Permit p CITY OF TIGARD SEWER CONNECTION PERMIT
8 COMMUNITY DEVELOPMENT Permit#: SWR2015-00017
• - I Date Issued: 02/26/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 I
grA® Parcel: 2S101BD00100
Jurisdiction: Tigard
Site address: 7650 SW BEVELAND RD 130
Project: HR Answers Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: .5 EDU increase REVISED,4/15/15,HR Answers identified as tenant, now just creating(1)TI space,#130.
Contractor: Owner: PNWP LLC#2
PO BOX 2206
BEAVERTON, OR 97075
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/26/2015 $2,450.00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: .5
Total $2,450.00
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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules 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 503.232.1987 or 1.800.332.2344.
Issued By: J t/, y Cel-er�c''
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
Tenant Name: HR Answers SWR# 2015-00017
Site Address: 7650 SW Beveland Suites 130 iii,, PLM# 2015-00056
Parcel#: 2S101BD00100 Mr/
Fixture Value Previous Previous Credits Capped Fixture Fixture New New
# value count ■.ipped#s value count added# added value total#s total values
Baptistry/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 Aspirator I 0 0 0 0 0
Dishwasher. -Commercial 4 0 0 0 0 0
-Domestic 2 0 0 0 0 0
Drinking Fountain 1 0 0 0 0 0
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch _' 0 0 0 0 0
-3inch 5 0 0 0 0 0
-4 inch 6 0 0 0 0 0
-Car Wash 6 0 0 0 0 0
Garbage Disposal:
-Domestic(to 3/4 HP) 16 0 II 0 0 0
-Commercial(to 5 HI') 32 0 II 0 0 0
-Industrial(over 5 H1') 42 0 0 0 0 0
Ice Machine/Refrigerator Drain 1 0 0 0 0 0
Living Unit 16 0 0 0 0 ll
Oil Sep(Gas Station) 6 0 0 0 0 0
Rec.Vehicle Dump station 16 0 0 0 0 ll
Shower: -Gang(per head) 1 0 0 0 0 0
-Stall 2 0 0 0 0 (I
Sink:
-Lav/Bar-Non-Food Related 2 0 0 4 8 4 S
-Bradley 5 0 0 0 0 0
-Com/Serv/Util-Food Related 3 0 I) 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 (I
Water Closet-Toilet 6 0 0 0 0 0
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 _ 0 _ 0 4 8 4 _ 8
Current Fixture Value 8 divided by 16= 0.500 Current EI)I 1 EDU= $4,900.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 8 divided by 16= 0.500 over (under) 2,450.00
Enter EDU Change Here 0.500
Notes: 4/15/15,REVISED,no change in DU's,revised for identified tenant name and suite#130.
Authorized Name/Signature: Debbie Adamski Date: 2/25/2015
Building Division
r ote: The property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must he
•ubmitted to the City of Tigard Building Division to redeem credits towards future system development charges.
1:\Buil ding\Sewer Tall y\SewerTallyShect_49011._070114.xlsx
CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2015-00017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/26/2015
Parcel: 25101 BD00100
Jurisdiction: Tigard
Site address: 7650 SW BEVELAND RD 120
Project: Spec Space Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: .5 EDU increase
Contractor: Owner: PNWP LLC#2
PO BOX 2206
BEAVERTON, OR 97075
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 02/26/2015 $2,450.00
Type of Use: COM
Class of Work: ALT
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: .5
Total $2,450.00
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 suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification
Center. Those rules 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 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: i • 41•
Call 503.639.4175 by 7:00 a.m.for the next available insp•ction •ate.
This permit card shall be kept in a conspicuous place on the job site until c• • • etion of the project.
Approved plans are required on the job site at the time of each inspection.