Permit • TI GARD C I TY O •
4, „, r ,� DEVELOPMENT SERVICES SEWER CONNECTION
�
PERM IT
13125SWHa11..Blvd., Tigard, 0R97223 (503)639.4171 PERMIT . #........: SWR97 -1369 .
. DATE ISSUED: 11/05/97
PARCEL: 1 S 1 S6CD -Ct RTY
SITE ADDRESS...: 1 1711 SW PACIFIC HWY .
SUBDIVISION....: ZONING: C—G
BLOCI:.....n_oven LOT. JURISDICTIONa TIG .
TENANT NANE......: CA R TOYS
USA NO. . . . . . . . . . . FIXTURE UNITS...: 22
CLASS OF WORK. ..: NEW DWELLING UNITS..: TS..: 0 '
TYPE OF USE......: COMI NO. OF BUILDINGS: 0
INSTALL TYPE_....: LTPSWR I NPERV SURFACE: 0 sf
Reinar Seaver^ permit for 5,864 sq. ft. retail building
Owner: _....._ __ __ _ - _ _ - - - - - - -- -- . -. - . ..__..._._._.._.__._...._.._.. _ _._.__._... FEES ._._..__...._..._._..-
CAR TOYS type amount by date recpt
11710 SW PACIFIC HWY INSP 45.00 B 11/05/97 97- 300086
T I GARD OR • 97223
Phone #s
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Cont r or : - -•- ----------- -•
OWNER •
Phone # : $ 45.00 TOTAL
- REQUIRED INSPECTIONS -- - - - - --
This Applicant agrees to cooply with all the rules and regulations Sewer Inspection _ _____
of the Unified Sewage Agency. The peroit expires 180 days frog _ �__ ____
the date issued. The total aoount paid will be forfeited if the _
peroit expires. The Agency does not guarantee the accuracy of the __ _
side sewer laterals. If the sewer is not located at the ceasurepent _
given, the installer shall prospect 3 feet in all directions froc __-__ ____ �,_
the distance given. If not so located,. the installer shall purchase _
a 'Tap and Side Sewer” Peroit 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 CAR _ _
952 -00. -0010 through OAR 952-0N1-0080. You oay obtain copies of _ _ �_�_
these rules or direct uestions to OUNC by calling (503)246 -1987. 1 q, _.._
._____
. .
. • . 2 . . . .
Issued by: P er'mittee Signature:. /
.. 4.-7- + +-}-r--I- -1- -+ -- ;-- 1--I--I..+ +±+4-I- -Ei --i.1 -1- ++....f -i- -1--P- i- -7-- 1.4 -4•±+± +-I -4 - 1- 4--f + ++±±.L+ I.4-+- ~ i- -1--1 - F +d-i- ± +.4.++ r+4r•-I-•1 --1 +
Call 639 -4175 by 7:01 p.m. for an inspection needed the next business day
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Accumulative Sewer Tally
Tenant Name:C O 4 r - - 1/1 M 1A - This SWR# i ?' d 3/e
Address: I (11 0 SW {'Q,C,I-k 14tu -j This PLM#: al 1- fl ' Z
FRO
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 ,
-3inch 5
- 4 inch 6
- Car Wash Drn 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 y L` 2 - 1-1
- Bradley 5
- Commercial 3 1 3 ( 3
- Service 3 / . - z j r 3
Swimming Pool Filter 1
Washer - Clothes 6
Water Extractor 6
Water Closet - Toilet 6 Z I Z Z ( Z
Urinal 6
TOTALS 23
Total fixture values: n divided by 16 = 1. EDU /-\=-- • ( bU >_, :;� <<
HISTORY rOUL-- '�4.k.,►'ti lD/ .J✓
Q...Y/l
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
i:\dsts\swrtaly.doc ` , t
- Cam, o Q� -t& `� .�b 1 2,0l,_ --� a ( 6u7-o 2)
1a- a.o - "7).4)
Page No. 1 CASE HISTORY FOR CASE NO.: SWR97 -0369
SCONZO /HALLSTROM
11710 SW PACIFIC HWY
06/17/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- --- -- - --- -- ---
SWRC003 Application received / / / / 10/07/97 RECD B 10/13/97 BON
SWRC008 Permit Created / / / / 10/13/97 DONE B 10/13/97 BON
SWRCO25 USA Sewer Card Processed / / / / 10/13/97 DONE B 10/13/97 BON
SWRCO32 DST Post- Review Completed / / / / 10/13/97 PASS B 10/13/97 BON
SWRC070 Ready to issue / / / / 10/13/97 PASS B 10/13/97 BON
SWRC080 (F) Issue permit / / / / 11/05/97 PASS B 11/05/97 DST
SWRC705 Sewer Inspection 10/13/97 / / 11/06/97 PASS TLP 12/04/97 J *H
SWRC720 Case Finaled / / / / 12/04/97 PASS TLP 12/04/97 J *H
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