Permit (132) CITY OF TIGARD SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit#: SWR2018-00215
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2018
T[GARD Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: 35.88 EDU increase for superstructure addition modernization project. 25.31 EDU CREDITS APPLIED FROM
PLM2018-00270.
Contractor: Owner: TIGARD-TUALATIN SCHOOL DISTRICT
6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 09/26/2018 $202,722.00
Sewer Inspection-Commercial 09/26/2018 $45.00
Type of Use: COM
Class of Work: ADD
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 35.88
Total $202,767.00
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 1.800.332.234
Issued By: Signature:
��,�
� Permittee
Call 503.63 .41 y 7:00 a.m.for the next available inspection a�
This permit card shall be kept in a conspicuous place on the job site until comp etion • e project.
Approved plans are required on the job site at the time of each inspection.
I
Accumulative Sewer Tally
a Tenant Name: TIGARD HIGH SCHOOL SWR# 2018-00215
TIGARD Site Address: 9000 SW DURHAM PLM# 2018-00331
Parcel#: 2S1 1 4AA001 00
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 1 4 1 4
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 2 4 2 4
Drinking Fountain 1 0 0 5 5 5 5
Eye Wash 1 0 0 4 4 4 4
Floor Drain/Sink: -2 inch 2 0 0 41 82 41 82
-3 inch 5 0 0 15 75 15 75
-4 inch 6 0 0 18 108 18 108
-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 3 3 3 3
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 21 21 21 21
-Stall 2 0 0 6 12 6 12
Sink:
-Lav/Bar-Non-Food Related 2 0 0 75 150 75 150
-Bradley 5 0 0 0 0 0
-Com/Sery/Util-Food Related 3 0 0 15 45 15 45
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 0 2 12 2 12
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 0 58 348 58 348
Urinal 6 0 0 17 102 17 102
Previous EDU Count 0 0
Capped EDU Credit 25.31 404.96
TOTALS 0 0 0 0 284 979 284 574.04
Current Fixture Value 574.04 divided by 16= 35.878 Current EDU 1 EDU= $5,650.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 574.04 divided by 16= 35.878 over (under) $ 202,722.00
Enter EDU Change Here 35.880
*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: SEE PLM2018-00270 FOR CAPPED FIXTURES:25.31 EDU CREDITS APPLIED TO THIS PERMIT.
Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 9/5/2018
Building Division
IN
ote: 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
Accumulative Sewer Tally
i 41
a Tenant Name: TIGARD HIGH SCHOOL MODERNIZATION SWR# N/A
TIGARD Site Address: 9000 SW DURHAM RD. PLM# 2018-00270
Parcel#: 2S1 14AA00100
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 5 20 0 -5 -20
-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 2 2 0 -2 -2
Eye Wash 1 0 0 0 0 0
Floor Drain/Sink: -2 inch 2 0 0 0 0 0
-3inch 5 0 0 0 0 0
-4inch 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:
-Lay/Bar-Non-Food Related 2 0 25 50 0 -25 -50
-Bradley 5 0 0 0 0 0
-Com/Sery/Util-Food Related 3 0 7 21 0 -7 -21
Swimming Pool Filter 1 0 0 0 0 0
Washer-Clothes 6 0 37 222 0 -37 -222
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 0 0 0 0
Urinal 6 0 15 90 0 -15 -90
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 91 405 0 0 -91 -405
Current Fixture Value -405 divided by 16= -25.313 Current EDU 1 EDU= $5,500.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change -405 divided by 16= -25.313 over (under) $ (139,205.00)
Enter EDU Change Here -25.310 *
*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: ***CREDIT***
Authorized Name/Signature: BRANDEN TAGGART X2449 Date: 7/10/2018
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