Permit 401 1k, CITY OF TIGARD SEWER CONNECTION PERMIT
, il DEVELOPMENT SERVICES PERMIT #: SWR1999 - 00232
t' I " 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/29/2000
SITE ADDRESS; 07400 SW LANDMARK LN PARCEL: 2S112AB 00400
SUBDIVISION: ZONING: I -H •
BLOCK: LOT: JURISDICTION: TIG
TENANT NAME: BONITA PRODUCTS
USA NO: FIXTURE UNITS: 32
CLASS OF WORK: NEW DWELLING UNITS: 2
TYPE OF USE: COM NO. OF BUILDINGS: 1
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Sewer for new commercial building.
Owner:
FEES
GLEN HAYTER •
5455 SE ALEXANDER Type By Date Amount Receipt
HILLSBORO, OR 97123 PRMT GEO 03/29/200C $4,600.00 0001000
INSP GEO 03/29/200C $45.00 0001000
Phone: 503 - 542 - 5611 Total $4,645.00
Contractor:
Phone:
Reg #:
Required Inspections
ORIGINAL
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 hr= ugh •AR 9.2001 -0080.
You may obtain copies -of- these_ - ules -. dir--• -. estions- to- O UNC by calling (503) 246.4 !
Y
Issued by: • Al-- Permittee Signature: ,
` g �
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
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Accumulative Sewer Tally
Tenant Name:.!'JF±,._I /: , ' , ''1 'l1 ; % This SWR# /“; .
Address: -; do ( 9 s. 4 ,) 2t" /,49 .x" This PLM #:
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/Water 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 Dm 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
- Bradley 5
- Commercial 3 -
- Service 3
•
Swimming Pool Filter 1
Washer - Clothes 6
-
Water Extractor 6
Water Closet - Toilet 6
Urinal 6
TOTALS ' 55—
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#
is \dsts\swrtaly.doc
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1999- 0032.?
S1/45/0 Date 6
Date Requested PM BLD
Location 7V0 b 'i9 /V L., Suite ® zC:150 - GO 13 2.
Contact Person Ph i S 3 PLM
Contractor Ph C: 92- " 13 :c - V - ti1N. (999-007-32
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing —"
Foundation Access 6PAe FPS � �`/.�
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab gS� T"� (,� ( ��OU� "Z
Post & Beam �
Ext Sheath /Shear ` Q S�lQ / �� --
Int Sheath /Shear
Framing ry
Insulation P QC� - 0 G 32--?
6 i
Drywall Nailing �J 2 / i/6
Firewall 80 A .20 0 o - co ? 2 _ X36 z- 4/
Fire Sprinkler
Fire Alarm }3u to 2000 _ 000 9 3
Susp'd Ceiling , J
Roof -,� i cn
(Rq C OOSZ.
Misc: nn /
Final
PASS PART FAIL S1" (A - ( — cDo 2-3 C9 ���' ' '1 !_
PLUMBING • —_ , Z .4 56
•
Post & Beam
Under Slab
Top Out �
Water Service j OL 9 C- 0Oo 3 S—
Sanitar Sewer
Rain Drains
Final
PASS PART FAIL -
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA ] �) ��
Approach /Sidewalk
Other Date S /o � 0 Inspector I " 1 Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.