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Permit CITY OF TIGARD PLUMBING PERMIT 11111 . COMMUNITY DEVELOPMENT Permit#: PLM2022-00465 Date Issued: 12/15/2022 T f(;AA.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DB02500 Jurisdiction: Tigard Site address: 11636 SW PACIFIC HWY Project: El Jefe Mexican Grille Subdivision: None Lot: None Project Description: Added(1)2"floor drain,(1)lavatory non food related,(1)Ice machine:installing(1)expansion tank, (1)hose bib, (1)interceptor/grease trap,(2)primers,(1)water piping/DWV. Contractor: BEAVERTON PLUMBING INC Owner: JORORET LLC 13980 SW TV HWY 888 SW 5TH AVE STE 1600 BEAVERTON, OR 97005 PORTLAND, OR 97204 PHONE: 503-643-7619 PHONE: FAX: 503-643-7620 FEES Quantity Description Date Amount 1 ea Expansion Tank 12/15/2022 $12.51 Specifics: 1 ea Floor Drain/Floor Sink/Hub 12/15/2022 $25.02 1 ea Hose Bib 12/15/2022 $25.02 Type of Use: COM 1 ea Ice Maker 12/15/2022 $12.51 Class of Work: ALT 1 ea Interceptor/Grease Trap 12/15/2022 $25.02 Type of Const: 2 ea Primer 12/15/2022 $25.02 Occupancy Grp: 1 ea Sink 12/15/2022 $25.02 Stories: 1 ea Water Piping/DWV 12/15/2022 $56.29 1 Plan Review 12/15/2022 $51.60 1 12%State Surcharge- 12/15/2022 $24.77 Plumbing Total $282.78 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 • Issued By: UXd Permittee Signature: 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 III 111 Tenant Name: El jefe Mexican Grille SWR# 2022-00247 Site Address: 11636 SW Pacific Hwy PLM# 2022-00465 TIGARD Parcel#: 1S136DB02500 Fixture Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptistry/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 1 2 1 2 -3inch 5 0 0 0 0 0 -4 inch 6 0 0 0 0 0 -CarWash 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 1 1 1 1 Living Unit 16 0 0 0 0 0 Oil Sep(Gas Static.,) r. n n n n n 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 1 2 1 2 -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 3 5 3 5 Current Fixture Value 5 divided by 16— 0.313 Current EDU 1 EDU= $6,625.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 5 divided by 16= 0.313 over (under) $ 2,053.75 Enter EDU Change Here 0.310 * *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: Joe Bailey Ext.2763 Date: 12/13/2022 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\SewerTallySheet_6625_070122.xlsx