Permit (2) CITY OF TIGARD PLUMBING PERMIT
le COMMUNITY DEVELOPMENT Permit#: PLM2023-00192
T I G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/31/2023
Parcel: 25112DA00700
Jurisdiction: Tigard
Site address: 15353 SW SEQUOIA PKWY 190
Project: Spec Space Subdivision: PACIFIC CORPORATE CENTER
Lot: 3
Project Description: Spec space:Add(5)water closets, (4)lavatories,(1)drinking fountain, (2)floor drains, (1)water heater.
Contractor: ALWAYS FAITHFUL PLUMBING LLC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 757 ATTN: N PIVEN
WILSONVILLE, OR 97070 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-780-9486 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Drinking Fountain 05/31/2023 $25.02
Specifics: 2 ea Floor Drain/Floor Sink/Hub 05/31/2023 $50.04
4 ea Lavatories 05/31/2023 $100.08
Type of Use: COM 1 ea Urinal 05/31/2023 $25.02
Class of Work: ADD 5 ea Water Closet 05/31/2023 $125.10
Type of Const: 1 ea Water Heater 05/31/2023 $37.52
Occupancy Grp: 1 12%State Surcharge- 05/31/2023 S43.53
Stories:
Plumbing
Total $406.31
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: /77��// Permittee Signature:
5
Call 503.6 .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
. s Tenant Name: Pacific Realty-Spec Space SWR# SWR2023-00150
TIGARD Site Address: 15353 SW Sequoia Ste 190 PLM# PLM2023-00192
Parcel#: 2S112DA00700
Fixture 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 1 1 1 1
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 2 4 2 4
-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 I IP) 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 4 8 4 8
-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 5 30 5 30
Urinal 6 0 0 1 6 1 6
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 13 49 13 49
Current Fixture Value 49 divided by 16= 3.063 Current EDU 1 EDU= $6,625.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 49 divided by 16= 3.063 over (under) $ 20,272.50
Enter EDU Change Here 3.060 *
*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 X2763 Date: 5/25/2023
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 Tally Shee t_6625_070122.xlsx