Permit C ITY OF TIGARD SEWER CONNECTION PERMR
l� DEVELOPMENT SERVICES PERMIT #: SWR2002 -00130
'� I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/27/02
SITE ADDRESS; 14160 SW 72ND AVE 150 PARCEL: 2S112AA -00900
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
TENANT NAME: UPS LOGISTICS GROUP
USA NO: FIXTURE UNITS: 23
CLASS OF WORK: ALT DWELLING UNITS:
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: 1.4 EDU increase. Previous fixture values were 70, this permit is capping 12 fixture values and
adding 35 fixtures values for a new total of 93 fixtures.
Owner: FEES
RREEF PROPERTIES
720 SW WASHINGTON SUITE 710 Type By Date Amount Receipt
PORTLAND, OR 97205 PRMT CTR 3/27/02 $3,220.00 27200200000
Phone: 503 - 295 -5555 Total $3,220.00
Contractor:
Phone:
Reg #:
Required Inspections
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires 180
days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not guarantee
the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer shall prospect
3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and Side Sewer" Perm
Is ued b Permittee Signature:
Call (503 • ' 9-4175 by 7:00 P.M. for an inspection needed the next business day
Accumulative Sewer Tally
Tenant Name: UPS Logistics Group This SWR# 2002 -00130
Site Address: 14160 SW 72nd Ave #150 This PLM# 2002 -00102
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count off #s count # value #s 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 1 1 0 -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 Dm 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) 48 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 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 - Bar /Lavatory 2 0 1 2 2 4 1 2
- Bradley 5 0 0 0 0 0
- Commercial 3 0 1 3 1 3 0 0
- Service 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 1 6 3 18 2 12
Urinal 6 0 0 1 6 1 6
Previous EDU Count 4.4 70.4 70.4
Capped EDU Credit 0
TOTALS 0 70.4 4 12 9 35 5 93.4
Current Fixture Value 93.4 divided by 16 = 5.8 Current EDU 1 EDU = $2,300.00
Previous Fixture Value 70.4 divided by 16 = 4.4 Previous EDU
Change 23 divided by 16 = 1.4 over (under) $ 3,220.00
Enter EDU Change Here 1.4
HISTORY
Notes: PLM# 97 -00461 EDU# 4.4 SWR# 97 -00406
PLM# EDU# SWR#
# EDU# r� SWR#
ame: y � A I. 1 . ' �' Date: di€ I
. Signature of pens • that calculated this tally sheet and date perfromed is required
•
_ Acc umulative Sewer Tally
Tenant Name: WC Lc U i s . -4t This SWR#
Address: This PLM #:
•
Fixture Value Prev' s Previous Credits Capped Fixtures Fixtures New total New
# , Value Capped off value added # added #s total
C it - Count off #s count value values
Baptistry/Font 4
Bath - Tub /Shower 4
- Jacuzzi/Whirlpool 4
i , 4
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commercial 4 ((..1
- Domestic 2
Drinking Fountain 1 / L O r,�
Eye Wash 1 �'' J
Floor Drain /sink - 2 inch 2 ���///
- 3 inch 5
- 4 inch 6
- Car Wash Drn 6 \. v _\
Garbage Disposal 16
- Domestic (to 3/4 HP)
- Commercial (to 5 HP) 32
- Industrial (over 5 HP) 42
Ice Machine /Refrigerator Drains 1
Oil Sep (Gas Station) 6
Rec. Vehicle Dump Station 16
Shower - Gang (Per Head) 1
- Stall 2
Sink - Bar /Lavatory 2 / Z
- Bradley 5
- Commercial. 3
/
- Service 3
Swimming Pool Filter 1
Washer - Clothes 6
Water Extractor 6
Water Closet - Toilet 6 / 3
Urinal 6
TOTALS -
Total fixture values: divided by 16 = EDU
HISTORY
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# _ PLM# EDU# SWR#
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