Permit CITY OF TIGARD SEWER SWR2 - 00191 CONNECTION PERMIT
COMM U NITY DEVELOPM Permit #:
t G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/19/2013
T
Parcel: 1 S134BC00300
Jurisdiction: Tigard
Site address: 12220 SW SCHOLLS FERRY RD
Project: Greenway Town Center - Whole Foods Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: 18.71 EDU's. (Actual EDU's are 30.81, demo credits of 12.1, previous billing rate, applied)
Contractor: Owner: FW OR- GREENWAY TOWN CENTER LLC
PO BOX 790830
SAN ANTONIO, TX 78279
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 12/19/2013 $89,808.00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 18.71
Total $89.808.00
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable
law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if
work is s = • - . more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center Those rules ar- set f• OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions
to 0 C by calling 503.232. • : or 1. 0 •.332.2344.
I sued By: ' 4 Permittee Signature: x
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Accumulative Sewer Tally
T enant Name: WHOLI? FOODS SWR # SW
R2013 - 00191
Site Address: 12220 SW SC I I ( 1.l .S I 1 ll i 1 K I) PLM # PL - 00359
Parcel #: 1S134B000300
Fixture Value I'rcvious Previous Credits Capped Fixture Fixture New New
# value count capped #s value count added ft added value total #s total values
Baptisery/Font 4 0 0 0 0 0
Bath: - Tub /Shower 4 0 0 1 4 1 4
- Jacuzzi /Whirlpool 4 0 0 0 0 0
Car Wash: - Each Stall 6 0 0 0 0 0
- Drive through 16 0 0 0 0 0
Cuspidor /Water Aspirator 1 0 0 0 0 0
Dishwasher: - Commercial 4 0 0 1 4 1 4
- Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 1 1 1 1
Eye Wash 1 0 0 1 1 1 1
Floor Drain /Sink: - 2 inch 2 0 0 103 206 103 206
- 3 inch 5 0 0 21 105 21 105
- 4 inch 6 0 0 5 30 5 30
- Car Wash 6 0 0 0 0 0
Garbage Disposal:
- Domestic (to 3/4 HP) 16 0 0 0 0 0
- Commercial (to 5 HP) 32 0 0 0 0 0
- Industrial (over 5 HP) 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 0 2 2 2 2
Oil Sep (Gas Station) 6 0 0 0 0 0
Rec. Vehicle Dump station 16 0 0 0 0 0
Shower: - Gang (per head) 1 0 0 0 0 0
- Stall 2 0 0 0 0 0
Sink:
- Lav /Bar - Non -Food Related 2 0 0 111 20 10 20
- Bradley 5 0 0 0 0 0
- Com /Sery /Util - Food Related 3 0 0 20 60 20 60
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet - Toilet 6 0 0 t 48 8 48
Urinal 6 0 I) 2 12 2 12
Previous EDU Count 0 0
Capped EDU Credit 12.1 193.6
TOTALS S 0 0 0 0 175 493 175 299.4
Current Fixture Value 299.4 divided by 16 = 18.713 Current EDU 1 EDU = $4,800.00
Previous Fixture Value 0 divided by 16 = 0.000 Previous EDU
Change 299.4 divided by 16 = 18.713 over (under) $ 89,808.00
Enter EDU Change Here 18.710
Notes: 12/3/13, all interior fixtures capped, previous tenant billed 12.1 DU, so this figure was applied as credit amount.
Authorized Name /Signature: Debbie Adamski Date: 12/3/2013
Building Division
Note: The property owner shall retain the ORIGINAL sewer tally record. If credits exist, this document will serve as a voucher which must be
submitted to the City of Tigard Building Division to redeem credits towards future system development charges.
I: \ Building \.Sewer Tally \.Sewer I'allySheet_4800._070113. xlsx