Permit CITY TIGARD SEWER CONNECTION PERMIT
4L . •r DEVELOPMENT SERVICES PERMIT #: SWR2000 -00084
„ � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/11/00
SITE ADDRESS; 12447 SW 69TH AVE PARCEL: 2S101AA -TTOOC
SUBDIVISION: TIGARD CORPORATE CENTER ZONING: MUE
BLOCK: LOT: OOC JURISDICTION: TIG
TENANT NAME: RENAISSANCE HOLDINGS
USA NO: FIXTURE UNITS: 137 •
CLASS OF WORK: ALT DWELLING UNITS: 2
TYPE OF USE: COM NO. OF BUILDINGS: 1
INSTALL TYPE: BUSWR IMPERV SURFACE:
Remarks: Tenant improvements. Current fixture count is 115, capped fixtures -8, added fixtures +30 = 137.
This adds two (2) EDU's to the current count.
Owner: FEES
SPECHT PROPERTIES
15400 WE MILLIKAN WAY Type By Date Amount Receipt
BEAVERTON, OR 97006 PRMT DEB 5/11/00 $4,600.00 0002080
Total $4,600.00
Phone:
Contractor:
Phone:
Reg #:
Required Inspections
/NJ o 0
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 • -' • copies of these rules or direct questions to OUNC by calling (503) 246 -1987.
' / ,, , , . P ermittee Signature:
Issued b � � � _ _,JIB ,.. - � - «—
Call (503) 639 -4175 by 7:00 P.M. for an inspection needed the next business day
..,;• , s �� Accumulative Sewer Tally
Tenant Name: IR / 5� , �P � ` f'�'1 P /1JC This SWR# PC-VO — 0008 •
Address: /a'!i 5 k 7 This PLM #:A0 CO — 00 13 /
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 - Tu Sh 4 — '
- Jacuzzi/Whirlpool 4 I
Car Wash - Each Stall 6
- Drive Through 16
Cuspidor/Water Aspirator 1
Dishwasher - Commercial 4 •
- Domestic 2 / Drinking Fountain 1
I ✓ /
Eye Wash 1
Floor Drain/sink - 2 inch 2
r '
- 3 inch 5
- 4 inch 6 .
- Car Wash Dm 6
Garbage - Disposal 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 y Y 3
- Commercial 3
p
- Service 3
Swimming Pool Filter 1
Washer - Clothes 6
Water Extractor 6 • v /a
Water Closet - Toilet 6 - Urinal 6 /
TOTALS
'�G F psi • Amt '" %) � �, r "F.JP�
Total fixture values: !3 . divided by 16 = qf 1 EDU' y : (11,uNr"
HISTORY ,
PLM# iq'/ 6 y VEDU# q • SWR #199q -66Ryo ( PLM# EDU# SWR#
PLM # /g99 - r✓oasf EDU# 7 SWR #/yy4_co/7? PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# • EDU# SWR# PLM# EDU# SWR#
Odsts%swrtaly.doc