Permit (131) } �,aF
CITY OF TIGARD SEWER CONNECTION PERMIT
8 COMMUNITY DEVELOPMENT Permit#: SWR2018-00247
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/08/2018
FIS AFC.O 9 Parcel: 2S102CB01804
Jurisdiction: Tigard
Site address: 13305 SW PACIFIC HWY
Project: Taco Bell Subdivision: None Lot: None
Project Description: Interior plumbing for new restaurant building:6.31 EDU increase.
Contractor: Owner: WEBER COASTAL BELLS LIMITED
WEBER, EDUARD
840 CONGER ST
EUGENE, OR 97402
PHONE: PHONE:
FAX:
FEES
Description Date Amount
Specifics: Sewer Connection Fee 10/30/2018 $35,651.50
Sewer Inspection-Commercial 10/30/2018 $45.00
Type of Use: COM
Class of Work: NEW
Install Type: Building Sewer
Fixture Units:
Number of Dwelling Units: 6.31
Total $35,696.50
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 952-001-0010 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: A ,'
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Call 50 .• •.,175 by 7:00 a.m.for the next available inspecti.• . 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.
Accumulative Sewer Tally
I Tenant Name: TACO BELL SWR# 2018-00247
TI G n R D Site Address: 13305 SW PACIFIC HWY PLM# 2018-00456
Parcel#: 2S 102CB01804
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 8 40 8 40
-4 inch 6 0 0 5 30 5 30
-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 2 2 2 2
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 2 4 2 4
-Bradley 5 0 0 0 0 0
-Com/Sery/Util-Food Related 3 0 0 4 12 4 12
Swimming Pool Filter 1 0 0 1 1 1 1
Washer-Clothes 6 0 0 0 0 0
Water Extractor 6 0 0 0 0 0
Water Closet-Toilet 6 0 0 2 12 2 12
Urinal 6 0 0 0 0 0
Previous EDU Count 0 0
Capped EDU Credit 0
TOTALS 0 0 0 0 24 101 24 101
Current Fixture Value 101 divided by 16= 6.313 Current EDU 1 EDU= $5,650.00
Previous Fixture Value 0 divided by 16= 0.000 Previous EDU
Change 101 divided by 16= 6.313 over (under) $ 35,651.50
Enter EDU Change Here 6.310 *
*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:
Authorized Name/Signature: BRANDEN TAGGART Date: 10/29/2018
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