Permit CITY OF TIGARD SEWER CONNECTION PERMIT
gi 11111 COMMUNITY DEVELOPMENT Permit #: SWR2011 -00039
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 O Date Issued: 2
Parcel: 2S113AC0 S113AC00101
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 300
Project: Food Sales West Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: 1.8 EDU increase. 3/10/11, revised: adding additional .4 EDU's for a new total of 2.2 EDU increase.
Contractor: Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: PHONE: 503 - 624 -6300
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/08/2011 $7,380.00
Sewer Connection Fee 03/10/2011 $1,640.00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 2.2
Total $9,020.00
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 . - set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a co., of the rules or direct questions
to OUNC by c. ing 503.232.1' :7 • 1.:00 • 2.2344.
Issued B : / 1 _�4 4 Permittee Signature: _ _ ��
SIP"
Call 503.639.4175 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 Parcel # 2S113AC00101
Tenant Name: FOOD SALES WEST *REVISED 3/8/11 *REVISED 3/10/11* This SWR# SWR2 0 1 1-00039
Site Address: 16655 SW 72ND #300 This PLM# PLM2011 -00063
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value capped off value added added total total
count ∎ >ff tts 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 1 4 1 4
- 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 0 3 6 3 6
- 3 inch 5 0 0 0 0 0
- 4inch 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) 42 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 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 0 2 4 2 4
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 3 9 3 9
- 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 0 2 12 2 12
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 11 35 11 35
Current Fixture Value 35 divided by 16 = 2.2 Current EDU 1 EDU = S 4,100
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 35 divided by 16 = 2.2 over (under) $ 9,020.00
Enter EDU Change Here
Notes: *REVISED* 3/8/11, removed oil separator, actually installing a grease trap. Not calculating floor sink as dishwasher drains into it.
Adjusted the (5) lays to (2) lays and (3) com'l sinks. 3/10/11, added (3) 2" floor drains. D. Adamski
Authorized Name /Signature: BRANDEN TAGGART Date: 3/3/2011
Building Division
ote: 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.
r
I: \ Building \ Sewer Tally \SewerTallySheet- 4100.xls 07/01/10
CITY OF TIGARD SEWER CONNECTION PERMIT
� g CO MMUNITY DEVELOPMENT Permit #: SWR2011 -00039
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/08/2011
Parcel: 2S113AC00101
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 300
Project: Food Sales West Subdivision: PACTRUST BUSINESS CENTER Lot: 0
Project Description: 1.8 EDU increase.
Contractor: Owner: PACIFIC REALTY ASSOCIATES
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: PHONE: 503 -624 -6300
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 03/08/2011 $7,380.00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 2.4
Total $7,380.00
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 . • - • -. • more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Cent; . Those rules a - set , rth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy s' the or irect questions
to O NC by calling 503.23.. ;7 or 1 �•.332.2344.
Is ued By: // ,V
If / Permittee Signature: /
Call 503.639.4175 by 7:00 a.m. for the next available inspec ' • 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 Parcel # 2S113AC00101
Tenant Name: FOOD SALES WEST * *REVISED 3/8/11 ** This SWR# SWR2 0 1 1-00039
Site Address: 16655 SW 72ND #300 This PLM# PLM2011 -00063
Fixture Value Previous Previous Credits Capped Fixture 1 Ncw 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 1 4 1 4
- 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 0 0 0 0 0
- 3 inch 5 0 0 0 0 0
- 4inch 6 0 0 0 0 0
- Car Wash Drn 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
Oil Sep (Gas Station) 6 0 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 0 2 4 2 4
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 3 9 3 9
- 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 0 2 12 2 12
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 8 29 8 29
Current Fixture Value 29 divided by 16 = 1.8 Current EDU 1 EDU = $ 4,100
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 29 divided by 16 = 1.8 over (under) $ 7,380.00
Enter EDU Change Here ? °
Notes: *REVISED* 3/8/11, removed oil separator, actually installing ease trap. Not calculating floor sink as 3- compartment sink drains into it.
Adjusted the the (5) lays to (2) lays and (3) com'l sinks. D. Adamski
Authorized Name /Signature: BRANDEN TAGGART Date '`i''
3 - .
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- 4100.xls 07/01/10