DEVELOPMENT Permit#: SWR2020-00142
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/21/2020
Parcel: 1 S 135AA02800
Jurisdiction: Tigard
Site address: 10540 SW HALL BLVD
Project: Guidepost Montessori Subdivision: METZGER ACRE TRACTS Lot: 2
Project Description: 1.94 EDU increase
Contractor: Owner: WALL, GEORGE E & PAMELA J
11600 SW BULL MOUNTAIN RD
TIGARD, OR 97224
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 09/21/2020 $11,252.00
Type of Use: MF
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 1.94
Total $11,252.00
Required Items and Reports(Conditions)
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 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions
to OUNC by calling 503.2 2.1987 or 1 00.332.2344.Issued By•
: `I / , �f� �r�,, Permittee Signature: Q' rl/c)
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.
Accumulative Sewer Tally
IIIi Tenant Name: Guidepost Montessor SWR# 2020-00142
Site Address: 10540 SW Hall Blvd PI AI# 2020-00330
TIGARD
Parcel#: 1 S 135AA02800
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count capped#s value count added# added value total#s total values
Baptisery/Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 0 0 0 0
-Jacuzzi/Whirlpool 4 0 0 0 0 0
Car Wash: -Each Stall 6 0 0 0 0 0
-Drive through 16 0 0 0 0 0
Cuspidor/Water Aspirator 1 0 0 0 0 0
Dishwasher: -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-3 inch 5 0 0 0 0 0
-4 inch 6 0 0 0 0 0
-Car Wash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 I IP) 16 0 0 0 0 0
-Commercial(to 5 HP) 32 0 0 0 0 0
-Industrial(over 5 HP) 42 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
Living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 0
Shower: -Gang(per head) 1 0 0 0 0 0
-Stall 2 0 0 0 0 0
Sink:
-Lav/Bar-Non-Food Related 2 0 0 5 10 5 10
-Bradley 5 0 0 0 0 0
-Com/Serv/Util-Food Related 3 0 0 1 3 1 3
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 _ 0 3 18 3 18
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 9 31 9 31
Current Fixture Value 31 divided by 16= 1.938 Current EDU 1 EDU= S5,800.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 31 divided by 16= 1.938 over (under) $ 11,252.00
Enter EDU Change Here 1.940 *
*Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01.
Notes:
Authorized Name/Signature: Dianna Omelas Date: 8/21/2020
Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I:\Building\Sewer Tally\Sewer'I'allySheet_5800_070119.xlsx
Dianna Ornelas
From: #Building Permit Technicians
To: Stacie Cotnam; #Building Permit Technicians
Subject: RE: Plumbing permit app - 10540 SW Hall Blvd
Ok, thank you.
From: Stacie Cotnam <stacie@southclackamasplumbing.com>
Sent: Friday, August 21, 2020 1:12 PM
To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Re: Plumbing permit app - 10540 SW Hall Blvd
Warning!This message was sent from outside your organization and we are unable to verify the sender.
As this is a Montessori school it is my understanding that 1 sink could be considered food related.
Stacie Cotnam
Office Manager
South Clackamas Plumbing
stacie@southclackamasplumbing.com
On Fri, Aug 21, 2020, 12:48 PM #Building Permit Technicians<TigardBuildingPermitsCc@tigard-or.gov>wrote:
Thank you, Stacie.
One last question, are any of these sinks food prep sinks, or is everything non-food related?
Thank you.
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 1503-718-2439 Permits
1
From:Stacie Cotnam <stacie@southclackamasplumbing.com>
Sent: Friday, August 21, 2020 12:38 PM
To: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: Re: Plumbing permit app- 10540 SW Hall Blvd
Fixtures being relocated:
57Al/'-$ — ri/0 n/
•One -two compartment sink. /
•Four-sinks.
•Two -water closet.
•One -washer machine.
•Two- Lavatory sink Z
.5 1 ikS 'e7--d C rcZ�
Fixtures being added: S(e//L.S
•One -three compartment sink. ( FpO A -z6-7- D
•Four-sinks.
•Three -water closet.
•One - lavatory sink.
/.ji c
I hope this clarifies things. I apologize for any confusion.
Thank you,
On Fri, Aug 21, 2020 at 11:42 AM #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>wrote:
Hello Stacie,
I am trying to process the plumbing permit application and there are some inconsistencies with the information on
page 1 and 2. The fixtures described in the comments section of page 2 say"relocated" and "added" fixtures however
everything was entered under the 'relocated' column.
2