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SWR2024-00252 Permit and Sewer Tally
Permit NO.: SWR2024-00252 City of Tigard Project Name:Carts on Broadway 13125 SW Half Blvd. TiCITY rd Tigard,OR 97223 Permit Type:Plumbing Work Classification: Commercial Issue Date:11/19/2025 Permit Status:Permit Issued Expiration: 05/17/2026 Location Address Parcel Number 11847 SW PACIFIC HWY,TIGARD,OR 97223 1S135DD00800 Contacts Denise Shleifer,Tigers carts on Broadway Applicant West Coast Plumbing Solutions Contractor 2087 Bay Meadows DR,West Linn,OR 97068 (503)866-1902 denise.slootmans@gmail.com ' (458)206-8944 Description:Carts on Broadway-Sewer connection REVISED(3) Valuation: $0,00 Inspection Requests: food carts allowed. 1.5 EDU increase tigardor- Total Sq Feet: 0.00 energovweb.tylerhost.net/apps/SelfSer vice#/home Fees Amount Payments Amt Paid Inspections: M:Sewer Connection Fee Non-Residentia 10513.50 Total Fees $10,513.50 Inspection Type Total: $10,513.50 CHECK $10,513.50 Plumbing Rough Amount Due: $0,00 Plumbing Final Final Inspection For questions,please contact: -Building and/or trade permits:Tigardbuildingpermits@tigard-or.gov or(503)718-2439 Engineering permits or services:rowpermits@tigard-or.gov or 503-684-4977 a November 19,2025 Issued By: Date CoT Permit Staff COT Permit Staff Date November 19,2025 Page 1 of 1 Accumulative Sewer Tally �j Tenant Name: CARTS ON BROADWAY(REV.2) S\CR# 2024 00252 Site Address: 11847 SW PACIFIC HWY PLM# 2024-00171 TIGARD Parcel#: 1 S135DD00800 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\\'ash: -Each Stal: 6 0 0 0 0 0 -Drive througl. 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 n 0 0 0 0 Eve 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 1.5 24 1.5 24 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: - Lay/Bar-Non Food Related 2 0 0 0 0 0 - Bradley 5 0 0 0 0 0 -Com/Sen r l td-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 1.5 24 1.5 24 Current Fixture Value 24 divided by 16 = 1.500 Current EDU 1 EDU= $7,009.00 Previous Fixture Value 0 divided by 16 0.000 Previous EDU Change 24 divided by 16 1.500 over (under) $ 10,51350 Enter EDU Change Here 1.500 * *Round F.DI's 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: 3 FOOD CARTS WITH 1.5 SEWER CONNECTION PORTS Authorized Name/Signature: Karen Abdill _ Date: 11/12/2024 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. - 1:''Building Sewer Ta_ly\ScwerTallySheet_6625_070I24.xlsx