Permit CITY OF TIGARD SEWER CONNECTION PERMIT
• a COMMUNITY DEVELOPMENT Permit#: SWR2014-00023
TIA. D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/18/2014
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Parcel: 2S 101 AB02500
Jurisdiction: Tigard
Site address: 7090 SW BEVELAND RD
Project: Beveland Street Offices Subdivision: BEVELAND Lot: 7
Project Uescnption: Building 2-.75 EDU increase
Contractor: Owner: SPECTRUM LAND DEVELOPMENT LLC
PO BOX 1689
LAKE OSWEGO. OR 97035
PHONE: PHONE. 503-570-8828
FAX.
FEES
Description Date Amount
Specifics: Sewer Connection Fee 0311 8/2 01 4 $3,600 00
Sewer Inspection-Corrtmerciai 03/18/2014 545.00
Type of Use: COM
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 75
Total 53,645.00
Required Items and Reports(Conditions)
This permit is issued sublect 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 suspended for more the 180 days. ATTENTION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those-Tutes are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules or direct questions
to OUNC by/calling 503. 2.1987 or 1.800 332.2344
•
Issued Li Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat
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
IN Tenant Name: Beveland Street Offices-Building 2 SWR# 2014-00023
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Site Address: 7090 S\\'lieveland Street P1.M # 2014-00074
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Parcel#: 2S101 AB02500
Fixture Value Previous Previous Credits (;lipped Fixture Fixture New New
# value count capped#- ..ilue count Added# added value total#s total values
Baptiser}/Font 4 0 0 0 0 0
Bath: -Tub/Shower 4 0 0 0 0 0
-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.1spirator 1 0 0 0 9 0
Dishwasher. -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain I 0 0 0 0 0
I?ye Wash 1 0 0 0 0 0
Moor Drain/Sink: -2 inch 2 0 0 1 2 I 2
-3 inch 5 (1 0 0 0 _ 0
-flinch 6 0 0 0 (1 0
-Car Wash 6 0 9 0 0 _ 0
Garbage Disposal:
-Domestic(to 3/4 III') 16 0 0 0 0 0
-Commercial (to 5 I IP) 32 0 0 0 0 0
-Industrial(over 5 I IP) 42 0 0 0 0 0
Ice Machine/Refrigerator Dram 1 0 0 0 0 0
living Unit 16 0 0 0 0 0
Oil Sep(Gas Station) t, 0 0 0 0 0
Rec.Vehicle Dump station 1!, 0 0 0 0 0
Shower: -Gang(per head) 1 0 0 0 0 0
-Stall _ 0 0 0 0 0
Sink:
-Lay/Bar-Non-Fod Related 2 0 0 2 4 2 4
-Bradley 5 0 0 0 9 0
-Com/Serv/Util-Food Related 3 0 0 0 0 0
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 11 0 I 6 1 6
Urinal 6 0 0 0 0 0
Previous EDU(:aunt 0 0
Capped EDU Credit 0
1'OT.\LS 0 0 0 _ 0 4 12 4 12
Current Fixture Value 12 divided by 16= 0.750 Current I•I?I 1 EDU= $4,800.00
Previous Fixture Value 0 divided by 16= 0.000 Previous I-I)I
Change 12 divided by 16= 0750 over (under) $ 3,600.00
Enter EDU Change Here 0.750
Notes: Garbage disposal not calculated as it is for office breakroom.
Authorized Name/Signature: Debbie Adamski Date: 3/18/2014
Building Division
Note: The property owner shall retain the ORIGIN.\\.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.
1:\Building\Sewer Tally\Sc'.verTallySheet_484X 1_0701 I3.xlsx