Permit A t, ITY OF TIGARD SEWER CONNECTION PERMIT
si'k DEVELOPMENT SERVICES PERMIT #: SWR2000 -00083
� � ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/11 /00
SITE ADDRESS; 12259 SW 69TH AVE PARCEL: 2S101AA -09100
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 030 JURISDICTION: TIG
TENANT NAME: RENAISSANCE HOLDINGS
USA NO: FIXTURE UNITS: 199
CLASS OF WORK: ALT DWELLING UNITS: 4
TYPE OF USE: COM NO. OF BUILDINGS:
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Plumbing TI, previous fixture value was 121, this permit deducts 9 values and adds 87 values for a
new fixture value of 199. Previous EDU count was 8, this permit increases the EDU count to 12, for
an increase of 4 EDU's.
Owner: FEES
SPECHT PROPERTIES
15400 SW MILLIKAN WAY Type By Date Amount Receipt
BEAVERTON, OR 97006 PRMT DEB 5/11/00 $9,200.00 002080
Total $9,200.00
Phone: 646 -2202
Contractor:
Phone:
Re ' `�
#: 1 ,
9 O \�
Required Inspections
•
This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given, the installer
shall prospect 3 feet in all directions from the distance given. If not so located, the installer shall purchase a "Tap and
Side Sewer' Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may • • ain •- • ies of these rules or direct questions to OUNC by calling (503) 246 -1987.
Issued b . • ,) 1 ( , r 9 a i Permittee Signature: )c
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
. Accumulative Sewer Tally �1 ,
Tenant Name: ' IL _� ' I' � W
5 This SWR# 614 ` - odor '
Address: 122 ' (0 VC . This PLM #: ' LD /_ - 0 ,
Fixture Value Previous Previous Credits Capped Fixtures Fixtures New total New
# Value Capped off value added # added #s total
Count off #s count value values
Baptistry/Font 4 - ,
Bath - Tub /Shower 4
- JacuzziNVhiripool 4
Car Wash - Each Stall 6
- Drive Through 16 . .
Cuspidor/Water Aspirator 1
Dishwasher - Commercial 4 ' ii
- Domestic 2 .
Drinking Fountain 1 •
Eye Wash 1 //-- _
Floor Drain/sink - 2 inch 2 3 Y •
- 3 inch 5 .3 '
- 4 inch 6 .
- Car Wash Dm 6
Garbage .Oisposal 16
- Domestic (to 3/4 HP) .
- Commercial (to 5 HP) 32
- Industrial (over 5 HP) 48
Ice Machine/Refrigerator Drains 1 .
Oil Sep (Gas Station) 6 .
Rec. Vehicle Dump Station 16 ,
Shower - Gang (Per Head) 1
- Stall 2 ■ .
Sink - Bar/Lavatory 2
- Bradley 5
•
- Commercial- 3 \ �; • •
- Service 3 •
Swimming Pool Filter 1
Washer - Clothes 6 .
Water Extractor 6 •
Water Closet - Toilet 6 /
Urinal 6 /
TOTALS ` / ! � 5
Q r E DU N I o Z F eu 5 a cs, ex-v- Lv`t <
Total fixture values: l divided by 16 = /d.1` ::--- l� r �,
��. 94 i f �u ' _, /duo . -
HISTORY "
PLM# 1999 -004y1 EDU# S • SWR# 1991 -oage49 1 PLM# EDU# SWR#
PLM# 14419 -o0aoa EDU# 7 SWR# 1`114- 0olLio PLM# EDU# SWR#
PLM# EDU# SWR# PLM# .EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
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