Permit Aft CITY OF TIGARD SEWER CONNECTION PERMIT
DEVELOPMENT SERVICES PERMIT #: SWR1999 -00234
-�,�- ° '- �i 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/09/1999
SITE ADDRESS; 15875 SW 74TH AVE PARCEL: 2S112DC -01400
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK ZONING: I -P
BLOCK: LOT: 004 JURISDICTION: TIG
TENANT NAME: GRECON INC
USA NO: FIXTURE UNITS: 24
CLASS OF WORK: ALT DWELLING UNITS: 1
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Add 3 lays, 3 water closets, and 2 water heaters for a commercial TI. (24 fixture units = 1.5 or 2
EDU's, credit for 1 EDU when original SWR98 -00201 was issued.)
Owner:
FEES
PACIFIC AMERICAN PROPERTY
PACIFIC SANTA FE CORP Type By Date Amount Receipt
17700 SW UPPER BOONES FERRY PRMT BON 11/09/199 $2,300.00 99- 319658
PORTLAND, OR 97224 Total $2,300.00
Phone: 503670 -5416
Contractor:
Phone:
Reg #: _
Required Inspections
•
O RGNA-
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" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued by: ,6ti ��(��v‘. Permittee Signature: k//�i—
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
Accumulative Sewer Tally
Tenant Name: i7 !y'cosJ 14JC_ This SWR# / 1 " (5 a , '` >
Address: / . `C�5 ` 5c.) 74/22n . This PLM #: /99? "" Cr 4..
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added # added #s total
Count •. off #s count value values
Baptistry/Font 4
Bath - Tub /Shower 4 ' ,
- Jacuzzi/Whirlpool 4
Car Wash - Each Stall 6 '
- Drive Through 16
Cuspidor/VVater Aspirator 1
Dishwasher - Commercial 4
- Domestic 2 ,
Drinking Fountain 1 • . .
Eye Wash 1
Floor Drain/sink - 2 inch 2 •
- 3 inch 5
- 4 inch 6
- Car Wash Drn 6
Garbage-Disposal 16
- Domestic (to 3/4 HP) .
- Commercial (to 5 HP) 32
- Industrial (over 5 HP) 48
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 6.;
- Bradley 5 .
- Commercial • , 3
- Service 3
Swimming Pool Filter 1
•
Washer - Clothes 6
Water Extractor 6 '
Water Closet - Toilet 6 • . __ 3 / g
Urinal 6 •
•
ac 7
TOTALS
C''cf'f r" Fe / v'G/
Total fixture values: U l divided by 16 = if ' 1 ED U " F �' -'./ ` `
HISTORY 5
PLM# ei c . EDU# / SWR# 9'- 0t 7 ; ^/ PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
i:\dsts\swrtaly.doc •
•