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Permit (214) CITY OF TIGARD SEWER CONNECTION PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: SWR2018-00216 TfGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/18/2018 Parcel: 1 S 136 DA02400 Jurisdiction: Tigard Site address: 11123 SW 68TH PKWY Project: RPC Tigard Storage Subdivision: WAY LEE Lot: 1 Project Description: 3.19 EDU INCREASE for new commercial storage facility. Contractor: Owner: RPC TIGARD 68 LLC 2101 CEDAR SPRINGS RD STE 1600 DALLAS, TX 75201 PHONE: PHONE: FAX: FEES Description Date Amount • Specifics: Sewer Connection Fee 09/17/2018 $18,023.50 Sewer Inspection-Commercial 09/17/2018 $45.00 Type of Use: COM Class of Work: NEW Install Type: Line Tap and Building Sewer Fixture Units: Number of Dwelling Units: 3.19 Total $18,068.50 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-ii a -I. • OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50 .1987 or 1.800.332.234 Issued By: Permittee Signature: ft L lA Call . 3'.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. IIIAccumulative Sewer Tally S li Tenant Name: RPC Tigard Storage SWR# 2018-00216 TI GnRD Site Address: 11123 SW 68th Pkwy PLM# 2018-00386 Parcel#: 1 SI 36DA02400 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 4 8 4 8 -3 inch 5 0 0 0 0 0 -4 inch 6 0 0 1 6 1 6 -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 5 10 5 10 -Bradley 5 0 0 0 0 0 -Com/Sery/Util-Food Related 3 0 0 1 3 1 3 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 4 24 4 24 Urinal 6 0 0 0 0 0 Previous EDU Count 0 0 Capped EDU Credit 0 TOTALS 0 0 0 0 15 51 15 51 Current Fixture Value 51 divided by 16= 3.188 Current EDU 1 EDU= $5,650.00 Previous Fixture Value 0 divided by 16= 0.000 Previous EDU Change 51 divided by 16= 3.188 over (under) $ 18,023.50 Enter EDU Change Here 3.190 * *Round EDUs to the nearest 1/100th: a count ending in.005 shall be rounded up to.01,and a count ending in.014 or less shall be rounded down to.01. Notes: Authorized Name/Signature: Dianna Howse Date: 9/6/2018 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_5500_070117.xlsx