Permit CITY OF TIGARD
SEWER CONNECTION
_ALAI ; �
DEVELOPMENT SERVICES PERMIT #PERMIT : swR98-0028
DATE ISSUED: 02/23/98
PARCEL: 2S110AB -00200
SITE ADDRESS...:14411 SW PACIFIC HWY
SUBDIVISION -CANTERBURY PLACE ZONING: C —G
BLOCK LOT •1 -3 JURISDICTION: TIG
TENANT NAME •SUPERPLAY PIZZA
USA NO FIXTURE UNITS...: 59
CLASS OF WORK... :ALT DWELLING UNITS..: 4
TYPE OF USE °COM NO. OF BUILDINGS: 0
INSTALL TYPE •BUSWR IMPERV SURFACE: 0 sf
Remarks: SuperPlay Pizza tenant improvement.
Owner: FEES
G C KOLVE CO type amount by date recpt
14389 SW PACIFIC HWY PRMT $ 8800.00 JSD 02/23/98 98- 303524
TIGARD OR 97224
Phone #:
Contractor:
OWNER
Phone #: $ 8800.00 TOTAL
Reg #..
REQUI RED 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- 0001 -0080. ou may obtain copies of
these rules or direct questions to I ',," calling (503)246 -1987.
Issued by: rrar■ Permittee Signature:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Tenant Name: 6--; 92 4 y Accumulative Sewer Tally This SWR #: 9V °zg
Address: /W./ - - r bc /A L 1414 V This PLM #: ' MOW
W
Fixture Value Previous # Previous Credits Capped Fixtures Fixtures New New
Value Capped off value added # added total #s total
Count off #s count value values
Baptistry/Font 4
Bath - Tub /Shower 4
- Jacuz/Whpl 4
Car Wash - Each Stall 8
- Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commer 4 - - -_ glaill 9 J . "I
- Domest 2
Drinking Fountain 1 - - -_ ✓ / I I
Eve Wash 1
• or 2 inch 2 I� Lt g
f- 3 inch 5
- 4 inch 6
- Car Wash Drain 6
Garbage Disposal 16
- Dom (to 3/4 HP)
- Comm (to 5 HP) 32 III
- Ind (over 5 HP) 48
Ice Machine /Refrigerator Drains 1
Oil Sep (Gas Station) 6
Recreational Vehicle Dump Station 16 -- -_ — ___
Shower - Gang (Per Head) 1 -- __ - -__
- Stall 2 -- ___
Sink - Bar /Lavatory • 2 T NMI -4 NM Z y-
- Bradley 5
• Commercial 1 r" 0 P 3 _ — - 9
•
- Service ? Tea 5e v . S Mill ' . �� 3 q
Swimming Pool Filter 1
Washer, Clothes 6
Water Extractor 6 1111
Water Closet. Toilet 6 IIII 2_ iZ 111=1 30 MEM'
Urinal 6 11 6
TOTALS 2102— `i ) (0 22 7 s' 4*-
Total fixture values: ?-) ZI divided by 16 = ZD, 6Z EDU _ -O 1) L) 5
HISTORY L- : ,_ -70 G :> //4-17 4e c o ,- . -1 (7 J [
PI-M# 17- 0?Dj,EDU# Ito SWR# 91---OW.- PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#