Permit CITY TIGARD SEWER CONNECTION PERMIT
, , 1 � DEVELOPMENT SERVICES PERMIT #: SWR1999 -00156
' �I I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/27/99
SITE ADDRESS; 12144 SW SCHOLLS FERRY RD PARCEL: 1 S134BC -00101
SUBDIVISION: ZONING: C -G
BLOCK: - LOT: JURISDICTION: TIG
TENANT NAME: CARL'S JR
USA NO: FIXTURE UNITS: 111
CLASS OF WORK: NEW DWELLING UNITS: 3
TYPE OF USE: COM • NO. OF BUILDINGS: 1
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Sewer connection permit for new restaurant. Demolition permit BUP1999 -00162 has sewer DU -
credits. Per accounting 4 DU's to be credited. Total for this permit is 3 DU's charged.
Owner:
FEES
WILLIAM W. SAUNDERS, TRUSTEE Type By Date Amount Receipt
2155 KALAKAUA AVE STE 500
HONOLULU, HI .96815 PRMT GEO 8/27/99 $6,900.00 99- 317982
INSP GEO 8/27/99 $45.00 99- 317982
Phone: Total $6,945.00
Contractor:
CARRIER PLUMBING -
12848 SE STALEY
BORING, OR 97009
Phone: 658 -3818
Reg #: LIC 108564
PLM 26 -569PB
Required Inspections
Sewer Inspection
ORI G INAL
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This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Age• - The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The =n to - not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measur =ment gi‘i- n, the insta -r
shall prospect 3 feet in all directions from the distance given. If not so located, the inst -filer s all pur• ase a "T. • and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law req Tres y• to fa •w r - s adopted
by the Oregon Utility Notification Center. Those rules are set forth in OA' : -i s : • throu• f.• • ' • =""- 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by call g (503) 246- 9:
Issued by: ' i / - - Permittee Signature. _ _„,,A11111Z
Call (5 ) 639 -4175 by 7:00 P.M. for an inspection needed the nes day
Tenant N , ,e: -Av-- L 7)J Accu ulative wer Tally This SWR #:L- )k 9
Addrgss: 1 4(f 1 0.-#64.2 , 5 fi Y r- 0 , NEW tau_ This PLM #: PLH X999- ooa3/
1 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 6
- Drive Through 16
Cuspidor/Water Aspirator 1 �
Dishwasher - Commer 4 ^ , - 1 ( •
) ► 1 Lf
- Domest 2 61 ,
Drinking Fountain 1
Eye Wash 1
Floor Drain /sink - 2 inch 2 9 u tt
- 3 inch 5 9. (/I 5
i 1U
VI] L- (& . C 4
- 4 inch 6 Oil O
- Car Wash Drain 6
Garbage Disposal 16
- Dom (to 3/4 HP)
J
- Comm (to 5 HP) 32
- Ind (over 5 HP) 48 I l I _
Ice Machine /Refrigerator Drains 1
Oil Sep (Gas Station) 6 i
Recreational Vehicle Dump Station 16
Shower Gang (Per Head) I .
-Stall 2
Sink - Bar /Lavatory
2 Z I--/
- Bradley 5
- Commercial 3 „-- Li , 1 -2i
- Service 3 t" -
Swimming Pool Filter 1 `
Washer, Clothes 6 1 .1A
Water Extractor 6 r ' , f * J
Water Closet, Toilet 6 4 7/ Lt z 7
Urinal 6 • t/ ` A ( CD
Tar ac Z S . -' 111.0(7
TOTALS 1>u cr •
Total fixture values: ) ) 1 divided by 16 = (p A EDU N r l 1)0 ( 5
- 4 - Du .cIre S
HISTORY `DO Ci( Pet
•
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
10/08/1999 Activities for Case #: SWR1999 -00156
10:47:31 AM
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Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
SWRC003 Application received • 07/15/1999 DEB DONE No Hold DEB 07/28/1999
SWRC008 Permit Created • 07/28/1999 DEB DONE No Hold DEB 07/28/1999 Previous bank building was
demo'd, so there should be
credits for fixtures capped or
removed.
SWRCO25 USA Sewer Card Processed 07/28/1999 DEB No Hold DEB 07/28/1999
SWRCO32 DST Post - Review Completed 08/26/1999 BON DONE No Hold BON 08/26/1999
SWRC070 Ready to issue 08/26/1999 BON DONE No Hold BON 08/26/1999
SWRC705 Sewer Inspection 08/25/1999 MS PASS No Hold AKJ 10/06/1999
SWRC080 (F) Issue permit 08/27/1999 GEO DONE No Hold GEO 08/27/1999
SWRC720 Case Finaled 10/06/1999 AKJ DONE No Hold AKJ 10/06/1999
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-W1 ® 19q9'00 16O
��
Date Requested 1 'q AM PM Itigq/ -002`
Location Z I . .A al IS . ' Suite C6 f2
Contact Person V Jt Z P 2.0 Z ?O _ PLM Uq
Contractor Ph cg) l q[ / CriL5o
(UILI: Tenant/Owner C es. �1 T e. ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SG
Crawl Drain Inspection Notes:
Slab Post & Beam CSITY/qii I 7
Ext Sheath /Shear
Int Sheath /Shear /, � n
Framing 9' 40 4 iqq - 00 ∎ 5(P — G�,SS� O p 7iC" ( , Iv\ S
Insulation
D Q O - n &N � `r - 0oO \9
Drywall wall Nailing ,J�- -� } � - � "
Firewall O �I .(� tepolc‘c1_00-z_lc Fire Sprinkler V J __ Z"S 5 -2 l o/ 2z
Fire Alarm
Susp'd Ceiling / (iscwis Roof f C/ .Q ir V- c • � 0 / t / / (2 — 1 — \ 1
Misc: [ ,�.�` ^ \ . I re — w R A C _Q --v�/� , lJ v 6 re " A-S
4 00 PART FAIL .
• • BKG /Ike CO Q..a•r SA R \ e2. _,L- g \ L..,„
Post & S l aam
Under ab � . / Vu \
ndl �—�,�� ■, S `'V1 4 � L.
Top Out f� ` ,
Water Service S \ T ✓V" > D �(.� •
Sanitary Sewer
Rain Drains ' • /
Final l ,, n
PASS PART FAIL I l SS v �S
MECHANICAL
Post & Beam
Rough In
Gas Line `/
Smoke Dampers 0 -- Tn OCCIe
Final _ 1 •
PASS PART FAIL .J
ELECTRICAL
Service
Rough In ,..(,
UG /Slab
Low Voltage
Fire Alarm
�'I
Final
Pl PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain \‘.) [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin V `
[ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply I Line
ADA
. c - i iytlewOIk O14, Date ) O/� /g Inspector �' !n
� Ext� A9
i - FAIL DO NOT REMOVE this inspection record from the job site.
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