Permit s`14 CITY OF TIGARD
SEWER CONNECTION PERMIT
COMMUNITY DEVELOPMENT Permit #: SWR2010 -00041
Date Issued: 03/25/2010
Ct f G AR D. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S110DB00500
Jurisdiction: Tigard
Site address: 15336 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Sonic Drive -In Restaurant
Project Description: 7.1 EDU's for new drive -in restaurant. Demo credit of 1.6 EDU's applied, so only charged for 5.5
EDU's.
Owner: FEES
MWF TIGARD LLC Description Date Amount
2123 NW ALOCLEK DR #1203 Sewer Connection Fee 03/25/2010 $19,800.00
HILLSBORO, OR 97124 Sewer Inspection - Commercial 03/25/2010 $45.00
PHONE: 503 - 617 -0175
Contractor:
PHONE:
FAX:
Type of Use: COM
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units:
Number of Dwelling Units: 7.1
Total $19,845.00
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 -0100. You may obtain a copy of the rules
or direct questions too OUN by calling 503.246.6699 or 1.800.332.2344.
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Issued By: ,/f /��� \�►�� 4 Permittee Signature:
/ J /� Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 Parcel # 2S110DB00500
Tenant Name: Sonic Drive-In This SWR# 2010
Site Address: 15336 SW Pacific I -Iwy This PLM# 2010 - 00087
I ixturc Value Previous Previous Credits Capped Fixture Fixturc New New
# value capped off value added added total total
count off #s count # value #s 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 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 15 75 15 75
- 4 inch 6 0 0 0 0 0
- Car Wash Drn 6 0 0 0 0 0
Garbage Disposal
- Domestic (to 3/4 1 -IP) 16 0 0 0 0 0
- Commercial (to 5 LIP) 32 0 0 0 0 0
- Industrial (over 5 HP) 42 0 0 0 0 0
Ice Machine /Refrigerator Drain 1 0 • 0 1 1 1 1
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 - Bar /I..avatory 2 0 0 5 • 10 5 10
- Bradley 5 0 0 0 0 0
- Commercial 3 0 0 2 6 2 6
- Service 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 • 2 12 2 12
Urinal 6 0 0 1 6 1 6
Previous EDU Count • 0 0
Capped EDU Credit 1.6 25.6
'1'O"1'ALS 0 0 0 0 27 113 27 87.4
Current Fixture Value 87.4 divided by 16 = 5.5 Current EDU 1 EDU = S 3,600
Previous Fixture Value 0 divided by 16 = 0.0 Previous EDU
Change 87.4 divided by 16 = 5.5 over (under) $ 19,800.00
Enter EDU Change Here 5.5
Notes: ** *DEMO CREDITS FROM BUP2010 -00029 APPLIED ** *Per UB, previously being billed for 1.6 EDU's.
Authorized Name /Signature: Debbie Adamski Date: 3/24/2010
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.
l:\ Building \Sewer Tally 06 /25/08