Permit CITY OF TIGARD SEWER CONNECTION PERMIT
1111
Ie COMMUNITY DEVELOPMENT Permit#: SWR2022-00185
T I(I;A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2022
Parcel: 2S110DB01500
Jurisdiction: Tigard
Site address: 11375 SW NAEVE ST
Project: Pacific Ridge Apartments Subdivision: PACIFIC RIDGE APARTMENTS Lot: 2
Project Description: Sewer connection for a new 36-unit apartment building.
Contractor: WOLCOTT PLUMBING Owner: PACIFIC RIDGE APARTMENTS LLC
1075 W HISTORIC COLUMBIA RIVER HWY 5285 MEADOWS RD STE 171
TROUTDALE, OR 97060 LAKE OSWEGO, OR 97035
PHONE: 503-667-1781 PHONE:
FAX: 503-667-9891
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/12/2022 $238,500.00
Sewer Inspection-Commercial 12/12/2022 $45.00
Type of Use: COM
Class of Work: ALT
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 36
Total $238,545.00
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 t rules
Issued By: / Permittee Signature:
Call 503.639.4175 b 7:00 a.m.for the next available inspection date.
This permit card shall be kept in, 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
IIIaTenant Name: PACIFIC RIDGE APARTMENTS SWR# 2022-00193
Site Address: 11390 SW NAEVE ST PLM# 2022-00403
TIGARD
Parcel#: 2S110DB01500
Fixture Previous Previous Credits Capped Fixture Fixture I 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 (1 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 40 640 40 640
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/Sere/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 I
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 40 640 40 640
Current Fixture Value 640 divided by 16= 40.000 Current EDU 1 EDU= $6,625.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 640 divided by 16= 40.000 over (under) $ 265,000.00
Enter EDU Change Here 40.000
*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:
Authorized Name/Signature: KAREN ABDILI,EXT:2178/BT Date: 11/1/2022
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