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Permit SEWER CONNECTION PERMIT CITY OF TIGARD ► 1111 = COMMUNITY DEVELOPMENT ��� Permit#: SWR2015 00047 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2015 T f t'"� 9 Parcel: 25101 DC04603 Jurisdiction: Tigard Site address: 7405 SW TECH CENTER DR 140 Project: Pivot Subdivision: TECH CENTER BUSINESS PARK Lot: 2 Project Description: .13 EDU increase. 6/17/15,REPRINTED to add an additional.13 EDU for new total of.26 EDU's. Contractor: Owner: WPC TIGARD LLC 307 LEWERS ST 6TH FL HONOLULU, HI 96815 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 05/07/2015 $637.00 Sewer Connection Fee 06/17/2015 $637.00 Type of Use: COM Class of Work: ALT Install Type: Building Sewer Fixture Units: Number of Dwelling Units: .26 Total $1,274.00 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 y: a� PermitteeSignature Call 503.639.4175 by 7:00 a.m.for the next available inspection d e. 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. tie Sewer Tally gi v Tenant Name: Pivot SWR# 2015-00047 REVISED Site Address: 7405 SW'I'eeh Accu Center m Dular#140 PLM# 2015-00129 Parcel#: 2S101DC04603 Fixture \.1111, I'rcvious Previous Credits Capped Fixture Fixture New New tt 'aloe count capped#s value count added# added value total#s total values Baptisery/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 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 1 2 1 2 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3 inch 5 0 0 0 0 I) -4 inch 6 0 0 0 0 0 -Car Wash 6 0 0 0 ll _ 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 0 0 0 Living Unit 16 0 0 0 0 0 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 1 2 1 2 -Bradley 5 0 0 0 0 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 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 2 _ 4 _ 2 4 Current Fixture Value 4 divided by 16= 0.250 Current EDU 1 EDU= $4,900.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 4 divided by 16= 0.250 over (under) $ 1,225.00 Enter EDU Change Here 0.250 Notes: REVISED to add(1)dishwasher. Garbage disposals for employee use not counted. Authorized Name/Signature: Debbie Adamski Date: 6/17/2015 Building Division r ote: 'I'he property owner shall retain the ORIGINAL sewer tally record. If credits exist,this document will serve as a voucher which must be ubmitted to the City of Tigard Building Division to redeem credits towards future system development charges. 1:\Building\Sewer Tally\Scwerl'allySheet_4900._070114.xlsx p CITY OF TIGARD Waal SEWER CONNECTION PERMIT COMMUNITY DEVELOPMENT Permit#: SWR2015-00047 13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 05/07/2015 T 1D AR 9 Parcel: 25101 DC04603 Jurisdiction: Tigard Site address: 7405 SW TECH CENTER DR 140 Project: Pivot Subdivision: TECH CENTER BUSINESS PARK Lot: 2 Project Description: .13 EDU increase. 6/17/15,REPRINTED to add an additional.13 EDU for new total of.26 EDU's. Contractor: Owner: WPC TIGARD LLC 307 LEWERS ST 6TH FL HONOLULU, HI 96815 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 05/07/2015 $637.00 Sewer Connection Fee 06/17/2015 $637.00 Type of Use: COM Class of Work: ALT Install Type: Building Sewer Fixture Units: Number of Dwelling Units: .26 Total $1,274.00 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 rul- .a 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 ca g 503.232. !87 • .1.8800.332.2344. , Issued By A — 4I _ _` Permittee Signature: \ ..Q! �f( 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. IN Accumulative Sewer Tally . Tenant Name:Pivot i ' . 1 SWR# 2015-00047 REVISED Site Address: 7405 SW Tech Center Dr#140 rA,, PLM# 2015-00129 Ili \III, Parcel#: 2S101DC04603 . Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/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 1 0 0 0 0 0 Dishwasher: -Commercial 4 0 0 0 0 0 -Domestic 2 0 0 1 2 1 2 Drinking Fountain 1 0 0 0 0 0 Eye Wash 1 0 0 0 0 0 Floor Drain/Sink: -2 inch 2 0 0 0 0 0 -3 inch 5 0 0 0 0 0 -4 inch 6 0 0 0 0 0 -Car\\.>I 6 0 0 0 _ 0 0 Garbage Disposal: -Domestic(to 3/4 I IP) 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 0 0 0 Living Unit 16 0 0 0 0 0 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 1 2 1 2 -Bradley 5 0 0 0 0 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 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 2 4 2 4 Current Fixture Value 4 divided by 16= 0.250 Current EDU 1 EDU= $4,900.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 4 divided by 16= 0.250 over (under) $ 1,225.00 Enter EDU Change Here 0.250 Notes: REVISED to add(1)dishwasher. Garbage disposals for employee use not counted. Authorized Name/Signature: Debbie Adamski Date: 6/17/2015 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\SewerTallytiheet_491N1._070114.xlsx CITY OF TIGARD SEWER CONNECTION PERMIT 111111 s COMMUNITY DEVELOPMENT Permit#: SWR2015-00047 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2015 Parcel: 25101 DC04603 Jurisdiction: Tigard Site address: 7405 SW TECH CENTER DR 140 Project: Pivot Subdivision: TECH CENTER BUSINESS PARK Lot: 2 Project Description: .13 EDU increase Contractor: Owner: WPC TIGARD LLC 307 LEWERS ST 6TH FL HONOLULU, HI 96815 PHONE: PHONE: FAX: FEES Description Date Amount Specifics: Sewer Connection Fee 05/07/2015 $637.00 Type of Use: COM Class of Work: ALT Install Type: Building Sewer Fixture Units: Number of Dwelling Units: .13 Total $637.00 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 s .fication Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cosy of the rules or re' .uestions to OUNC by - • ' .- .1987 or 1.800.332.2344. Issue. By: J!At Permittee Signature: / ' .1w,i Call 503.639.4175 by 7:00 a.m.for the next available inspectio .•• e. This permit card shall be kept in a conspicuous place on the job site until co . • etion of the project. Approved plans are required on the job site at the time of each inspection. gi lati Tenant Name: Pivot SWR# 2015-00047 Site Address:7405 SW Tech Accu Center m Dr u#140 ve Sewer Tally PLM# 2015-00129 Parcel#: 2S101DC04603 Fixture Value Previous Previous Credits Capped Fixture Fixture New New # value count capped#s value count added# added value total#s total values Baptisery/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 1 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 2 0 0 0 0 0 -3 inch 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 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 0 0 0 Living Unit 16 0 0 0 0 0 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 1 2 1 2 -Bradley 5 0 0 0 0 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 () Water Closet-Toilet 6 0 0 0 0 0 Urinal 6 _ 0 0 0 0 (1 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 1 2 1 2 Current Fixture Value 2 divided by 16= 0.125 Current EDU 1 EDU= $4,900.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 2 divided by 16= 0.125 over (under) $ 637.00 Enter EDU Change Here 0.130 Notes: Authorized Name/Signature:Debbie Adamski Date: 4/30/2015 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\SewerTallysheet_4900._070114.xlsx