Permit CITY OF TIGARD
„,,,,,,d ,�, DEVELOPMENT SERVICES SEWER CONNECTION
.� ! 'L L L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT
PERMIT #.......: SWR98 -0088
DATE ISSUED: 06/03/98
PARCEL: 25112DC -00200
SITE ADDRESS... :07342 SW KABLE LN
SUBDIVISION - SOUTHERN PACIFIC TIGARD INDUST ZONING: I —L
BLOCK.......... LOT -02103 JURISDICTION: TIG
TENANT NAME..... :J THAYER CO
USA NO........... FIXTURE UNITS.... `E
CLASS OF WORK. .. :ALT DWELLING UNITS..: 1
TYPE OF USE— ... :COM NO. OF BUILDINGS: 0
INSTALL TYPE— .. :BUSWR IMPERV SURFACE: 0 sf
Remarks: Install 2 lavatories, 2 water closets and relocate 1 urinal.
Owner: FEES
PACIFIC REALTY type amount by date recpt
111 SW 5TH PRMT $ 2200.00 DLH 06/03/98 98- 306223
# 2950
PORTLAND OR 97204 -0000
Phone #:
Contract or:
OWNER
Phone #: $ 2200.00 TOTAL
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° 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-VA-0080. You may obtain copies of
these rules or direct questions to OUNC by calling (503)246 -1987.
Issued by . Permittee Signature: o
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
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Accumulative Sewer Tally
Tenant Name: - 11 N AL- 1E/Z,. CO • This SWR# 9 q"cc Ebb
Address: 73 (/ ,,,p KflB.t _i; 1 This PLM#: C'f — 1 /C&
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added # added Its total
Count off #s count value values
Baptistry/Font 4
Bath - Tub /Shower 4
- JacuaiNVhirlpool 4
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commercial 4
- Domestic 2
Drinkin • Fountain 1
Eye Wash 1
Floor Drain/sink - 2 inch 2
-3inch 5
- 4 inch 6
- Car Wash Dm 6
Garbage Disposal 16
- Domestic (to 3/4 HP)
• Commercial (to 5 HP) 32
- Industrial (over 5 HP) 48
Ice Machine/Refri • erator Drains 1
Oil Sep (Gas Station) 6
Rec. Vehicle Dump Station 16
Shower - Gang (Per. Head) 1 '
- Stall 2
Sink - Bar/Lavatory 2 a1 4
- Bradley 5
- Commercial 3
- Service 3
Swimming Pool Filter 1
Washer - Clothes 6
Water Extractor 6
Water Closet - Toilet 6 o.. 1
Urinal 6 r� to I CO C
-
TOTALS �'' J 69,,d..„
1 f g
Total fixture values: divided by 16 = 7 37 E DU �- 7 bt-i_ , 3 Ct ►) C /LE ct S L c F
/ T j i),_)
HISTORY ` /may /mo . o�_. -. r ,:,,, Lc, C::)c, ;,),I-, t. 7)L .
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i:ldsts■swrtaly.doc