Permit SEWER CONNECTION PERMIT
Y . ;E q CITY OF TIGARD
• COMMUNITY DEVELOPMENT Permit #: SWR2010 -00058
1GARLi 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 06/02/2010
Parcel: 2S101 BC00900
Jurisdiction: Tigard
Site address: 12291 SW KNOLL DR
Subdivision: Lot: 0
Project: The Knoll at Tigard
Project Description: Sewer connection for MF 48 -unit housing, plus commons area.
FEES
Owner:
THE KNOLL AT TIARD Description Date Amount
PO BOX 23206 Sewer Connection Fee 06/02/2010 $176,400.00
TIGARD, OR 97281 -3206 Sewer Inspection - Commercial 06/02/2010 $45.00
PHONE: 503 - 293 -4038
Contractor:
PHONE:
FAX:
Type of Use: MF
Class of Work: NEW
Install Type: Line Tap and Building Sewer
Fixture Units: 784
Number of Dwelling Units: 49
Total $176,445.00
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 . • • ion e er,Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or . • ect questions to OUNC by,callin. - 4 3. '6.6699 or 1.800.332.2344.
Issued By:
• ` � f Permittee Signature: �� _ C•=
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 # 2S101 BC -0 00900,
Tenant Name: The Knoll at Tigard, 48 units + commons area This SWR# 2010 - 00058
Site Address: 12291 SW Knoll Dr. This PL,M# 2010 00123
Fixture Value Previous Previous Credits Capped Fixture Fixture 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 - "1'ub /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
I ?yc Wash 1 0 0 0 0 0
Floor Drain /Sink - 2 inch 2 0 0 7 14 7 14
- 3 inch 5 0 0 0 0 0
- 4 inch 6 0 0 0 0 0
- Car Wash Drn 6 0 0 0 0 0
Garbage Disposal
- Domestic (to 3/4 FIP) 16 0 0 0 0 0
- Commercial (to 5 1 -IP) 32 0 0 0 0 0
- Industrial (over 5 FIP) 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 3 6 3 6
Sink - Bar /Lavatory 2 • 0 0 5 10 5 10
- Rradlcy 5 0 0 0 0 0
- Commercial 3 0 0 0 0 0
- Service 3 0 0 1 3 1 3
Swimming Pool Filter 1 0 0 0 0 0
Washer - Clothes 6 0 0 ' 3 18 3 18
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 3 48
MF Units (each): 48 768
TOTALS ALS _ 0 0 0 0 22 64 22 784
Current Fixture Value 784 divided by 16 = 49.0 Current EDU 1 EDU = S 3,600
Previous Fixture Value 0 divided by 16 = 0.0 Previous 1I DU
Change 784 divided by 16 = 49.0 over (under) S 176,400.00
Enter EDU Change Here 49
Notes:
Authorized Name /Signature: .Dianna Howse - Date: 4/16/2010
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.
I:\ Building \Sewer Tally \Sewer 1'allyShect- 3600.x!s 06/25/08