Permit � CITY OF TIGARD SEWER CONNECTION PERMIT
8 ;H. COMMUNITY DEVELOPMENT Permit#: SWR2020-00073
T I G A D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/9/2020
Parcel: 15136DC04300
Jurisdiction: Tigard
Site address: 11974 SW 72ND AVE
Project: Dartmouth Apartments Subdivision: DARTMOUTH APARTMENTS Lot: 31
Project Description: Sewer connection for a new 5-story mixed-use project in two buildings with a total of 219 apartment units. Sewer
DU's for retail space to be determined later when TI permits are submitted.
Contractor: Owner: DARTMOUTH PROJECT LLC
222 SW COLUMBIA ST, STE 700
PORTLAND, OR 97201
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 11/25/2020 $1,270,200.00
Sewer Inspection-Commercial 11/25/2020 $45.00
Type of Use: COM
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 219
Total $1,270,245.00
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 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
a 03.639.4175 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
1111 i 'Tenant Name: DARTMOUTH APARTMENTS SWR# 2020-00073
Site Address: 11974 SW 72ND AVENUE PLM# 2020-00153
TIGARD
Parcel#: 1 S136DC04300
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 (l 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 HP) 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 0 219 3504 219 3504
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 0 0 0
-Bradley 5 0 0 0 0 0
-Com/Serv/Util-Food Related 3 0 0 0 0 0
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 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 219 3504 219 3504
Current Fixture Value 3504 divided by 16= 219.000 Current EDU 1 EDU= $5,800.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 3504 divided by 16= 219.000 over (under) $ 1,270,200.00
Enter EDU Change Here 219.000 *
*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: Sewer connection for a new 5-story mixed-use project in two buildings with a total of 219 apartment units.
Authorized Name/Signature: BRANDI?N TAGGART X2449 Date: 10/14/2020
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. J
I:A Building ASewer Tally\ScwcrTallyShcct_5800_070119.xlsx